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Apu Akkad

@apuid

Physician - Transplant Infectious Disease #TxID, Asst Prof of Medicine @keckmedusc | Boston sports fan | views my own #IDsky #Medsky

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08.11.2024
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Latest posts by Apu Akkad @apuid

Would be great to see this on twitter too as that is a place where proper education is truly needed (for non ID docs πŸ˜‰)

12.04.2025 18:38 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Please keep us who can’t attend posted !

08.04.2025 21:33 πŸ‘ 2 πŸ” 1 πŸ’¬ 1 πŸ“Œ 0
Preview
Longitudinal Assessment of the Effect of Invasive Fungal Infections on Transplant Success in Kidney Transplant Recipients Invasive fungal infections (IFIs) significantly impact morbidity and mortality in kidney transplant recipients (KTR), but their effect on allograft fu…

www.sciencedirect.com/science/arti...

#IDSKy #MedMyco #TxID

07.04.2025 00:09 πŸ‘ 4 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

And people are saying the child didn’t die of β€œmeasles.” Yet another tragedy

06.04.2025 18:04 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

πŸ’―

27.03.2025 21:55 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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From @drtoddlee.bsky.social @dremilymcd.bsky.social @angelahuttner.bsky.social @josemolinagb.bsky.social et al in @jama.com Network Open:

Systematic review & Non-inferiority Meta-Analysis of 7 vs 14 days for GNR BSI

4 RCTs, 7 non-inf to 14

#IDSky #ShorterIsBetter

jamanetwork.com/journals/jam...

23.03.2025 17:20 πŸ‘ 25 πŸ” 6 πŸ’¬ 0 πŸ“Œ 0
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Prevalence of injecting-related bacterial and fungal infection among people who inject drugs: a systematic review and meta-analysis Despite increasing burden of injecting-related bacterial and fungal infection, there has been no recent synthesis of their epidemiology. We performed a systematic review and meta-analysis evaluating prevalence and incidence of injecting-related infection among people who inject drugs.

Prevalence of injecting-related bacterial and fungal infection among people who inject drugs: a systematic review and meta-analysis

βœ… Just Accepted
#IDSky

02.03.2025 22:11 πŸ‘ 5 πŸ” 3 πŸ’¬ 2 πŸ“Œ 1
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Tragic Childhood Death from Measles Reminds Us That Some Don't Understand Either the Medical Significance or the Human Heart My ID colleague Dr. Adam Ratner, Chief of Pediatric ID at NYU Medical Center, just published an insightful and remarkably timely book called Booster Shots:Β  The Urgent Lessons of Measles and the Uncer...

If someone thinks the measles outbreak and childhood death in Texas are "not unusual" or "happens all the time", they are deeply misinformed. h/t @adamratnermd.bsky.social for the inspiration.

blogs.jwatch.org/hiv-id-obser...

27.02.2025 21:14 πŸ‘ 255 πŸ” 99 πŸ’¬ 3 πŸ“Œ 11

So sad :/

26.02.2025 22:27 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

How many are hospitalized? Any deaths?

25.02.2025 23:21 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Madness for sure!

19.02.2025 20:46 πŸ‘ 4 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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New pre-print from folks @ Copenhagen University Hospital:

πŸ”¬ 28-month WGS surveillance
🦠 7,760 patient infections
πŸ“Š 27.1% genetically related, 69% w/ epi link
πŸ’° €1.25M net savings/year if acted upon/prevented!

#IDSky more great evidence for WGS for IP&C

πŸ“„: www.medrxiv.org/content/10.1...

19.02.2025 01:50 πŸ‘ 17 πŸ” 8 πŸ’¬ 0 πŸ“Œ 3

And now the price of eggs is even higher

19.02.2025 01:37 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Preview
Coccidioidomycosis Prophylaxis in Liver, Kidney, and Heart Transplant Recipients Residing in Endemic Areas Within the United States Our data suggests that abdominal organ transplant recipients residing in CM-endemic areas with no prior CM exposure may not require CM prophylaxis. Therefore, we recommend implementing a shared decis...

