A rare ‘Jame on an episode about fungi’ appearance this week, as we discuss Aspergillus diagnosis & treatment with Dr Iain Page & Prof Darius Armstrong-James. podcasts.apple.com/gb/podcast/i... #idsky #microsky #fungisky #breakingthamould

The #BSMM annual meeting is next week in Norwich! Details here. Our Master of Moulds Alyssa will be there too! Tickets still available! #idsky #microsky #fungi

It's finally happening The first Girlymicrobiologist book is coming! It Shouldn't Happen to a PhD Student: How to thrive, not just survive, during your PhD This is the book I wish someone had given me when I started my PhD Live to order (amazon depending) on 17/10/25 Pls share with yr networks

#idsky I forgot to add hashtags. Oops.

A brilliant article on the real world impact of AMR. As time goes on I worry about this becoming a bigger part of ID clinical practice.

KASIC Putting or another brilliant post on De-escalation of ABx with some brilliant references about how de-escalation is associated with BETTER OUTCOMES for patients! Let’s talk about this table though, as it’s been on my mind. 🪡

Mero: AZTREONAM, what are you doing up here in Broad Spectrum? Aztreo: I treat Pseudomonas! Piptaz: yeah, *tobramycin* treats Pseudomonas Tobra: hey… Aztreo: I’m important for DTR Gram Negatives! Mero: yeah when your little friend Avibactam is with you Ceftazidime: that guy’s not so bad TBF

Ceftriaxone: I’m a big broad spectrum boy. I cover Staph aureus, Strep, & Enterobacterales! Cotrimoxazole: MRSA? Cef: No Cotrim: ESBL? Cef: No Cotrim: CPE? Cef: No Cotrim: PCP? Cef: No. That’s not even a bacteria, no drug could cover all that Cotrim: okay. What do I know. I’m only MEDIUM SPECTRUM

Ah yes, the famously medium-spectrum doxycycline. It only covers Staphylococci Pneumococci Beta haemolytic Streptococci Actinomyces Mycoplasma Chlamydophila Legionella H.influenzae Moraxella catarrhalis ESBL E.coli UTI Pseudomonas UTI(maybe!) Burkholderia pseudomallei Vibrio H.pylori 1/2

I’ll get my coat. www.bbc.co.uk/news/article...

3 things inevitable in life. Death… Taxes… And the Federation of Infection Societies annual meeting in December 2025, book your registration now!!!

#IDsky The Infectious Disease Brad Boy himself, @bradspellberg.bsky.social , has an updated Oral vs IV table, now including the Plague (Y really) and Lyme! Link here: www.bradspellberg.com/oral-antibio...

THE YEASTY BOYZ* ARE BACK! Callum and Alyssa wrap up the yeasts by discussing the rare ones: Malassezia! Rhodotorula! Trichosporon! Saccharomyces! CRAP PUNS GALORE! THIS POD HAS IT ALL!! podcasts.apple.com/gb/podcast/i... #IDsky #microsky #yeast #fungi *Girlz can be Boyz too

Callum and Alyssa did this episode without me, which I’ll never forgive them for, but I can’t deny this episode is a cracker. ID:IOTS podcast episode on PCP out now! Another episode on Cotrim dosing will be released ‘shortly’* #IDSky #Microsky #fungi #PCP #PJP #Pneumocystis *I’M GETTING TO IT

Interesting update for Rx CAP from the USA: -USS can be used for Dx rather than CXR if ppl are experienced enough -ABx: 5d or less for nonsevere, 5+ for severe -Steroids for Severe CAP. Shorter Is Better continues to spread!

Good question! #idsky #microsky 🪡 Co-amoxiclav is generally dosed in the UK as follows: PO: 500mg Amox / 125mg Clavulanate IV: 1000mg Amox / 200mg Clavulanate Both 8-hourly. This gives you differing ratios of Amox to Clav (4:1 for PO, 5:1 for IV). What gives?

LIVE, from ASM Microbe 2025, an episode from Editors in Conversation on Static v Cidal ABx mythbusting starring @bradspellberg.bsky.social ! No doubt he listened to our episode 58. Mythbusting Cidal vs Static, & wanted to spread the word. One assumes. #idsky #microsky overcast.fm/+AAkR9-FA5Vw

Last day for abstract submission to FIS 2025! Be advised!

