Brad Cutrell, MD FIDSA
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bradcutrellmd.bsky.social
Brad Cutrell, MD FIDSA
@bradcutrellmd.bsky.social
UTSW ID doc. Fellowship PD, ASP Director, OFID deputy editor. Interested in MedED and EBM in infectious diseases.
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Excited to join the #IDSky #MedSky party. I’m an adult ID doc and fellowship PD, passionate about all things MedEd and abx stewardship. Deputy editor for OFID journal so always looking for interesting new ID content. I love EBM, think ID docs and pharmDs are the best so let’s connect.
Reposted by Brad Cutrell, MD FIDSA
🆕✨Systematic review and meta-analysis
Toxin results cannot rule in or rule out CDI, and the decision whether to treat symptomatic NAAT+/EIA− patients for CDI should be based on clinical presentation and not on the toxin result #idsky #EMIMCC #medsky
journals.asm.org/doi/10.1128/...
Clinical significance of toxin EIA positivity in patients with suspected Clostridioides difficile infection: systematic review and meta-analysis | Journal of Clinical Microbiology
Clostridioides difficile infection (CDI) is a common cause of healthcare-associated infections and the leading cause of antibiotic-associated diarrhea. However, the laboratory diagnosis of CDI, primar...
journals.asm.org
December 13, 2024 at 4:25 PM
Reposted by Brad Cutrell, MD FIDSA
The timing of this story is heated, with health insurance industry in the news, but I was honored to collaborate with @fumikochino.bsky.social and grateful to my patient and his family for the chance to draw/write about the pain of #priorauth for @usatoday.com .

www.usatoday.com/story/opinio...
For patients and doctors, insurance prior authorization can be a dangerous game | Opinion
Doctors trying to get patients necessary drugs and procedures stymied by health insurance prior authorization. It's not a game. It's life and death.
www.usatoday.com
December 8, 2024 at 12:45 PM
One of my approaches when we have residents/students/pharmD residents is to mention a key article/study and then have one of the trainees (not the busy ID fellow!) review and give a brief summary (3-5 mins) the next day.

Everybody on team learns and find it more engaging.
#IDsky
What is the correct # of articles for attending to send ID fellow after rounds? #IDSky

1️⃣ <a href="https://poll.blue/p/kTRqfJ/1" class="hover:underline text-blue-600 dark:text-sky-400 no-card-link" target="_blank" rel="noopener" data-link="bsky">Many articles on relevant topics
2️⃣ <a href="https://poll.blue/p/kTRqfJ/2" class="hover:underline text-blue-600 dark:text-sky-400 no-card-link" target="_blank" rel="noopener" data-link="bsky">1-2 articles on relevant topics
3️⃣ <a href="https://poll.blue/p/kTRqfJ/3" class="hover:underline text-blue-600 dark:text-sky-400 no-card-link" target="_blank" rel="noopener" data-link="bsky">Give fellow topics; up to fellow to find articles
4️⃣ <a href="https://poll.blue/p/kTRqfJ/4" class="hover:underline text-blue-600 dark:text-sky-400 no-card-link" target="_blank" rel="noopener" data-link="bsky">Other (pls comment below)

📊 Show results
December 7, 2024 at 12:54 PM
Could not be more excited to announce the incoming 2025 UTSW ID Fellows! These talented and passionate docs are amazing and the microbes better watch out! #IDSky #WeareID #Match2025 #HIVSky
@utswinfdis.bsky.social @idsainfo.bsky.social
December 7, 2024 at 12:33 PM
Come join one of the best ID pharmacy and stewardship teams in the country with us at UT Southwestern in Dallas! #IDSky #PharmSky @sidpharm.bsky.social @utswinfdis.bsky.social @netanyautay.bsky.social @jdbeckham.bsky.social
December 6, 2024 at 6:36 PM
Important work led by former UAB CMR and @utswinfdis.bsky.social own ID fellow Julie England and her mentors Drs. Walker, Lee and colleagues! #IDSky @ricardolahozmd.bsky.social @hivdocsk.bsky.social
One of the most controversial diagnoses in ECMO is VAP.

New proposed ECMO-associated pneumonia proposed by UAB:
1) Worsening O2 by flow/sweep changes
2) 🔺 temperature or WBC
3) Pos quantitative BAL or endotracheal aspirate

#IDSky

www.cambridge.org/core/journal...
Analysis of diagnostic criteria for ECMO-associated pneumonia | Infection Control &amp; Hospital Epidemiology | Cambridge Core
Analysis of diagnostic criteria for ECMO-associated pneumonia
www.cambridge.org
December 6, 2024 at 2:42 AM
Give a great big #IDSky and #HIVsky welcome to one of the most incredible HIV physicians (and physicians in general) that I have ever met, Dr Kitchell! Give her a follow and say hi! @ricardolahozmd.bsky.social @hivdocsk.bsky.social
Buenas from Dallas!

