Guía PRIOAM
@guiaprioam.bsky.social
Una guía para mejorar el uso de los antibióticos • Si prescribes, eres parte de la solución • Equipo #PROA en @hospitaluvrocio.bsky.social • #FOAMed
⏩️ www.guiaprioam.com
⏩️ www.guiaprioam.com
Pinned
Reposted by Guía PRIOAM
¿Trabajas en consulta?
¡Te necesitamos!
El uso prudente de los antibióticos es responsabilidad de todos. Durante toda esta semana, no te pierdas nuestros vídeos para hacer un uso prudente de los antibióticos.
💪🏻 ¡La lucha contra las resistencias empieza en tu consulta!
#EAAD #WAAW #AMSsky
¡Te necesitamos!
El uso prudente de los antibióticos es responsabilidad de todos. Durante toda esta semana, no te pierdas nuestros vídeos para hacer un uso prudente de los antibióticos.
💪🏻 ¡La lucha contra las resistencias empieza en tu consulta!
#EAAD #WAAW #AMSsky
November 18, 2025 at 8:34 PM
¿Trabajas en consulta?
¡Te necesitamos!
Durante toda esta semana, no te pierdas nuestra serie de vídeos prácticos para hacer un uso prudente de los antibióticos en tus pacientes ambulatorios
👊🏻 La lucha contra las resistencias, empieza en tu consulta
#EAAD #WAAW #AMSsky #MedSky #PharmSky #SomosHUVR
¡Te necesitamos!
Durante toda esta semana, no te pierdas nuestra serie de vídeos prácticos para hacer un uso prudente de los antibióticos en tus pacientes ambulatorios
👊🏻 La lucha contra las resistencias, empieza en tu consulta
#EAAD #WAAW #AMSsky #MedSky #PharmSky #SomosHUVR
November 18, 2025 at 7:54 AM
¡Ya tenemos todo listo para el Día Europeo para el Uso Prudente de los Antibióticos!
Mantente atento a las redes de @hospitaluvrocio.bsky.social y @guiaprioam.bsky.social durante la semana que viene.
Tenemos un mensaje para ti… 😉
#EAAD #WAAW #AMSsky #SomosHUVR
Mantente atento a las redes de @hospitaluvrocio.bsky.social y @guiaprioam.bsky.social durante la semana que viene.
Tenemos un mensaje para ti… 😉
#EAAD #WAAW #AMSsky #SomosHUVR
November 13, 2025 at 9:36 AM
¡Ya tenemos todo listo para el Día Europeo para el Uso Prudente de los Antibióticos!
Mantente atento a las redes de @hospitaluvrocio.bsky.social y @guiaprioam.bsky.social durante la semana que viene.
Tenemos un mensaje para ti… 😉
#EAAD #WAAW #AMSsky #SomosHUVR
Mantente atento a las redes de @hospitaluvrocio.bsky.social y @guiaprioam.bsky.social durante la semana que viene.
Tenemos un mensaje para ti… 😉
#EAAD #WAAW #AMSsky #SomosHUVR
Reposted by Guía PRIOAM
Recruitment for SHORTEN-2 is officially complete!
Our team is now wrapping up follow-up and polishing databases. Hope to have results ready in the first half of 2026!
Hats off to this awesome research team! 🥳
#AMSsky #IDsky @seimc.bsky.social @ciberisciii.bsky.social @ibis-investigacion.bsky.social
Our team is now wrapping up follow-up and polishing databases. Hope to have results ready in the first half of 2026!
Hats off to this awesome research team! 🥳
#AMSsky #IDsky @seimc.bsky.social @ciberisciii.bsky.social @ibis-investigacion.bsky.social
October 18, 2025 at 9:57 AM
Recruitment for SHORTEN-2 is officially complete!
Our team is now wrapping up follow-up and polishing databases. Hope to have results ready in the first half of 2026!
Hats off to this awesome research team! 🥳
#AMSsky #IDsky @seimc.bsky.social @ciberisciii.bsky.social @ibis-investigacion.bsky.social
Our team is now wrapping up follow-up and polishing databases. Hope to have results ready in the first half of 2026!
