Axel Vazquez Deida, PharmD, MPH
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Axel Vazquez Deida, PharmD, MPH
@id-detectiveaxel.bsky.social
640 followers 470 following 2 posts
Infectious Diseases Pharmacist | Health Scientist | Healthcare Epidemiologist | EIS alum |
HAI outbreak response & prevention 🔎🦠 #PublicHealth #IDSky #EpiSky #PharmSky #IPSky

Opinions are my own.
Posts Replies Media Videos
Reposted by Axel Vazquez Deida, PharmD, MPH
contagionlive.bsky.social
Dr. Timothy Jenkins talks about how these tests are being overly used for respiratory and gastrointestinal presentations and strategies his institution, Denver Health is reducing testing to save costs and still achieve optimal treatment outcomes.
#IDsky #Medsky
Striking the Right Balance With Molecular Diagnostics Usage and Stewardship | Contagion Live
Timothy Jenkins, MD, talks about how these important tests are being overly used for respiratory and gastrointestinal presentations and strategies his institution, Denver Health, is employing to reduc...
www.contagionlive.com
November 20, 2025 at 10:14 PM
Reposted by Axel Vazquez Deida, PharmD, MPH
ichejournal.bsky.social
NEW in ICHE: Investigation & control of an outbreak of MSSA SSTIs in a NICU

▶️ 16 MMSA infxs in 3 weeks + 31 colonizations
▶️ Multiple ST clusters <10 SNPs
▶️ Educational interventions
▶️ Suspect respiratory devises or adhesives

#IDSky

📄: doi.org/10.1017/ice....
November 17, 2025 at 2:14 PM
Reposted by Axel Vazquez Deida, PharmD, MPH
sidpharm.bsky.social
TRICK OR TREAT🎃
October 31, 2025 at 2:45 PM
Reposted by Axel Vazquez Deida, PharmD, MPH
ichejournal.bsky.social
New multi-society implementation and practice recs for IPC in nursing homes.

How to balance safety and home-like care. An essential resource for IPC program leaders

with SHEA, APIC, IDSA, PALTmed, PIDS

#IDsky

📄: doi.org/10.1017/ice....
October 28, 2025 at 2:28 PM
Reposted by Axel Vazquez Deida, PharmD, MPH
sairabt.bsky.social
#idweek2025 new in #UTI IDSA (GRADE methodology: clinical cure critical based on pt feedback) vs wikiguidelines (clear recommendation vs clinical review) 1/
October 22, 2025 at 12:16 PM
Reposted by Axel Vazquez Deida, PharmD, MPH
uwidfellowship.bsky.social
Cefidericol was not inferior for mortality but was the source of all the serious adverse events in this study comparing cefiderocol to standard of care for healthcare-associated GNR blood stream infections.

For CRE subset, verdict less clear… #IDSky

www.thelancet.com/journals/lan...
Cefiderocol versus standard therapy for hospital-acquired and health-care-associated Gram-negative bacterial bloodstream infection (the GAME CHANGER trial): an open-label, parallel-group, randomised t...
Among patients with a hospital-acquired or health-care-associated Gram-negative bloodstream infection, cefiderocol resulted in non-inferior 14-day mortality compared with standard of care. Adverse eve...
www.thelancet.com
October 11, 2025 at 2:40 PM
Reposted by Axel Vazquez Deida, PharmD, MPH
ofidjournal.bsky.social
The Take 5 Campaign: Effects of an Intervention to Promote Five-Day Durations of Antibiotic Therapy for Common Infections in Urgent Care

✅ Just Accepted
#IDSky
🔗 https://bit.ly/4mmS1dC
September 19, 2025 at 7:32 PM
Reposted by Axel Vazquez Deida, PharmD, MPH
cidjournal.bsky.social
Fungal meningitis in U.S. Patients who Received Epidural Anesthesia in Matamoros, Mexico

✅ Just Accepted
#IDSky
Fungal meningitis in U.S. Patients who Received Epidural Anesthesia in Matamoros, Mexico
Fungal meningitis outbreaks are rare and entail high mortality rates. Beginning May 2023, we investigated fungal meningitis caused by Fusarium solani species complex occurring in U.S. patients who received epidural anesthesia in Matamoros, Mexico.
doi.org
July 28, 2025 at 12:41 PM
Reposted by Axel Vazquez Deida, PharmD, MPH
cidjournal.bsky.social
Non-KPC Attributes of the Newer ß-lactam/ß-lactamase Inhibitors, Part 2: Burkholderia cepacia complex, Stenotrophomonas maltophilia, and Acinetobacter baumannii

