Our proposal for managing combination therapy while awaiting for susceptibility in Pseudomonas infections.
Find out more: journals.plos.org/plosone/arti... #AMSsky #IDsky #PsWatch
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#AMSsky
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Combined antipseudomonal therapy does not improve outcomes and may increase toxicity.
Its main role is ensuring appropriate empirical therapy in severe infections, with no proven benefit once susceptibility is known.
📖 A systematic review: www.tandfonline.com/doi/full/10.... #AMSsky #IDsky #PsWatch
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🌟 ABX Pearl of the Day
💡 Q: My patient is admitted with an acute biliary infection. Is empiric metronidazole needed in this and other IAI?
#IDsky #MedSky #PharmSky #SkyRX #AMSsky
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Cover issue #9
On Monday, I reminisced about how my journey in medicine started as an interpreter, and it still feels like that is most of what I do
On Tuesday, I got to say “ we can cure this” On Wednesday, a small but mighty team of stewards celebrated over Ramen
On Thursday and Friday, I found it difficult to concentrate
A mini zine about My Infectious Diseases Life
Issue #9
#IDSky #MedSky #AMSSky #graphicmedicine #zine
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This post hoc analysis of the subgroup of patients with P. aeruginosa BSI recruited for the BALANCE RCT showed no differences in 90d mortality between patients treated for 7 vs 14d.
However, sample size and wide CIs preclude definite conclusions.
academic.oup.com/cid/advance-... #IDsky #AMSsky
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Antibiotic prescribing by dentists isn't often on the radar of many antibiotic stewards because dentists are often not part of a health system. Their impact on antimicrobial resistance isn't insignificant.
#AMSSky #IDSky
www.cidrap.umn.edu/antimicrobia...
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Valentine’s Day ASP and IPC style:
Gram-negatives are red
Gram-positives are blue
You can switch to PO
No matter the hue
Roses are red
Violets are blue
Wash Your Hands
Prevention starts with you
🥰💊🧼💝🌹
#IDSky #AMSSky #IPCSky #MedSky
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🆕“Corticosteroids and community-acquired pneumonia: Africa deserves an explanatory trial”
👇Free
bit.ly/4axverF
@critcaremed.bsky.social @criticalcarereviews.com #IDSky #MedSky #PCCSky #ICUSky #EMIMCC #Ansky #EMSky #AMSSky #Pharmsky #ClinMicro@unmc.bsky.social@unmc-id.bsky.social@unmccom.bsky.social
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🌟 ABX Pearl of the Day:
❓ Q: My patient with febrile neutropenia (FN*) on IV cefepime is hemodynamically stable but continues to have fevers. Do we need to switch empiric antibiotics to IV meropenem?
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
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This is a great case for trainees to review, highlighting how to approach a complex patient who may not be responding to treatment as expected. The answer is not always "escalate antimicrobial therapy".
#AMSSky
doi.org/10.1093/cid/...
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Punchcards with stewardship interventions
Stewardship punchcards! Because we have to celebrate the big little wins (and I love crafts 😅🥳)
#IDSky #AMSSky
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Most CAP patients who tested positive for respiratory viruses didn't benefit from antibiotic therapy. This study suggests that physicians may overestimate the risk of bacterial infections in CAP patients who test positive for respiratory viruses.
#AMSSky #IDSky
academic.oup.com/cid/advance-...
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So we've started the search for a nurse practitioner to join our Antimicrobial stewardship team here in the beautiful Hunter New England region of Australia.
Could this be you or someone you know? #AMSsky #IDsky
www.linkedin.com/posts/cather...
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🌟 ABX Pearl of the Day:
❓ Q: My patient with febrile neutropenia (FN*) has been afebrile for 72 hours, is asymptomatic, and we haven’t found an obvious infectious source.
How long should I continue cefepime?
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
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🌟 ABX Pearl of the Day:
❓Q: Candida in the urine? Should you treat?
✅ A: Usually not. Candiduria almost always reflects colonization, not infx. It should prompt elimination of risk factors- e.g., d/c indwelling catheters rather than antifungal tx🚫
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
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This looks excellent for those interested in AMR data analysis. #AMSsky #AMRsky
www.linkedin.com/posts/the-gl...
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Magnets with affirmations for stewards and infection preventionists
A weekend craft:
Magnets with affirmations for stewards and infection preventionists ☀️🌸 (and a 💗from my 4yo)
#IDSky #AMSSky #IPSky
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So great to see data in this population. I'm not going to lie though, I had to google flomoxef.
journals.asm.org/doi/10.1128/...
#IDsky #AMSsky
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🌟 ABX Pearl of the Day:
❓Q: My patient has isolated yeast (NOT Cryptococcus) from a respiratory culture. Do I need to treat this?
✅ A: In the vast majority of cases… NO.
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
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Happy New Year from a couple of stewards 🥳
From our Stewardship Program to y’all, Happy 2026 🎉! (optimizing antibiotics up until the last day of the year 😇
#IDSky #AMSSky
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Starting broad-spectrum antibiotic therapy in patients who present with sepsis is very ingrained in many clinicians. However, I hope this study will help convince hospitalists to de-escalate therapy those patients without MRSA or Pseudomonas infection.
#AMSSky
jamanetwork.com/journals/jam...
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Holiday inspired IPC and ASP stickers
Me wearing a sweatshirt with the message Merry Christmas and wash your hands
‘tis the season… to go around giving chocolates and holiday-inspired stewardship and IPC stickers 🥰🎄😅💊🧼
#IDSky #AMSSky #IPCSky
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A pair of cute ornaments with the message “Joy to the Infection Preventionists of the world” and “Joy to the Antimicrobial Stewards of the World”
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So looking forward to this meeting with my fav folks in IP, AS, and public health. Plus can we say CHICAGO? Who else is coming? 🙋🏻♀️ #IDsky #AMSsky
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🌟 ABX Pearl of the Day:
❓Q: If the urinalysis (UA) has elevated WBC or bacteria, does this mean the patient has a UTI?
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
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🌟 ABX Pearl of the Day:
❓Q: My patient is admitted for heart failure and has a chronic indwelling foley with cloudy urine. Should I send a urinalysis or urine culture (UCx) to assess for UTI?
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
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🌟 ABX Pearl of the Day:
❓ Q: We are treating a patient with CAP. Can we treat for a course shorter than 5 days?
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
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Love to hear others’ experience...
How has IV push antibiotics been working in ur ED? Any challenges w/ nurses having to push over 2–5 min vs hanging infusion & multitasking? Has IV Abx use ↑ from AMS pov? Would love to learn from others’ workflows & outcomes☺️ #nursesky #medsky #EMsky #AMSSky #IDsky
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