Matt Hitchcock, MD, MPH
@thehitch-md.bsky.social
Infectious disease physician and hospital epidemiologist at the Richmond VAMC in Richmond, VA, and assistant professor of ID at VCU. Way too junior to speak for the federal government. Cincy-bred, and UVA-, Duke-, and Stanford-trained.
If our main target is not associated with HO-CDI, it further brings into question whether this is a useful metric at all
@priyanori.bsky.social @yiguoid.bsky.social et al: This study evaluated antibiotic use and appropriateness in HO-C. diff cases compared to matched controls in an inpatient setting at a NYC hospital. ⬆️ or inappropriate abx use was not associated with HO-C. diff infection doi.org/10.1017/ash....
C. Diff-erently: evaluating the association of inappropriate antibiotic use with hospital-onset Clostridioides difficile infection | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core
C. Diff-erently: evaluating the association of inappropriate antibiotic use with hospital-onset Clostridioides difficile infection - Volume 5 Issue 1
doi.org
October 9, 2025 at 3:06 PM
If our main target is not associated with HO-CDI, it further brings into question whether this is a useful metric at all
I have no interest in being the gatekeeper of this, but providers should not be able to order a multiplex PCR panel unless they have some semblance of how to interpret the results.
October 3, 2025 at 7:05 PM
I have no interest in being the gatekeeper of this, but providers should not be able to order a multiplex PCR panel unless they have some semblance of how to interpret the results.
Reposted by Matt Hitchcock, MD, MPH
From @drrossanarosa.bsky.social et al: Using in-house PCR for C auris screen, we observed ⬆️ rates of new colonization POA but have maintained stable rates of C. auris hospital-onset BSI. This suggests rapid ID and isolation can mitigate horizontal transmission of C. auris. doi.org/10.1017/ash....
Stable bloodstream infection rates despite rising colonization: insights from a hospital system using in-house polymerase chain reaction screening for Candidozyma auris | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core
Stable bloodstream infection rates despite rising colonization: insights from a hospital system using in-house polymerase chain reaction screening for Candidozyma auris - Volume 5 Issue 1
doi.org
August 28, 2025 at 2:12 PM
From @drrossanarosa.bsky.social et al: Using in-house PCR for C auris screen, we observed ⬆️ rates of new colonization POA but have maintained stable rates of C. auris hospital-onset BSI. This suggests rapid ID and isolation can mitigate horizontal transmission of C. auris. doi.org/10.1017/ash....
Reposted by Matt Hitchcock, MD, MPH
@thehitch-md.bsky.social et al: AI v. ASP Experts: Chatbots for BCID2 Interpretation
doi.org/10.1017/ash....
doi.org/10.1017/ash....
Evaluating chain-of-thought prompting in a GPT chatbot for BCID2 interpretation and stewardship: how does AI compare to human experts? | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core
Evaluating chain-of-thought prompting in a GPT chatbot for BCID2 interpretation and stewardship: how does AI compare to human experts? - Volume 5 Issue 1
doi.org
July 11, 2025 at 11:42 AM
@thehitch-md.bsky.social et al: AI v. ASP Experts: Chatbots for BCID2 Interpretation
doi.org/10.1017/ash....
doi.org/10.1017/ash....
Reposted by Matt Hitchcock, MD, MPH
It was a pleasure to work on this project with our ID pharmacist colleagues. AI has a lot of potential in this space, especially with the basic interpretation of data, but still needs human guidance to work through the complexities of patient management. Looking forward to doing more of this!
Evaluating chain-of-thought prompting in a GPT chatbot for BCID2 interpretation and stewardship: how does AI compare to human experts? | Antimicrobial Stewardship & Healthcare Epidemiology | Cambr...
Evaluating chain-of-thought prompting in a GPT chatbot for BCID2 interpretation and stewardship: how does AI compare to human experts? - Volume 5 Issue 1
www.cambridge.org
July 11, 2025 at 4:15 PM
It was a pleasure to work on this project with our ID pharmacist colleagues. AI has a lot of potential in this space, especially with the basic interpretation of data, but still needs human guidance to work through the complexities of patient management. Looking forward to doing more of this!
