Common sites of acute osteomyelitis in kids. Even this skeleton of a child looks cute. Source: PPPID 6/e, ed. by Long et al. #PedsIDSky

Doing a repeat fellowship in Peds ID, this time at BC Children’s Hospital, Vancouver. First-day high!

Late post: Last March 26, lectured to pedia dentistry residents of the Pediatric Dentistry Center Philippines. Tackled childhood infections relevant to dental practice—oral signs, infection control, & when to refer to Peds. Not everyday I get to teach future pediatric dentists! #PedsIDSky #PedsSky

Starting my 2nd Pediatric Infectious Diseases fellowship this July, this time at UBC/BCCH in Vancouver! 🇨🇦 #PedsIDSky Reading this ATM: 😅

#PedsSky #PedsGISky

Words matter. It’s time to retire the term oral “step-down.” It implies inferiority of the oral route—and doesn’t align with stewardship principles. Terms like IV to oral switch or oral transition better promote optimal antimicrobial stewardship. What terms do you use—and why? #idsky

Happy to share this systematic review on antibiotic dosing in obesity! Thank you all the co-authors, it was great working together on this! #IDSky #PKPD #ESCMID www.sciencedirect.com/science/arti...

🆕💫Multicenter matched cohort study Among 8492 patients hospitalized patients with community-acquired pneumonia, azithromycin was associated with a lower mortality and more hospital free days compared to doxycycline in combination with beta-lactams #idsky #EMIMCC academic.oup.com/cid/article-...

I wrote about popes, condoms, and the Catholic Church’s long, complicated relationship with sexual health. From abstinence-only messaging during the HIV crisis to quiet progress under Francis. I had fun with this one hope you enjoy reading it. bktitanji.substack.com/p/habemus-pa... #HabemusPapam

Vaccines can be given at birth up to adulthood as VPDs do not choose their target. Update your immunization with your MD or with your local health center. This infographic is brought to you by the Pediatric Infectious Disease Society of the Philippines (PIDSP). #WorldImmunizationWeek #WIW2025 #PIDSP

The new WHO guideline recommend using the 7-sign IMCI algorithm to detect serious infections in infants, simplified antibiotics when referral isn’t possible, stronger referral systems, and rational antibiotic use to fight #AMR and improve newborn care #InfectiousDisease www.who.int/indonesia/ne...

RFK Jr. says he'll find out the cause of autism. I wanna know the cause of RFK Jr.

Paenibacillus dendritiformis is captivating. Just look at that colony morphology! This "social" microbe forms dynamic communities that behave like a multi-cellular organism; with specialized cell differentiation, communication and linguistics. It reminds us what we can achieve when we work together.

This doctor tried to justify practicing medicine while infected with measles by saying he only treated patients who had measles. Measles has a reproductive value of 12. It’s airborne. Even if you “only” saw patients with measles, you likely infected multiple others. This should be criminal

Useful summary of inducible AmpC - strength of inducement and susceptibility to hydrolysis #escmidglobal

Starting Sunday at #ESCMID2025 #ESCMIDglobal debating 'Proxy indicators: bridging the gap between #AMR surveillance and #antimicrobialstewardship #AMS Finding a way to tie quantity metrics to appropriateness of prescription A start to #AMS Sunday according to @dianeashiru.bsky.social

Critical talk to think about moving from #AMR surveillance + antibiotic use data ⬇️ Stewardship initiatives #AMS Talk from Mark de Boer on bridging the gap! #ESCMIDglobal #ESCMID2025

#NeoIPC data presented at #ESCMIDGlobal shows how drug-resistant bacteria colonise the guts of high-risk infants in #NICUs 🇨🇭🇬🇷. Urgent need to boost #IPC to fight AMR, which is the focus of the Penta-sponsored #NeoDeco study. View presentation slides ➡️ neoipc.org/wp-content/u... More ➡️ neoipc.org

🫁 Despite previous global declines, pulmonary #tuberculosis (TB) is on the rise again. A new #AI-powered #lung #ultrasound presented at the @escmid.bsky.social #ESCMIDGlobal congress shows promise in improving diagnostic performance of #TB.

To tackle antibiotic resistance (#AMR) in newborns, especially premature babies in #NICUs, researchers explored the best trial design for studying #IPC. See what this simulation study, based on #NeoIPC data and presented at #ESCMIDGlobal, suggests 👇 View poster: neoipc.org/wp-content/u...

Learning so much from @adamjkucharski.bsky.social’s “Proof”—for example, I certainly didn’t know before that Francis Galton published a Nature paper on how to cut a cake so that it doesn’t dry out. www.nature.com/articles/075...

The SNAP trial may finally resolve some of the longest-running debates in SAB management (cefazolin vs semi-synthetic PCN? Is PCN really active vs PSSA?). Huge congrats to Drs. Joshua Davis, Steven Tong, & the global team who made this ambitious trial happen. #IDSky blogs.jwatch.org/hiv-id-obser...

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

Just made a custom feed that pulls in a wide array of hashtags being used at ESCMID Global 2025 May have a few minutes delay, but contains posts with #ESCMIDGlobal #ESCMIDGlobal2025 #ESCMID2025 #ECCMID2025 Feel free to pin it to your timelines. Hope it's helpful #IDSky bsky.app/profile/did:...