Hats off to this awesome research team! 🥳
#AMSsky #IDsky @seimc.bsky.social @ciberisciii.bsky.social @ibis-investigacion.bsky.social
Reposted by Guía PRIOAM
Is antimicrobial stewardship possible in transplant units?
In our latest systematic review in @eclinicalmed.bsky.social, we discuss which interventions work, evidence gaps and future research priorities for SOT.
🔓 www.sciencedirect.com/science/arti...
#IDSky #AMSsky #TxID
Thread below! 🧵(1/6) 👇🏻
In our latest systematic review in @eclinicalmed.bsky.social, we discuss which interventions work, evidence gaps and future research priorities for SOT.
🔓 www.sciencedirect.com/science/arti...
#IDSky #AMSsky #TxID
Thread below! 🧵(1/6) 👇🏻
July 13, 2025 at 7:18 AM
Is antimicrobial stewardship possible in transplant units?
In our latest systematic review in @eclinicalmed.bsky.social, we discuss which interventions work, evidence gaps and future research priorities for SOT.
🔓 www.sciencedirect.com/science/arti...
#IDSky #AMSsky #TxID
Thread below! 🧵(1/6) 👇🏻
In our latest systematic review in @eclinicalmed.bsky.social, we discuss which interventions work, evidence gaps and future research priorities for SOT.
🔓 www.sciencedirect.com/science/arti...
#IDSky #AMSsky #TxID
Thread below! 🧵(1/6) 👇🏻
Reposted by Guía PRIOAM
It’s encouraging to see new guidelines moving toward shorter and fully-oral treatments for BSIs.
We are honoured to see some of our research cited to help shape these recommendations! 😃
#AMSsky #IDsky #UTIsky @hospitaluvrocio.bsky.social @ibis-investigacion.bsky.social bsky.app/profile/jose...
We are honoured to see some of our research cited to help shape these recommendations! 😃
#AMSsky #IDsky #UTIsky @hospitaluvrocio.bsky.social @ibis-investigacion.bsky.social bsky.app/profile/jose...
Can we treat patients with low-risk BSI discharged from the ED with a fully-oral course of antibiotics?
[Spoiler: Yes!]
🆓🔓Our recent article on #OralIsTheNewIV! 👉🏻 journals.asm.org/doi/10.1128/...
Food for thought for #AMSsky #IDSky
[Spoiler: Yes!]
🆓🔓Our recent article on #OralIsTheNewIV! 👉🏻 journals.asm.org/doi/10.1128/...
Food for thought for #AMSsky #IDSky
Safety of early oral ambulatory treatment of adult patients with bloodstream infections discharged from the emergency department | Antimicrobial Agents and Chemotherapy
Randomized trials have unanimously shown the benefits of oral antibiotic treatments for stable patients with bacteremia (1). However, transition to oral therapy has been usually performed after several days of intravenous treatment—frequently up to 7 days (2)—highlighting the need for evidence of the safety of earlier oral treatments (3).
journals.asm.org
July 19, 2025 at 9:00 AM
It’s encouraging to see new guidelines moving toward shorter and fully-oral treatments for BSIs.
We are honoured to see some of our research cited to help shape these recommendations! 😃
#AMSsky #IDsky #UTIsky @hospitaluvrocio.bsky.social @ibis-investigacion.bsky.social bsky.app/profile/jose...
We are honoured to see some of our research cited to help shape these recommendations! 😃
#AMSsky #IDsky #UTIsky @hospitaluvrocio.bsky.social @ibis-investigacion.bsky.social bsky.app/profile/jose...
Reposted by Guía PRIOAM
The outpatient Global-PPS is a new, simple tool to measure antimicrobial prescribing in global outpatient settings
doi.org/10.1093/jaca...
#JACAMRNews #IDSky
doi.org/10.1093/jaca...
#JACAMRNews #IDSky
July 16, 2025 at 10:02 AM
The outpatient Global-PPS is a new, simple tool to measure antimicrobial prescribing in global outpatient settings
doi.org/10.1093/jaca...
#JACAMRNews #IDSky
doi.org/10.1093/jaca...