✅ Just Accepted
#IDSky
Non-KPC Attributes of the Newer ß-lactam/ß-lactamase Inhibitors, Part 2: Burkholderia cepacia complex, Stenotrophomonas maltophilia, and Acinetobacter baumannii
The BL/BLI combination drugs, ceftazidime/avibactam, meropenem/vaborbactam, and imipenem/relebactam, have proven especially useful for treating carbapenemase producing, carbapenem resistant organisms (CRO), specifically Klebsiella pneumoniae carbapenemases (KPCs).
doi.org
July 25, 2025 at 12:41 PM
Reposted by Axel Vazquez Deida, PharmD, MPH
davidvanduin.bsky.social
Check out new🔥
American Society for Transplantation Updated Cytomegalovirus Guidelines in Hematopoietic Cell Transplant and Cellular Therapy Recipients www.astctjournal.org/article/S266...
#IDsky #TxID #IDOnc
American Society for Transplantation and Cellular Therapy Series #11: Updated Cytomegalovirus Guidelines in Hematopoietic Cell Transplant and Cellular Therapy Recipients
The Practice Guidelines Committee of the American Society of Transplantation and Cellular Therapy partnered with the society’s Transplant Infectious Diseases Special Interest Group to update its previ...
www.astctjournal.org
July 23, 2025 at 3:50 PM
Reposted by Axel Vazquez Deida, PharmD, MPH
nejm.org
During 2018–2024, the percentage of 𝘕. 𝘨𝘰𝘯𝘰𝘳𝘳𝘩𝘰𝘦𝘢𝘦 isolates carrying 𝘵𝘦𝘵𝘔, which confers tetracycline resistance, increased from less than 10% to more than 30% across the United States. Full study results: nej.md/3GALFIE

#MedSky #IDSky
A graph showing the estimated percentage of isolates carrying tetM in a national surveillance dataset of N. gonorrhoeae from 2018 through the first quarter of 2024.
July 13, 2025 at 1:02 PM
Reposted by Axel Vazquez Deida, PharmD, MPH
paulsaxmd.bsky.social
The isolated hepatitis B core antibody:
HBsAg ⛔
anti-HBs ⛔
anti-HBc ✅
What does it mean, and what should you do?
A mystery solved (mostly). Plus, a poll and a couple of great videos. #IDSky blogs.jwatch.org/hiv-id-obser...
The Mystery of the Isolated Hepatitis B Core Antibody, Solved
(A post inspired by years of doing eConsults, an extremely common query about hepatitis B testing, and the latest BritBox series, “Core Antibody Confidential,” starring a grizzled detective with a fad...
blogs.jwatch.org
June 27, 2025 at 9:09 PM
Reposted by Axel Vazquez Deida, PharmD, MPH
drrossanarosa.bsky.social
What a treasure trove of resources! ✨😍 #IDSky

Development of the SMART Toolkit: An Online Collection of Management Resources for Healthcare-Associated Infection Prevention - American Journal of Infection Control www.ajicjournal.org/article/S019...
Development of the SMART Toolkit: An Online Collection of Management Resources for Healthcare-Associated Infection Prevention
We previously reported results of an in-depth study of management practices to prevent healthcare-associated infections. Here we describe the development of an online toolkit containing resources that...
www.ajicjournal.org
June 7, 2025 at 11:31 AM
Reposted by Axel Vazquez Deida, PharmD, MPH
cidjournal.bsky.social
You've Got a Friend in Me: Curbside Questions Infectious Diseases Clinicians Ask Infectious Diseases Pharmacists

✅ Just Accepted
#IDSky
You've Got a Friend in Me: Curbside Questions Infectious Diseases Clinicians Ask Infectious Diseases Pharmacists
This multicenter study highlights the critical role of ID pharmacists in supporting ID consult services, with 89% of 1,518 curbside inquiries from ID clinicians resulting in clinical management changes as recommended by the pharmacist. These findings emphasize the necessity of ID pharmacists in optimizing multidisciplinary patient care.
doi.org
June 1, 2025 at 8:43 PM
Reposted by Axel Vazquez Deida, PharmD, MPH
idsainfo.bsky.social
Updated #IDSAGuidelines! IDSA Guidelines on Histoplasmosis Treatment: Focused Update on Asymptomatic Histoplasma Pulmonary Nodules and Mild or Moderate Acute Pulmonary Histoplasmosis are out now: buff.ly/vHZV7YQ
May 24, 2025 at 4:04 PM
Reposted by Axel Vazquez Deida, PharmD, MPH
ofidjournal.bsky.social
Variability in Durations of Therapy for Gram-Negative Bloodstream Infections and Factors Associated with Prolonged Durations

✅ Just Accepted
⭐ Editor's Choice
#IDSky
Variability in Durations of Therapy for Gram-Negative Bloodstream Infections and Factors Associated with Prolonged Durations
In this study of 4,240 GN-BSI episodes during 2019 from 24 U.S. hospitals, the median duration of therapy was 12 days (IQR 9-15); 59% were treated for >10 days. There was marked variability in treatment durations across hospitals.
doi.org
May 24, 2025 at 2:33 PM
Reposted by Axel Vazquez Deida, PharmD, MPH
cidjournal.bsky.social
Executive Summary of State-of-the-Art Review: Modern Approach to Nocardiosis—Diagnosis, Management, and Uncertainties

