Greer Burkholder
@greerb.bsky.social
UAB Infectious Diseases doc, data maven and HIV scientist. CNICS, NA-ACCORD, ART-CC, Alabama AETC. Opinions & comments are my own.
Reposted by Greer Burkholder
Quantifying and Financing the Non-billable Workload of Outpatient Parenteral Antibiotic Therapy (OPAT) - a Model for Assessing and Supporting Staffing Needs for OPAT Programs
✅ Just Accepted
#IDSky
✅ Just Accepted
#IDSky
Quantifying and Financing the Non-billable Workload of Outpatient Parenteral Antibiotic Therapy (OPAT) - a Model for Assessing and Supporting Staffing Needs for OPAT Programs
Outpatient Parenteral Antibiotic Therapy(OPAT) patients require complex multidisciplinary coordination outside billable visits.
doi.org
March 24, 2025 at 7:24 PM
Quantifying and Financing the Non-billable Workload of Outpatient Parenteral Antibiotic Therapy (OPAT) - a Model for Assessing and Supporting Staffing Needs for OPAT Programs
✅ Just Accepted
#IDSky
✅ Just Accepted
#IDSky
Reposted by Greer Burkholder
onlinelibrary.wiley.com/doi/10.1002/... Tracking the consequences of the PEPFAR break, in real time.
<em>Journal of the International AIDS Society</em> | IAS HIV Research Journal | Wiley Online Library
Click on the article title to read more.
onlinelibrary.wiley.com
March 5, 2025 at 10:24 AM
onlinelibrary.wiley.com/doi/10.1002/... Tracking the consequences of the PEPFAR break, in real time.
Reposted by Greer Burkholder
Before reading this excellent perspective, I had no idea that the data supporting the use of antibiotic prophylaxis for SBP were so weak. Really time to re-think this "standard-of-care" practice!
Highly recommended. #IDSky
doi.org/10.1093/cid/...
Highly recommended. #IDSky
doi.org/10.1093/cid/...
Rethinking Antibiotic Prophylaxis for Spontaneous Bacterial Peritonitis in Patients with Cirrhosis: First, Do No Harm
Abstract. Antibiotic prophylaxis for spontaneous bacterial peritonitis (SBPPr) in patients with cirrhosis has been considered standard of care since the 19
doi.org
February 4, 2025 at 8:55 PM
Before reading this excellent perspective, I had no idea that the data supporting the use of antibiotic prophylaxis for SBP were so weak. Really time to re-think this "standard-of-care" practice!
Highly recommended. #IDSky
doi.org/10.1093/cid/...
Highly recommended. #IDSky
doi.org/10.1093/cid/...
Reposted by Greer Burkholder
PLEASE SHARE WIDELY #medsky #IDsky #obgynsky #pedsky
CDC STI treatment guidelines have been taken down. They are archived here 👇
web.archive.org/web/20250131...
CDC STI treatment guidelines have been taken down. They are archived here 👇
web.archive.org/web/20250131...
Site Index
STIs are common. Many are curable - all are preventable.
web.archive.org
January 31, 2025 at 11:51 PM
PLEASE SHARE WIDELY #medsky #IDsky #obgynsky #pedsky
CDC STI treatment guidelines have been taken down. They are archived here 👇
web.archive.org/web/20250131...
CDC STI treatment guidelines have been taken down. They are archived here 👇
web.archive.org/web/20250131...
Reposted by Greer Burkholder
Thanksgiving already! Time for an annual round-up of some ID things to be grateful for.
(Plus a bonus few non-ID items.)
Enjoy!
#IDSky
(Plus a bonus few non-ID items.)
Enjoy!
#IDSky
Some ID Things to Be Grateful for This Holiday Season — 2024 Edition
The calendar says it’s nearly the fourth Thursday of November, so here in the United States, the Thanksgiving holiday is upon us. It’s a day when we gather with family and friends to express thanks, t...
blogs.jwatch.org
November 27, 2024 at 5:26 PM
Thanksgiving already! Time for an annual round-up of some ID things to be grateful for.
(Plus a bonus few non-ID items.)
Enjoy!
#IDSky
(Plus a bonus few non-ID items.)
Enjoy!
#IDSky
Reposted by Greer Burkholder
Individuals With HIV And HCV Coinfection May Be At Risk For Hepatic Steatosis Progression Regardless Of Curative Treatment With DAAs
#IDSky
#GISky
#HIV
#HCV
academic.oup.com/jid/advance-...
