Bug Pharmacist // Tim Gauthier
@idstewardship.bsky.social
📤 2519
📥 97
📝 237
I ❤️ bugs & drugs. Opinions mine.
https://linktr.ee/IDstewardship
pinned post!
⭐️ 📄 ⭐️ Recently
@pharmermeg.bsky.social
updated this open-access post. Originally published in 2017, the new version has a complete overhaul & provides a downloadable document. This is an article that has been read by by tens thousands of people 🌎🌍🌏.
www.idstewardship.com/cross-reacti...
#IDsky
9 months ago
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Bug Pharmacist // Tim Gauthier
José Molina
4 days ago
Thanks for the shoutout,
@idstewardship.bsky.social
! Let’s do it, stewies! 😉
journals.asm.org/doi/epub/10....
#AMSsky
#IDsky
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A patient-centric paradigm and tool for clinical research: the DOOR is open
Reader environment loaded
https://journals.asm.org/doi/epub/10.1128/aac.01478-25
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Bug Pharmacist // Tim Gauthier
Rossana Rosa
4 days ago
Joining one of my favorite meetings this morning: the Provincial Antimicrobial Stewardship Committee. It’s virtual but still gotta dress for the part 😅💁🏻♀️
#IDSky
#AMSSky
#PharmSky
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reposted by
Bug Pharmacist // Tim Gauthier
Gabriele Pollara
4 days ago
Important piece of work that guides much of our OPAT practice in UK. It's also impressive in its acceptance of the evidence. Literally the guideline for use of IV antibiotics is advocating for use of oral antibiotics instead! 👏
#IDSky
#ClinMicro
#AMR
#OPAT
add a skeleton here at some point
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reposted by
Bug Pharmacist // Tim Gauthier
Rossana Rosa
5 days ago
Happy Earth Day, and switch to PO! 🌱💊
#IDSky
#MedSky
#PharmSky
@sustainabil-id.bsky.social
1
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reposted by
Bug Pharmacist // Tim Gauthier
Dr Neil Stone
8 days ago
Screening patients for colonisation of drug resistant organisms can help reduce carbapenem use and duration of antibiotics in febrile neutropenia
#escmidglobal2026
0
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reposted by
Bug Pharmacist // Tim Gauthier
Josh Davis
7 days ago
David Paterson at
#ESCMIDGlobal2026
Highlights important issue of generic versus brand name meropenem – previous work has suggested chemical differences, harder to dissolve and even higher mortality with generic preparations
3
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Bug Pharmacist // Tim Gauthier
Angela Huttner
8 days ago
Listening to
@drneilstone.bsky.social
talk about Twitter vs Bluesky in Arena 3: Says don’t concede space in Twitter to anti-science influencers
#ESCMIDGlobal2026
#IDSky
#clinmicro
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📊 Looking at Bluesky and X, the science community is still stronger on X from what I’m seeing with
#ESCMIDglobal2026
content cc:
@absteward.bsky.social
@krutikamh.bsky.social
@drneilstone.bsky.social
7 days ago
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Bug Pharmacist // Tim Gauthier
Krutika Kuppalli, MD FIDSA
8 days ago
“The Year in Clinical Micro” at
#ESCMIDGlobal2026
🔬 A devastating reality: ⚠️ >3 million children died from AMR-related infections in 2022 🌍 Highest burden in Southeast Asia & Africa 💊 Many deaths linked to Watch & Reserve antibiotics AMR is already a leading cause of child mortality.
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Bug Pharmacist // Tim Gauthier
Gabriele Pollara
8 days ago
Normal urine is not sterile! Urine microbiome being introduced by
@nicoledenisco.bsky.social
#ESCMIDGlobal2026
#UTISky
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Bug Pharmacist // Tim Gauthier
Antibiotic Steward 🅱️C🆔🅿️🌟
7 days ago
🔥Late Breakers PeterPen RCT prelim results challenges carbapenem default in ESBL BSI Pip/tazo vs MER (EI) ✅Non-inferior 7d failure(29.4% vs 33.5%) ❌No early mortality signal 30d mortality 14.4%(interim) 👉Will mortality follow?MERINO taught us the hard way!
#ESCMIDGlobal2026
#IDsky
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reposted by
Bug Pharmacist // Tim Gauthier
Angela Huttner
8 days ago
Now
@erinmccreary.bsky.social
is speaking to a packed house on podcasting in infectious diseases, with photo of her and Ryan Shields recording the first
#Breakpoints
podcast in 2018
@sidpharm.bsky.social
#ESCMIDGlobal2026
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Bug Pharmacist // Tim Gauthier
Prof Jenny Rohn
8 days ago
Despite its worldwide prevalence, research about
#UTI
is sparse here at
#ESCMIDGlobal2026
. But managed to find a concentrated mini-population of researchers at the poster session niche—enriched for the London strain, but quite a small sample size, p values not reaching significance!