#JACAMRNews #IDSky
Reposted by Guía PRIOAM
As ID physicians, when asked about the importance of ASP, many of us may share the same answers
How do we know that today's carbapenem use will lead to a superbug tomorrow?
Why worry about resistance decades later, when I have a patient to worry about now. #IDSky
academic.oup.com/cid/article/...
How do we know that today's carbapenem use will lead to a superbug tomorrow?
Why worry about resistance decades later, when I have a patient to worry about now. #IDSky
academic.oup.com/cid/article/...
We Are Guardians
As Infectious Diseases physicians, when asked about the importance of antimicrobial stewardship, many of us may share the same answers. For one, if we cont
academic.oup.com
June 30, 2025 at 1:49 PM
As ID physicians, when asked about the importance of ASP, many of us may share the same answers
How do we know that today's carbapenem use will lead to a superbug tomorrow?
Why worry about resistance decades later, when I have a patient to worry about now. #IDSky
academic.oup.com/cid/article/...
How do we know that today's carbapenem use will lead to a superbug tomorrow?
Why worry about resistance decades later, when I have a patient to worry about now. #IDSky
academic.oup.com/cid/article/...
Is antimicrobial stewardship possible in transplant units?
In our latest systematic review in @eclinicalmed.bsky.social, we discuss which interventions work, evidence gaps and future research priorities for SOT.
🔓 www.sciencedirect.com/science/arti...
#IDSky #AMSsky #TxID
Thread below! 🧵(1/6) 👇🏻
In our latest systematic review in @eclinicalmed.bsky.social, we discuss which interventions work, evidence gaps and future research priorities for SOT.
🔓 www.sciencedirect.com/science/arti...
#IDSky #AMSsky #TxID
Thread below! 🧵(1/6) 👇🏻
July 13, 2025 at 7:18 AM
Is antimicrobial stewardship possible in transplant units?
In our latest systematic review in @eclinicalmed.bsky.social, we discuss which interventions work, evidence gaps and future research priorities for SOT.
🔓 www.sciencedirect.com/science/arti...
#IDSky #AMSsky #TxID
Thread below! 🧵(1/6) 👇🏻
In our latest systematic review in @eclinicalmed.bsky.social, we discuss which interventions work, evidence gaps and future research priorities for SOT.
🔓 www.sciencedirect.com/science/arti...
#IDSky #AMSsky #TxID
Thread below! 🧵(1/6) 👇🏻
Reposted by Guía PRIOAM
Today we celebrated our 3rd Annual Researchers’ Meeting at the XXVIII Congress of @seimc.bsky.social!
Only 2️⃣4️⃣ patients left to complete the trial!
An amazing team doing an amazing work! 🤩🔝
#IDSky #AMSsky #TeamPride
Only 2️⃣4️⃣ patients left to complete the trial!
An amazing team doing an amazing work! 🤩🔝
#IDSky #AMSsky #TeamPride
May 23, 2025 at 4:49 PM
Today we celebrated our 3rd Annual Researchers’ Meeting at the XXVIII Congress of @seimc.bsky.social!
Only 2️⃣4️⃣ patients left to complete the trial!
An amazing team doing an amazing work! 🤩🔝
#IDSky #AMSsky #TeamPride
Only 2️⃣4️⃣ patients left to complete the trial!
An amazing team doing an amazing work! 🤩🔝
#IDSky #AMSsky #TeamPride
Reposted by Guía PRIOAM
Thanks to @josemolinagb.bsky.social from Seville, Spain, for finding a great Shorter Is Better study from 2021 for bronchiectasis exacerbations! Updated tables attached, with link to website with citations. Had to shrink the font to fit so many RCTs in table!
www.bradspellberg.com/shorter-is-b...
www.bradspellberg.com/shorter-is-b...
May 4, 2025 at 3:28 PM
Thanks to @josemolinagb.bsky.social from Seville, Spain, for finding a great Shorter Is Better study from 2021 for bronchiectasis exacerbations! Updated tables attached, with link to website with citations. Had to shrink the font to fit so many RCTs in table!
www.bradspellberg.com/shorter-is-b...
www.bradspellberg.com/shorter-is-b...
