JD Talbot
dr-jd.bsky.social
JD Talbot
@dr-jd.bsky.social
Stopping antibiotics as a living
Medical microbiologist & Infectious diseases MD
Hôpital de Saint-Jérôme
Reposted by JD Talbot
Impact of discontinuation of contact precautions on healthcare-associated ESBL-producing Escherichia coli in a large tertiary care hospital: an interrupted time-series analysis

✅ Just Accepted
🔗 https://bit.ly/47t7eEk
November 3, 2025 at 10:13 PM
Reposted by JD Talbot
Response adaptive randomization adjusts allocation probabilities over the course of a trial, based on accumulating data. RAR increases allocation to arms performing well, and decreases allocation to arms performing poorly. In multiple arm trials, this has advantages over fixed randomization.
Not gonna lie, I’m still wrapping my head around RAR (Response-Adaptive Randomization). Anyone have a simple breakdown? #idsky
🔥REMAP-CAP RCT🔥
Among patients admitted to the ICU with severe non-pandemic CAP & either cardiovascular or respiratory failure there was a low probability that a 7d fixed-duration course of hydrocortisone improved 90d mortality @pulmcrit.bsky.social #EMIMCC #IDSky
link.springer.com/article/10.1...
April 22, 2025 at 9:13 PM
Reposted by JD Talbot
Todd Lee, “The urine is innocent until proven guilty.”
Brad Spellberg, “The urine should file a class action lawsuit against the medical community for malicious prosecution.”
@infectedterran.bsky.social: “Has anything on earth been as unjustly demonized and blamed for problems as an abnormal UA.”
Has anything on this earth been as unjustly demonized and blamed for problems as the abnormal UA?
April 1, 2025 at 3:00 PM
Reposted by JD Talbot
🆕💫Retrospective Cohort Study
Time to Staphylococcus aureus Blood Culture Positivity as a risk marker of IE
Short TTP was associated wit IE
NPV >95% suggests that TTP>13h can be used to risk stratify pts with SAB #idsky #EMIMCC
academic.oup.com/cid/article/...
academic.oup.com/cid/advance-...
Time to Staphylococcus aureus Blood Culture Positivity as a risk marker of Infective Endocarditis: A Retrospective Cohort Study
Short time to blood culture positivity (TTP) was an independent risk factor of infective endocarditis in this large (N=1703) Staphylococcus aureus bacterem
academic.oup.com
December 21, 2024 at 2:14 PM
Reposted by JD Talbot
🪩🍾Have a holiday party coming up? Need some conversation starters? Maybe this will help!

📲 www.idstewardship.com/peculiar-art...

❤️ Feel free to share & suggest additions!

🙏 Thank you to those who offered suggestions for this list.

#IDsky #PharmSky #MedSky #Medicine #Pharmacy
December 15, 2024 at 6:02 PM
Reposted by JD Talbot
After 10 years of practice;
First case of Melioidosis at my 🏥
#IDsky
Its Real Phil GIF
ALT: Its Real Phil GIF
media.tenor.com
December 10, 2024 at 9:46 PM
Reposted by JD Talbot
🔥In Case You Missed It🔥
Our NEW WikiGuidelines
A stellar cast of auth🌟rs
54 members , 12 countries
The Third WikiGuidelines
After OM,IE
Guidelines for the Prevention Diagnosis,and Management of Urinary Tract Infections in Pediatrics & Adults #idsky
#JAMANetworkOpen
jamanetwork.com/journals/jam...
December 7, 2024 at 2:29 PM
Reposted by JD Talbot
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 JD Talbot
MALDI in action.

I’m in love 😍

(Welcome to the 21st century 🤣)

#MicroSky #IDsky
November 23, 2024 at 12:47 AM
Reposted by JD Talbot
🚨 Antibiotic Treatment for 7 versus 14 Days in Patients with Bloodstream Infections

BALANCE trial publication is here !

#IDsky #Medsky

@idjclub.bsky.social

www.nejm.org/doi/full/10....
Antibiotic Treatment for 7 versus 14 Days in Patients with Bloodstream Infections | NEJM
Bloodstream infections are associated with substantial morbidity and mortality. Early, appropriate antibiotic therapy is important, but the duration of treatment is uncertain. In a multicenter, non...
www.nejm.org
November 20, 2024 at 1:10 PM
Reposted by JD Talbot
📣 New series launch
We're reexamining old studies underpinning current practice recommendations
Submit your commentary describing an old study whose impact has been greater than might be allowed by today's methodologic standards
#IDSky #MicroSky #EpiSky #MedSky

www.cmi-comms.com/article/S295...
November 17, 2024 at 8:43 PM
Reposted by JD Talbot
After ~30 patients randomized in the 3 main domains of SNAP trial at our 🏥 (~80 screened);

🤩 I’m excited to begin the process to become a site for the substudy « DAPTO-SNAP »

➡️ Compare the effects of DAPTO vs VANCO in MRSA bacteraemia (w/ nested randomization)

❤️ SNAP @steventong.bsky.social 👍
November 14, 2024 at 11:58 AM
Reposted by JD Talbot
🎉Finally ❤️

Our microbiology lab 🏥 now has his own MALDI-TOF

Yes, we were sending some samples to another lab (for MALDI) & were still doing local Pasteurian microbiology  🧫🧪😳

Québec province was a total disgrace in microbiology 🏥

Now it’s slowly better 🤞

#IDsky #MicroSky #OptiCrap
November 12, 2024 at 4:08 PM