communityiddoc.bsky.social - Profile | ThreadSky | a Reddit-style client for Bluesky

Only now is it suggested that evidence based medicine be used as evidence in medical malpractice. There’s a lot of weak evidence out there and “custom” often masquerades as weak evidence. Hate to think someone has lost previously because “custom” trumped evidence.

submitted 1 day ago • 0 comments

🆕 from Ilges et al: Real-word utility of procalcitonin (PCT) in patients hospitalized with community-acquired pneumonia: A matched cohort study ▶️ Authors find PCT testing not associated w/ reduced antimicrobial utilization, LOS, or 30-day all-cause mortality #IDSky 📄: doi.org/10.1017/ice....

submitted 3 days ago • 0 comments

There it is, mostly young, ~50% unvaccinated, 50% pending determination. www.dshs.texas.gov/news-alerts/...

submitted 4 days ago • 0 comments

Looking for data on vaccination status and age of those infected to inform wider population risk. www.nytimes.com/2025/03/04/u...

submitted 4 days ago • 0 comments

Among hospitalized patients, electronic sepsis screening compared with no screening resulted in significantly lower in-hospital 90-day mortality. ja.ma/3XqAyr9 #MedSky

submitted 5 days ago • 2 comments

Cannot thank @drandrekalil.bsky.social enough for inviting me to write this commentary on the BALANCE trial for ACP Journal Club in @annalsofim.bsky.social this month! #ShorterIsBetter #IDSky @unmc-id.bsky.social www.acpjournals.org/doi/10.7326/...

submitted 6 days ago • 1 comment

I used the word “refinement” twice in a business meeting yesterday. 👀

submitted 8 days ago • 0 comments

I indiscriminately cancel procalcitonin when I see it ordered.

submitted 10 days ago • 0 comments

Study finds no link between CMS sepsis bundle, fewer deaths A systematic review and meta-analysis found no high- or moderate-level evidence that compliance with SEP-1 was associated with a mortality benefit. www.cidrap.umn.edu/a...

submitted 18 days ago • 0 comments

Heard this on NPR posting like an article I didn’t want to lose. “To fixate too much on the word God, I think, is to miss out the fact that prayer arises naturally in the human heart, whether or not anybody has a relationship to formal religion” - Padraig O’Tuama

submitted 29 days ago • 0 comments

Taking a history today, asked the patient if they had any metal or plastic in their body. Patient replied “No, nothing recyclable” #IDSky

submitted 31 days ago • 1 comment

meridian.allenpress.com/jgme/article... Will see if I can get this to work in Cerner.

submitted 38 days ago • 0 comments

Is the CDC/IDSA Avian flu call still on? Date & Time Jan 23, 2025 04:00 PM Eastern Time (US and Canada) Webinar ID 948 4482 2767 Description Date: Thursday, January 23 (4:00 p.m. - 5:15 p.m. ET) (U.S. and Canada) #IDSky

submitted 47 days ago • 0 comments

We finally succeeded in visualizing influenza viruses in droplets! Jin Pan found that virions hung around with mucin, which helped keep them intact and preserved infectivity. pubs.acs.org/doi/full/10.... Free preprint at drive.google.com/file/d/1tMgc... /1

submitted 48 days ago • 4 comments

#idsky Anyone have experience with IM Tobramycin for outpatient treatment of MDR P. aeruginosa UTI? The 2023 CLSI Update suggests aminoglycosides may be “suitable” for UTI but gentamicin was removed as a treatment option for P. aeruginosa. Trying to reconcile IM Tobramycin vs Gent for my clinic.

submitted 52 days ago • 3 comments

www.liebertpub.com/doi/10.1089/...

submitted 57 days ago • 1 comment

🆕💫Systematic review and meta-analysis Diagnostic accuracy of Xpert MTB/RIF Ultra for detecting pulmonary tuberculosis and rifampicin resistance #idsky #tbsky link.springer.com/article/10.1...

submitted 64 days ago • 1 comment

For Maths fans, 2025 is a square. 45² = 45 x 45 = 2025 Also, 9² x 5² = 2025 40² + 20² + 5² = 2025 My favourite? 1³+2³+3³+4³+5³+6³+7³+8³+9³ = 2025 #Mathematics #teaching #education

submitted 67 days ago • 954 comments

Staphylococcus aureus Tetracycline Resistance and Co-resistance in a Doxy-PEP-Eligible Population ✅ Just Accepted #IDSky

submitted 70 days ago • 0 comments

This review article provides an overview of the "basics" in leveraging ambulatory antimicrobial stewardship measures to build a sustainable program. #IDsky bit.ly/3DbzU9r

submitted 86 days ago • 1 comment

🦠We call a lot of things “sepsis” 🔎Our #AnnalsofIM study examined how broad this grab bag really is ⚠️Among ~75,000 patients with sepsis, we found remarkably wide spectrum of presentations & outcomes across infection source & organ dysfunction patterns Thread ⬇️ #medsky #emimcc #idsky #pharmsky

submitted 82 days ago • 5 comments

Mid 50s patient presents to the hospital with fever, chills, headache. HOD 2 the primary service can’t find an infection so they call ID. The patient is visible distressed, but able to provide some history, just having gotten back from visiting a hot springs. 1/ www.statnews.com/2024/12/16/c...

submitted 83 days ago • 1 comment

Interesting post, & one I have some sympathy with. Sepsis is a useful pathophysiological concept, but hard to pin down in clinical reality. The closer we get to an effective, universal diagnostic for pathogen ID & host response (I.e. the hallmark of infection) the closer we will be to squaring this.

submitted 88 days ago • 5 comments

8 yo boy out fishing with his dad. The boy scales over a ledge to get close to the river, on his descent, something flies out of the darkness, hits the boy in the palm and flys off. It flew oddly, unlike a bird, and the suspicion was for a bat. No skin is broken on the boys palm. PEP or not? 🤔

submitted 88 days ago • 1 comment

Sepsis and Septic Shock www.nejm.org/doi/full/10.... "... we lack a precise definition of the dysregulated host response [to infection] and a diagnostic test to confirm its presence. Moreover, we have limited ability to confirm or characterize infection in real time." #IDSky #PedsIDSky #Sepsis

submitted 94 days ago • 0 comments