Reposted by Guía PRIOAM
Caring for patients with bronchiectasis poses a challenge for both pulmonologists and #AMSky teams.
Standard 14d treatments for exacerbations lack good evidence support.
This small RCT favors shorter durations such as 8d 👉🏻 publications.ersnet.org/content/erj/... #IDsky @bradspellberg.bsky.social
Standard 14d treatments for exacerbations lack good evidence support.
This small RCT favors shorter durations such as 8d 👉🏻 publications.ersnet.org/content/erj/... #IDsky @bradspellberg.bsky.social
May 4, 2025 at 12:43 AM
Caring for patients with bronchiectasis poses a challenge for both pulmonologists and #AMSky teams.
Standard 14d treatments for exacerbations lack good evidence support.
This small RCT favors shorter durations such as 8d 👉🏻 publications.ersnet.org/content/erj/... #IDsky @bradspellberg.bsky.social
Standard 14d treatments for exacerbations lack good evidence support.
This small RCT favors shorter durations such as 8d 👉🏻 publications.ersnet.org/content/erj/... #IDsky @bradspellberg.bsky.social
Reposted by Guía PRIOAM
Pediatric antimicrobial stewardship is catching up fast. Tailored strategies, rising implementation, and tools like "handshake stewardship" are key to optimizing antibiotic use and tackling #AMR in our tiniest patients. #PedsID #Stewardship
karger.com/neo/article/...
www.idse.net/Review-Artic...
karger.com/neo/article/...
www.idse.net/Review-Artic...
Pediatric Antimicrobial Stewardship Challenges
Antimicrobial resistance is a growing health crisis, contributing significantly to morbidity and mortality in adults and children.
www.idse.net
April 30, 2025 at 4:08 AM
Pediatric antimicrobial stewardship is catching up fast. Tailored strategies, rising implementation, and tools like "handshake stewardship" are key to optimizing antibiotic use and tackling #AMR in our tiniest patients. #PedsID #Stewardship
karger.com/neo/article/...
www.idse.net/Review-Artic...
karger.com/neo/article/...
www.idse.net/Review-Artic...
Reposted by Guía PRIOAM
SOT patients have been systematically excluded from most RCTs on treatment duration, leading to prolonged courses still being the standard of care in many centers, even for non-complicated infections.
(🧵1/3) #AMSky #IDsky #TxID
(🧵1/3) #AMSky #IDsky #TxID
🆕💫Large Multicentre cohort study
Epidemiology, Treatment, and Outcomes of Gram-Negative Bacteremia in Solid Organ Transplant Recipients #IDsky
onlinelibrary.wiley.com/doi/full/10....
Epidemiology, Treatment, and Outcomes of Gram-Negative Bacteremia in Solid Organ Transplant Recipients #IDsky
onlinelibrary.wiley.com/doi/full/10....
April 29, 2025 at 10:10 PM
Reposted by Guía PRIOAM
Just 23% of patients received AMS support in transplant units.
A lot to do for stewies in this field yet!
Let’s get to work #AMSky & #TxID! 💪🏼
A lot to do for stewies in this field yet!
Let’s get to work #AMSky & #TxID! 💪🏼
🆕💫Large Multicentre cohort study
Epidemiology, Treatment, and Outcomes of Gram-Negative Bacteremia in Solid Organ Transplant Recipients #IDsky
onlinelibrary.wiley.com/doi/full/10....
Epidemiology, Treatment, and Outcomes of Gram-Negative Bacteremia in Solid Organ Transplant Recipients #IDsky
onlinelibrary.wiley.com/doi/full/10....
April 24, 2025 at 9:44 PM
Reposted by Guía PRIOAM
Not all aspirations need Abx ☺️
aspiration pneumonitis resolves in 24-48h; if symptoms persist >48h, treat aspiration pneumonia with CTX
CTX covers key oral anaerobes (eg Peptostreptococcus) so extended anaerobe coverage is usually unnecessary
avoid piptaz first-line & reserve for resistant cases
aspiration pneumonitis resolves in 24-48h; if symptoms persist >48h, treat aspiration pneumonia with CTX
CTX covers key oral anaerobes (eg Peptostreptococcus) so extended anaerobe coverage is usually unnecessary
avoid piptaz first-line & reserve for resistant cases
two men in suits and ties are drinking water from a bottle .
