Jake Baker
jakebakermd.bsky.social
Jake Baker
@jakebakermd.bsky.social
ID doc at a community hospital in West Michigan, recovering MD/PhD (abramovitchlab, TB genetics and metabolism) with a soft spot for research, public health, and HIV.
Pinned
Alright #IDSky, #HIVSky, let’s get talking. I have some questions about the RePRIEVE trial. I’ve been mulling over the results, and have a few potential critiques* that come from a place of genuine curiosity. Hoping for some discussion; particularly if you think I missed something.
Reposted by Jake Baker
The University of Washington's National HIV Curriculum, headed by Dr. David Spach, is one of the best on-line resources for HIV information anywhere.

I refer people to it *all the time*.

Really hoping valuable resources like this are up and running again soon. #IDSky
www.hiv.uw.edu
February 3, 2025 at 10:01 PM
Reposted by Jake Baker
Ceftriaxone FTW as empiric GNR coverage! No increased risk of harm to patients who had escalation of ABX therapy. #IDSky
academic.oup.com/cid/advance-...
Association between Delayed Broad-Spectrum Gram-negative Antibiotics and Clinical Outcomes: How Much Does Getting It Right with Empiric Antibiotics Matter?
Empiric antibiotics are frequently unnecessarily broad-spectrum. This study compared clinical outcomes between matched patients who received early vs. dela
academic.oup.com
January 31, 2025 at 9:59 PM
Reposted by Jake Baker
Reposted by Jake Baker
【Mayo Clinic CME Orthopedic Infectious Diseases 2025】

👉Comprehensive #OrthoID learning course is coming soon!

👉Great learning opportunity for #IDFellow #IMResident #OrthoResident!

ce.mayo.edu/orthopedic-s...

#IDMedEd #IDFellow #OrthoID #MayoClinicINFD #MSIS #EBJIS
December 31, 2024 at 1:41 AM
Reposted by Jake Baker
🆕🔥Just published 🔥🆕
Updates on the Treatment of Drug-Susceptible and Drug-Resistant Tuberculosis(TB)
An Official ATS/CDC/ERS/IDSA Clinical Practice Guideline #idsky #TBsky
www.atsjournals.org/doi/full/10....
January 2, 2025 at 6:53 PM
Reposted by Jake Baker
🆕💫“Weight and See”: Initial Weight Gain After Starting Antiretroviral Therapy Is Not Associated With Antiretroviral Regimen Type And Does Not Predict Subsequent Weight Trajectory #idsky #hivsky
academic.oup.com/ofid/advance...
“Weight and See”: Initial Weight Gain After Starting Antiretroviral Therapy Is Not Associated With Antiretroviral Regimen Type And Does Not Predict Subsequent Weight Trajectory
Abstract. In a Canadian HIV cohort, 61% gained/26% lost/12% stable weight in the first year of antiretroviral therapy (ART). Weight gain was not associated
academic.oup.com
January 2, 2025 at 7:20 PM
Reposted by Jake Baker
The cutoff for what constitutes “Acute PJI” is inconsistently (and somewhat arbitrarily) defined, but this recent cohort study of >5000 DAIR procedure out of Australia suggests that treatment outcomes deteriorate when DAIR is performed more than 4wk postoperatively