#UTISky
#IDSky
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💊Antibiotic shortages - they are a problem! Here is a fantastic poster from
#ESCMIdglobal2026
that discusses the issue! cc
@escmid.bsky.social
@krutikakuppalli.bsky.social
@absteward.bsky.social
@drneilstone.bsky.social
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8 days ago
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🤔🤔 Daptomycin - are premixed bags the way to go when doses vary by weight, organism, and infection type?
#ESCMIDglobal2026
trying these new videos with posters as a social media ambassador for the Congress. Any feedback or suggestions are always appreciated! cc
@escmid.bsky.social
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8 days ago
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💻👾Antibiotic stewardship tools are super important. How are they being kept alive? Who keeps them alive and who owns them?
#ESCMIDglobal2026
#pharmacist
#Antibiotics
cc:
@escmid.bsky.social
@absteward.bsky.social
@dianeashiru.bsky.social
@krutikakuppalli.bsky.social
@drneilstone.bsky.social
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8 days ago
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🦷 💊 Dental prescribing and antibiotic stewardship - here is a great poster from Dr. Goff at
#ESCMIDglobal2026
#pharmacist
#dentist
#Antibiotics
@escmid.bsky.social
@krutikakuppalli.bsky.social
@drneilstone.bsky.social
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8 days ago
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Bug Pharmacist // Tim Gauthier
Gabriele Pollara
8 days ago
A post applicable way beyond just
#ESCMIDGlobal2026
! 👇
#MedSky
#AcademicSky
add a skeleton here at some point
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Bug Pharmacist // Tim Gauthier
Onisillos
8 days ago
It helps me to remember that imposter syndrome relies on circular logic: if you're a fraud then you must have outsmarted everyone.
1
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🙌 🚪 Great talk and I’m feeling very encouraged and way more informed about DOOR from the talks at
#ESCMIDglobal2026
…Advocacy to use this tool is loud and clear!!
@josemolinagb.bsky.social
@escmid.bsky.social
@absteward.bsky.social
@krutikakuppalli.bsky.social
@drneilstone.bsky.social
8 days ago
1
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reposted by
Bug Pharmacist // Tim Gauthier
Krutika Kuppalli, MD FIDSA
10 days ago
The economic case for IPC. Per
@who.int
: every $1 invested in hand hygiene yields $24.60 in economic gain. Global IPC implementation could generate $112B in healthcare savings + $124B in economic gains. IPC is one of the smartest investments health systems can make.
#ESCMIDGlobal2026
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reposted by
Bug Pharmacist // Tim Gauthier
Krutika Kuppalli, MD FIDSA
9 days ago
Key IPC takeaways from
#ESCMIDGlobal2026
👀 🔹 Quality > compliance (hand hygiene) 🔹 Gel Nail polish may not ↑ risk 🔹 PICCs: “antimicrobial” ≠ better 🔹 Gowns: limited added value 🔹 PPE ↓ possible without ↑ infections 🔹 Microplastics → emerging AMR risk Data should drive practice.
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reposted by
Bug Pharmacist // Tim Gauthier
Krutika Kuppalli, MD FIDSA
9 days ago
Gowns & respiratory viruses—nuance matters👀 🔹 HCW clothing contamination common; viruses persist 🔹 Limited protective effect (~29% studies) 🔹 Short-sleeve + good hygiene may be sufficient Are gowns always necessary—or part of the problem?
#ESCMIDGlobal2026
#InfectionControl
1
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Bug Pharmacist // Tim Gauthier
JAMA
9 days ago
💬 Editorial: In a multinational trial, #RapidAST did not improve a composite clinical outcome but led to earlier antibiotic optimization and shorter hospitalization in patients with resistant gram‑negative infections. #ESCMIDGlobal2026
ja.ma/4cfubi8
1
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Bug Pharmacist // Tim Gauthier
JAMA
9 days ago
Among patients with #GramNegativeBacteremia, rapid #AntimicrobialSusceptibilityTesting did not improve 30-day clinical outcomes compared with standard testing, despite providing faster guidance for antibiotic escalation or deescalation. #ESCMIDGlobal2026
ja.ma/4sF52lG
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Bug Pharmacist // Tim Gauthier
Eli Perencevich
9 days ago
🔥 New trial just presented at
#ESCMIDGlobal2026
and published in
@jama.com
jamanetwork.com/journals/jam...