ALT: two men in suits and ties are drinking water from a bottle .
media.tenor.com
February 17, 2025 at 1:20 PM
Not all aspirations need Abx ☺️
aspiration pneumonitis resolves in 24-48h; if symptoms persist >48h, treat aspiration pneumonia with CTX
CTX covers key oral anaerobes (eg Peptostreptococcus) so extended anaerobe coverage is usually unnecessary
avoid piptaz first-line & reserve for resistant cases
aspiration pneumonitis resolves in 24-48h; if symptoms persist >48h, treat aspiration pneumonia with CTX
CTX covers key oral anaerobes (eg Peptostreptococcus) so extended anaerobe coverage is usually unnecessary
avoid piptaz first-line & reserve for resistant cases
Reposted by Guía PRIOAM
🎙️💊 Sensible y Resistente - Episodio 1
@micromunidad.bsky.social
¿Hasta qué punto importa la duración del tratamiento antibiótico? 🧐
open.spotify.com/episode/4yak31…
Hilo con claves y artículos 📚👇#AMSskyk#IDskyky
@micromunidad.bsky.social
¿Hasta qué punto importa la duración del tratamiento antibiótico? 🧐
open.spotify.com/episode/4yak31…
Hilo con claves y artículos 📚👇#AMSskyk#IDskyky
https://open.spotify.com/episode/4yak31…
February 15, 2025 at 7:31 PM
🎙️💊 Sensible y Resistente - Episodio 1
@micromunidad.bsky.social
¿Hasta qué punto importa la duración del tratamiento antibiótico? 🧐
open.spotify.com/episode/4yak31…
Hilo con claves y artículos 📚👇#AMSskyk#IDskyky
@micromunidad.bsky.social
¿Hasta qué punto importa la duración del tratamiento antibiótico? 🧐
open.spotify.com/episode/4yak31…
Hilo con claves y artículos 📚👇#AMSskyk#IDskyky
Reposted by Guía PRIOAM
Systematic review of antibiotic durations in @jac-amr.bsky.social
n=315 RCTs
85% demonstrated equivalence or non-inferiority of shorter therapy
Only 7% in ICU, 14% in LMIC, and 15% low risk of bias
academic.oup.com/jacamr/artic...
n=315 RCTs
85% demonstrated equivalence or non-inferiority of shorter therapy
Only 7% in ICU, 14% in LMIC, and 15% low risk of bias
academic.oup.com/jacamr/artic...
January 30, 2025 at 4:47 AM
Systematic review of antibiotic durations in @jac-amr.bsky.social
n=315 RCTs
85% demonstrated equivalence or non-inferiority of shorter therapy
Only 7% in ICU, 14% in LMIC, and 15% low risk of bias
academic.oup.com/jacamr/artic...
n=315 RCTs
85% demonstrated equivalence or non-inferiority of shorter therapy
Only 7% in ICU, 14% in LMIC, and 15% low risk of bias
academic.oup.com/jacamr/artic...
Reposted by Guía PRIOAM
Post-discharge prescriptions should be a key focus for #AMSsky!
In her fantastic talk at #ESCMIDglobal, @valerievaughnmd.bsky.social showed how >90% of antibiotic duration excess occurs post-discharge!
The ROADhome framework can be helpful for this task 👉🏻 academic.oup.com/cid/article/... #IDSky
In her fantastic talk at #ESCMIDglobal, @valerievaughnmd.bsky.social showed how >90% of antibiotic duration excess occurs post-discharge!
The ROADhome framework can be helpful for this task 👉🏻 academic.oup.com/cid/article/... #IDSky
February 12, 2025 at 11:15 PM
Post-discharge prescriptions should be a key focus for #AMSsky!
In her fantastic talk at #ESCMIDglobal, @valerievaughnmd.bsky.social showed how >90% of antibiotic duration excess occurs post-discharge!
