Miranda So PharmD MPH (Epidemiology)
@mirandapharmdmph.bsky.social
Manager, ID/Antimicrobial Stewardship Pharmacist, Assistant Professor, Runner, Knitter
Clinical & research: immunocompromised hosts; public health; epidemiology; study design. #IDSky #PharmSky 🇨🇦
https://www.linkedin.com/in/miranda-so-pharmd-mph-98b9591a9/
Clinical & research: immunocompromised hosts; public health; epidemiology; study design. #IDSky #PharmSky 🇨🇦
https://www.linkedin.com/in/miranda-so-pharmd-mph-98b9591a9/
Pinned
About me:
PharmD (Toronto🇨🇦), MPH epidemiology (.@harvardchanschool.bsky.social).
Passionate about #antimicrobialstewardship in immunocompromised hosts-haem/onc, transplant.
😍 General #IDSky just as much!
😍 #EpiSky
😍 Distance 🏃♀️but I came into it later in life...so I am still catching up
😍 Learning
PharmD (Toronto🇨🇦), MPH epidemiology (.@harvardchanschool.bsky.social).
Passionate about #antimicrobialstewardship in immunocompromised hosts-haem/onc, transplant.
😍 General #IDSky just as much!
😍 #EpiSky
😍 Distance 🏃♀️but I came into it later in life...so I am still catching up
😍 Learning
Reposted by Miranda So PharmD MPH (Epidemiology)
📣 New #Communicable drops Mon 20 Oct!
@angelahuttner.bsky.social & @erinmccreary.bsky.social welcome Barbara Trautner @bwtrautner.bsky.social & Valéry Lavergne, the co-chairs of the first IDSA guidelines for complicated UTIs, to discuss this important milestone!
#IDSky #UTIsky #MedSky #clinmicro
@angelahuttner.bsky.social & @erinmccreary.bsky.social welcome Barbara Trautner @bwtrautner.bsky.social & Valéry Lavergne, the co-chairs of the first IDSA guidelines for complicated UTIs, to discuss this important milestone!
#IDSky #UTIsky #MedSky #clinmicro
October 16, 2025 at 12:17 PM
📣 New #Communicable drops Mon 20 Oct!
@angelahuttner.bsky.social & @erinmccreary.bsky.social welcome Barbara Trautner @bwtrautner.bsky.social & Valéry Lavergne, the co-chairs of the first IDSA guidelines for complicated UTIs, to discuss this important milestone!
#IDSky #UTIsky #MedSky #clinmicro
@angelahuttner.bsky.social & @erinmccreary.bsky.social welcome Barbara Trautner @bwtrautner.bsky.social & Valéry Lavergne, the co-chairs of the first IDSA guidelines for complicated UTIs, to discuss this important milestone!
#IDSky #UTIsky #MedSky #clinmicro
www.theguardian.com/lifeandstyle...
I’ve only ever done half marathons. While they were not necessarily “fun” in the physical sense, they were fun in the “look what I’ve accomplished!” 🙌sense. I aim to improve my PB each time but enjoying the journey is much more important! 🏃🏻♀️🏃🏻♀️🏃🏻♀️
I’ve only ever done half marathons. While they were not necessarily “fun” in the physical sense, they were fun in the “look what I’ve accomplished!” 🙌sense. I aim to improve my PB each time but enjoying the journey is much more important! 🏃🏻♀️🏃🏻♀️🏃🏻♀️
Running on empty: why are so many marathon runners so miserable?
One in four endurance runners displays ‘worryingly high’ levels of anxiety and depression, according to a study led by a man who has himself run more than 400 marathons. Isn’t exercise supposed to mak...
www.theguardian.com
October 14, 2025 at 7:42 PM
www.theguardian.com/lifeandstyle...
I’ve only ever done half marathons. While they were not necessarily “fun” in the physical sense, they were fun in the “look what I’ve accomplished!” 🙌sense. I aim to improve my PB each time but enjoying the journey is much more important! 🏃🏻♀️🏃🏻♀️🏃🏻♀️
I’ve only ever done half marathons. While they were not necessarily “fun” in the physical sense, they were fun in the “look what I’ve accomplished!” 🙌sense. I aim to improve my PB each time but enjoying the journey is much more important! 🏃🏻♀️🏃🏻♀️🏃🏻♀️
Reposted by Miranda So PharmD MPH (Epidemiology)
Antimicrobial resistance is the ability of germs to evade the treatment effects of antimicrobial drugs.
