Gut check: This review highlights stewardship opportunities in intra-abdominal infections, focusing on SBP prophylaxis, antibiotic management of biliary infections and appendicitis, and optimizing amoxicillin-clavulanate and metronidazole dosing. doi.org/10.1017/ash....

Creating an advanced practice provider-led Complex Outpatient Antimicrobial Therapy program at our institute improved post-discharge follow-up, strengthened outpatient antimicrobial monitoring and supported timely outpatient interventions for patients with complex infection. doi.org/10.1017/ash....

Feeling the Vibes: An Investigation into Resident Antibiotic Prescribing Practices ✅ Just Accepted 🔗 https://bit.ly/4ablBjg

A warm welcome to our new fellows! We are thrilled to have you on our team, here’s to an exciting journey ahead! Welcome to Stanford ID! #WelcomeFellows #InfectiousDiseases

🩺 Clinically, identifying a lactose fermenting GNR is particularly useful for ruling out Pseudomonas. ⚠️ Many non-lactose fermenters (especially Stenotrophomonas, Burkholderia, and Acinetobacter) can be very challenging to treat. ID consultation should be considered for invasive infections.

🌟 ABX Pearl of the Day: ❓ Q: When should I empirically cover for Pseudomonas aeruginosa in diabetic foot infections (DFIs)? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

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

Yay! Tara's our awesome ASP track fellow this year - so lucky to get to work with her! @stanfordasp.bsky.social @linameng.bsky.social @dhpharmd.bsky.social @polishmd.bsky.social

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

🌟 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

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

🔥Finally published🔥 IDSA Guidelines on the Treatment and Management of Complicated Urinary Tract Infections (cUTI) #idsky www.idsociety.org/practice-gui...

Excited to share our newest paper from my PhD: a post-hoc analysis of the BALANCE trial where we explored heterogeneity of treatment effect (HTE) in duration of antibiotic treatment for patients with bloodstream infection. A thread: doi.org/10.1016/j.ec... #IDSky @eclinicalmed.bsky.social

🌟 ABX Pearl of the Day: Linezolid drug interactions ❓ Q: I'd like to prescribe linezolid but my patient is on serotonergic agents. What is the incidence of serotonin syndrome with this combination? #IDsky #medsky #meded #pharmsky #skyRX

We're looking for a new Division Chief in Adult ID at Stanford. We have a great ID/Medicine family here and the division has been growing by leaps and bounds. We also have great Pedi ID, Micro, Immunology and Transplant teams. Please share!

Ongoing UCx stewardship efforts at Stanford 🤝 in partnership with infection control, CAUTI taskforce, micro lab, RNs ✔️ 2017: switch to UA with reflex only of wbc>10 ✔️2024: a creation of UCx order panel. 🚧 remove UA/UCx orders from surgery pre-op ordersets? #IDsky #AMSsky

#idsky #amssky Anyone using Tamiflu after IV peramivir in ICU patients that gain enteral access? Do people trust IV peramivir efficacy in severe/hospitalized flu? pubmed.ncbi.nlm.nih.gov/39181595/

I learned about this meropenem/VPA drug interaction the hard way as a new practitioner after unsuccessfully dose titrating VPA for days (and wasting 💰). Fortunately VPA indication was for alcohol withdrawal (non benzo ICU protocol at Stanford), not seizures! See useful tidbits on this interaction👇

For ceftriaxone-R Enterobacterales from blood, our micro report shows MIC but no interpretation. Instead, displays cautionary comment. Chance for ASP-micro lab collab! 🤝

Study shared by esteemed👇 on pyuria cutoff (in elderly♀️)"At a cutoff of 264 leuk/µL, sensitivity and specificity of microscopy were 88% (positive and negative likelihood ratio: 7.2 and 0.1, respectively). The commonly used cutoff of 10 leuk/µL had a poor specificity (36%) and a sensitivity of 100%."