It was a pleasure to work on this project with our ID pharmacist colleagues. AI has a lot of potential in this space, especially with the basic interpretation of data, but still needs human guidance to work through the complexities of patient management. Looking forward to doing more of this!
Evaluating chain-of-thought prompting in a GPT chatbot for BCID2 interpretation and stewardship: how does AI compare to human experts? | Antimicrobial Stewardship & Healthcare Epidemiology | Cambr...
Evaluating chain-of-thought prompting in a GPT chatbot for BCID2 interpretation and stewardship: how does AI compare to human experts? - Volume 5 Issue 1
www.cambridge.org
July 11, 2025 at 4:15 PM
It was a pleasure to work on this project with our ID pharmacist colleagues. AI has a lot of potential in this space, especially with the basic interpretation of data, but still needs human guidance to work through the complexities of patient management. Looking forward to doing more of this!
Great time at the Kickers game tonight, too bad the officiating wasn’t as good as the play
June 1, 2025 at 1:59 AM
Great time at the Kickers game tonight, too bad the officiating wasn’t as good as the play
Great work by a great colleague! I hope more studies like this come out to help support high rates of childhood vaccinations, especially MMR.
🧵1/N New study published in @jama.com on re-emergence of vaccine-eliminated infectious diseases under declining vaccination in the US. We model long-term risk and conditions for return to endemicity for measles, rubella, polio, & diphtheria. Collab w/ @Mathewkiang.com jamanetwork.com/journals/jam...
April 24, 2025 at 4:36 PM
Great work by a great colleague! I hope more studies like this come out to help support high rates of childhood vaccinations, especially MMR.
Great work from current and former VCU fellows (with the lead author just casually mentioning it during clinic today!)
Plant-Based Diets & Climate Change, A Perspective for Infectious Disease Providers
“This review advocates for the adoption of plant-based diets as a dual strategy to combat climate change & improve health outcomes, particularly in the context of infectious diseases”
academic.oup.com/ofid/advance...
“This review advocates for the adoption of plant-based diets as a dual strategy to combat climate change & improve health outcomes, particularly in the context of infectious diseases”
academic.oup.com/ofid/advance...
April 11, 2025 at 1:45 AM
Great work from current and former VCU fellows (with the lead author just casually mentioning it during clinic today!)
The cocci exposure risk was worth these desert views
April 9, 2025 at 4:23 PM
The cocci exposure risk was worth these desert views
Reposted by Matt Hitchcock, MD, MPH
We're looking for a new Division Chief in Adult ID at Stanford. We have a great ID/Medicine family here and the division has been growing by leaps and bounds. We also have great Pedi ID, Micro, Immunology and Transplant teams. Please share!
March 20, 2025 at 3:40 PM
We're looking for a new Division Chief in Adult ID at Stanford. We have a great ID/Medicine family here and the division has been growing by leaps and bounds. We also have great Pedi ID, Micro, Immunology and Transplant teams. Please share!
There have been some anxious times here recently, but it was nice to hear from one of my patients today that if I get canned by DOGE she’ll never come to the VA again #IDSky
March 18, 2025 at 6:32 PM
There have been some anxious times here recently, but it was nice to hear from one of my patients today that if I get canned by DOGE she’ll never come to the VA again #IDSky
Reposted by Matt Hitchcock, MD, MPH
Unnecessary #antibiotics: #SBP prophylaxis in #cirrhosis ⬆️ #SBP & other infections! Esp #UTIs w similar🦠
latest from VA & Trinetx ⤵️
pubmed.ncbi.nlm.nih.gov/40062879/
50% of US ❌use SBPProph..should we all follow & ⬇️ #AMR?
@absteward.bsky.social @amcollegegastro.bsky.social @ebtapper.bsky.social
latest from VA & Trinetx ⤵️
pubmed.ncbi.nlm.nih.gov/40062879/
50% of US ❌use SBPProph..should we all follow & ⬇️ #AMR?