This JAMA Patient Page describes antimicrobial resistance, its risk factors, and how to decrease the spread of antibiotic resistance.
ja.ma/46ieWAE
This JAMA Patient Page describes antimicrobial resistance, its risk factors, and how to decrease the spread of antibiotic resistance.
ja.ma/46ieWAE
September 12, 2025 at 11:30 AM
Antimicrobial resistance is the ability of germs to evade the treatment effects of antimicrobial drugs.
This JAMA Patient Page describes antimicrobial resistance, its risk factors, and how to decrease the spread of antibiotic resistance.
ja.ma/46ieWAE
This JAMA Patient Page describes antimicrobial resistance, its risk factors, and how to decrease the spread of antibiotic resistance.
ja.ma/46ieWAE
Excellent pro-con debate on selective digestive tract decomtaination (SDD)
www.cmi-comms.org/article/S295...
@cmicomms.bsky.social
www.cmi-comms.org/article/S295...
@cmicomms.bsky.social
Selective digestive tract decontamination in the intensive care unit: Life saver or recipe for disaster?
‘Selective digestive tract decontamination’ (SDD) refers to the use of antibiotics
to decrease bacterial load in the gut with the intention of reducing the risk of pneumonia
(from microaspiration) and...
www.cmi-comms.org
September 12, 2025 at 1:02 AM
Excellent pro-con debate on selective digestive tract decomtaination (SDD)
www.cmi-comms.org/article/S295...
@cmicomms.bsky.social
www.cmi-comms.org/article/S295...
@cmicomms.bsky.social
Reposted by Miranda So PharmD MPH (Epidemiology)
v1.108 is rolling out today 🚚
Now live, at long last: Bookmarks, aka Saved Posts. For all those posts you'll definitely plan to come back to!
Update the app and give it a try. The button is right down there 👇
Now live, at long last: Bookmarks, aka Saved Posts. For all those posts you'll definitely plan to come back to!
Update the app and give it a try. The button is right down there 👇
September 8, 2025 at 6:24 PM
v1.108 is rolling out today 🚚
Now live, at long last: Bookmarks, aka Saved Posts. For all those posts you'll definitely plan to come back to!
Update the app and give it a try. The button is right down there 👇
Now live, at long last: Bookmarks, aka Saved Posts. For all those posts you'll definitely plan to come back to!
Update the app and give it a try. The button is right down there 👇
www.cbc.ca/player/play/...
As a runner 🏃🏻♀️ I love this story so much! May be I will sign up for next year !!
🇨🇦
As a runner 🏃🏻♀️ I love this story so much! May be I will sign up for next year !!
🇨🇦
#TheMoment Mark Carney surprised a volunteer at an Ontario race
Agnes Jung tells The National about the moment she ran alongside Prime Minister Mark Carney when he appeared at the Haliburton Forest Trail Race in Ontario.
www.cbc.ca
September 9, 2025 at 12:55 PM
www.cbc.ca/player/play/...
As a runner 🏃🏻♀️ I love this story so much! May be I will sign up for next year !!
🇨🇦
As a runner 🏃🏻♀️ I love this story so much! May be I will sign up for next year !!
🇨🇦
A remarkable and moving human interest story.
The Millionaire Who Left Wall Street to Become a Paramedic www.nytimes.com/2025/09/02/n...
The Millionaire Who Left Wall Street to Become a Paramedic www.nytimes.com/2025/09/02/n...
The Millionaire Who Left Wall Street to Become a Paramedic
www.nytimes.com
September 3, 2025 at 1:36 AM
A remarkable and moving human interest story.
The Millionaire Who Left Wall Street to Become a Paramedic www.nytimes.com/2025/09/02/n...
The Millionaire Who Left Wall Street to Become a Paramedic www.nytimes.com/2025/09/02/n...
Reposted by Miranda So PharmD MPH (Epidemiology)
Climate-related disasters have impacted nearly two-thirds of US drug production facilities from 2019 to 2024, highlighting vulnerabilities in the #pharmaceutical supply chain.
ja.ma/470sGSI
ja.ma/470sGSI
August 20, 2025 at 3:45 PM
Climate-related disasters have impacted nearly two-thirds of US drug production facilities from 2019 to 2024, highlighting vulnerabilities in the #pharmaceutical supply chain.
ja.ma/470sGSI
ja.ma/470sGSI
A beautiful late afternoon run today. 🏃🏻♀️
Full view of Toronto by the lakefront.
P.S. There is a hint of fall 🍂🍂🍂🍁🍁🍁 in the air.
Full view of Toronto by the lakefront.
P.S. There is a hint of fall 🍂🍂🍂🍁🍁🍁 in the air.
August 18, 2025 at 2:12 AM
A beautiful late afternoon run today. 🏃🏻♀️
Full view of Toronto by the lakefront.
P.S. There is a hint of fall 🍂🍂🍂🍁🍁🍁 in the air.
