Bravo, stewardship in communities. Often ignored as it's difficult to tackle and research inevitably ends up somewhat messy. Nice podcast to go with the paper 👇

🔥Just published 🔥NEJM SNAP RCT In patients with MSSA bacteremia, cefazolin was noninferior to flucloxacillin or cloxacillin with respect to 90-day mortality and was associated with a lower incidence of acute kidney injury. #idsky www.nejm.org/doi/full/10....

Community-based AMS interventions without biomarker tests can reduce antibiotic use by more than half - even more so for Watch antibiotics, with stable patient care scores. Results from CABU-EICO cluster RCT now published in @thelancetinfdis.bsky.social : authors.elsevier.com/a/1nHCg5E-Uo... #IDsky

🔬ARTICLE: MORTALITY AND BARRIERS TO HEALTH CARE ACCESS IN HOMELESS PEOPLE IN PARIS Work by @evelinec.bsky.social ➡️ Median age of death 54 years, 26 years (!!) below general population ➡️ Most deaths due to cancer and cardiovascular diseases - like in the general pop link.springer.com/article/10.1...

Denying medical assistance is unacceptable in any circumstances. Israel’s threat to withhold registration from MSF & other INGOs is a cynical and calculated attempt to prevent organizations from providing services in #Gaza and the #WestBank, #Palestine. https://ow.ly/XQwE50XR5OE

New PREPRINT! tinyurl.com/yynzevrh Thanks to a true transdisciplinary collaboration, we developed and evaluated a low-cost community #AMR intervention set in rural Burkina Faso and DRCongo. Combining #WHO #AWaRe–based feedback/training (medicine providers) and AMR awareness campaigns (community).

Every year during #WorldAntimicrobialAwarenessWeek I'm surprised by the diversity of media, approaches, and key messages used to reach and mobilize the public or healthcare workers, and to promote better antibiotic use—driven each time by the tireless and unparalleled energy of so many AMR advocates

Nu het #WAAW is, schreef ik voor EOS een blog over ons onderzoek met CRUN in Burkina Faso. Waarom zijn er zoveel ernstige resistente bacteriële infecties op een plek waar antibioticagebruik niet excessief is? www.eoswetenschap.eu/gezondheid/w... #AMR @itmantwerp.bsky.social

a global health journal gives you a limit of 200 words for the abstract of an article you've been working on for years so you decide to use these words to provide historical context 😬 #AMR

Renewables have taken the lead in Dutch electricity production

Open position for an ID modeler @itmantwerp.bsky.social on community-level + healthcare transmission of resistant #AMR bacteria in LRS, working with Clinical Research Unit Nanoro, @esthervk.bsky.social, @bugwonk.bsky.social, KEMRI-wellcome Kilifi, myself,... #IDSky #EpiSky www.itg.be/en/jobs-and-...

Belgian waste water tells the story: Alpha. Delta. Omicron. Then viral loads dropped 10×. Not luck. Not just Omicron. But population immunity — built by vaccines + infections. Vaccines helped to avoid millions of deaths in the process. Graph: Raphael Janssens 🔗 www.linkedin.com/posts/vanguc...

Great work at GLASS that @esthervk.bsky.social presented at #ESCMIDglobal, providing regional trends in AMR prevalence in bloodstream infections #AMR #IDSky

GLASS report with 2022 AMU data is out #IDSky #AMR iris.who.int/bitstream/ha... It has per capita antibiotic use expressed in DDD per 1000 inhabitants per day, confirming DID is lower in most low-income than in most high-income countries Would be great to link population-wide AMU to AMR prevalence

If you love strong, pour-over coffee, a team of physicists has a tip: Pour from as high as you can without causing the stream to break apart. That and more of the best in @science.org and science in this edition of #ScienceAdviser: www.science.org/content/arti... 🧪

for 4,5 days of #ESCMIDGlobal with permanently 20 sessions in parallel and some #IDSky skeeters posting about sessions I wasn't in, more than once I had the feeling I have when picking a lane in a supermarket. Some bits I learned, mostly relevant for #AMR control intervention implementation in LMIC:

Day in day out, Israel is adding war crime to war crime, with the world looking for something 'new' to worry about. We are running the danger of becoming de-sensitised. Resistance now takes more than to condemn the genocide. We must also oppose the de-sensitisation of our souls!

New comment The cost of blood cultures: a barrier to diagnosis in low-income and middle-income countries www.thelancet.com/journals/lan... #IDSky #ClinMicro #OpenAccess #OA

NEW 🧵 Is human intelligence starting to decline? Recent results from major international tests show that the average person’s capacity to process information, use reasoning and solve novel problems has been falling since around the mid 2010s What should we make of this? www.ft.com/content/a801...

Cholera in Angola: As of 11 March 2025, a total of 6,651 cholera cases have been reported in Angola, with 240 death (Case Fatality Rate of 3.6%) The outbreak creates a risk for spread Despite no cholera in Namibia for over a decade, 1 case has been confirmed in Namibia, just south of Angola border

Before the introduction of measles vaccine in 1963 and widespread vaccination, major epidemics occurred approximately every two to three years and caused an estimated 2.6 million deaths each year www.who.int/news-room/fa...

Nee (wat het artikel ook concludeert) Is dit nu misinformation of disinformation @de-standaard.bsky.social?

“If Roosevelt had told Churchill to sue for peace on any terms with Adolf Hitler and to fork over Britain’s coal reserves to the United States in exchange for no American security guarantees, it might have approximated what Trump did to Zelensky” www.nytimes.com/2025/02/28/o...

Dear Volodymyr Zelenskyy, dear Ukrainian friends, you are not alone.