#IDSky
#GISky
#HIV
#HCV
academic.oup.com/jid/advance-...
academic.oup.com
November 26, 2024 at 2:30 PM
Individuals With HIV And HCV Coinfection May Be At Risk For Hepatic Steatosis Progression Regardless Of Curative Treatment With DAAs
#IDSky
#GISky
#HIV
#HCV
academic.oup.com/jid/advance-...
#IDSky
#GISky
#HIV
#HCV
academic.oup.com/jid/advance-...
Reposted by Greer Burkholder
The strain on scientific publishing: we set out to characterise the remarkable growth of the scientific literature in the last few years, in spite of declining growth in total scientists. What is going on?
direct.mit.edu/qss/article/...
A 🧵 1/n
#AcademicSky #PhDchat #ScientificPublishing #SciPub
direct.mit.edu/qss/article/...
A 🧵 1/n
#AcademicSky #PhDchat #ScientificPublishing #SciPub
November 19, 2024 at 12:27 PM
The strain on scientific publishing: we set out to characterise the remarkable growth of the scientific literature in the last few years, in spite of declining growth in total scientists. What is going on?
direct.mit.edu/qss/article/...
A 🧵 1/n
#AcademicSky #PhDchat #ScientificPublishing #SciPub
direct.mit.edu/qss/article/...
A 🧵 1/n
#AcademicSky #PhDchat #ScientificPublishing #SciPub
NIH World AIDS Day 2024: Progress, Innovation, and Impact in HIV Research. Zoom webinar 11 a.m. EST on December 4, 2024, for a live virtual event commemorating the 36th World AIDS Day. Registration: oar.nih.gov/news-and-eve...
November 26, 2024 at 2:27 PM
NIH World AIDS Day 2024: Progress, Innovation, and Impact in HIV Research. Zoom webinar 11 a.m. EST on December 4, 2024, for a live virtual event commemorating the 36th World AIDS Day. Registration: oar.nih.gov/news-and-eve...
How we can #UniteToReachAll - advocate for key communities, challenge stigma, demand policy change, participate in #WorldAIDSDay events, amplify your voice on social media. #IDSky
📣 As we approach #WorldAIDSDay, the IAS calls on people to #UniteToReachAll!
🌐 Scientists, healthcare providers, policy makers, civil society, & people living with & affected by HIV need to come together to ensure the benefits of scientific advancements reach everyone. www.iasociety.org/WAD2024
🌐 Scientists, healthcare providers, policy makers, civil society, & people living with & affected by HIV need to come together to ensure the benefits of scientific advancements reach everyone. www.iasociety.org/WAD2024
World AIDS Day 2024: Unite to reach all
This World AIDS Day, let’s combine our forces to build a truly equitable HIV response that reaches all.
www.iasociety.org
November 26, 2024 at 1:20 PM
How we can #UniteToReachAll - advocate for key communities, challenge stigma, demand policy change, participate in #WorldAIDSDay events, amplify your voice on social media. #IDSky
Reposted by Greer Burkholder
#RawMilk is trending again so...
A 🧵 on Milk Hygiene and Infant Mortality seems necessary.
Pasteurization made milk consumption safer and reduced infant mortality in the early 20th century by nearly 50%. #MedSky #IDSky 🧪
www.sciencedirect.com/science/arti...
A 🧵 on Milk Hygiene and Infant Mortality seems necessary.
Pasteurization made milk consumption safer and reduced infant mortality in the early 20th century by nearly 50%. #MedSky #IDSky 🧪
www.sciencedirect.com/science/arti...
A Brief History of Milk Hygiene and Its Impact on Infant Mortality from 1875 to 1925 and Implications for Today: A Review
The objective of this review is to provide an integrated historical account of the complex, often convoluted events impacting milk hygiene and its res…
www.sciencedirect.com
November 25, 2024 at 1:34 PM
#RawMilk is trending again so...
A 🧵 on Milk Hygiene and Infant Mortality seems necessary.
Pasteurization made milk consumption safer and reduced infant mortality in the early 20th century by nearly 50%. #MedSky #IDSky 🧪
www.sciencedirect.com/science/arti...
A 🧵 on Milk Hygiene and Infant Mortality seems necessary.
Pasteurization made milk consumption safer and reduced infant mortality in the early 20th century by nearly 50%. #MedSky #IDSky 🧪
www.sciencedirect.com/science/arti...
Economist article is behind a paywall but really interesting thread to read in this post
The Economist covered our "Strain on scientific publishing" paper.
What is this all about?
We collectively churn out more & more papers *per scientist*, an increasing pace, in a rapidly changing publication landscape.
Why? How? Want to make sense of this? 🧵
www.economist.com/science-and-...
What is this all about?
