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stanfordasp.bsky.social
Stanford Antimicrobial Safety & Sustainability Program
@stanfordasp.bsky.social
2.4K followers 800 following 310 posts
🏆 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
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stanfordasp.bsky.social
🌟 ABX Pearl of the Day:

❓ Q: My patient with febrile neutropenia (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 #AMSsky
February 4, 2026 at 7:32 PM
stanfordasp.bsky.social
🌟 ABX Pearl of the Day:

❓ Q: My patient with febrile neutropenia (FN*) has been afebrile for 72 hours, is asymptomatic, and we haven’t found an obvious infectious source.
How long should I continue cefepime?

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
January 22, 2026 at 3:26 PM
stanfordasp.bsky.social
🌟 ABX Pearl of the Day:

❓Q: Candida in the urine? Should you treat?

✅ A: Usually not. Candiduria almost always reflects colonization, not infx. It should prompt elimination of risk factors- e.g., d/c indwelling catheters rather than antifungal tx🚫

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
January 15, 2026 at 3:40 PM
stanfordasp.bsky.social
🌟 ABX Pearl of the Day:

❓Q: My patient has isolated yeast (NOT Cryptococcus) from a respiratory culture. Do I need to treat this?

✅ A: In the vast majority of cases… NO.

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
January 8, 2026 at 3:21 PM
stanfordasp.bsky.social
🌟 ABX Pearl of the Day:

❓Q: If the urinalysis (UA) has elevated WBC or bacteria, does this mean the patient has a UTI?

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
December 16, 2025 at 2:28 PM
stanfordasp.bsky.social
🌟 ABX Pearl of the Day:

❓Q: My patient is admitted for heart failure and has a chronic indwelling foley with cloudy urine. Should I send a urinalysis or urine culture (UCx) to assess for UTI?

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
December 10, 2025 at 10:41 PM
stanfordasp.bsky.social
🌟 ABX Pearl of the Day:

❓ Q: We are treating a patient with CAP. Can we treat for a course shorter than 5 days?

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
December 3, 2025 at 7:51 PM
stanfordasp.bsky.social
🌟 ABX Pearl of the Day:

❓ Q: My male patient with dysuria is growing E. coli (>100,000 CFU/mL) on urine culture. 🚨 He has no systemic symptoms or signs of pyelonephritis or prostatitis. Does he have a complicated UTI? 🤔

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
November 12, 2025 at 5:12 PM
stanfordasp.bsky.social
🌟 ABX Pearl of the Day:

❓ Q: Should I add vancomycin for severe mucositis in my patient with persistent neutropenic fever (NF) of unknown etiology? 🤔 Currently on cefepime & stable. Let’s dive in! 👇

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
November 5, 2025 at 5:38 PM
stanfordasp.bsky.social
🌟 ABX Pearl of the Day:

❓ Q: Treating HAP/VAP? 🤔 Can we go shorter than 7 days?

💡A: Yes! While 7 days is the norm, evidence supports shorter courses in specific cases. Let’s break it down! 👇

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
October 29, 2025 at 7:07 PM
stanfordasp.bsky.social
🌟 ABX Pearl of the Day:

❓ Q: Why does the lab mention when a GNR (gram-negative rod) is “lactose fermenting”?

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
October 23, 2025 at 5:51 PM
stanfordasp.bsky.social
🌟 ABX Pearl of the Day:

❓ Q: When should I empirically cover for Pseudomonas aeruginosa in diabetic foot infections (DFIs)?

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
October 15, 2025 at 3:57 PM
stanfordasp.bsky.social
🌟 ABX Pearl of the Day:

❓ Q: When should you consider empiric MRSA coverage for SSTI treatment?

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
October 8, 2025 at 2:07 PM
stanfordasp.bsky.social
🌟 ABX Pearl of the Day: (Part 2)

❓Q: If my patient with pneumonia has a positive MRSA nasal PCR but respiratory cultures are NOT available, do I need to continue vancomycin for a full course of therapy?

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
October 1, 2025 at 4:20 PM
stanfordasp.bsky.social
🌟 ABX Pearl of the Day:

❓ Q: If my patient with pneumonia has a positive MRSA nasal PCR but respiratory cultures are negative for MRSA, do I need to continue vancomycin for a full course of therapy?

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
October 1, 2025 at 4:16 PM
stanfordasp.bsky.social
🌟 ABX Pearl of the Day:

❓ Q: Candida only grew in 1/4 bottles. Is this a contaminant?

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
September 24, 2025 at 3:16 PM
Reposted by Stanford Antimicrobial Safety & Sustainability Program
ashejournal.bsky.social
@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....
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
stanfordasp.bsky.social
🌟 ABX Pearl of the Day:

❓ Q: My patient is growing yeast in blood cultures. Is this Candida?

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
September 17, 2025 at 5:08 PM
stanfordasp.bsky.social
🌟 ABX Pearl of the Day:

❓ Q: My immunocompromised patient is admitted to the ICU and starting ABX for presumed CAP. Do they need empiric MRSA and Pseudomonas coverage?

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
September 10, 2025 at 5:32 PM
stanfordasp.bsky.social
🌟 ABX Pearl of the Day:

❓ Q: I’m looking for oral ABX options for UTI. When might oral fosfomycin be appropriate?

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
September 3, 2025 at 4:26 PM
stanfordasp.bsky.social
🌟 ABX Pearl of the Day:

❓ Q: Can I use piperacillin-tazobactam to treat an Enterobacter cloacae intra-abdominal infection?

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
August 20, 2025 at 1:56 PM
stanfordasp.bsky.social
🌟 ABX Pearl of the Day:

❓ Q: Can I use piperacillin-tazobactam to treat an ESBL E. coli intra-abdominal infection?

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
August 13, 2025 at 6:20 PM
stanfordasp.bsky.social
🌟 ABX Pearl of the Day:

❓ Q: How do I tell if my gram-negative rod (GNR) is an extended-spectrum beta-lactamase (ESBL) producer?

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
August 6, 2025 at 4:45 PM
stanfordasp.bsky.social
🌟 ABX Pearl of the Day: UTI in males

❓ Q: My male patient with dysuria is growing E. coli (>100,000 CFU/mL) on urine culture. He has no systemic symptoms or signs of pyelonephritis or prostatitis. Does he have a complicated UTI?

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
July 24, 2025 at 2:52 PM
stanfordasp.bsky.social
🌟 ABX Pearl of the Day: penicillin allergies

❓ Q: My patient reports a reaction to penicillin (acute, self-limited rash) over 10 years ago. Can they safely receive cefazolin for their MSSA infection?
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
July 16, 2025 at 3:23 PM