Full view of Toronto by the lakefront.
P.S. There is a hint of fall 🍂🍂🍂🍁🍁🍁 in the air.
Nice book for users of medical literature (clinicians), and producers of medical literature (researchers) alike.
Tom and David Chivers explained statistical concepts with common examples from the news, often with humour. I LOL while listening to it on a run🏃♀️
www.goodreads.com/book/show/57...
Tom and David Chivers explained statistical concepts with common examples from the news, often with humour. I LOL while listening to it on a run🏃♀️
www.goodreads.com/book/show/57...
How to Read Numbers: A Guide to Stats in the News (and …
‘Even one glass of wine a day raises the risk of cancer…
www.goodreads.com
August 7, 2025 at 4:25 PM
Nice book for users of medical literature (clinicians), and producers of medical literature (researchers) alike.
Tom and David Chivers explained statistical concepts with common examples from the news, often with humour. I LOL while listening to it on a run🏃♀️
www.goodreads.com/book/show/57...
Tom and David Chivers explained statistical concepts with common examples from the news, often with humour. I LOL while listening to it on a run🏃♀️
www.goodreads.com/book/show/57...
Went down a small rabbit hole to refresh my understanding of case-cohort design for a project. Here is a nice review in the journal #Epidemiology, comparing case-cohort to nested case-control, which is more common.
#ResearchMethods fascinates me!
journals.lww.com/epidem/abstr...
#ResearchMethods fascinates me!
journals.lww.com/epidem/abstr...
The Case for Case–Cohort: An Applied Epidemiologist’s Guide ... : Epidemiology
recision for addressing a singular research question, but case–cohort studies have broader efficiency and superior flexibility. Despite this, case–cohort designs are comparatively underutilized in the...
journals.lww.com
August 4, 2025 at 3:36 PM
Went down a small rabbit hole to refresh my understanding of case-cohort design for a project. Here is a nice review in the journal #Epidemiology, comparing case-cohort to nested case-control, which is more common.
#ResearchMethods fascinates me!
journals.lww.com/epidem/abstr...
#ResearchMethods fascinates me!
journals.lww.com/epidem/abstr...
Reposted by Miranda So PharmD MPH (Epidemiology)
Fewer than 10% of published observational studies in this sample used DAGs to justify confounder selection.
This is a huge missed opportunity for both readers and researchers.
DAGs are invaluable in research design and critical appraisal.
This is a huge missed opportunity for both readers and researchers.
DAGs are invaluable in research design and critical appraisal.
Enjoyed reading this review from @jamanetworkopen.com !
I have been providing an educational series for team members about reseach methods. We had lots of discussions about how to manage confounding in observational studies.
jamanetwork.com/journals/jam...
I have been providing an educational series for team members about reseach methods. We had lots of discussions about how to manage confounding in observational studies.
jamanetwork.com/journals/jam...
Confounder Selection in Observational Studies in High-Impact Journals
This cross-sectional study investigates whether there have been improvements over time in the methods reported for selecting confounders in observational studies published in the highest impact factor...
jamanetwork.com
August 4, 2025 at 1:50 PM
Fewer than 10% of published observational studies in this sample used DAGs to justify confounder selection.
This is a huge missed opportunity for both readers and researchers.
DAGs are invaluable in research design and critical appraisal.
This is a huge missed opportunity for both readers and researchers.
DAGs are invaluable in research design and critical appraisal.
Interesting study in @jamanetworkopen.com on vancomycin PO to prevent recurrent C. difficile infection. Speaks to the challenges of study design to evaluate effects of prophylaxis. I commend the authors for their efforts.
jamanetwork.com/journals/jam...
jamanetwork.com/journals/jam...
Oral Vancomycin for Prevention of Recurrent Clostridioides difficile Infection
This randomized clinical trial examines whether prophylactic oral vancomycin vs placebo reduces recurrent Clostridioides difficile infection in adults receiving antibiotics for another indication.
jamanetwork.com
August 3, 2025 at 9:11 PM
Interesting study in @jamanetworkopen.com on vancomycin PO to prevent recurrent C. difficile infection. Speaks to the challenges of study design to evaluate effects of prophylaxis. I commend the authors for their efforts.
jamanetwork.com/journals/jam...
jamanetwork.com/journals/jam...
Enjoyed reading this review from @jamanetworkopen.com !
I have been providing an educational series for team members about reseach methods. We had lots of discussions about how to manage confounding in observational studies.
jamanetwork.com/journals/jam...
I have been providing an educational series for team members about reseach methods. We had lots of discussions about how to manage confounding in observational studies.
jamanetwork.com/journals/jam...
