Christina Koutsari PharmD PhD (she/her)
@christinakoutsari.bsky.social
Infectious Disease & Outpatient Antimicrobial Stewardship Pharmacist. Love all ID: peds, adult, outpatient, inpatient. #IDSky #PedsIDSky #diagnosticstewardship #healthcaresustainability #onehealth.
“If your dreams don’t scare you, they aren’t big enough.”
“If your dreams don’t scare you, they aren’t big enough.”
Outpatient antibiotics account for the majority of human antibiotic use with a third being unnecessary.
In this #peds study, #financial incentives effectively reduced #antibioticprescriptions without adverse health outcomes with sustained benefits over 4 years. #PedsIDSky
In this #peds study, #financial incentives effectively reduced #antibioticprescriptions without adverse health outcomes with sustained benefits over 4 years. #PedsIDSky
Long-Term Effectiveness of Financial Incentives for Not Prescribing Unnecessary Antibiotics to Children With Acute Respiratory and Gastrointestinal Infections: Japan's Nationwide Quasi-Experimental Study
#IDSky
#IDSky
Long-Term Effectiveness of Financial Incentives for Not Prescribing Unnecessary Antibiotics to Children With Acute Respiratory and Gastrointestinal Infections
A financial incentive to provide a rationale to not prescribe antibiotics to children with acute respiratory or gastrointestinal infections in Japan was as
bit.ly
October 26, 2025 at 12:52 PM
Outpatient antibiotics account for the majority of human antibiotic use with a third being unnecessary.
In this #peds study, #financial incentives effectively reduced #antibioticprescriptions without adverse health outcomes with sustained benefits over 4 years. #PedsIDSky
In this #peds study, #financial incentives effectively reduced #antibioticprescriptions without adverse health outcomes with sustained benefits over 4 years. #PedsIDSky
Reposted by Christina Koutsari PharmD PhD (she/her)
How much evidence is needed to revise established clinical practices? and, can data alone truly catalyze such shifts?
Our 🆕🔥 Article at @cidjournal.bsky.social with 🌟s @bradspellberg.bsky.social
Practicing With Intent: How to Teach an Old Dogma New Tricks #IDSky
academic.oup.com/cid/article/...
Our 🆕🔥 Article at @cidjournal.bsky.social with 🌟s @bradspellberg.bsky.social
Practicing With Intent: How to Teach an Old Dogma New Tricks #IDSky
academic.oup.com/cid/article/...
June 24, 2025 at 1:12 PM
How much evidence is needed to revise established clinical practices? and, can data alone truly catalyze such shifts?
Our 🆕🔥 Article at @cidjournal.bsky.social with 🌟s @bradspellberg.bsky.social
Practicing With Intent: How to Teach an Old Dogma New Tricks #IDSky
academic.oup.com/cid/article/...
Our 🆕🔥 Article at @cidjournal.bsky.social with 🌟s @bradspellberg.bsky.social
Practicing With Intent: How to Teach an Old Dogma New Tricks #IDSky
academic.oup.com/cid/article/...
Reposted by Christina Koutsari PharmD PhD (she/her)
In children and adults with sore throat, IDSA Guidelines suggest using a clinical scoring system to determine who should be tested for Group A Streptococcal (GAS) Pharyngitis.
IDSA's Group A Streptococcal (GAS) Pharyngitis guidelines have been updated: https://bit.ly/4n8OWyj
IDSA's Group A Streptococcal (GAS) Pharyngitis guidelines have been updated: https://bit.ly/4n8OWyj
October 14, 2025 at 9:23 PM
In children and adults with sore throat, IDSA Guidelines suggest using a clinical scoring system to determine who should be tested for Group A Streptococcal (GAS) Pharyngitis.
IDSA's Group A Streptococcal (GAS) Pharyngitis guidelines have been updated: https://bit.ly/4n8OWyj
IDSA's Group A Streptococcal (GAS) Pharyngitis guidelines have been updated: https://bit.ly/4n8OWyj
Reposted by Christina Koutsari PharmD PhD (she/her)
New #IDSAGuidelines! IDSA has released updated evidence-based recommendations on the use of nirmatrelvir/ritonavir, remdesivir, and molnupiravir in adults with mild to moderate COVID-19: https://bit.ly/3W5IdtT
October 16, 2025 at 5:39 PM
New #IDSAGuidelines! IDSA has released updated evidence-based recommendations on the use of nirmatrelvir/ritonavir, remdesivir, and molnupiravir in adults with mild to moderate COVID-19: https://bit.ly/3W5IdtT
Reposted by Christina Koutsari PharmD PhD (she/her)
#Listeria monocytogenes causes serious infections by invading cells and crossing intestinal, blood–brain, and placental barriers, leading to #bacteraemia, CNS, and maternal–neonatal complications https://www.nature.c...