PODCAST DROP! This week Callum & Alyssa talk to Jeremy Day about Cryptococcus! Overview & diagnostics this week, treatment next week. Enjoy! podcasts.apple.com/gb/podcast/i... #idsky #idtwitter #microsky #infection #fungi

The UK’s most Palatable infectious disease podcast. I like it!

The ID:IOTS podcast doesn’t have a nerdy card game about antibiotics, but i like to think of it did, it’d be like @empiricgame.bsky.social .

Endocarditis Endocardupdate available now! (Actually last week I forgot to post). Part 1 is live on the feed, part 2 available next week! We go over ESC 2023 guidance, Wikiguidelines, diagnostics, our favourite Duke criteria, and MORE! podcasts.apple.com/gb/podcast/i... #idsky #microsky

NEW PODCAST ALERT … And it’s not even ours! @firstcallid.bsky.social have a new show, The Host Response. It’s 3 episodes in, 3-8mins in length and I’m really enjoying the episodes so far! Give it a listen: podcasts.apple.com/gb/podcast/t...

Callum and Alyssa are BACK! With. Candida-do attitude, they round off our Candida mini series by discussing C.auris, and Candida resistance mechanisms. Wear clean underwear. podcasts.apple.com/gb/podcast/i... #IDSky #microsky #yeasts #theYeastyBoys #breakingthemould

I have to say, is great to have the SUL-FAST score available to use, but the quoted Skin ADR rates of 8% are completely unknown to me; I hand out cotrimoxazole like it’s a sweetie, and I can’t think when I last had a patient get a rash. I suspect these reported rates are for PCP dosing Cotrim…

A brilliant title that flips the classic quote to reflect how the practice of medicine evolves. This article pushes back against IV dogma in bone & joint infections, spotlighting the solid evidence for oral therapy. A much-needed shift—one I fully stand behind #idsky

IT’S CANDIDA MONTH!!!* Today Callum & Alyssa discuss the Candida genus (or is it 17 Genuses/Genii/whatever), from epidemiology to treatment. Superficial this week, invasive next week! podcasts.apple.com/gb/podcast/i... *On our podcast, nowhere else #IDSky #microsky #fungi

The most anticipated RCT in ID 🔥SNAP RCT🔥The largest RCT 2 date in SA bactermia N:1341 Cefazolin Vs ASPs ((flu)cloxacillin) for MSSA bacteremia Cefazolin is non-inferior (90d mortality)& less AKI than ASPs A practice-changer RCT that must change the guidelines #ESCMIDGlobal #IDSky

EUCAST update session at #escmidglobal You'll be glad to hear that our Antimicrobial Susceptibility Testing mini-series... Was correct! Some extra insights today: 1. Need 3 MIC distributions to set a (T)ECOFF and 5 to set an ECOFF. 2. ECOFF does not always correlate to breakpoints.

Oh I forgot to post. WE’RE AT #ESCMIDGlobal / #ECCMID / whatever they’re calling it these days! Come see Callum talk about the podcast today, 1445, Arena 1!!!

Your wish is our command! In this week’s episode, Alyssa & Callum discuss the essentials of fungal diagnostics with Professor Malcolm Richardson. Half of them anyway. It’s a 2-parter. See you next week! podcasts.apple.com/gb/podcast/i... #IDSky #microsky

We wants it, we NEEDS it.

IT’S A BREAKPOINTS BREAKOUT!!! This week @erinmccreary.bsky.social & @juliejusto.bsky.social from @sidpharm.bsky.social #Breakpoints podcast join Callum & Jame to show ‘em how it’s done and discuss the IDSA Difficult-to-Treat Gram Negative guidance!! podcasts.apple.com/gb/podcast/i... #IDSky

I’m more proud of this than I should be.

NEW EPISODE! This week Callum takes the boldest step yet in improving the podcast: getting rid of Jame! Join Callum & Alyssa this week as they Migrate the Marvellous Mountains of Minutiae on Moulds, (di)Morphs, Many yeasts and Mycology in general! #IDsky podcasts.apple.com/gb/podcast/i...