Thrilled to see @conanmacdougall.bsky.social join! 🌟 Your insights are always spot-on. This graph on new ABX approval is spot on. 😂 So true about the emotional rollercoaster—though here, prescribers don't pay attention to drug cost unless formulary restricted. #IDsky #AMSsky #pharmsky #skyrx

Love our peds ASP colleagues and their amazing tools! ♥️ One of our ED's go-to favorites is their pediatric Amox-Clav Dosing Guide—because seriously, who can keep track of all those doses and formulations/ratios? Welcome to Blue Sky! 🌟 #AMSsky #IDsky #pharmsky #skyRX #medsky

The look I get from SICU when I tell them they can stop ABX 24 hours after early GI perf repair 👀👽 #IDsky #pharmsky #AMSsky

I sense a debate or update brewing for ID Week 2025/SIDP: team FQ vs b-lactam for uncomplicated GNR bacteremia? 🎙️👥 @idsainfo.bsky.social @sidpharm.bsky.social #IDsky

ID team Q: recs on amoxicillin PO dose for stepdown for uncomplicated strep bacteremia on day 5? Me: Pick anything. You're just about done with treatment! ...1g q8h #IDsky #medsky #pharmsky #RXsky

Congratulations to @nischalr3.bsky.social and his team for their paper being selected as the @thetxidjournal.bsky.social 2024 Bob Rubin Clinical Impact Awardee - this award selects the paper felt to have the biggest impact on clinical care in #TxID! #IDSky onlinelibrary.wiley.com/doi/10.1111/...

Back to ASP work on Monday, and it feels like everyone has aspirated over the weekend and is on ABX. 🫠 Perfect timing for this ABX pearl on distinguishing aspiration pneumonitis from pneumonia. 🔑 Hyperacute resolution? Skip the ABX. Check it out! 👇 #USAAW24 #AMSsky #IDsky #pharmsky #MedEd

Shout out to our amazing ASP team members @dhpharmd.bsky.social and @marisa-holubar.bsky.social for this fun idea! 🦠💜 Loving the micro nerd energy at Stanford for #USAAW24. 🙌 What’s everyone else doing this week? #IDsky #Medsky #pharmsky #amssky

Need help! 🙏 #IDsky #Medsky #AMSsky @joshparkpharmd.bsky.social—looking for ideas/must-haves to build a simple ED dashboard 📊 for tracking ABX use & outcomes. We’re on Epic and keeping it basic for the first go. CC: @dhpharmd.bsky.social

Multiple RCTs comprised patients with gram negative bacteremia from predominantly urinary sources demonstrate noninferiority of 7 days compared with 14 total days of treatment for a variety of patient-oriented outcomes, such as clinical cure, clinical failure,relapse, and all-cause mortality. #idsky

Hi #IDsky & #PharmSky! 👋 I'm an ABX stewie (formerly critical care) at Stanford: ✨ Passionate about learning from others in ID, ASP, & RX. 🛠️ Love creating tools & education for frontline clinicians. 📚 Started Stanford ABX pearls series and Obesity ABX Guidance Excited to connect and share ideas!

🔄 Just got this consult question this week from our ICU pharmD—a great reminder during our blood culture and IV fluid shortages! 💡💊 Love it when I can reply back ✂️🗒️ with our team's ABX Pearl #IDsky #MedEd #pharmSky #RXsky 🔗ABX pearl library here: med.stanford.edu/bugsanddrugs...

Just in time before the BCx bottle shortage—this team’s work in diagnostic stewardship was vital! 💪 Proud to have such amazing colleagues leading these efforts with Epic hard stops driving real impact. Congrats on the Award! 🏆👏 #IDsky #medsky #amssky @grod11.blsky.social @jlsalinas.blsky.social

New to Bluesky and #idsky! 🌌 Just followed my first feed and get why #idsky tags are key for keeping us all linked up! 🔑🤝 Thanks for the tutorial @kenkoonwong.bsky.social

These slides are 🔥—super well-curated topics 🎯by @polishmd.bsky.social-- many are already being or soon to be discussed at ID rounds and our hospital's P&T. Catch up here 📑✨" idac.org/Past-Events

🙋‍♀️ All my favorite people are here! (You too, @martenhawkins.bsky.social!) The @stanfordasp.bsky.social team has been notified—time to join the migration! 📣

Starting off with a few ABX pearls based on the most common syndromes and topics that we encounter day-to-day. (Please note our website resources too!) 📑

Feeling the ID community momentum to rebuild in John Dorsey's twin project.🙌 So far seems to offer a reprieve from X's extreme algorithms and related posts! And the starter packs are much appreciated @germhuntermd.bsky.social 🙏