@absteward.bsky.social @amcollegegastro.bsky.social @ebtapper.bsky.social
March 11, 2025 at 12:01 AM
Unnecessary #antibiotics: #SBP prophylaxis in #cirrhosis ⬆️ #SBP & other infections! Esp #UTIs w similar🦠
latest from VA & Trinetx ⤵️
pubmed.ncbi.nlm.nih.gov/40062879/
50% of US ❌use SBPProph..should we all follow & ⬇️ #AMR?
@absteward.bsky.social @amcollegegastro.bsky.social @ebtapper.bsky.social
latest from VA & Trinetx ⤵️
pubmed.ncbi.nlm.nih.gov/40062879/
50% of US ❌use SBPProph..should we all follow & ⬇️ #AMR?
@absteward.bsky.social @amcollegegastro.bsky.social @ebtapper.bsky.social
Standard Time forever
March 10, 2025 at 2:47 AM
Standard Time forever
Pretty nice jersey with some deep historical roots. Now let’s see the other one!
February 27, 2025 at 5:24 PM
Pretty nice jersey with some deep historical roots. Now let’s see the other one!
I love to get to point out the Jarisch-Herxheimer reaction when it happens in clinical medicine but hate that I have to look up the correct spelling every time #IDSky
February 3, 2025 at 9:17 PM
I love to get to point out the Jarisch-Herxheimer reaction when it happens in clinical medicine but hate that I have to look up the correct spelling every time #IDSky
“If destruction be our lot, we ourselves must be its author and finisher. As a nation of free men, we will live forever or die by suicide.”
- Lincoln (via Titus Andronicus)
- Lincoln (via Titus Andronicus)
January 31, 2025 at 5:18 PM
“If destruction be our lot, we ourselves must be its author and finisher. As a nation of free men, we will live forever or die by suicide.”
- Lincoln (via Titus Andronicus)
- Lincoln (via Titus Andronicus)
Is anyone in infection prevention and control world aware of solid data for infections related to use of sterile supplies (reprocessed and single use) exposed to temperature and humidity outside of prescribed ranges? #IDSky
January 9, 2025 at 7:00 PM
Is anyone in infection prevention and control world aware of solid data for infections related to use of sterile supplies (reprocessed and single use) exposed to temperature and humidity outside of prescribed ranges? #IDSky
It was great to hear Brad Spellberg review oral versus IV for treatment of serious infections again in the VIPTC webinar series. It was an excellent, data-driven lecture, as always, and I did not expect to also learn about pelycosaur osteomyelitis and historical purgatives! #IDSky
January 9, 2025 at 6:01 PM
It was great to hear Brad Spellberg review oral versus IV for treatment of serious infections again in the VIPTC webinar series. It was an excellent, data-driven lecture, as always, and I did not expect to also learn about pelycosaur osteomyelitis and historical purgatives! #IDSky
“There is no other fear so horrible and unhumanizing, as that which makes men dread to breathe Heaven’s vital air, lest it be poison, or to grasp the hand of a brother or friend, lest the gripe of the pestilence should clutch him.”
- Nathaniel Hawthorne, “Legends of the Province-House”
- Nathaniel Hawthorne, “Legends of the Province-House”
December 12, 2024 at 12:39 AM
“There is no other fear so horrible and unhumanizing, as that which makes men dread to breathe Heaven’s vital air, lest it be poison, or to grasp the hand of a brother or friend, lest the gripe of the pestilence should clutch him.”
- Nathaniel Hawthorne, “Legends of the Province-House”
- Nathaniel Hawthorne, “Legends of the Province-House”
There needs to be a better understanding that when it comes to patients who report STI exposures, providers need to treat first and any testing is just confirmatory. This is especially true if the patient has already been hard to contact and get in for clinic follow-up. #IDSky
December 11, 2024 at 2:38 PM
There needs to be a better understanding that when it comes to patients who report STI exposures, providers need to treat first and any testing is just confirmatory. This is especially true if the patient has already been hard to contact and get in for clinic follow-up. #IDSky
With the numbers in, I stand by my statement from last Match Day that it is (still) a hell of a time to be an applicant to ID fellowship #IDSky
December 5, 2024 at 4:36 AM
With the numbers in, I stand by my statement from last Match Day that it is (still) a hell of a time to be an applicant to ID fellowship #IDSky