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idlism.bsky.social
ID Doc fighting the fight
@idlism.bsky.social
I am an ID doc trained in the US, living in NL and working in D. Two kids, three cats, loves baking bread
Reposted by ID Doc fighting the fight
🆕🔥🔥CloCeBa RCT
Cloxacillin versus cefazolin for MSSA Bacteraemia
Cefazolin has a non-inferior efficacy regarding mortality, microbiological or clinical endpoints and was associated with a lower rate of serious adverse events #IDSky
www.thelancet.com/journals/lan...
October 19, 2025 at 4:34 AM
Reposted by ID Doc fighting the fight
This is fantastic 👏👏👏👏

Over 300 NIH workers have signed a letter to Bhattacharya (the guy who pushed for mass infection during the COVID pandemic) asking him to stop destroying U.S. science & health care

The public can add their name in support (I did that) here:

actionnetwork.org/forms/add-na...
June 9, 2025 at 12:52 PM
Reposted by ID Doc fighting the fight
Did you know..75% of wine has significant levels of azole antifungals in it? (German wine anyway)

Potential consequences for driving resistance...

#IDSky #ISHAM
May 22, 2025 at 12:49 PM
Reposted by ID Doc fighting the fight
@steventong.bsky.social presents the results of the PSSA domain of the SNAP 🫰 trial - the worlds largest trial of staph aureus bacteremia - at #ESCMID2025

fluclox resulted in higher mortality and more AKI compared to penicillin for PSSA
April 12, 2025 at 2:45 PM
Reposted by ID Doc fighting the fight
Excited to announce that we randomised our first patient in the @roadmaptrial.bsky.social today! First of thousands, answering important questions in prosthetic joint infection. See roadmaptrial.com for more deets. #IDSky #PJI #ROADMAP
Welcome to the ROADMAP Trial – Examining treatments for PJI
Explore our website to learn more about our trial, team, and how you can get involved in shaping the future of PJI treatment.
roadmaptrial.com
March 24, 2025 at 10:16 AM
I signed. Only problem is you have to have a us phone number, US citizens who live abroad don’t…
February 28, 2025 at 5:47 AM
Reposted by ID Doc fighting the fight
ID gurus - what are your thoughts on the optimal tx for S. pneumo meningitis that is pansensitive?

ESCMID guidelines: PCN or amp/amox
IDSA guidelines: PCN
NICE guidelines: Ceftriaxone

PCN: lower risk of CDiff, antimicrobial stewardship rizz
Ceftriaxone: fewer infusions, pt already on this

#IDsky
a woman says " i feel the conflict in you "
ALT: a woman says " i feel the conflict in you "
media.tenor.com
January 17, 2025 at 11:43 PM
Reposted by ID Doc fighting the fight
Letter indicates resistance to shorter and less toxic drug regimens for multidrug-resistant tuberculosis (MDR-TB) is emerging and spreading between patients.

#IDSky
#TB

www.nejm.org/doi/10.1056/...
Transmission as a Key Driver of Resistance to the New Tuberculosis Drugs | NEJM
Whole-genome sequencing was used to show that resistance to newer antituberculosis drugs is present in at least 27 countries and that up to a quarter of this resistance may be due to person-to-...
www.nejm.org
January 11, 2025 at 2:02 PM
Wow will look into this and discuss!
Flat dosing of pyrazinamide at 1000mg achieved a higher proportion of participants within the therapeutic window compared with weight-banded dosing and flat dosing at 1500mg

Has anyone already switched to flat dosing of pyrazinamide at 1000mg/day for TB?

doi.org/10.1164/rccm...

#IDSky
#TBSky
December 2, 2024 at 5:05 AM
Reposted by ID Doc fighting the fight
Are you interested in joining a book club with a focus on #Tuberculosis? To create one we need your input! Please fill out this form to share your thoughts on the book club and let us know you'd like to be a part of it: forms.gle/vzKZSW2hTjoQ...
TuBOOKulosis reading club
Please fill out this form if you are interested in joining a book club focused on tuberculosis, starting in 2025!
forms.gle
November 23, 2024 at 7:47 PM
Such a Common Problem and EVERY time I look it up to make sure nothing is forgotten and too often nothing is found…. Bookmarked for the next consult that is sure to come
November 24, 2024 at 8:45 PM
Help #idsky I have a man with OM with MDR Acinetobacter After ORIF abroad. Hardware was removed, spacer implanted. Received 14 days effective treatment 3 months ago. Then stopped 🤷🏽‍♀️. Now new hardware placed in 4/4 tissue Cultures no growth. Shall I treat anyway or just take it as a win. No histo.
November 22, 2024 at 10:42 AM