Drs. Erayil, Kline, and Selmecki, along with the team from the Selmecki Lab, have uncovered critical insights into a persistent Candida glabrata bloodstream infection that developed resistance while under treatment with micafungin. #IDSky
Drs. Erayil, Kline, and Selmecki, along with the team from the Selmecki Lab, have uncovered critical insights into a persistent Candida glabrata bloodstream infection that developed resistance while under treatment with micafungin. #IDSky
Persistent fever = indicator for complicated infection
Fever on Day 4️⃣: aOR (3.7 (95% CI: 1.58-8.67)) mortality
Fever on Day 7️⃣: aOR: (8.78 (95% CI: 2.78-27.7)
🚫 assn between ⬆️CRP/WBC and mortality
#IDSky
academic.oup.com/ofid/advance...
Persistent fever = indicator for complicated infection
Fever on Day 4️⃣: aOR (3.7 (95% CI: 1.58-8.67)) mortality
Fever on Day 7️⃣: aOR: (8.78 (95% CI: 2.78-27.7)
🚫 assn between ⬆️CRP/WBC and mortality
#IDSky
academic.oup.com/ofid/advance...
Clinical impact: positive 16%, negative 2%, none 82%(!)
Cx neg IE and fastidious/zoonotic/vector-borne increased likelihood of positive impact, but not immunocompromised status
#IDSky @ichejournal.bsky.social
pubmed.ncbi.nlm.nih.gov/39881594/
Clinical impact: positive 16%, negative 2%, none 82%(!)
Cx neg IE and fastidious/zoonotic/vector-borne increased likelihood of positive impact, but not immunocompromised status
#IDSky @ichejournal.bsky.social
pubmed.ncbi.nlm.nih.gov/39881594/
explored a critical clinical dilemma.
Their study of 308 patients found that while 6% were diagnosed with presumed candida chorioretinitis, nearly half were asymptomatic. No cases of endophthalmitis were identified. #IDSky
academic.oup.com/ofid/advance...
explored a critical clinical dilemma.
Their study of 308 patients found that while 6% were diagnosed with presumed candida chorioretinitis, nearly half were asymptomatic. No cases of endophthalmitis were identified. #IDSky
academic.oup.com/ofid/advance...
- No significant association with symptoms or comorbidities.
- more likely to be found >7 days from first +ve candida blood culture.
- Number needed to screen in asymptomatic pts was 20
#IDSky, what has been your practice? @dralicehan.bsky.social @germhuntermd.bsky.social
👉 Should we prioritize routine eye screenings for asymptomatic patients to mitigate rare but severe risks, or can selective, symptom-driven approaches suffice?
academic.oup.com/ofid/advance...
- No significant association with symptoms or comorbidities.
- more likely to be found >7 days from first +ve candida blood culture.
- Number needed to screen in asymptomatic pts was 20
#IDSky, what has been your practice? @dralicehan.bsky.social @germhuntermd.bsky.social
All of our @umn-idim.bsky.social fellows had a great time learning from ID & Public Health experts here in MN!
#IDSky
#MicroSky
All of our @umn-idim.bsky.social fellows had a great time learning from ID & Public Health experts here in MN!
#IDSky
#MicroSky
Discussed her career, academic medicine, & the sage wisdom she can pass on to us trainees…
We pulled out all the stops to welcome her, even turned on the snow for her 😉😂☃️
#IDSky
#MinneSnowta
Discussed her career, academic medicine, & the sage wisdom she can pass on to us trainees…
We pulled out all the stops to welcome her, even turned on the snow for her 😉😂☃️
#IDSky
#MinneSnowta
Discussed her career, academic medicine, & the sage wisdom she can pass on to us trainees…
We pulled out all the stops to welcome her, even turned on the snow for her 😉😂☃️
#IDSky
#MinneSnowta
For many, the notion that vanc+pip/tazo is nephrotoxic has become accepted dogma
True or pseudo-nephrotoxicity?
A myth as per @pulmcrit.bsky.social
Check his blog:
emcrit.org/pulmcrit/myt...
Below: Visual abstract Miano et Al in ICM #idsky
For many, the notion that vanc+pip/tazo is nephrotoxic has become accepted dogma
True or pseudo-nephrotoxicity?
A myth as per @pulmcrit.bsky.social
Check his blog:
emcrit.org/pulmcrit/myt...
Below: Visual abstract Miano et Al in ICM #idsky
Recent adds are:
@genomd.bsky.social
@devries-aaron.bsky.social
@serinerayil.bsky.social
@umn-idim.bsky.social
Any others to add?!?
#IDSky
#MedSky
go.bsky.app/7PAEndf
Recent adds are:
@genomd.bsky.social
@devries-aaron.bsky.social
@serinerayil.bsky.social
@umn-idim.bsky.social
Any others to add?!?
#IDSky
#MedSky
go.bsky.app/7PAEndf
Does any center regularly use midlines for OPAT?
#IDSky
jamanetwork.com/journals/jam...
Does any center regularly use midlines for OPAT?
#IDSky
jamanetwork.com/journals/jam...
"Serum GM is not a valuable test in the diagnosis of IA in our LTx recipients, is costly, & does not remove the need for bronchoscopy & BAL GM."
onlinelibrary.wiley.com/doi/10.1111/... #TxID #IDSky
"Serum GM is not a valuable test in the diagnosis of IA in our LTx recipients, is costly, & does not remove the need for bronchoscopy & BAL GM."
onlinelibrary.wiley.com/doi/10.1111/... #TxID #IDSky
really missed an online community for selfless knowledge sharing & collaboration 📖
👋🏻 im Erin, ID pharmacist in Pittsburgh. I love immunocompromised ID, antimicrobial stewardship, & building systems that help all patients
Do you treat all candidemia the same in terms of ophthalmologic exam? Do you recommend 👀 exam for every candidemia? Or only high grade?
@germhuntermd.bsky.social @fungaldoc.bsky.social @drneilstone.bsky.social @drtimothyli.bsky.social @drtoddlee.bsky.social
doi.org/10.1093/ofid...
Do you treat all candidemia the same in terms of ophthalmologic exam? Do you recommend 👀 exam for every candidemia? Or only high grade?
@germhuntermd.bsky.social @fungaldoc.bsky.social @drneilstone.bsky.social @drtimothyli.bsky.social @drtoddlee.bsky.social
doi.org/10.1093/ofid...
IDSky
MedSky
Do patients with candidemia need an ophthalmologic examination? academic.oup.com/ofid/article...
IDSky
MedSky
Do patients with candidemia need an ophthalmologic examination? academic.oup.com/ofid/article...
Do patients with candidemia need an ophthalmologic examination? academic.oup.com/ofid/article...