October 4, 2025 at 12:29 PM
#Listeria monocytogenes causes serious infections by invading cells and crossing intestinal, blood–brain, and placental barriers, leading to #bacteraemia, CNS, and maternal–neonatal complications https://www.nature.c...
Reposted by Christina Koutsari PharmD PhD (she/her)
My ACIP recap: 🧵
1) MMRV combo vaccine no longer recommended for children <4y. That means vaccine will not be covered by insurance, so not an option for patients. The 2 shot MMR and chickenpox vaccines are still available. This removes access. Let’s see which vaccine they will go for next!
1) MMRV combo vaccine no longer recommended for children <4y. That means vaccine will not be covered by insurance, so not an option for patients. The 2 shot MMR and chickenpox vaccines are still available. This removes access. Let’s see which vaccine they will go for next!
September 20, 2025 at 5:50 PM
My ACIP recap: 🧵
1) MMRV combo vaccine no longer recommended for children <4y. That means vaccine will not be covered by insurance, so not an option for patients. The 2 shot MMR and chickenpox vaccines are still available. This removes access. Let’s see which vaccine they will go for next!
1) MMRV combo vaccine no longer recommended for children <4y. That means vaccine will not be covered by insurance, so not an option for patients. The 2 shot MMR and chickenpox vaccines are still available. This removes access. Let’s see which vaccine they will go for next!
✅The Minnesota Department of Health just published their 2025-2026 COVID-19 vaccination recommendations which align with those by the American Academy of Pediatrics @ameracadpeds.bsky.social, the @aafp.org and the @acog.org ✅
www.health.state.mn.us/diseases/cor...
www.health.state.mn.us/diseases/cor...
September 20, 2025 at 3:21 PM
✅The Minnesota Department of Health just published their 2025-2026 COVID-19 vaccination recommendations which align with those by the American Academy of Pediatrics @ameracadpeds.bsky.social, the @aafp.org and the @acog.org ✅
www.health.state.mn.us/diseases/cor...
www.health.state.mn.us/diseases/cor...
Reposted by Christina Koutsari PharmD PhD (she/her)
Secretary Kennedy presents a clear and present danger to the American people and their families. This week, even more of our colleagues in the fields of medicine, public health and patient advocacy join us in calling for his resignation.
Our full statement: https://bit.ly/42zItEV
Our full statement: https://bit.ly/42zItEV
September 19, 2025 at 9:50 PM
Secretary Kennedy presents a clear and present danger to the American people and their families. This week, even more of our colleagues in the fields of medicine, public health and patient advocacy join us in calling for his resignation.
Our full statement: https://bit.ly/42zItEV
Our full statement: https://bit.ly/42zItEV
Reposted by Christina Koutsari PharmD PhD (she/her)
"In two days, this committee further undermined Americans’ confidence in life-saving vaccines and did so absent any new research or information necessitating their reexamination."
PIDS has released the linked statement regarding the September ACIP meeting.
pids.org/2025/09/19/p...
PIDS has released the linked statement regarding the September ACIP meeting.
pids.org/2025/09/19/p...
PIDS Statement on the September ACIP Meeting Recommendations – Pediatric Infectious Diseases Society
pids.org
September 19, 2025 at 10:43 PM
"In two days, this committee further undermined Americans’ confidence in life-saving vaccines and did so absent any new research or information necessitating their reexamination."
PIDS has released the linked statement regarding the September ACIP meeting.
pids.org/2025/09/19/p...
PIDS has released the linked statement regarding the September ACIP meeting.
pids.org/2025/09/19/p...
Reposted by Christina Koutsari PharmD PhD (she/her)
Stated at ACIP: MMRV isn’t acceptable for kids <4 to prevent measles, mumps, rubella & varicella.
❌ False. MMRV/MMR vaccines are safe & highly effective. Studies show only a very small increase in febrile seizure risk after the 1st dose.
❌ False. MMRV/MMR vaccines are safe & highly effective. Studies show only a very small increase in febrile seizure risk after the 1st dose.
September 18, 2025 at 4:42 PM
Stated at ACIP: MMRV isn’t acceptable for kids <4 to prevent measles, mumps, rubella & varicella.
❌ False. MMRV/MMR vaccines are safe & highly effective. Studies show only a very small increase in febrile seizure risk after the 1st dose.
❌ False. MMRV/MMR vaccines are safe & highly effective. Studies show only a very small increase in febrile seizure risk after the 1st dose.
Reposted by Christina Koutsari PharmD PhD (she/her)
ACIP members are questioning whether the hepatitis B vaccine should continue to be universally administered to children at birth.
Fact: Implementation of universal birth dose hepatitis B vaccine is the most effective strategy to prevent childhood infections.
Fact: Implementation of universal birth dose hepatitis B vaccine is the most effective strategy to prevent childhood infections.