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Amoxicillin-Clavulanate vs Amoxicillin for Acute Sinusitis in Adults
This retrospective cohort study examines treatment failure and adverse events in standard-dose amoxicillin compared with amoxicillin-clavulanate in adults with acute sinusitis.
https://jamanetwork.com/journals/jama/fullarticle/2847972
1
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Bug Pharmacist // Tim Gauthier
Antibiotic Steward 🅱️C🆔🅿️🌟
10 days ago
▶️Optimising treatment of severe infections due to DTR organisms Bookmark this table, everyone's favorite table!
#ESCMIDGlobal2026
#IDSky
#EMIMCC
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😶🌫️🫥🫣 Imposter!!! Who me?
#ImposterSybdrome
is extremely common and something to recognize and work on if you experience it. Take it from me, I’ve totally felt this way more times than I can count!! 😆 …
#ESCMIDglobal2026
… 7/n
#meded
#pharmed
#pharmacist
@escmid.bsky.social
@sidpharm.bsky.social
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9 days ago
1
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Bug Pharmacist // Tim Gauthier
Joseph Marcus
9 days ago
Practice changing study in JAMA today. For adults (<65) with acute sinusitis, amoxicillin associated with same cure rate as amox/clav and associated with lower side effects
#IDSky
jamanetwork.com/journals/jam...
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Amoxicillin-Clavulanate vs Amoxicillin for Acute Sinusitis in Adults
This retrospective cohort study examines treatment failure and adverse events in standard-dose amoxicillin compared with amoxicillin-clavulanate in adults with acute sinusitis.
https://jamanetwork.com/journals/jama/fullarticle/2847972
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reposted by
Bug Pharmacist // Tim Gauthier
Prof Jenny Rohn
9 days ago
Enjoyed a fascinating session at
#ESCMIDGlobal2026
about adaptive & platform trials for infectious disease interventions.Take-home messages: vastly accelerated by COVID, difficult to set up, require specialist statistician input, but astoundingly efficient & can deliver huge knowledge gains
#IDSky
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🌎 🌍 Does the world need more KOLs, SMIs, or DOLs?!?
#ESCMIDglobal2026
6/n
#DigitalInfluencer
#socialmedia
#meded
#PharmEd
@iddocakshatha.bsky.social
@escmid.bsky.social
@absteward.bsky.social
@drneilstone.bsky.social
@krutikakuppalli.bsky.social
#IDsky
@glaucomflecken.bsky.social
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9 days ago
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🧬 🩸 What are DNAemia and mcfDNA?!? This is really cool emerging medical tech!!
#ESCMIDglobal2026
…I will be posting more videos like this as 1/4 official SM ambassadors for the congress 🙏 so please share, follow, like and use the official hashtag when posting!! 5/n cc
@escmid.bsky.social
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9 days ago
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👏👏 Incredible job covering so many key points, an on the mark lecture by @IDdocAkshatha here at
#ESCMIDglobal2026
@ESCMID …She asks the audience to become a DOL, talks risks vs benefits, and a changing landscape where silence is no longer neutral
9 days ago
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Bug Pharmacist // Tim Gauthier
Gabriele Pollara
10 days ago
Liking this style of summary video from
#ESCMIDGlobal2026
by
@idstewardship.bsky.social
Hopefully more to come...
add a skeleton here at some point
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🧫🤓 Enjoyable review of 2 complex cases, here are my highlights.
#ESCMIDglobal2026
…I will be posting more videos like this as 1/4 official SM ambassadors for the congress 🙏 so please share, follow, like and use the official hashtag when posting!! 3/n
@escmid.bsky.social
@absteward.bsky.social
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10 days ago
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🪦Mortality outcomes can require huge participant numbers, other things matter.
#ESCMIDglobal2026
…I will be posting more videos like this as 1 of 4 official social media ambassadors for the congress 🙏 so please share, follow, like and use the official hashtag when posting!! 2/n
@escmid.bsky.social
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10 days ago
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“Antibiograms - patters of S/IR” here are some of the notes I took from a presentation at
#ESCMIDglobal2026
…I will be posting more vid like this as 1/4 official SM ambassadors for the congress 🙏 so please share, follow, like and use the official hashtag when posting!! 1/n
@escmid.bsky.social
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10 days ago
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👏👏👏 Masterful job by the speakers here explaining DOOR, showing why outcomes go well beyond mortality yes/no at
#ESCMIDglobal2026
cc
@escmid.bsky.social
@absteward.bsky.social
@drneilstone.bsky.social
@krutikakuppalli.bsky.social
10 days ago
0
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Bug Pharmacist // Tim Gauthier
Pharmageddon
about 1 month ago
And we're funded! 🥳 Hey fellow
#MedEd
creators / idols. Please check out our campaign & share if so motivated!