#IDsky Severe malaria meets sickle cell anemia: A complex case where P. Falciparum & ACS challenge both dx & treatment. Successful recovery with artesunate & RBC exchange transfusion highlight importance of timing concurrent prompt management! www.ppidjournal.com/doi10-55636-...

Digging in the dirt: Scientists discover a new antibiotic compound from an old source An antibiotic peptide named lariocidin—named for its knotted, lasso-like chemical structure—has a unique mechanism of action www.cidrap.umn.edu/a... Photo courtesy of McMaster University

Just saw this! Gender-affirming care is associated with a reduced risk of HIV transmission and improved HIV suppression for transgender, non-binary, and gender-diverse adults in the USA, study suggests. Explore the research in The Lancet HIV: tinyurl.com/3dxtdey6 #TDoV #MedSky

People always underestimate flu. The descendants of The Mother of All Pandemics are not the ones you FAFO with.

When Kioshi first started coughing, he never imagined it would turn his world upside down. Misdiagnosed multiple times, he struggled alone. Thats until he found support from Socios En Salud. He received the care needed to fight his MDR-TB. Read more: www.pih.org/article/mdr-...

If you can't afford to use a diagnostic test, then its relative performance characteristics become irrelevant. Important issue raised re blood cultures 👇 @lancetmicrobe.bsky.social #ClinMicro #IDSky #AMR www.thelancet.com/journals/lan...

An incredibly generous piece from @slate.com that centers Henry Reider. Grateful to Tony Ho Tran for interviewing Henry and capturing so much of his passion. slate.com/technology/2...

Antibiotic stewardship, data, and uncertainty: A conversation with Brad Spellberg The longtime stewardship advocate shares his thoughts on shorter antibiotic durations, clinical care guidelines, and the antibiotic pipeline. www.cidrap.umn.edu/a...

It’s the world’s most deadly infectious disease. But it strikes the world’s most downtrodden and neglected, including here at home. So we turn our eyes. Not you, @johngreensbluesky.bsky.social. You’ve made the story of TB personal. And your vivid, moving, vital book makes us grateful you did.

In my latest lecture in my institution, I reviewed updates on TB Dx & Mgt in children by the WHO & our country's NTP. A sobering talk, echoing Dr. Cynthia Aguirre: "TB will outlive us all." And as Dr. Peter Mugyenyi said, "TB cure is where the disease is not. #TBSky #PedsIDSky 3/24 is World TB Day

💯 RFK Jr. approved!

Good reminder that autocrats never meet the end they want. Only difference is whether they face justice like this or whether they face their own violence

De-escalation of carbapenem prescriptions: noble objective, not so easy to do well in practice! #IDSky #ClinMicro #AMR @jac-amr.bsky.social academic.oup.com/jacamr/artic...

"In the 19th century, it was incredibly dangerous to be a child. As of 1900, about 18 percent, or nearly one in five, American children died before their fifth birthday. ..." What changed? Better sanitation, medical advances - and vaccines. www.vox.com/health/40268...

#IDsky Fascinating StepUp trial looking at tx male partners for BV w/topical clinda & oral metronidazole in conjunction w/ tx female patients. Reduced recurrence rate from 63% to 35% by 12 wks. We were always taught BV is not an STD, but perhaps it should be considered as such.

👏🏽👏🏽 Grateful for a government that cares about science and is willing to stand by it From today's press release by the Canadian government: www.canada.ca/en/global-af...

Always ask yourself, “what evidence would convince me that I’m wrong?” If the answer is, “nothing,” then you are not adhering to the rules of science or logic. thelogicofscience.com/2019/03/05/h... #MedSky

🧯 Apropos of everything... How to write an OpED 📝 Helpful guidance by @renkate.bsky.social in @jhospmedicine.bsky.social 🔗 Article link in the next post. @socpedresearch.bsky.social @societyhospmed.bsky.social @pidsociety.bsky.social @shematologist.medsky.social

Introduce a new antibiotic (fidaxomicin), develop resistance to the new antibiotic (fidaxomicin). 😔 #AMR #IDSky #ClinMicro @cidjournal.bsky.social academic.oup.com/cid/advance-...

You know you're getting old when what you learned in training are now changing. TB updates (from 2020): it's now TPT not IPT, genexpert>afb smear, no more CategoryI, II etc but just Regimen I & II, shortened regimen 4mos instead of 6 for uncomplicated TB. Congrats @kiefferferraris.bsky.social!!

🌟 ABX Pearl of the Day: Yeast coverage in intra-abdominal infections 💊 📋 Q: My patient has an intra-abdominal infection. Should I add empiric coverage for yeast? What if they have a gastrointestinal perforation? #IDsky #medsky #meded #pharmsky #skyRX

“Government needs to consider whether its existing commitments and other efforts across the public sector will be enough to achieve its 20-year vision to contain and control AMR.” www.theguardian.com/society/2025...

Finding joy where I can. I'm drinking my morning coffee from a favorite mug.😊 And yes, I've been called a witch and a magician. Used interchangeably.

Another amazing whirlwind talk from @erinmccreary.bsky.social on the new antifungals featuring Nora 🐶 #antimicrobials2025 #ASA