aurdinh.bsky.social
@aurdinh.bsky.social
Reposted
[Publication] The article "Indications for corticosteroids in the treatment of Community-Acquired pneumonia" is now available.

www.sciencedirect.com/science/arti...

#IDsky #CommunityAcquiredPneumonia #Corticosteroids #Mortality
Indications for corticosteroids in the treatment of Community-Acquired pneumonia
Preceding guidelines on treatment and management of community-acquired pneumonia (CAP) do not endorse systematic use of corticosteroids. The data in t…
www.sciencedirect.com
July 31, 2025 at 7:11 AM
Reposted
Reposted
[Publication] The article "Antibiotic combination indications for the treatment of community-acquired acute pneumonia" is now available.

www.sciencedirect.com/science/arti...

#IDsky #CommunityAcquiredAcutePneumonia #EmpiricalAntibioticTherapy #BetaLactam #Macrolide
Antibiotic combination indications for the treatment of community-acquired acute pneumonia
Empirical dual combination therapy with beta-lactam and macrolide is often the standard treatment of community-acquired acute pneumonia (CAP) in adult…
www.sciencedirect.com
July 31, 2025 at 7:13 AM
April 26, 2025 at 2:58 PM
Reposted
Vancomycin Taper trial presented by @dremilymcd.bsky.social #ESCMID2025. In people who get better by day 10 should we stop or give taper? Reduced recurrences by primary outcome timepoint but the KM suggests it may be just delaying rather than truly preventing recurrence? #IDSky
April 13, 2025 at 3:38 PM
Reposted
Does adding NGS testing improve sepsis outcomes? Gave more positive micro. No impact primary outcome. Many secondary outcomes better but ?appropriate report p values if primary null. Clinicians didnt change Abx in response to NGS. Unclear if some analysis were pre-planned or post-hoc. #ESCMID2025
April 13, 2025 at 3:53 PM
Reposted
HARVEST Trial - largest trial high dose (35mg/kg) Rifampicin for TBM. Phase 2 data suggested benefit & dose-response effect. Sadly no evidence of benefit & some suggestion of sub-groups who did worse. More trials coming & clear we need interventions beyond just killing bug #ESCMID2025 #IDSky
April 13, 2025 at 4:10 PM
Reposted
🆕💫 Early oral stepdown therapy for infective endocarditis: an international cross-sectional survey on current use in clinical practice ESCMID Study Group for Bloodstream Infections, Endocarditis and Sepsis
#idsky #IEWiki
www.sciencedirect.com/science/arti...
www.sciencedirect.com/science/arti...
Early oral stepdown therapy for infective endocarditis: an international cross-sectional survey on current use in clinical practice
There is now strong evidence supporting early oral switch (EOS) from intravenous antibiotics in the treatment of infective endocarditis (IE). Our obje…
www.sciencedirect.com
February 17, 2025 at 4:50 AM
Reposted
IDSA: Uncomplicated UTI can occur in females or males, patients with underlying urologic abnormalities, patients with immunocompromise, and persons with diabetes. Recurrent UTI can be uncomplicated.
Male + cystitis # cUTI
Immunocompromised or DM + cystitis # cUTI #IDsky #utisky #medsky #EMIMCC
🔥A sneak peak on the upcoming IDSA guidelines for cUTI🔥
Public Comment: IDSA Guideline on Management and Treatment of Complicated Urinary Tract Infections
So it's still not published yet ! #idsky #medsky #utisky
www.idsociety.org/practice-gui...
February 21, 2025 at 4:09 PM
Reposted
19,764 S. aureus isolates were collected from patients with various infection types at 37 US medical centers 2016 to 2022
MRSA (8,184) isolates:
Bactrim: 95% S
Clindamycin: 74% S
Vancomycin: 100% S
MDR MRSA (2,421) isolates:
Bactrim: 85% S
Clindamycin: 17% S
Vancomycin: 100% S #idsky
January 13, 2025 at 10:11 PM
Reposted
The world may look back on 2024 as a pivotal time in the fight against AIDS — There is still no cure and no preventive vaccine for HIV. But long-acting antiretrovirals(ARVs )are the closest thing to a vaccine that the world has today #IDsky #hivsky
www.nejm.org/doi/full/10....
January 3, 2025 at 2:10 PM
Reposted
High-risk human papillomavirus infection is the primary cause of cervical cancer & precancerous lesions
🆕💫Dynamic characteristics of high-risk HPV infection in women with low-grade cervical intraepithelial neoplasia, based on a community longitudinal study #idsky
link.springer.com/article/10.1...
Dynamic characteristics of high-risk HPV infection in women with low-grade cervical intraepithelial neoplasia, based on a community longitudinal study - European Journal of Clinical Microbiology & Inf...
Background High-risk human papillomavirus (HR-HPV) infection is the primary cause of cervical cancer and precancerous lesions. Approximately 35% of women with low-grade cervical intraepithelial neopla...
link.springer.com
January 4, 2025 at 11:28 AM
Reposted
New study in @cidjournal.bsky.social from France looking at molds (no yeast/dimorphics) found in blood cultures.