pubmed.ncbi.nlm.nih.gov/39710215/
Outcomes of Debridement, Antibiotics, and Implant Retention in the Management of Infected Total Knee Arthroplasty: Analysis of 5,178 Cases from the National Australian Registry - PubMed
These findings underscore the critical influence of patient-related factors and the timing of DAIR treatment on the need for additional surgery. DAIR after four weeks had an increased risk of subseque...
pubmed.ncbi.nlm.nih.gov
December 23, 2024 at 11:33 PM
Reposted by Jake Baker
“… rats have detected #Tuberculosis but follow up clinical tests have been negative; in some of these cases, patients later developed TB... Apopo is monitoring these patients to better understand rats’ sensitivity to low levels of bacteria”.
www.theguardian.com/global-devel...
Cheap, smart and efficient: how giant rats are transforming the fight against TB
After success in Tanzania, other African countries may introduce the rodents to help sniff out the disease
www.theguardian.com
December 19, 2024 at 1:04 PM
Reposted by Jake Baker
Ayer el #CDC reportó el 1er caso confirmado en 🇺🇸 de enfermedad severa por influenza A aviar H5N1 #birdflu en humanos. Desde Abril 2024: 61 casos en humanos en USA. Hasta ahora transmisión entre humanos NO se ha demostrado. #idsky #pedsidsky Link:
www.cdc.gov/media/releas...
December 20, 2024 at 1:47 AM
Reposted by Jake Baker
Spinal implant infections are a serious complication of fusion surgeries. Our faculty member, Dr. Tai, is advancing understanding of their diagnosis and management, focusing on the key differences between early and chronic infections. #IDSky
academic.oup.com/cid/article/...
December 18, 2024 at 12:44 PM
Reposted by Jake Baker
Science’s 2024 Breakthrough of the Year is lenacapavir, an injectable drug that demonstrated remarkable success at preventing HIV infection with one shot every 6 months.

Learn more about this year's #BOTY and other big advances in science: scim.ag/3BrCtUn
December 12, 2024 at 7:02 PM
Reposted by Jake Baker
Alright #IDSky, #HIVSky, let’s get talking. I have some questions about the RePRIEVE trial. I’ve been mulling over the results, and have a few potential critiques* that come from a place of genuine curiosity. Hoping for some discussion; particularly if you think I missed something.
November 20, 2024 at 6:18 PM
Reposted by Jake Baker
Flat dosing of pyrazinamide at 1000mg achieved a higher proportion of participants within the therapeutic window compared with weight-banded dosing and flat dosing at 1500mg

Has anyone already switched to flat dosing of pyrazinamide at 1000mg/day for TB?

doi.org/10.1164/rccm...

#IDSky
#TBSky
November 30, 2024 at 2:36 PM
Reposted by Jake Baker
Across 14 studies with ~21k patients, PICC lines had a two-fold higher risk of bloodstream infection than midlines, but midlines had higher rates of superficial vein thrombosis, infiltrations, and leaks. PICCs are higher cost and have higher patient dissatisfaction. www.cambridge.org/core/journal...
Which is the safer option for adult patients between peripherally inserted central catheters and midline catheters: a meta-analysis | Infection Control & Hospital Epidemiology | Cambridge Core
Which is the safer option for adult patients between peripherally inserted central catheters and midline catheters: a meta-analysis
www.cambridge.org
November 22, 2024 at 3:30 AM
Reposted by Jake Baker
🔥BALANCE RCT🔥
74 hospitals in 7 countries
3,608 patients
A 7-day course of antibiotics for hospitalized patients with bloodstream infections was non inferior to 14d within a 4% prespecified margin for mortality at 90 days #idsky
www.nejm.org/doi/full/10....
Antibiotic Treatment for 7 versus 14 Days in Patients with Bloodstream Infections | NEJM
Bloodstream infections are associated with substantial morbidity and mortality. Early, appropriate antibiotic therapy is important, but the duration of treatment is uncertain. In a multicenter, non...
www.nejm.org
November 20, 2024 at 1:07 PM
Alright #IDSky, #HIVSky, let’s get talking. I have some questions about the RePRIEVE trial. I’ve been mulling over the results, and have a few potential critiques* that come from a place of genuine curiosity. Hoping for some discussion; particularly if you think I missed something.
November 20, 2024 at 6:18 PM
Reposted by Jake Baker
The really scary aspect of this study below is that all these cefiderocol resistant isolates were from people with NO exposure to cefiderocol!!!

#AMR #IDSky
November 18, 2024 at 10:58 AM
Reposted by Jake Baker
The selection of RFK Jr as HHS Secretary creates for me an others in Inf Diseases a situation of unknown unknowns where risks will come from situations that are so unexpected that we have never even considered them.
November 15, 2024 at 3:17 PM
Hi #IDSky, #MedSky
I joined X late enough in the game that it wasn’t worth more than lurking in the shadows for the new publication updates. Appreciate the optimism and not-bots feel over here already.
November 12, 2024 at 12:21 PM