On my friend Sidd's suggestion (@hivdocsk.bsky.social), I'm looking forward to drawing strength from my ID/HIV community here! Looking forward to interesting conversations with #IDSky and @HIVsky. Y'all are the best!
December 6, 2024 at 12:45 AM
Reposted by Brad Cutrell, MD FIDSA
🆕✨Retrospective population-based cohort study examined infection risk after colonization for MRSA,VRE,ESBL& CPE over a 5-year period
For all organisms the highest risk period of progression from colonization to infection was the first 90d #idsky #medsky
academic.oup.com/ofid/advance...
Long-term Risk of Infection Among Patients Colonized with Antimicrobial Resistant Pathogens: A Population-wide Cohort Study
This was a retrospective population-based cohort study that examined infection risk after colonization for MRSA, VRE, ESBL, and CPE over a 5-year period us
academic.oup.com
December 2, 2024 at 8:51 AM
Reposted by Brad Cutrell, MD FIDSA
For my inaugural post, Im proud to announce the publication of our Safer@Home care model. This is going to change how medicine is practiced. No need to admit pts "for IV antibiotics" anymore. Or just for IV diuresis in CHF. Or just for EtOH withdrawal. Etc.
jamanetwork.com/journals/jam...
Virtual Home Care for Patients With Acute Illness
This cohort study compares outcomes of patients receiving care in an outpatient, virtual, home-based acute care model with outcomes of patients receiving standard hospital care.
jamanetwork.com
November 30, 2024 at 9:24 PM
Reposted by Brad Cutrell, MD FIDSA
In this single-center retrospective study, @mularoni.bsky.social tested donors (3%) and recipients (8%) for HHV-8. Most of the donor-derived HHV-8-related disease manifested as KICS!! 🤯 On the other hand, most reactivations presented as KS. #TxID #IDSky pubmed.ncbi.nlm.nih.gov/39551265/
Serologic screening and molecular surveillance of Kaposi sarcoma herpesvirus (KSHV)/human herpesvirus-8 (HHV-8) infections for early recognition and effective treatment of KSHV-associated inflammatory...
Kaposi sarcoma herpesvirus/human herpesvirus-8 (HHV-8) neoplastic and non-neoplastic disease in solid organ transplant (SOT) recipients can be life-threatening. We evaluated the seroprevalence of HHV-...
pubmed.ncbi.nlm.nih.gov
November 29, 2024 at 3:48 PM
Reposted by Brad Cutrell, MD FIDSA
Conventional intermittent dosing remains the current standard of care for beta-lactam antibiotics
🆕🔥 Editorial with ✨Prof.Jason Roberts
Is it time to implement prolonged infusions of beta-lactam antibiotics in and beyond critical care settings? #idsky #medsky
onlinelibrary.wiley.com/doi/10.1111/...
November 27, 2024 at 11:46 AM
Reposted by Brad Cutrell, MD FIDSA
Differential diagnosis for fever in an ICU patient #IDSky #MedSky #SciArt
November 25, 2024 at 10:16 PM
Reposted by Brad Cutrell, MD FIDSA
It’s cool that folks can reinvent themselves during the #IDSky migration

Some have been surprised to find plum handles unclaimed eg @iddoc.bsky.social

But the best transformation
🐛➡️🦋 is @MaggieMonogue to @tazoswift.bsky.social
a woman wearing a black tuxedo and red lipstick applauds
Alt: Taylor Swift doing a chef’s kiss sign
media.tenor.com
November 23, 2024 at 4:07 PM
So excited to have the one and only @tazoswift.bsky.social on #IDSky queen of all things PKPD and Taylor Swift! Give her a shoutout and follow @ricardolahozmd.bsky.social @sidpharm.bsky.social @ebhirsch.bsky.social @mmpharmd.bsky.social @erinmccreary.bsky.social
November 22, 2024 at 10:05 PM
Reposted by Brad Cutrell, MD FIDSA
Seeing so many #IDSky people here, wanted to resurface the most widely shared #VisualAbstract in the first year we started making them. #MedSky (35k views in 7 days!)

Antibiotic stewardship for surgeons in Annals. journals.lww.com/annalsofsurg...
November 16, 2024 at 8:24 PM
Reposted by Brad Cutrell, MD FIDSA
Imagine a world without antibiotics.

#AMR #WAAW

🦠🧫🔬💊
November 14, 2024 at 8:41 AM
Reposted by Brad Cutrell, MD FIDSA
Key paper alert

'Seven-year performance of a clinical metagenomic next-generation sequencing test for diagnosis of central nervous system infections'

www.nature.com/articles/s41...

'These data justify routine use of diagnostic mNGS testing for hospitalized patients with suspected CNS infection'
Seven-year performance of a clinical metagenomic next-generation sequencing test for diagnosis of central nervous system infections - Nature Medicine
Next-generation metagenomic testing increases the accuracy and sensitivity of the etiology of central nervous system infections in hospitalized patients.
www.nature.com
November 17, 2024 at 12:21 PM
Excited to join the #IDSky #MedSky party. I’m an adult ID doc and fellowship PD, passionate about all things MedEd and abx stewardship. Deputy editor for OFID journal so always looking for interesting new ID content. I love EBM, think ID docs and pharmDs are the best so let’s connect.
November 17, 2024 at 2:46 PM