September 18, 2025 at 8:09 PM
ACIP members are questioning whether the hepatitis B vaccine should continue to be universally administered to children at birth.
Fact: Implementation of universal birth dose hepatitis B vaccine is the most effective strategy to prevent childhood infections.
Fact: Implementation of universal birth dose hepatitis B vaccine is the most effective strategy to prevent childhood infections.
Children's Minnesota, along with over 60 organizations sent a letter to the Governor and MN Legislative leaders urging them to pass common sense gun legislation and make critical investments in the mental health supports our community needs.
www.childrensmn.org/blog/60-minn...
www.childrensmn.org/blog/60-minn...
60+ Minnesota organizations urge action following tragic shooting at Annunciation Catholic Church and School
Following the tragic shooting at Annunciation Catholic Church and School, Children's Minnesota and over 60 child-focused organizations urged the Governor and state leaders to pass common sense gun law...
www.childrensmn.org
September 15, 2025 at 6:29 PM
Children's Minnesota, along with over 60 organizations sent a letter to the Governor and MN Legislative leaders urging them to pass common sense gun legislation and make critical investments in the mental health supports our community needs.
www.childrensmn.org/blog/60-minn...
www.childrensmn.org/blog/60-minn...
Generative #AI is a promising tool to assist in #CAUTI surveillance.
Sensitivity was 95.2% and specificity 76.2%, improving to 90% with expert review of GenAI output. #IDSky
academic.oup.com/cid/advance-...
Sensitivity was 95.2% and specificity 76.2%, improving to 90% with expert review of GenAI output. #IDSky
academic.oup.com/cid/advance-...
Comparing generative artificial intelligence vs. experts for detection of catheter-associated urinary tract infection (CAUTI)
Abstract. A retrospective cohort study compared generative artificial intelligence (GenAI) vs. infection control expert for catheter-associated urinary tra
academic.oup.com
September 13, 2025 at 9:32 PM
Generative #AI is a promising tool to assist in #CAUTI surveillance.
Sensitivity was 95.2% and specificity 76.2%, improving to 90% with expert review of GenAI output. #IDSky
academic.oup.com/cid/advance-...
Sensitivity was 95.2% and specificity 76.2%, improving to 90% with expert review of GenAI output. #IDSky
academic.oup.com/cid/advance-...
The American College of Physicians calls on President Trump and Congress to remove Robert F. Kennedy, Jr. as Secretary of the Department of Health and Human Services. America’s health depends on an HHS secretary who bases decisions on accurate data and current scientific findings. bit.ly/4n8fNek
September 12, 2025 at 11:17 PM
The American College of Physicians calls on President Trump and Congress to remove Robert F. Kennedy, Jr. as Secretary of the Department of Health and Human Services. America’s health depends on an HHS secretary who bases decisions on accurate data and current scientific findings. bit.ly/4n8fNek
CDC Chaos Spurs Demands for HHS Secretary Kennedy to Step Down @jama.com
share.google/FdogKh4ztiXZ...
share.google/FdogKh4ztiXZ...
CDC Chaos and Calls for HHS Secretary to Step Down
This JAMA Medical News article discusses the growing demand for the resignation or firing of US Health and Human Services (HHS) Secretary Robert F. Kennedy Jr because of what critics view as an agenda...
share.google
September 12, 2025 at 9:36 AM
CDC Chaos Spurs Demands for HHS Secretary Kennedy to Step Down @jama.com
share.google/FdogKh4ztiXZ...
share.google/FdogKh4ztiXZ...
The American Academy of Family Physicians Announces Fall Immunization Recommendations, Reaffirming Commitment to Vaccine Safety and Public Health @aafp.org
www.aafp.org/news/media-c...
www.aafp.org/news/media-c...
AAFP Announces Fall Immunization Recommendations, Reaffirming Commitment to Vaccine Safety and Public Health
The AAFP announced the release of our fall immunization recommendations, reinforcing our unwavering commitment to the health of communities across the country. As we navigate fall respiratory virus se...
www.aafp.org
September 10, 2025 at 2:36 PM
The American Academy of Family Physicians Announces Fall Immunization Recommendations, Reaffirming Commitment to Vaccine Safety and Public Health @aafp.org
www.aafp.org/news/media-c...
www.aafp.org/news/media-c...
The American Psychiatric Association urges the administration, as it moves forward with the recommendations of this report, to base every action on rigorous scientific evidence, and involve psychiatrists and other medical leaders. @apapsychiatric.bsky.social
ow.ly/OJhe50WUbLA
ow.ly/OJhe50WUbLA
September 10, 2025 at 2:13 PM
The American Psychiatric Association urges the administration, as it moves forward with the recommendations of this report, to base every action on rigorous scientific evidence, and involve psychiatrists and other medical leaders. @apapsychiatric.bsky.social
ow.ly/OJhe50WUbLA
ow.ly/OJhe50WUbLA
Reposted by Christina Koutsari PharmD PhD (she/her)
The release of today’s Make Our Children Healthy Again report reminds us that improving the health of children is complex and requires coordinated support at local, state and federal levels. Read our full statement: www.aap.org/en/news-room...
