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#IDSky curious how different groups are using microbial cell free DNA/NGS testing (like Karius) from a cost/diagnostic stewardship perspective. In immunosuppressed populations (HIV, transplant, ect), do you use these tests early or as a last resort (after initial testing is negative)?

Ok #IDsky, helping someone with a stewardship lecture, guidelines rec 21 days for meningitis caused by GNRs, anyone have studies that actually support this. Looks like the guideline was based on historical pref and maybe neonatal data but would like something more concrete.

IDSKy seems quiet for match day. Even my IDtwitter feed has only a few programs welcoming incoming fellows (and the posts analyzing the match results). Is IDtwitter just that depleted (don't blame people for leaving) and have any ID fellowship programs moved to IDSky as their primary platform?