🆕 New in ICHE: An EHR-based intervention reduced unnecessary testing & treatment for asymptomatic bacteriuria in older adults This approach shows promise in minimizing overtreatment and supporting antimicrobial stewardship #IDSky 📄: doi.org/10.1017/ice....

Give me 5 this respiratory season! #pedsky #pedsidsky #idsky #antibioticstewardship

🌟 ABX Pearl of the Day: ❓ Q: Candida only grew in 1/4 bottles. Is this a contaminant? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

💡 #McMasterSelects: antibiotic stewardship involving order entry prompts in hospitalized patients with skin and soft tissue infection (INSPIRE 3 Skin and Soft Tissue trial): mcmastertextbook.com/potw/388535 #MedEd #FOAMEd #MedicalEducation

@ritikaprasad.bsky.social @stanfordasp.bsky.social @marisa-holubar.bsky.social: The inpatient mandatory indication field outperformed the ICD-10 in inferring dc abx indications, and can be used to assess abx appropriateness without needing manual chart review. doi.org/10.1017/ash....

Thrilled to welcome the 2025–26 Fellows’ College Council! This remarkable team of fellows, staff, and faculty advisors will lead career-development initiatives, mentorship programs, and community building across Stanford’s Department of Medicine.

🚨 New study: Reflex urinalysis-to-culture protocols often lead to overtreatment of asymptomatic bacteriuria. 🔑 Findings highlight the need for diagnostic stewardship to reduce unnecessary antibiotics. #AntimicrobialStewardship

Antimicrobial stewardship (AMS) promotes responsible antibiotic use. Clinical decision support systems (CDSS) may support AMS by providing evidence-based recommendations, but effectiveness remains unclear. Implementation challenges and AI integration are key future focuses. doi.org/10.1017/ash....

🌟 ABX Pearl of the Day: ❓ Q: My patient is growing yeast in blood cultures. Is this Candida? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

Denver Health is hiring: Medical Director of Antimicrobial Stewardship & ID physician (musculoskeletal + inpatient consults). IDSA Center of Excellence • 525-bed hospital • Univ. of Colorado training site. Details: denverhealth.wd1.myworkdayjobs.com/DHHA-Main/jo... — connect at #IDWeek!

Is empiric MRSA and PsA coverage needed for all moderately ICH with pneumonia? A recent study in CID offers a data-driven look. So what to do? Check out our ABX pearl on which ICH patients are best candidates for expanded empiric ABX coverage in CAP. ✅ #amssky #Idsky #medsky #pharmsky

Can AI help prevent infections and improve care in hospitals? Dr. Jorge Salinas joins Edúcate: Tecnología que salva vidas, hosted by the Universidad Nacional Toribio Rodríguez de Mendoza, to discuss its impact. Watch the full podcast here! tr.ee/salinas-podc...

We proudly recognize Dr. Amy Chang for her involvement as a MODEL Lead. Her work with the MODEL Program reflects a deep commitment to mentorship and community-building across Stanford Medicine. Read more about it here: tr.ee/model-year-2

We invite you to the Department of Medicine Town Hall & Reception on Sept 16, 5–6:45pm PT! Join Dr. Euan Ashley, Kerry Makielski, and leadership for an open forum to share your voice, then stay after to connect with colleagues at Alway Courtyard.

Antimicrobial stewardship from a One Health perspective #phage #amr #microsky www.nature.com/articles/s41...

🌟 ABX Pearl of the Day: ❓ Q: My immunocompromised patient is admitted to the ICU and starting ABX for presumed CAP. Do they need empiric MRSA and Pseudomonas coverage? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

We have Amanda's CAP guideline summary here, though there is a little controversy with this one!

New evidence suggests short-course IV β-lactams may be an effective option for uncomplicated cystitis in hospitalized patients. Could this shift how we balance stewardship, efficacy & LOS? Read the study here: tinyurl.com/y5mk9h3h #AntimicrobialStewardship #InfectiousDiseases #Urology

Mastery Monday: Since it's early in the school year for our new students, residents, and fellows, I thought I'd start doing some "Mastery Monday" posts with some simple, easy to digest facts that will help you all grow into good stewards. If you have an idea for a future topic, let me know.

Jeanne Marrazzo and Kathy Neuzil are known for their integrity, their selflessness and their scientific rigor. Their voices carry enormous weight in the scientific community. #NIH

📢📄🦠Nice little commentary in @mayoclinic.org Proceedings on #GlobalBridges initiatives to boost #AntimicrobialStewardship in Low-Resource Settings 🧫🌏 #antimicrobialresistance #AMR #GlobalHealth #IDSky #MedSky authors.elsevier.com/sd/article/S...

This paper explores patients’ views of their experiences of penicillin allergy de-labelling. Their insights will be used to further optimize penicillin allergy de-labelling implementation interventions: doi.org/10.1093/jaca... #JACAMRNews #IDSky

🌟 ABX Pearl of the Day: ❓ Q: I’m looking for oral ABX options for UTI. When might oral fosfomycin be appropriate? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

A must read!

www.cidrap.umn.edu/antimicrobia... #AntibioticStewardship “The pooled prevalence of inappropriate antibiotic prescriptions was 57.6%. Among the 37 studies that reported on factors associated with .. the only significant association observed was with higher educational levels of patients”

🆕 New in ICHE: A mixed-methods study explores bias and discrimination experienced by antimicrobial stewards Findings highlight structural inequities and the need for improved support, recognition, and inclusion in stewardship roles. #IDsky 📄: doi.org/10.1017/ice....