The ROADhome framework can be helpful for this task 👉🏻 academic.oup.com/cid/article/... #IDSky
In her fantastic talk at #ESCMIDglobal, @valerievaughnmd.bsky.social showed how >90% of antibiotic duration excess occurs post-discharge!
The ROADhome framework can be helpful for this task 👉🏻 academic.oup.com/cid/article/... #IDSky
Reposted by Guía PRIOAM
Already listed in Antibiotic Stewards' Starterpack vol.2! 😉
#AMSsky #IDSky
Vol. 1: go.bsky.app/7KcDc2n
Vol. 2: go.bsky.app/2qsEveQ
#AMSsky #IDSky
Vol. 1: go.bsky.app/7KcDc2n
Vol. 2: go.bsky.app/2qsEveQ
January 27, 2025 at 5:17 PM
Already listed in Antibiotic Stewards' Starterpack vol.2! 😉
#AMSsky #IDSky
Vol. 1: go.bsky.app/7KcDc2n
Vol. 2: go.bsky.app/2qsEveQ
#AMSsky #IDSky
Vol. 1: go.bsky.app/7KcDc2n
Vol. 2: go.bsky.app/2qsEveQ
Reposted by Guía PRIOAM
link.springer.com/article/10.1...
Short-term vs long term abx treatment for nocardia infections
#OncID #idsky
Short-term vs long term abx treatment for nocardia infections
#OncID #idsky
Shorter vs. standard-duration antibiotic therapy for nocardiosis: a multi-center retrospective cohort study - Infection
Purpose The prolonged treatment recommended for nocardiosis does not rely on strong evidence. Consequently, some clinicians opt shorter therapy in certain circumstances. We assessed the effectiveness ...
link.springer.com
January 8, 2025 at 10:56 PM
link.springer.com/article/10.1...
Short-term vs long term abx treatment for nocardia infections
#OncID #idsky
Short-term vs long term abx treatment for nocardia infections
#OncID #idsky
Reposted by Guía PRIOAM
Longer doesn't appear to be better when it comes to antibiotic duration in older adults.
#AMSSky
academic.oup.com/cid/advance-...
#AMSSky
academic.oup.com/cid/advance-...
Evaluating Harms Associated With Prolonged Antibiotic Duration of Therapy in Community-Dwelling Older Adults: A Cohort Study Using Instrumental Variable Analysis
In this instrumental variable analysis of 117 682 community-dwelling older adults prescribed amoxicillin, cephalexin, or ciprofloxacin, longer antibiotic c
academic.oup.com
January 22, 2025 at 11:05 PM
Longer doesn't appear to be better when it comes to antibiotic duration in older adults.
#AMSSky
academic.oup.com/cid/advance-...
#AMSSky
academic.oup.com/cid/advance-...
Reposted by Guía PRIOAM
Thx to
@absteward.bsky.social for finding a new oral vs. IV osteo RCT! Primary endpoint was re surgery. But, 2nd endpoints = treatment failure, recurrence, and non-union. Similar oral vs. IV outcomes for all outcomes. So this is the 10th RCT now, added to table. bradspellberg.com/oral-antibio...
@absteward.bsky.social for finding a new oral vs. IV osteo RCT! Primary endpoint was re surgery. But, 2nd endpoints = treatment failure, recurrence, and non-union. Similar oral vs. IV outcomes for all outcomes. So this is the 10th RCT now, added to table. bradspellberg.com/oral-antibio...
January 25, 2025 at 6:54 PM
Thx to
@absteward.bsky.social for finding a new oral vs. IV osteo RCT! Primary endpoint was re surgery. But, 2nd endpoints = treatment failure, recurrence, and non-union. Similar oral vs. IV outcomes for all outcomes. So this is the 10th RCT now, added to table. bradspellberg.com/oral-antibio...
@absteward.bsky.social for finding a new oral vs. IV osteo RCT! Primary endpoint was re surgery. But, 2nd endpoints = treatment failure, recurrence, and non-union. Similar oral vs. IV outcomes for all outcomes. So this is the 10th RCT now, added to table. bradspellberg.com/oral-antibio...