Stanford Antimicrobial Safety & Sustainability Program
@stanfordasp.bsky.social
🏆 IDSA Center of Excellence in Antimicrobial Stewardship | CDPH AMS Honor Roll Gold | WHO Collaborating Centre
🩺 Stan Deresinski, Marisa Holubar, Alex Zimmet, Amy Chang, Emily Mui, Lina Meng, Will Alegria, David Ha
🔗 http://med.stanford.edu/bugsanddrugs
🩺 Stan Deresinski, Marisa Holubar, Alex Zimmet, Amy Chang, Emily Mui, Lina Meng, Will Alegria, David Ha
🔗 http://med.stanford.edu/bugsanddrugs
Reposted by Stanford Antimicrobial Safety & Sustainability Program
@ritikaprasad.bsky.social @stanfordasp.bsky.social @marisa-holubar.bsky.social: The inpatient mandatory indication field outperformed the ICD-10 in inferring dc abx indications, and can be used to assess abx appropriateness without needing manual chart review.
doi.org/10.1017/ash....
doi.org/10.1017/ash....
Unraveling indications for discharge antibiotics: the Devil’s in the details | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core
Unraveling indications for discharge antibiotics: the Devil’s in the details - Volume 5 Issue 1
doi.org
September 22, 2025 at 9:28 PM
@ritikaprasad.bsky.social @stanfordasp.bsky.social @marisa-holubar.bsky.social: The inpatient mandatory indication field outperformed the ICD-10 in inferring dc abx indications, and can be used to assess abx appropriateness without needing manual chart review.
doi.org/10.1017/ash....
doi.org/10.1017/ash....
🌟 ABX Pearl of the Day: ertapenem hypoalbuminemia
❓ Q: My ICU patient with hypoalbuminemia has ESBL E. coli pyelonephritis, resistant to PO abx. He improved (afeb, WBC WNL, off pressors) after 3d of meropenem. Should I avoid narrowing to ertapenem?
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
❓ Q: My ICU patient with hypoalbuminemia has ESBL E. coli pyelonephritis, resistant to PO abx. He improved (afeb, WBC WNL, off pressors) after 3d of meropenem. Should I avoid narrowing to ertapenem?
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
July 2, 2025 at 3:23 PM
🌟 ABX Pearl of the Day: Corynebacterium in resp cultures- do I treat?
❓ Q: My patient’s sputum culture is growing Corynebacterium species in addition to normal respiratory flora. Do I need to treat this?
💡 A: In most cases, no tx is necessary.
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
❓ Q: My patient’s sputum culture is growing Corynebacterium species in addition to normal respiratory flora. Do I need to treat this?
💡 A: In most cases, no tx is necessary.
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
June 18, 2025 at 5:15 PM
🌟 ABX Pearl of the Day: Coverage in septic BMT patient
❓ Q: A BMT recipient is in the ICU with septic shock. She is on IV posaconazole for antifungal prophylaxis; should we add/switch to an IV echinocandin empirically for Candida coverage?
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
❓ Q: A BMT recipient is in the ICU with septic shock. She is on IV posaconazole for antifungal prophylaxis; should we add/switch to an IV echinocandin empirically for Candida coverage?
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
June 11, 2025 at 2:21 PM
🌟 ABX Pearl of the Day: ongoing fevers in febrile neutropenia (FN) but cultures negative
❓ Q: My patient with FN on IV cefepime is hemodynamically stable but continues to have fevers. Do we need to switch empiric antibiotics to IV meropenem?
#IDsky #medsky #meded #pharmsky #skyRX
❓ Q: My patient with FN on IV cefepime is hemodynamically stable but continues to have fevers. Do we need to switch empiric antibiotics to IV meropenem?
#IDsky #medsky #meded #pharmsky #skyRX
May 20, 2025 at 4:37 PM