Confounder Selection in Observational Studies in High-Impact Journals
This cross-sectional study investigates whether there have been improvements over time in the methods reported for selecting confounders in observational studies published in the highest impact factor...
jamanetwork.com
August 3, 2025 at 9:04 PM
Enjoyed reading this review from @jamanetworkopen.com !
I have been providing an educational series for team members about reseach methods. We had lots of discussions about how to manage confounding in observational studies.
jamanetwork.com/journals/jam...
I have been providing an educational series for team members about reseach methods. We had lots of discussions about how to manage confounding in observational studies.
jamanetwork.com/journals/jam...
Reposted by Miranda So PharmD MPH (Epidemiology)
@bryanpwhite.bsky.social et al: In a cohort (n=127) of OPAT patients on daptomycin 7.4 mg/kg for an average of 37 days, the rate of CK elevation was 11.8% at a median of 13 days (IQR 9-16) supporting weekly lab monitoring on daptomycin for OPAT. doi.org/10.1017/ash....
Incidence and risk factors for musculoskeletal adverse effects associated with daptomycin in patients receiving outpatient parenteral antimicrobial therapy | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core
Incidence and risk factors for musculoskeletal adverse effects associated with daptomycin in patients receiving outpatient parenteral antimicrobial therapy - Volume 5 Issue 1
doi.org
July 31, 2025 at 11:29 AM
@bryanpwhite.bsky.social et al: In a cohort (n=127) of OPAT patients on daptomycin 7.4 mg/kg for an average of 37 days, the rate of CK elevation was 11.8% at a median of 13 days (IQR 9-16) supporting weekly lab monitoring on daptomycin for OPAT. doi.org/10.1017/ash....
Great review on #antimicrobialstewardship strategies related to new agents and PK/PD modelling.
www.mdpi.com/2079-6382/14...
www.mdpi.com/2079-6382/14...
www.mdpi.com
July 30, 2025 at 3:13 AM
Great review on #antimicrobialstewardship strategies related to new agents and PK/PD modelling.
www.mdpi.com/2079-6382/14...
www.mdpi.com/2079-6382/14...
Always appreciate how lovely the Toronto summer is. 🇨🇦
July 21, 2025 at 2:50 PM
Always appreciate how lovely the Toronto summer is. 🇨🇦
This series from @nytimes.com is so educational (and frankly, frightening) for healthcare professionals. We need to listen to patients. #PatientEngagement #PatientSafety
podcasts.apple.com/ca/podcast/t...
podcasts.apple.com/ca/podcast/t...
S02 Episode 3: The Guidelines
Podcast Episode · The Retrievals · S2 E3 · Subscribers Only · 55m
podcasts.apple.com
July 16, 2025 at 2:22 AM
This series from @nytimes.com is so educational (and frankly, frightening) for healthcare professionals. We need to listen to patients. #PatientEngagement #PatientSafety
podcasts.apple.com/ca/podcast/t...
podcasts.apple.com/ca/podcast/t...
The UK COVID-19 inquiry continues to be +++educational for me. The struggle with making wide-ranging governmental policies based on ever-changing evidence, which led to rapidly evolving and sometimes conflicting recommendations is palpable.
I can empathize.
covid19.public-inquiry.uk/public-heari...
I can empathize.
covid19.public-inquiry.uk/public-heari...
Public hearings - UK Covid-19 Inquiry
The independent public inquiry to examine the Covid-19 pandemic in the UK
covid19.public-inquiry.uk
July 5, 2025 at 2:14 AM
The UK COVID-19 inquiry continues to be +++educational for me. The struggle with making wide-ranging governmental policies based on ever-changing evidence, which led to rapidly evolving and sometimes conflicting recommendations is palpable.
I can empathize.
covid19.public-inquiry.uk/public-heari...
I can empathize.
covid19.public-inquiry.uk/public-heari...
Second time I've baked bread ever. Decided to try this super simple vegan recipe on Canada Day! Baking bread feels like a chemistry experiment....
lovingitvegan.com/easy-no-fail...
lovingitvegan.com/easy-no-fail...
July 2, 2025 at 2:19 PM
Second time I've baked bread ever. Decided to try this super simple vegan recipe on Canada Day! Baking bread feels like a chemistry experiment....
lovingitvegan.com/easy-no-fail...
lovingitvegan.com/easy-no-fail...
Got a 10km Canada Day run in this morning. A bit hot and sticky but just the way I like it! 🏃🏻♀️ lots of fellow runners, walkers and cyclists.
July 1, 2025 at 4:37 PM
Got a 10km Canada Day run in this morning. A bit hot and sticky but just the way I like it! 🏃🏻♀️ lots of fellow runners, walkers and cyclists.