Stenotrophomonas maltophilia - the cockroach of the ICU. After broad-spectrum abx nuke a patient’s microbiome, it’s often the last one standing—esp. in vented patients. (VAP in a patient on mero, think Steno) For years, TMP-SMX was the go-to, but alternatives are needed. 🧵(1/6)

This scoundrel didn’t mention us, but he makes a good point: any ID/Micro trainees not subscribed to @febrilepodcast.bsky.social or the new #puscast podcasts, do so right away: it’s free CPD/training! (And then follow us too, obvz)

The @biainfection.bsky.social LearnInfection platform is free to trainee members and is a brilliant resource for studying for the FRCPath Pt1/CICE exam. If you’re an early years trainee yet to sit this exam, give it a go!

250k downloads? 100 episodes? Podcast going for >3yrs 6months 3 weeks? Putting up with Callum’s crap for the same amount of time? Collabs with @febrilepodcast.bsky.social, @letstalkmicro.bsky.social, MicrobeMail & @sidpharm.bsky.social #breakpoints? COMPLETED IT MATE #idsky #humblebrag

Interesting thread on Piptaz dosing in PsAr infection. Annoyingly in Europe our ‘low dose’ is 4.5g TID, not 3.375g QID, but this is the same daily dose (13.5g/d). My particular annoyance is when PsAr UTI is Rx’d with 7d of QID PipTaz as opposed to, say, ONE DOSE OF AMINOGLYCOSIDE.

This week on @idiots-pod.bsky.social, Jane is joined by Kate from @biomerieux.bsky.social to discuss 2 new devices used for early organism ID & AST in the lab: BCID2 & the VITEK Reveal! #IDsky #microsky #diagnostics #medsky podcasts.apple.com/gb/podcast/i...

COI: I’m presenting at this! So I can guarantee the high quality of all but one of the talks. Sign up today! (I’m taking on the new BL/BLI combinations & Cefiderocol*) *the Trojan Horse

NEW PODCAST!! This week, Jame is joined by Nick & Dal from BioMerieux to talk about the Vitek2, a machine for organism ID & automated antibiotic sensitivity testing! What does it do & how does it do it? Listen & find out! #idsky #medsky #antibiotics #microsky podcasts.apple.com/gb/podcast/i...

ONE ANTIBIOTIC PK TABLE TO RULE THEM ALL Absorption takes drug into blood from GI, Vd spreads drug out to where bug calls home. And after bacteria are doomed to die, The drug’s eliminated on the porcelain throne In the Land of Notion where this table doth lie… #idSky #microsky #pharmsky #medsky

Our Micro Man in Wales, @microlukas, hasn’t made the jump to Bluesky just yet, but just posted an AMAZING thread on X about Pivmecillinam! Those of you who still have accounts, hop on over there to read all about it! x.com/microlukas/s... (Won’t tell anyone you went back there, honest)

Professor Gerry Davies joins us at the BIA/BTS Dilemma Day to present the state of the art lecture on NTM treatments – old and new. #Infection #MycobacterialInfections

Ask and we shall answer! METRONIDAZOLE DOSING IS A NIGHTMARE AND MAKES NO SENSE Thread🪡 #IDSky

Well, it’s official folks. We’re on BlueSky full time. You want to interact with us? Do it here, don’t message on X/twitter. Don’t want to interact with us? Perfectly understandable, continue to ignore us, probably the best thing for all concerned.

WHERE WAS THIS 6 MONTHS AGO WHEN I WAS RESEARCHING OUR TETRACYCLINES EPISODE??!! Wotevs. Check out this awesome review Unless u r driving or hate reading; then our episode is here: podcasts.apple.com/gb/podcast/i... And the episode on the newer agents here: podcasts.apple.com/gb/podcast/i...

Confused by NTMs? Us too! Want to get better at managing NTM disease? Then the joint @biainfection.bsky.social & @btsrespiratory.bsky.social training day on 23-Jan is for you! Link below. Reasonably priced too!