Bug Pharmacist // Tim Gauthier
@idstewardship.bsky.social
📤 2535
📥 99
📝 245
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
10 months ago
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Bug Pharmacist // Tim Gauthier
Antibiotic Steward 🅱️C🆔🅿️🌟
14 days ago
Amazing 😍 🔥SHORTEN 2 RCT A 7-day treatment course is superior to 14 days for uncomplicated Pseudomonas aeruginosa bacteremia, achieving similar clinical response rates with lower antibiotic exposure, fewer superinfections, and fewer serious adverse events
#idsky
@shorten2trial.bsky.social
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😲 On IG and TikTok this video of
@mgilchrist123.bsky.social
and I has over 27 cumulative days of watch time, over about 72 hours.
#IDsky
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25 days ago
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Bug Pharmacist // Tim Gauthier
Monica Mahoney
26 days ago
Some
#MADIDxSIDP2026
highlights. Forever grateful for
@sidpharm.bsky.social
@mad-id.bsky.social
reading my ridiculous email proposing an OPAT workshop & running with it 😱 Great to network, learn, reconnect & of course 🎢 Now ....back to the real world (...until the next
#OPATworkshop
amirite??)
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🤓🤓🤓🤓🤓🤓🤓🤓🤓 Amazing experience to be there for the first
@mad-id.bsky.social
x
@sidpharm.bsky.social
meeting
#Antimicrobials
over the last few days. If you missed it, here are a few nuggets I picked up… 📲
www.idstewardship.com/pearls-for-a...
26 days ago
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Bug Pharmacist // Tim Gauthier
Pharmageddon
27 days ago
#MADIDxSIDP2026
bonus! Got to meet
@idstewardship.bsky.social
and
@letstalkmicro.bsky.social
, makers of great ID educational resources (check out their website and podcasts respectively). And apparently
#ATS2026
is just next door. Come by and say hi too!
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I stole all the
@pharmageddon.bsky.social
games at
#Antimicrobials
hope I don’t get caught!! Not really stolen of course, but super cool to meet IRL!
27 days ago
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FlorIDa pharmacists at
#Antimicrobials
🙌
@mad-id.bsky.social
@sidpharm.bsky.social
27 days ago
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#Antimicrobials
#Antimicrobials2026
has entered the chat 😍🤩🤓
28 days ago
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🤓 Excited to get to hang out with amazing people here at MAD-ID x SIDP!!
29 days ago
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Bug Pharmacist // Tim Gauthier
Monica Mahoney
about 1 month ago
The 2026
#ScienceSymposium
is coming up! I've updated the Make Your Own Antibiotic worksheet and I've introduced a new Antibiotic or Pokemon game (some of these stumped me!) The 3rd activity will be a bean bag (antibiotic) toss at cans (bacteria) based on antibiogram. That's a project for next week
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Bug Pharmacist // Tim Gauthier
Antibiotic Steward 🅱️C🆔🅿️🌟
about 1 month ago
Super interesting: Ceftriaxone-R E.coli / K.pneumoniae BSI(n=163) 2022-24 🧬blaCTX-M+:85.3% 🧬 No-blaCTX-M:14.7% ⚠️🔼 No-blaCTX-M ceftriaxone R ⏱ CTX-M+:faster optimal therapy 💡 Molecular testing still useful for ESBL detection→ always confirm with AST
#idsky
academic.oup.com/ofid/article...
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Impact of a Rapid Change in Beta-lactam Resistance Epidemiology on the Management of Patients With Bloodstream Infections
Abstract. The impact of a shift in the epidemiology of ceftriaxone resistance among Escherichia coli and Klebsiella pneumoniae recovered from blood culture
https://academic.oup.com/ofid/article/13/5/ofag225/8664689
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Bug Pharmacist // Tim Gauthier
José Molina
about 2 months 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
about 2 months 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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Bug Pharmacist // Tim Gauthier
Gabriele Pollara
about 2 months 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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Bug Pharmacist // Tim Gauthier
Rossana Rosa
about 2 months ago
Happy Earth Day, and switch to PO! 🌱💊
#IDSky
#MedSky
#PharmSky
@sustainabil-id.bsky.social
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Bug Pharmacist // Tim Gauthier
Dr Neil Stone
about 2 months ago
Screening patients for colonisation of drug resistant organisms can help reduce carbapenem use and duration of antibiotics in febrile neutropenia
#escmidglobal2026
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Bug Pharmacist // Tim Gauthier
Josh Davis
about 2 months 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
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Bug Pharmacist // Tim Gauthier
Angela Huttner
about 2 months 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
about 2 months ago
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Bug Pharmacist // Tim Gauthier
Krutika Kuppalli, MD FIDSA
about 2 months 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
about 2 months 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🆔🅿️🌟
about 2 months 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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Bug Pharmacist // Tim Gauthier
Angela Huttner
about 2 months 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
about 2 months 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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about 2 months 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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about 2 months 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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about 2 months 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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about 2 months ago
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Bug Pharmacist // Tim Gauthier
Gabriele Pollara
about 2 months 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
about 2 months ago
It helps me to remember that imposter syndrome relies on circular logic: if you're a fraud then you must have outsmarted everyone.
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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
about 2 months ago
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Bug Pharmacist // Tim Gauthier
Krutika Kuppalli, MD FIDSA
about 2 months 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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Bug Pharmacist // Tim Gauthier
Krutika Kuppalli, MD FIDSA
about 2 months 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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Bug Pharmacist // Tim Gauthier
Krutika Kuppalli, MD FIDSA
about 2 months 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
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Bug Pharmacist // Tim Gauthier
JAMA
about 2 months 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
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Bug Pharmacist // Tim Gauthier
JAMA
about 2 months 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
about 2 months 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
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Bug Pharmacist // Tim Gauthier
Antibiotic Steward 🅱️C🆔🅿️🌟
about 2 months 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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about 2 months ago
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Bug Pharmacist // Tim Gauthier
Joseph Marcus
about 2 months 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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Bug Pharmacist // Tim Gauthier
Prof Jenny Rohn
about 2 months 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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about 2 months 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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about 2 months 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
about 2 months ago
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Bug Pharmacist // Tim Gauthier
Gabriele Pollara
about 2 months 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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about 2 months 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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about 2 months 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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about 2 months 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
about 2 months ago
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Bug Pharmacist // Tim Gauthier
Pharmageddon
3 months 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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