⭐ Editor's Choice
#IDSky
Executive Summary of State-of-the-Art Review: Modern Approach to Nocardiosis—Diagnosis, Management, and Uncertainties
Nocardia is a genus of gram-positive, partially acid-fast bacilli that typically infect people with chronic lung disease or immunocompromised states.
academic.oup.com
May 24, 2025 at 6:58 PM
Reposted by Axel Vazquez Deida, PharmD, MPH
atsblueeditor.bsky.social
The Blue Journal thanks Rachel Thomson, MBBS, Grad Dip (Clin Epi), PhD, FRACP, ATSF, for her contribution to the May issue

@atscommunity.bsky.social

Infection by Clonally Related Mycobacterium abscessus Isolates: The Role of Drinking Water

www.atsjournals.org/doi/10.1164/...
May 5, 2025 at 9:09 PM
Reposted by Axel Vazquez Deida, PharmD, MPH
ashejournal.bsky.social
Oral step-down therapy did not increase risk of clinical failure compared to a full course of intravenous therapy for uncomplicated Streptococcus and Enterococcus bloodstream infections. #IDSky
doi.org/10.1017/ash....
Comparison of intravenous vs intravenous with step-down to oral antibiotic treatment course for Streptococcus and Enterococcus bloodstream infections | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core
Comparison of intravenous vs intravenous with step-down to oral antibiotic treatment course for Streptococcus and Enterococcus bloodstream infections - Volume 5 Issue 1
doi.org
May 20, 2025 at 6:20 PM
Reposted by Axel Vazquez Deida, PharmD, MPH
ichejournal.bsky.social
New from @trtalbot.bsky.social, others:

⚠️Authors show RSV is an under-recognized healthcare-associated infection.

▶️Improved surveillance strategies to detect healthcare-associated respiratory viral infections are needed.

#IDSky

📄: doi.org/10.1017/ice....
May 16, 2025 at 1:26 PM
Reposted by Axel Vazquez Deida, PharmD, MPH
ofidjournal.bsky.social
Trends in Incidence and Epidemiology of Methicillin-Resistant Staphylococcus aureus Bacteremia, Six Emerging Infections Program Surveillance Sites, 2005-2022

✅ Just Accepted
⭐ Editor's Choice
#IDSky
Trends in Incidence and Epidemiology of Methicillin-Resistant Staphylococcus aureus Bacteremia, Six Emerging Infections Program Surveillance Sites, 2005-2022
The impact of the COVID-19 pandemic on methicillin-resistant Staphylococcus aureus (MRSA) bacteremia incidence compared to pre-pandemic trends is unknown.
doi.org
May 15, 2025 at 9:11 PM
Reposted by Axel Vazquez Deida, PharmD, MPH
jac-amr.bsky.social
Uncommon CRAB infection causing septic shock & respiratory failure requiring ECMO support
New #AMRrounds article discusses the phenotypic & genotypic resistance profile & place in therapy of sulbactam/durlobactam in a real-life setting
doi.org/10.1093/jaca...
@wwrighid.bsky.social #IDSky
Alt text: Antibiogram showing the resistance profiles of two carbapenem-resistant Acinetobacter baumannii isolates according to CLSI and EUCAST interpretations for a range of antimicrobial agents, as described in Mangioni et al. AMRrounds: Carbapenem-resistant Acinetobacter baumannii in the intensive care unit—when resistance meets severity, JAC-Antimicrobial Resistance, Volume 7, Issue 3, 2025, dlaf067, https://doi.org/10.1093/jacamr/dlaf067
May 8, 2025 at 10:02 AM
Reposted by Axel Vazquez Deida, PharmD, MPH
jama.com
From 2013 to 2022, invasive group A Streptococcus infections increased in 10 US states, with higher incidence among older adults, American Indian or Alaska Native persons, and vulnerable groups.

#MedSky ja.ma/3Z2jYOW
May 6, 2025 at 4:19 PM
Reposted by Axel Vazquez Deida, PharmD, MPH
1healthau.bsky.social
A CLEEN study: cleaning and disinfection of shared equipment reduce infection and SAVES hospitals money. jamanetwork.com/journals/jam... #IDsky #infectioncontrol #patientsafety #nursing #cleaning
May 4, 2025 at 11:40 PM
Reposted by Axel Vazquez Deida, PharmD, MPH
nejm.org
Seasonal influenza represents a major #PublicHealth threat worldwide. Research from the CENTERSTONE phase 3b trial on the efficacy and safety of baloxavir in reducing transmission to household contacts is summarized in a new Quick Take video. youtu.be/objH5Yk-Fc0

#MedSky #IDSky
Baloxavir to Prevent Transmission of Influenza (CENTERSTONE trial) | NEJM
YouTube video by NEJM Group
youtu.be
April 28, 2025 at 7:42 PM