We collectively churn out more & more papers *per scientist*, an increasing pace, in a rapidly changing publication landscape.
Why? How? Want to make sense of this? 🧵
www.economist.com/science-and-...
Scientific publishers are producing more papers than ever
Concerns about some of their business models are building
www.economist.com
November 25, 2024 at 12:58 AM
Economist article is behind a paywall but really interesting thread to read in this post
We are having RSV-giving in my house this year and staying home to protect immunocompromised family members.
About 1 In 20 Adults With Outpatient RSV Infections Are Hospitalized Within 28 Days
#IDSky
#MedSky
jamanetwork.com/journals/jam...
#IDSky
#MedSky
jamanetwork.com/journals/jam...
Hospitalization Following Outpatient Diagnosis of RSV in Adults
This cohort study assesses absolute risk of 28-day, all-cause hospitalization following outpatient medically attended respiratory syncytial virus (RSV) infections in adults during the 2016 to 2022 RSV...
jamanetwork.com
November 24, 2024 at 3:24 PM
We are having RSV-giving in my house this year and staying home to protect immunocompromised family members.
Loving my new sweatshirt gifted by a friend
November 23, 2024 at 8:07 PM
Loving my new sweatshirt gifted by a friend
Reposted by Greer Burkholder
Taking a page from @joshhillmd.bsky.social's book, only with an HIV focus, I am wondering -- your vote for top HIV published papers or presented studies in the past 12 months?
(PURPOSE trials/lenacapavir for PrEP not allowed ... too easy!)
Thank you! media.giphy.com/media/jLaez6...
(PURPOSE trials/lenacapavir for PrEP not allowed ... too easy!)
Thank you! media.giphy.com/media/jLaez6...
Marx Brothers GIF by Maudit - Find & Share on GIPHY
Discover & share this Marx Brothers GIF by Maudit with everyone you know. GIPHY is how you search, share, discover, and create GIFs.
giphy.com
November 23, 2024 at 9:47 AM
Taking a page from @joshhillmd.bsky.social's book, only with an HIV focus, I am wondering -- your vote for top HIV published papers or presented studies in the past 12 months?
(PURPOSE trials/lenacapavir for PrEP not allowed ... too easy!)
Thank you! media.giphy.com/media/jLaez6...
(PURPOSE trials/lenacapavir for PrEP not allowed ... too easy!)
Thank you! media.giphy.com/media/jLaez6...
One of the more vexing problems I run into in practice is older women treated repeatedly for "UTI" with eventual development of AMR.
Meant to share this study by @merellambregts.bsky.social's team
@cjcrnich.bsky.social 😊 when you & I were on #Breakpoints we were asked whether there was a pyuria cutoff to help differentiate btw infection & colonization
Here may be one (in elderly ♀️ at least) #IDSky
academic.oup.com/cid/article/...
@cjcrnich.bsky.social 😊 when you & I were on #Breakpoints we were asked whether there was a pyuria cutoff to help differentiate btw infection & colonization
Here may be one (in elderly ♀️ at least) #IDSky
academic.oup.com/cid/article/...
Current Pyuria Cutoffs Promote Inappropriate Urinary Tract Infection Diagnosis in Older Women
The degree of pyuria can help distinguish urinary tract infection (UTI) in older women from asymptomatic women with and without bacteriuria. We demonstrate
academic.oup.com
November 23, 2024 at 5:54 PM
One of the more vexing problems I run into in practice is older women treated repeatedly for "UTI" with eventual development of AMR.
Check out regional & national AETC and PTC programs which provide training, free continuing education credits, and technical assistance to strengthen the HIV and STI workforce, for all types of medical workers. #IDSky www.seaetc.com www.southeastptc.org www.nnptc.org aidsetc.org
Southeast AIDS Education & Training Center
www.seaetc.com
November 23, 2024 at 5:28 PM
Check out regional & national AETC and PTC programs which provide training, free continuing education credits, and technical assistance to strengthen the HIV and STI workforce, for all types of medical workers. #IDSky www.seaetc.com www.southeastptc.org www.nnptc.org aidsetc.org
Reposted by Greer Burkholder
1st travel related case of clade 1b mpox detected in Canada.
(Note the large global outbreak in 2022 was clade 2 mpox).
Link: tinyurl.com/jcyff8eh #IDSky #MedSky
(Note the large global outbreak in 2022 was clade 2 mpox).
Link: tinyurl.com/jcyff8eh #IDSky #MedSky
November 23, 2024 at 12:52 AM
1st travel related case of clade 1b mpox detected in Canada.
(Note the large global outbreak in 2022 was clade 2 mpox).