n=80 isolates from 2012-2022

2/3rds were Fusarium, 10% Lomentospora, 5% Trichoderma, 5% Mucorales, 5% Aspergillus

70% Hematologic malignancies

academic.oup.com/cid/advance-...
January 10, 2025 at 6:53 PM
Reposted
In the context of emergence of cefiderocol resistance& limited therapeutic options,in vitro determination of cefiderocol susceptibility w a robust method is essential!
🆕💫Cefiderocol susceptibility testing:the challenge of disc diffusion #idsky
www.clinicalmicrobiologyandinfection.com/article/S119...
DEFINE_ME
www.clinicalmicrobiologyandinfection.com
January 3, 2025 at 2:17 PM
Reposted
Accounting for approximately 350,000 deaths annually worldwide, cervical cancer is preventable with HPV vaccination and screening. Newer chemotherapy, radiotherapy, and immunotherapy techniques have improved survival #idsky #medsky
www.nejm.org/doi/full/10....
Cervical Cancer | NEJM
Accounting for approximately 350,000 deaths annually worldwide, cervical cancer is preventable with HPV vaccination and screening. Newer chemotherapy, radiotherapy, and immunotherapy techniques hav...
www.nejm.org
January 3, 2025 at 10:07 PM
Reposted
Recent studies reinforce the benefits of oral antibiotics, as well as shorter durations of therapy in BJIs with supporting evidence
🆕💫 Review article
Bone Voyage: Navigating Updates in the Management of Bone and Joint Infections #idsky
link.springer.com/article/10.1...
Bone Voyage: Navigating Updates in the Management of Bone and Joint Infections - Current Infectious Disease Reports
Purpose of Review Advancements in the management of bone and joint infections (BJIs) aim to improve outcomes while challenging long-standing treatment practices. This review discusses key updates, inc...
link.springer.com
January 4, 2025 at 11:11 AM
Reposted
🆕💫 Systematic review including meta-analysis of all comparative studies
Infectious complications following transperineal prostate biopsy with or without periprocedural antibiotic prophylaxis #idsky
www.nature.com/articles/s41...
Infectious complications following transperineal prostate biopsy with or without periprocedural antibiotic prophylaxis—a systematic review including meta-analysis of all comparative studies - Prostate...
Prostate Cancer and Prostatic Diseases - Infectious complications following transperineal prostate biopsy with or without periprocedural antibiotic prophylaxis—a systematic review including...
www.nature.com
January 4, 2025 at 4:20 PM
Reposted
🆕🔥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
🆕💫 Retrospective multicentre
study #JAC
Temocillin efficacy against AmpC β-lactamase-producing Enterobacterales: a relevant alternative to cefepime? #idsky #medsky #EMIMCC #utisky
academic.oup.com/jac/advance-...
Temocillin efficacy against AmpC β-lactamase-producing Enterobacterales: a relevant alternative to cefepime?
AbstractIntroduction. Temocillin is a semi-synthetic β-lactam with a narrow spectrum but high stability against hydrolysis by β-lactamases, including AmpC.
academic.oup.com
December 23, 2024 at 10:51 AM
Reposted
Neither 95% confidence intervals nor P values are meant to be signposts for clinical decision-making
The curious case of 2 negative trials in TB (VQUIN + TB-CHAMP) #idsky #medsky #EMIMCC #TBsky
evidence.nejm.org/doi/full/10....
Treating Patients, Not P Values
To the dismay of many statisticians, clinicians are taught to convert continuous results into a binary value to facilitate decision-making. A person with a hemoglobin A1c level of 6.5% or higher ha...
evidence.nejm.org
December 23, 2024 at 7:43 PM
Reposted
🆕🔥Case series
First-month mortality in MSSA left-sided IE strains appeared to be independently associated with the presence of blaZ and an inoculum effect, and this may account for some differences in outcomes between ASP & Cefazolin #idsky #EMIMCC
jamanetwork.com/journals/jam...
β-Lactam Inoculum Effect in Methicillin-Susceptible S aureus Infective Endocarditis
This case series evaluates the association between phenotypic characteristics of Staphylococcus aureus isolates, β-lactam used, and outcome in patients with methicillin-susceptible S aureus (MSSA) inf...
jamanetwork.com
December 20, 2024 at 4:17 PM
Reposted
Time to Staphylococcus aureus blood culture positivity is a useful marker for infective endocarditis

This retrospective cohort study of >1700 cases of SAB suggests that if TTP > 13 hrs, the patient is unlikely to have endocarditis (NPV 96%, 95%CI 95-97)

academic.oup.com/cid/advance-... #IDSky
December 21, 2024 at 4:07 PM