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linameng.bsky.social
ID Pharmacist | Antimicrobial Stewardship Team | Stanford Health Care, CA | #MedEd #handshakestewardship I love pugs, 🏐, and travel, but actually spend most of my free time figuring out parenting of young kids🪇
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Ongoing UCx stewardship efforts at Stanford 🤝 in partnership with infection control, CAUTI taskforce, micro lab, RNs ✔️ 2017: switch to UA with reflex only of wbc>10 ✔️2024: a creation of UCx order panel. 🚧 remove UA/UCx orders from surgery pre-op ordersets? #IDsky #AMSsky

submitted 2 days ago • 0 comments

#idsky #amssky Anyone using Tamiflu after IV peramivir in ICU patients that gain enteral access? Do people trust IV peramivir efficacy in severe/hospitalized flu? pubmed.ncbi.nlm.nih.gov/39181595/

submitted 46 days ago • 0 comments

I learned about this meropenem/VPA drug interaction the hard way as a new practitioner after unsuccessfully dose titrating VPA for days (and wasting 💰). Fortunately VPA indication was for alcohol withdrawal (non benzo ICU protocol at Stanford), not seizures! See useful tidbits on this interaction👇

submitted 61 days ago • 1 comment

For ceftriaxone-R Enterobacterales from blood, our micro report shows MIC but no interpretation. Instead, displays cautionary comment. Chance for ASP-micro lab collab! 🤝

submitted 104 days ago • 2 comments

Study shared by esteemed👇 on pyuria cutoff (in elderly♀️)"At a cutoff of 264 leuk/µL, sensitivity and specificity of microscopy were 88% (positive and negative likelihood ratio: 7.2 and 0.1, respectively). The commonly used cutoff of 10 leuk/µL had a poor specificity (36%) and a sensitivity of 100%."

submitted 106 days ago • 1 comment

Thrilled to see @conanmacdougall.bsky.social join! 🌟 Your insights are always spot-on. This graph on new ABX approval is spot on. 😂 So true about the emotional rollercoaster—though here, prescribers don't pay attention to drug cost unless formulary restricted. #IDsky #AMSsky #pharmsky #skyrx

submitted 106 days ago • 0 comments

Love our peds ASP colleagues and their amazing tools! ♥️ One of our ED's go-to favorites is their pediatric Amox-Clav Dosing Guide—because seriously, who can keep track of all those doses and formulations/ratios? Welcome to Blue Sky! 🌟 #AMSsky #IDsky #pharmsky #skyRX #medsky

submitted 107 days ago • 0 comments

The look I get from SICU when I tell them they can stop ABX 24 hours after early GI perf repair 👀👽 #IDsky #pharmsky #AMSsky

submitted 107 days ago • 0 comments

I sense a debate or update brewing for ID Week 2025/SIDP: team FQ vs b-lactam for uncomplicated GNR bacteremia? 🎙️👥 @idsainfo.bsky.social @sidpharm.bsky.social #IDsky

submitted 109 days ago • 1 comment

ID team Q: recs on amoxicillin PO dose for stepdown for uncomplicated strep bacteremia on day 5? Me: Pick anything. You're just about done with treatment! ...1g q8h #IDsky #medsky #pharmsky #RXsky

submitted 109 days ago • 1 comment

Congratulations to @nischalr3.bsky.social and his team for their paper being selected as the @thetxidjournal.bsky.social 2024 Bob Rubin Clinical Impact Awardee - this award selects the paper felt to have the biggest impact on clinical care in #TxID! #IDSky onlinelibrary.wiley.com/doi/10.1111/...

submitted 111 days ago • 1 comment

Back to ASP work on Monday, and it feels like everyone has aspirated over the weekend and is on ABX. 🫠 Perfect timing for this ABX pearl on distinguishing aspiration pneumonitis from pneumonia. 🔑 Hyperacute resolution? Skip the ABX. Check it out! 👇 #USAAW24 #AMSsky #IDsky #pharmsky #MedEd

submitted 111 days ago • 1 comment

Shout out to our amazing ASP team members @dhpharmd.bsky.social and @marisa-holubar.bsky.social for this fun idea! 🦠💜 Loving the micro nerd energy at Stanford for #USAAW24. 🙌 What’s everyone else doing this week? #IDsky #Medsky #pharmsky #amssky

submitted 111 days ago • 0 comments

Multiple RCTs comprised patients with gram negative bacteremia from predominantly urinary sources demonstrate noninferiority of 7 days compared with 14 total days of treatment for a variety of patient-oriented outcomes, such as clinical cure, clinical failure,relapse, and all-cause mortality. #idsky

submitted 113 days ago • 1 comment

Hi #IDsky & #PharmSky! 👋 I'm an ABX stewie (formerly critical care) at Stanford: ✨ Passionate about learning from others in ID, ASP, & RX. 🛠️ Love creating tools & education for frontline clinicians. 📚 Started Stanford ABX pearls series and Obesity ABX Guidance Excited to connect and share ideas!

submitted 113 days ago • 3 comments

🔄 Just got this consult question this week from our ICU pharmD—a great reminder during our blood culture and IV fluid shortages! 💡💊 Love it when I can reply back ✂️🗒️ with our team's ABX Pearl #IDsky #MedEd #pharmSky #RXsky 🔗ABX pearl library here: med.stanford.edu/bugsanddrugs...

submitted 114 days ago • 0 comments

Just in time before the BCx bottle shortage—this team’s work in diagnostic stewardship was vital! 💪 Proud to have such amazing colleagues leading these efforts with Epic hard stops driving real impact. Congrats on the Award! 🏆👏 #IDsky #medsky #amssky @grod11.blsky.social @jlsalinas.blsky.social

submitted 114 days ago • 1 comment

New to Bluesky and #idsky! 🌌 Just followed my first feed and get why #idsky tags are key for keeping us all linked up! 🔑🤝 Thanks for the tutorial @kenkoonwong.bsky.social

submitted 115 days ago • 0 comments

These slides are 🔥—super well-curated topics 🎯by @polishmd.bsky.social-- many are already being or soon to be discussed at ID rounds and our hospital's P&T. Catch up here 📑✨" idac.org/Past-Events

submitted 115 days ago • 1 comment

🙋‍♀️ All my favorite people are here! (You too, @martenhawkins.bsky.social!) The @stanfordasp.bsky.social team has been notified—time to join the migration! 📣

submitted 116 days ago • 0 comments

Starting off with a few ABX pearls based on the most common syndromes and topics that we encounter day-to-day. (Please note our website resources too!) 📑

submitted 116 days ago • 2 comments

Feeling the ID community momentum to rebuild in John Dorsey's twin project.🙌 So far seems to offer a reprieve from X's extreme algorithms and related posts! And the starter packs are much appreciated @germhuntermd.bsky.social 🙏

submitted 116 days ago • 0 comments