Echo the orange cat standing next to a Charlie Brown-esque potted fir tree. The tree is decorated with multi-colored lights, royal blue and pearl white ball ornaments, and a snow flake ornament towards the top.
Happy Holidays from me and Echo 🩵🎄🐈
Pets of #IDSky #PharmSky #SIDP #MedSky
😻😻😻 So cute!!!
Adding mine in 😄 happy Caturday from Wheatley and Dewey!
Echo the orange cat asleep on a light blue fluffy blanket, the picture of ultimate rest and relaxation. He is laying on his side facing the camera and pink toe beans on one of his front paws are peaking out from folds of the blanket.
I aspire to my cat’s level of relaxation 🧘 Happy #Caturday from me and Echo 🩵🦋
Pets of #IDSky #PharmSky #MedSky #SIDP
1/ 10th Day of Pharmacy Advent: IV Iron therapy in concurrent infection.
Let's delve into the complexities of using IV iron during active severe infections & potential risks involved👇
Shout out & thnx to @kirchoff.org for topic idea! 🙏
#medsky #pharmsky #EMsky #IDsky #HMsky #nephrosky
Happening today yall with the amazing Dr Uché Blackstock. We hope you’ll join!!
Pale, pale yellowish bloom on a Christmas cactus (maybe a Thanksgiving cactus 🤷🏼♀️). Hot pink stamen (pretty sure that’s the stamen?). No other buds to be found on the entire plant. A pleasant surprise.
Pale, pale yellowish bloom on a Christmas cactus (maybe a Thanksgiving cactus 🤷🏼♀️). Hot pink stamen (pretty sure that’s the stamen?). No other buds to be found on the entire plant. A pleasant surprise.
Taken by surprise by this single bloom on one of my Christmas cacti today. I can’t find another bud on the entire plant 🪴 💚
Echo the orange cat, stretched out on the bed, head snuggled into my forearm, eyes closed, content, front legs reaching towards me, white whiskers catching the light coming in through the gap in the curtains.
Echo wishes you some rest on this #Caturday 😴🐈
Pets of #IDSky #PharmSky #SIDP #CatSky
1/ On the 6th day of Pharmacy Advent, let’s talk re: communication
Today, I’m sharing a💎I learned in palliative care that I carry into ED practice. This tool has profoundly shaped how I approach sensitive conversations w/ pts & peers. Let’s dive in👇 #medsky #pharmsky #nursesky #emimcc #HMsky #GPsky
2024 is coming to a close! Check out our SIDP Wrapped! 🎊 #stewardship #infectiousdiseases
it’s the happiest Thursday because @sidpharm.bsky.social and the @escmid.bsky.social PK PD study group are bringing back ICAAC (in spirit)!!!!
Registration will open next week! The Midwest in the summer is magical - come join us!
sidp.org/page-1543694
#idsky #amssky #pharmsky
Hi #IDSky - Tulane ID has unfilled fellowship spots. We're looking for applicants to join starting 7/2025
We offer:
-Diverse training across 3 hospital sites
-Broad clinical exposure, including HIV, tropical diseases, and transplant
(1/2)
🚨 2 Open ID Fellowship Spots at the University of Utah! 🚨
🏥 Train in a top-tier hospital with cutting-edge infrastructure
🌄 Live in stunning Salt Lake City with an unbeatable lifestyle
📩 Email Adele.Hamilton@hsc.utah.edu & Adrienne.Carey@hsc.utah.edu to apply!
High rates of Mycoplasma pneumoniae ("walking pneumonia") in Ontario, 2024, especially in those age 5-17.
16.3% of a subset of 135 specimens had mutations that suggest resistance to macrolide antibiotics.
Link: tinyurl.com/3ddnd29w #IDSky #MedSky
Some great references below on UTI/ASB! #IDSky #UTISky
Also, please make the “UA positive for UTI” diagnosis go away 😭
🧵2 words likely to trigger most ID/ASP clinicians = ‘asymptomatic bacteriuria’ (ASB). 😱 Except for pregnant persons & those undergoing certain urologic procedures, there's no 🚫 clear evidence of benefit of treatment & some signal for harm in other populations. #IDSky #RxSky #MedEd #PharmEd 1/n
There are so many awesome studies in this area - what are some of your favorites?
Hopefully these data will help reframe the risk-benefit ratio of ASB treatment. Evidence suggests risks of not treating are less than feared & perhaps treating may actually increase risk of subsequent symptomatic UTI by killing off colonizing ASB strains which may have a protective role. 10/10 🔚
Perhaps in the future we will be able to distinguish colonizing ASB strains from uropathogenic strains of bacteria. 9/n
pubmed.ncbi.nlm.nih.gov/31794727/
A large cohort study suggests risk of bacteremia from a urinary source in hospitalized pts w/ASB is very low. The decision to treat or not always comes down to the risk-benefit ratio for the pt in question - perhaps these data may help further reframe that risk. 8/n
pubmed.ncbi.nlm.nih.gov/38477915/
The corollary to these data are small RCTs that have studied purposeful inoculation of ASB strains into the bladders of those at high risk of recurrent UTIs, like persons with spinal cord injury, with positive findings. 7/n
pubmed.ncbi.nlm.nih.gov/16231269/
pubmed.ncbi.nlm.nih.gov/20483149/
Kaplan-Meier curves at 12 and 40 months of follow-up, showing that patients receiving asymptomatic bacteriuria treatment were more likely to develop subsequent symptomatic UTI.
Might this ability of ASB strains to outcompete uropathogens explain the signal in the literature for *increased* risk of symptomatic UTI following ASB treatment? 🤔 6/n
pubmed.ncbi.nlm.nih.gov/22677710/
pubmed.ncbi.nlm.nih.gov/26270684/
In fact, the ASB strain E. coli 83972 has been found to outcompete many uropathogens! 🦠 5/n
pubmed.ncbi.nlm.nih.gov/38780216/
Figure 2 from linked article that contrasts an asymptomatic bacteriuria (ASB) strain of E. coli, E. coli 83972, and uropathogenic or UPEC E. coli. The ASB strain lacks adhesins and therefore cannot ascend to the upper urinary tract. It maintains urine colonization due to its fast growth and potentially also biofilm formation. Host immune response is not triggered in response to these ASB strains.
There are well-characterized ASB strains, like E. coli 83972, that lack virulence factors such as adhesins and are distinct from uropathogenic E. coli. 4/n
pubmed.ncbi.nlm.nih.gov/17502385/
The urine is not sterile 🙅 - there is a diverse urinary microbiome or 'urobiome.' 3/n
pubmed.ncbi.nlm.nih.gov/34084752/
“UA positive for UTI” may often be documented, but in a multihospital cohort of >3K people, positive UA parameters had a poor positive predictive value for UTI. 2/n
pubmed.ncbi.nlm.nih.gov/38666412/
🧵2 words likely to trigger most ID/ASP clinicians = ‘asymptomatic bacteriuria’ (ASB). 😱 Except for pregnant persons & those undergoing certain urologic procedures, there's no 🚫 clear evidence of benefit of treatment & some signal for harm in other populations. #IDSky #RxSky #MedEd #PharmEd 1/n
Have you heard of Robert Rayford?
He was the earliest confirmed case of HIV/AIDS in North America. His story reshapes how we understand the epidemic and reminds us to fight for health equity.I encourage you to read this piece of #HIV history. A 🧵
#WorldAIDSDay2024
www.aidschicago.org/say-his-name...