Link: tinyurl.com/jcyff8eh #IDSky #MedSky
(Note the large global outbreak in 2022 was clade 2 mpox).
Link: tinyurl.com/jcyff8eh #IDSky #MedSky
Reposted by Greer Burkholder
Interesting. ASI was strongly associated with HA-CDI w restrospective (episodes=35457) 1/2018-3/2020, multivariable Poisson reg model (w GEE) to eval ASI/day and risk of CDI. With aRR of ASI per antibiotic day 1.09 (95% CI 1.06–1.13). ABI table can be found here tinyurl.com/2s4dksxt #idsky
Influence of Antibiotic Exposure Intensity on the Risk of Clostridioides difficile Infection
Antibiotic use is a primary risk factor for Clostridioides difficile infection (CDI), although risks are heterogeneous. We used the antibiotic spectrum ind
academic.oup.com
November 22, 2024 at 3:53 PM
Interesting. ASI was strongly associated with HA-CDI w restrospective (episodes=35457) 1/2018-3/2020, multivariable Poisson reg model (w GEE) to eval ASI/day and risk of CDI. With aRR of ASI per antibiotic day 1.09 (95% CI 1.06–1.13). ABI table can be found here tinyurl.com/2s4dksxt #idsky
Reposted by Greer Burkholder
Alabama earns an F in maternal & infant outcomes based on this report by the March of Dimes. We should all agree that a state is only as healthy as its mothers and infants. There is much work to do to care for those too young and too sick to speak for themselves
November 22, 2024 at 2:51 PM
Alabama earns an F in maternal & infant outcomes based on this report by the March of Dimes. We should all agree that a state is only as healthy as its mothers and infants. There is much work to do to care for those too young and too sick to speak for themselves
Reposted by Greer Burkholder
Thrilled to share my first JAMA paper, coauthored my by brilliant colleagues Drs. Mary Hawk and Raagini Jawa: jamanetwork.com/journals/jam...
Communication About Harm Reduction With Patients Who Have OUD
This JAMA Insights explores how clinicians can use the harm reduction communication framework to engage with patients who have opioid use disorder, which could help prevent overdose and other substanc...
jamanetwork.com
November 20, 2024 at 4:39 PM
Thrilled to share my first JAMA paper, coauthored my by brilliant colleagues Drs. Mary Hawk and Raagini Jawa: jamanetwork.com/journals/jam...
Reposted by Greer Burkholder
Register for WHO's book launch of 'Health inequality monitoring: harnessing data to advance health equity'
www.who.int/news-room/ev...
www.who.int/news-room/ev...
Launch of WHO book 'Health inequality monitoring: harnessing data to advance health equity'
Register hereOver the past decades there have been remarkable improvements to human health around the world. Yet, further progress remains hampered by persistent inequalities between and within popula...
www.who.int
November 21, 2024 at 2:30 PM
Register for WHO's book launch of 'Health inequality monitoring: harnessing data to advance health equity'
www.who.int/news-room/ev...
www.who.int/news-room/ev...
Reposted by Greer Burkholder
yes, make america NORMAL. do not trim grey flannel BUSINESS suits with yellow PIPING because that's historically a SPORTING DETAIL
November 20, 2024 at 3:47 AM
yes, make america NORMAL. do not trim grey flannel BUSINESS suits with yellow PIPING because that's historically a SPORTING DETAIL
Reposted by Greer Burkholder
Tobevibart (VIR-3434; mAb inhibition of viral entry ) and elebsiran (VIR-2218; siRNA HBV mRNAs) +/- pegIFNa-2a for the treatment of chronic HBV infection:
End of treatment results after 48 weeks of therapy (MARCH study)
#TLM24
(1/2)
End of treatment results after 48 weeks of therapy (MARCH study)
#TLM24
(1/2)
November 21, 2024 at 1:18 AM
Tobevibart (VIR-3434; mAb inhibition of viral entry ) and elebsiran (VIR-2218; siRNA HBV mRNAs) +/- pegIFNa-2a for the treatment of chronic HBV infection:
End of treatment results after 48 weeks of therapy (MARCH study)
#TLM24
(1/2)
End of treatment results after 48 weeks of therapy (MARCH study)
#TLM24
(1/2)
Reposted by Greer Burkholder
RFK Jr is an extraordinarily dangerous man, with a body count in Samoa, and any reporter who just calls him “a vaccine skeptic” is doing the world a profound disservice.
November 16, 2024 at 2:54 PM
RFK Jr is an extraordinarily dangerous man, with a body count in Samoa, and any reporter who just calls him “a vaccine skeptic” is doing the world a profound disservice.