Nice collaborative study on valley fever prophylaxis in solid organ (non lung) transplant recipients

#IDsky #TxID

onlinelibrary.wiley.com/doi/10.1111/...

18.02.2025 16:31 πŸ‘ 3 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

But at least none of them will have autism, isn’t that right, RFK?

14.02.2025 22:58 πŸ‘ 1 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

Very true. Cocci serologies not always reliable, especially in the immunocompromised hosts.
Ag helpful, but if truly high suspicion β€” I’d start treatment.
#TxID#IDsky

09.02.2025 20:02 πŸ‘ 3 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

πŸ‘πŸ‘

07.02.2025 18:03 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Not sure why the mavs wanted to get rid of Luka so badly….there must be a lot more to this story

02.02.2025 22:09 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Yes all very true, but of course hiv , STIs (etc, all infections) can and do infect anyone of any gender, race, political affiliation etc. maybe they don’t realize or want to realize this. As you said, quite dangerous to censor information from people who may need it.

01.02.2025 20:37 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Yep. But that’s an issue. HIV/STI screening and treatment should not be deleted, it’s quite non controversial

01.02.2025 20:28 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

It’s certainly dangerous to be hiding health information, especially in the setting of infectious disease that can affect populations at any time!

01.02.2025 18:56 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Can anyone explain what the Trump admin is trying to accomplish by doing this?? Of course they want censorship and to β€œMAHA” however hiv and Sti treatments are all factual and based on significant evidence, and do not seem to be going against any pseudoscience. Purge all current information?

01.02.2025 17:35 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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How Should Health Care and Public Health Respond to the New US Administration? This Viewpoint discusses scientific, medical, and public health actions, including withdrawing from the World Health Organization, taken so far during the first week of the Trump administration.

jamanetwork.com/journals/jam...

Important for physicians to not sit on the sidelines during this important time. Mass amounts of medical information and FACTs are being deleted, censored from the public and healthcare alike. This admin promised transparency but instead are getting censorship.

01.02.2025 17:28 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Scary to see how much medical information is simply being deleted. How to keep it??
#medsky #IDsky

01.02.2025 17:07 πŸ‘ 3 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

The all star game has horrible ratings anyway. It’s not even worth watching, even for people who love basketball

31.01.2025 04:14 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Preview
Association of daily body temperature, white blood cell count, and C-reactive protein with mortality and persistent bacteremia in patients with Staphylococcus aureus bacteremia: a post-hoc analysis of... AbstractIntroduction. Classification of patients with Staphylococcus aureus bacteremia (SAB) as complicated versus uncomplicated is based on a combination

Post-hoc analysis of πŸ“· πŸ“· study in MSSA/MRSA bacteremia:

Persistent fever = indicator for complicated infection

Fever on Day 4️⃣: aOR (3.7 (95% CI: 1.58-8.67)) mortality
Fever on Day 7️⃣: aOR: (8.78 (95% CI: 2.78-27.7)

🚫 assn between ⬆️CRP/WBC and mortality

#IDSky

academic.oup.com/ofid/advance...

31.01.2025 02:33 πŸ‘ 37 πŸ” 14 πŸ’¬ 2 πŸ“Œ 0

67 active cases of TB, likely to represent many more. Important for CDC to be on top of this, if they are allowed to..

29.01.2025 22:06 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Drake maye flows really well

29.01.2025 03:36 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Sage Journals: Discover world-class research Subscription and open access journals from Sage, the world's leading independent academic publisher.

How to prevent infections in the increasingly immunocompromised traveler? Part 1 (non-transplant) is out now! Stay tuned for part 2!
@ritawilson.bsky.social @andhen25.bsky.social @ou.edu
#IDSky #TxID

journals.sagepub.com/doi/10.1177/...

23.01.2025 12:56 πŸ‘ 12 πŸ” 6 πŸ’¬ 0 πŸ“Œ 2

Very nice study on a very important and common issue. Does this hold true in the SOT population as well?

18.01.2025 17:07 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0