Why Wikipedia matters In June 2019, American anti-vaccination activist Robert F. Kennedy Jr. visited Samoa to meet with local anti-vaccination activists" The measles outbreak began in September 2019. Over 5,700 cases of measles and 83 deaths had been reported. en.wikipedia.org/wiki/2019_Sa...

Rather than resistricting risk monitoring to reactive outbreak response, we highlight effective applications that enhance early detection and prevention of outbreaks. This aligns with #CollaborativeSurveillance @who.int and its advocacy for integrated/ cross-sectoral approaches to ID surveillance.

NEW PAPER: When and how to embed risk data in infectious disease surveillance? Problem: Traditional infectious disease surveillance consisting of facility-based reporting of cases, often delays outbreak response due to disease progression, healthcare seeking, diagnostic and reporting lags. 1/5

“Copenhagen reported that 62% of its residents are now commuting to work or school by bike — an increase from 52% in 2015 & 36% in 2012, when the City Council launched a 14-year-plan to improve the quality, safety & comfort of cycling.” #Copenhagen chose. They keep choosing even better every year.

Devastating www.tbsnews.net/bangladesh/o...

🎥On demand Prof. Timothy Walsh (@ineosoxford.bsky.social) presented his excellent lecture on "#Antimicrobialresistance in the 21st century: Communication About ID with Public and Politicians – pre and post UNGA" at the 33rd ICC. Watch⬇️ youtu.be/lu3gib3Mra0 @souhakanj.bsky.social

ICARS is now also on bluesky. Hopefully soon followed by more researchers from LMIC working on AMR or ID control interventions #IDSky Let's try to highlight a bit of the AMR intervention or implementation research in LMIC here

We need to discuss the impact of sanctions on access to health. Read our correspondence published at the Lancet and titled “Sanctions and the right to health in post-Assad Syria”. @rravinetto.bsky.social @gorikooms.bsky.social www.thelancet.com/journals/lan...

Congratulations to Placide Mbala, recognized as one of @natureportfolio.bsky.social 10 most influential people in #science for 2024! His groundbreaking work in #DRCongo on #mpox is inspiring, and this is well deserved: www.nature.com/articles/d41...

A moment that will be captured in the history books. Saydnaya personifies the terror of the Syrian regime. Known as the "human slaughterhouse," it was site to the secret executions of 13,000 people in a single 5 year period & continued to hold thousands of unjustly detained.

🆕🔥 systematic review and meta-analysis #CMIJournal 6 RCTs,10 adjusted cohorts& 22 unadjusted cohorts N=11,566 Early transition to oral antibiotics was noninferior to continued IV antibiotic treatment for bacteraemia & sepsis #idsky #medsky www.clinicalmicrobiologyandinfection.com/article/S119...

Alternatives for antibiotics in RTI in 1ary care #IDSky Compared w/ usual care, antibiotic use lower in gel-based spray group IRR 0·65 (95%CI 0·50–0·84), in saline spray group 0·69(0·45–0·88), and in behavioural website group 0·74(0·57–0·94) Days of illness lower in gel-based & saline spray groups

I wonder how a study could fully calculate in prescribers' behaviour. How would antibiotic use change when eliminating prescribers' uncertainty about potential bacteria underlying the diarrhoea episodes? #IDSky

Effect of vaccines on antibiotic use: using attributable fractions of diarrhoea episodes in birth cohorts in Bangladesh, India, Nepal, Pakistan and Tanzania, a study estimated the hypothetical effect of 6 single + 3 combined vaccines on antibiotic use #EpiSky #IDSky www.thelancet.com/journals/lan...

Bird flu virus detected in raw milk in California. It's important to study these samples to see if the virus is live, or fragmented and non-infectious, like it has been in pasteurized milk samples. www.latimes.com/environment/...

"while 5% of health spending is on prevention, 50% of the reduction in mortality rate is attributable to prevention" Chris Dye (UOxford) #ESCAIDE

Because that dirty-looking salt being spread by trucks on our roads is actually the remains of an ancient ocean (actually two ancient oceans), buried deep beneath our feet. Most of the stuff being spread in London comes from a single mine in Cheshire - at Winsford. 2/14

exactly when the infectious disease and epi science communities finally reconnect on this app, a few human H5N1 cases without animal link to get things a bit going 😬😬😬

🌟 ABX Pearl of the Day: Optimizing duration of treatment for CAP 💊 🩺 A: While 2019 IDSA guidelines recommend 5 days, new data supports 3-day course of ABX for floor-status, immunocompetent patients with uncomplicated CAP who clinically respond within 3 days. #IDsky #MedSky #PharmSky 🔗for more info

★ Just published: #Communicable podcast episode - substandard & falsified antimicrobials: what is their effect on patients & #AMR? @angelahuttner.bsky.social & guests Pernette (WHO) & Ben (Oxford @bugwonk.bsky.social ) explore this public health issue. share.transistor.fm/s/7e493bef #IDSky #MedSky

I'll try to post here from time to time something fascinating I read or found out. much of it is related to antimicrobial resistance and the factors that fuel it globally, since that is my job, but there will also be some emerging infectious diseases other than resistant bacteria

STUDY PROTOCOL: cluster RCT to evaluate a behavioural intervention to improve antibiotic use, quality of (primary) care and reduce household transmission of ESBL Enterobacteriaceae, in rural Burkina Faso and DR Congo trialsjournal.biomedcentral.com/articles/10....

PREPRINT: COVID-19 (disease and infection) in urban Maputo, Mozambique during the first two years of the pandemic, through biweekly screening of households and repeated sero-surveys medrxiv.org/cgi/content/...