@febrilepodcast.com
@idiots-pod.bsky.social
@absteward.bsky.social
@coreimpodcast.bsky.social
@glaucomflecken.bsky.social
@scientificdiscovery.dev
www.kickstarter.com/projects/pha...
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Bug Detectives: The Epipocalypse, A Medical Education Game
Play cards. Learn infectious diseases. Symptoms, transmission, reservoirs, and more!
https://www.kickstarter.com/projects/pharmageddon/bug-detectives-the-epipocalypse-a-medical-education-game
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⭐️The clinician category is spot on! Documented uncertainty = high willingness to avoid use
#ESCMIDglobal2026
add a skeleton here at some point
10 days ago
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reposted by
Bug Pharmacist // Tim Gauthier
ESCMID
10 days ago
Education Friday at
#ESCMIDGlobal2026
is a full day focused entirely on learning, with programme tracks for different interests & levels. Alongside this, interactive small-group sessions offer hands-on opportunities to build practical skills and deepen real-world understanding.
0
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Bug Pharmacist // Tim Gauthier
Krutika Kuppalli, MD FIDSA
10 days ago
Excited to be in
#Munich
for
#ESCMIDGlobal
2026! Honored to serve as a social media ambassador this year - I’ll be live posting key sessions and takeaways throughout the meeting. If you’re presenting and would like your work highlighted, feel free to reach out. Looking forward to a great week!
1
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Bug Pharmacist // Tim Gauthier
Antibiotic Steward 🅱️C🆔🅿️🌟
10 days ago
▶️The antibiogram demystified: MIC: To report, or not to report⁉️ 🔺Selective reporting Guide antibiotic treatment In harmony with treatment guidelines Always test first and second choice treatment, report preferred choice
#ESCMIDGlobal2026
#IDSky
#EMIMCC
0
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🤓🤓🤓🤓🤓🤓 ☑️ Fueled up ☑️ Excitement building en route ☑️ Made it to the congress ☑️ Learning commenced!!
#ESCMIDglobal2026
@escmid.bsky.social
10 days ago
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#ESCMIDGreenTravel
🚊 Munich is very easy to get around by train. I did have to take a bus to the first train heading out of the airport just now, airport train terminal was closed. Not too bad tho.
#ESCMIDglobal2026
@escmid.bsky.social
12 days ago
1
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reposted by
Bug Pharmacist // Tim Gauthier
ESCMID
23 days ago
We are happy to announce our social media ambassadors at #ESCMIDGlobal2026! These 4 experts will lend their pen & platform to help us cover the congress in Munich. Learn more about our ambassadors:
https://ow.ly/FRMT50YBbGX
#ESCMIDGlobal2026
Everyone can join the conversation w/
#ESCMIDGlobal2026
!
#IDSky
#clinmicro
0
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reposted by
Bug Pharmacist // Tim Gauthier
Society of Infectious Diseases Pharmacists - SIDP
26 days ago
ID Pharmacists Day is May 22!🎉 The theme, Beyond the Rx: ID Pharmacists as Educators & Advocates, highlights impact beyond optimizing regimens. Share how you or an ID Pharmacist you know has gone
#BeyondTheRx
on 5/22 for a chance to win a prize!
@accpinfdprn.bsky.social
sidp.org/idpharmacistsday
0
5
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reposted by
Bug Pharmacist // Tim Gauthier
Antibiotic Steward 🅱️C🆔🅿️🌟
2 months ago
With ESCMID Global quickly approaching! To help you spread the word and get involved, check out ESCMID Global 2026 Promotional Toolkit The official hashtag for the congress this year is
#ESCMIDGlobal2026
on all social media channels.
#IDSky
www.escmid.org/congress-eve...
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Promotional Toolkit
ESCMID Global (formerly ECCMID): an annual congress bringing together experts and specialists in Clinical Microbiology and Infectious Diseases.
https://www.escmid.org/congress-events/escmid-global/munich-2026/promotional-toolkit/
0
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reposted by
Bug Pharmacist // Tim Gauthier
Antibiotic Steward 🅱️C🆔🅿️🌟
about 1 month ago
🔥Just published🔥 SSC 2026 Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2026 : Critical Care Medicine
#IDsky
#EMIMCC
@pulmcrit.bsky.social
share.google/NbagT9xMBTgk...
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With the death of IDtwitter is there nowhere to see the new ID PGY2 match celebrations? 😢
about 1 month ago
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