September 9, 2025 at 7:24 PM
The release of today’s Make Our Children Healthy Again report reminds us that improving the health of children is complex and requires coordinated support at local, state and federal levels. Read our full statement: www.aap.org/en/news-room...
Reposted by Christina Koutsari PharmD PhD (she/her)
The Make Our Children Healthy Again report released today underscores the vital role of infectious diseases and public health experts in all efforts to improve children’s health. Our statement: https://bit.ly/41IlBmu
September 9, 2025 at 8:29 PM
The Make Our Children Healthy Again report released today underscores the vital role of infectious diseases and public health experts in all efforts to improve children’s health. Our statement: https://bit.ly/41IlBmu
Reposted by Christina Koutsari PharmD PhD (she/her)
Congrats to Drs. Keintz, Torres, Van Schooneveld, @mollyidpharmd.bsky.social, @bryanidpharmd.bsky.social, @drjrmarcelin.bsky.social et al on this publication!
Oral antibiotics being used to treat uncomplicated beta-hemolytic Strep bacteremia! #IDSky
Oral antibiotics being used to treat uncomplicated beta-hemolytic Strep bacteremia! #IDSky
In a retrospective study of 232 patients with uncomplicated β-hemolytic Streptococcus BSIs, transitioning to oral antibiotics reduced hospital stay without increasing mortality or complications, suggesting OAT is a safe, effective alternative to prolonged IV therapy. doi.org/10.1017/ash....
Outcomes in uncomplicated β-hemolytic Streptococcal bloodstream infections transitioned from IV to oral antimicrobial therapy | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core
Outcomes in uncomplicated β-hemolytic Streptococcal bloodstream infections transitioned from IV to oral antimicrobial therapy - Volume 5 Issue 1
doi.org
September 8, 2025 at 5:43 PM
Congrats to Drs. Keintz, Torres, Van Schooneveld, @mollyidpharmd.bsky.social, @bryanidpharmd.bsky.social, @drjrmarcelin.bsky.social et al on this publication!
Oral antibiotics being used to treat uncomplicated beta-hemolytic Strep bacteremia! #IDSky
Oral antibiotics being used to treat uncomplicated beta-hemolytic Strep bacteremia! #IDSky
Reposted by Christina Koutsari PharmD PhD (she/her)
Generic fidaxomicin (dificid) is on the market and it was $6 without a PA for one of my patients 🥹
@sidpharm.bsky.social @idsainfo.bsky.social @sheaepi.bsky.social @accpinfdprn.bsky.social
@sidpharm.bsky.social @idsainfo.bsky.social @sheaepi.bsky.social @accpinfdprn.bsky.social
September 8, 2025 at 8:03 PM
Generic fidaxomicin (dificid) is on the market and it was $6 without a PA for one of my patients 🥹
@sidpharm.bsky.social @idsainfo.bsky.social @sheaepi.bsky.social @accpinfdprn.bsky.social
@sidpharm.bsky.social @idsainfo.bsky.social @sheaepi.bsky.social @accpinfdprn.bsky.social
Reposted by Christina Koutsari PharmD PhD (she/her)
Acetaminophen remains a safe pain relief option during pregnancy. Despite recent unfounded claims, there’s no clear evidence linking prudent use to fetal development issues. ACOG's guidance remains. When needed in pregnancy, acetaminophen should be used in moderation, after consulting a doctor.
September 5, 2025 at 8:20 PM
Acetaminophen remains a safe pain relief option during pregnancy. Despite recent unfounded claims, there’s no clear evidence linking prudent use to fetal development issues. ACOG's guidance remains. When needed in pregnancy, acetaminophen should be used in moderation, after consulting a doctor.
Reposted by Christina Koutsari PharmD PhD (she/her)
Breaking with the CDC, ACOG reaffirms support for #COVID19 vaccination in pregnant people.
Here’s what to know.
ja.ma/4mTSEMM
Here’s what to know.
ja.ma/4mTSEMM
ACOG Continues Recommending COVID-19 Vaccine During Pregnancy
This JAMA Medical News article discusses updated guidance on COVID-19 vaccination in pregnant people from the American College of Obstetricians and Gynecologists.
ja.ma
September 5, 2025 at 3:25 PM
Breaking with the CDC, ACOG reaffirms support for #COVID19 vaccination in pregnant people.
Here’s what to know.
ja.ma/4mTSEMM
Here’s what to know.
ja.ma/4mTSEMM