🌟 ABX Pearl of the Day: ❓ Q: Can I use piperacillin-tazobactam to treat an Enterobacter cloacae intra-abdominal infection? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

💡 A: Piperacillin/tazobactam is not recommended due to limited data showing efficacy in AmpC organisms. 🚫 Ceftriaxone should also NOT be used for Enterobacter cloacae, even if listed as susceptible, due to a high chance of induced AmpC enzyme production and resistance development during therapy!

Antimicrobial resistance is one of the greatest threats to modern medicine. Misha Huang, MD, from @cudivofid.bsky.social is UCHealth first medical director of antimicrobial stewardship, leading efforts to optimize antibiotic use & protect patients + communities. Read more: bit.ly/4oLXQn4

Not only more data for oral treatment of endocarditis, but also more data for treating Strep with amoxicillin monotherapy. The POET oral regimens are rough

Congratulations to Dr. Fernando Alarid-Escudero and Dr. Jorge Luis Salinas on receiving the 2025 Rosenkranz Prize! Dr. Alarid-Escudero's work on a national colorectal cancer screening program and Dr. Salinas's efforts in antimicrobial resistance are transforming public health. #StanfordMedicine

Congratulations to Dr. Hector Fabio Bonilla on his appointment as Clinical Professor in Medicine at Stanford! This is a well-deserved recognition of Hector's many contributions to patient care, to medical science, and to our educational mission. We are very fortunate to have Hector on our faculty.

Congratulations to Nathan Lo on his JAMA publication modeling how declining vaccination rates could trigger the resurgence of measles, rubella, polio, and diphtheria in the US!

Congratulations to Dr. Nathan Lo, who was selected as a National Academy of Medicine Emerging Leader in Health and Medicine! It is "an award given to 10 early/mid-career leaders in biomedical science, population health, and health policy..." @nathanlo.bsky.social

Congratulations to Vanessa J. Gow-Lee, MD, for earning Best Overall Performance at the 2025 Gorgas Parasitology Course! Her dedication to global health and tackling medical inequities inspires us all.

@ritikaprasad.bsky.social, @stanfordasp.bsky.social, @marisa-holubar.bsky.social et al: Identifying ASP targets in immunocompromised patients is challenging. We implemented a restriction program that ⬆️ appropriate use of CMV-IGIV, highlighting a unique ASP opportunity. doi.org/10.1017/ash....

Implementing microlearning via ABX Pearls emailed to clinicians and trainees weekly at our hospital. 81% reported an impact on their practice, across multiple stewardship domains. 👇🏻 Library here: med.stanford.edu/bugsanddrugs... #IDPharmacistsDay #medEd #AMSsky

What’s the optimal cefazolin dose for MSSA CNS infections? New PK/PD data says: it’s not just about higher doses—MIC matters. 2g q6h works only if MIC <=0.5 mg/L For MIC:1-2 mg/L, continuous infusion (10–12g/day) may be needed to hit PD targets #idsky journals.asm.org/doi/10.1128/...

🌟 ABX Pearl of the Day: ongoing fevers in febrile neutropenia (FN) but cultures negative ❓ Q: My patient with FN on IV cefepime is hemodynamically stable but continues to have fevers. Do we need to switch empiric antibiotics to IV meropenem? #IDsky #medsky #meded #pharmsky #skyRX

From @mirandapharmdmph.bsky.social : Five essential lessons in antimicrobial stewardship and leadership I have learned from running doi.org/10.1017/ash....

Vaccination, early drug therapy improve survival in #Ebola patients Patients who received the rVSV-ZEBOV vaccine were 1.7 times less likely to die than their unvaccinated peers. www.cidrap.umn.edu/e...#Ebola Photo: USAID / Flickr cc

🩺 Surgical antimicrobial prophylaxis compliance was just 14% in a Turkish multicenter study. Prolonged and improperly timed antibiotics were common—orthopedics had 97% inappropriate use. 📄 AJIC study: www.ajicjournal.org/article/S019... #AntibioticStewardship #InfectionControl

Amazing job leading this my friend!

Scientific Integrity Under Threat: The Role of the @idsainfo.bsky.social @pidsociety.bsky.social and @sheaepi.bsky.social Journals in an Evolving Political Landscape

In SHORTEN-2, immunocompromised hosts were not excluded if early clinical response and no unresolved source issues exist at randomization. We hope to generate actionable data to guide the management of Pseudomonas BSI also in this population! 💪🏼 (🧵3/3) #AMSky #IDsky #TxID #IDOnc #ShorterIsBetter

For those enjoying Dr Spivak’s talk on greenhouse gases and antimicrobial stewardship, check out her paper here: www.cambridge.org/core/journal...

“while sales of antibiotics for human medicine have declined in recent years with better antibiotic stewardship, US sales for animal use rose by more than 10% from 2017 to 2023” www.cidrap.umn.edu/antimicrobia...

Groups urge Kennedy to reduce antibiotic overuse in meat production www.cidrap.umn.edu/antimicrobia...

@grod11.bsky.social talking about long-read WGS to discern pre/post contact precautions of transmission of VRE in blood 👏🏻👏🏻👏🏻 #SHEASpring2025

SHEA Spring Conference is kicking off and we're so excited to share our incredible presenters! Join Dr. Jenna Preusker and team as she presents their findings at #SHEASpring2025 today at 12pm ET! NHSN data analysis revealed antibiotic usage & agent selection vary by hospital size and rurality. 💊