Sarah Parker

Director of Antimicrobial Stewardship. Handshake Stewardship advocate. Pediatric Infectious Disease physician. Mom to Gina. Lover of coffee. Views are my own.

[Sarah Parker @HandshakeASP]

@BJegorovic @IDiots_pod @IDstewardship @jesscataldi @accpinfdprn @andrewhaynes Hope I did those tweets or whatever they are not correctly!

[Sarah Parker @HandshakeASP]

@BJegorovic @IDiots_pod @IDstewardship @jesscataldi @accpinfdprn @andrewhaynes Cefadroxil has same R group as amox, cephalexin has same R group as ampicillin, so another reason to consider avoiding in amox/amp truly allergic.

[Sarah Parker @HandshakeASP]

@BJegorovic @IDiots_pod @IDstewardship @jesscataldi @accpinfdprn @andrewhaynes For national US pneumonia guidelines and otitis guidelines, neither cephalexin nor cefadroxil are on them (except for MSSA), while amox is firstline (though also provides suboptimal H. Flu and M. cat coverage).

[Sarah Parker @HandshakeASP]

@BJegorovic @IDiots_pod @IDstewardship @jesscataldi @accpinfdprn @andrewhaynes The EUCAST MIC distributions would likely place the ECOFF at about 8, though no official ECOFF given. Some MICs are very high, and as the susceptibility will be unknown (as no breakpoints, not on common platforms), just hard to choose with confidence for known S. pneumo

[Sarah Parker @HandshakeASP]

@BJegorovic @IDiots_pod @IDstewardship @jesscataldi @accpinfdprn @andrewhaynes 1. Both CLSI and EUCAST have no breakpoints, and unlike the other oral cephalosporins, penicillin breakpoints are not considered a surrogate.

[Sarah Parker @HandshakeASP]

@BJegorovic @IDiots_pod @IDstewardship @jesscataldi @accpinfdprn @andrewhaynes Sorry not sure I am very good at twitter/X. I agree finding the reason for cephalexin and cefadroxil less coverage of S. pneumo is a bit hard to find. What I have pieced together as lines of evidence:

[Nicole Poole, MD, MPH @KidDocNic]

Listen to our new podcast episode discussing how to decrease abx prescribing for pink eye 👁️ Share with your pediatric, family med, ED/UC, and school health colleagues! And parents :) #tweetiatrician #IDtwitter #ASP @COPedsHandshake @ChildrensColo https://t.co/SUZau1TBy2

[Colorado Pediatric Infectious Diseases @COpedsID]

Registration is now open for the 40th Annual Conference on Pediatric Infectious Diseases #VailPedsID2023 in Vail, CO July 30-Aug 4. In-person & virtual options for #CME #MOCpart2 credit
https://t.co/pRtCf04l3H

[Colorado Pediatric Infectious Diseases @COpedsID]

Join us to hear the latest from our @COpedsID faculty & former fellows @easturia @SeanOLearyMD @jesscataldi @kmess44 @samdominguez309 @DanOlson3030 @HandshakeASP @KidDocNic & more on #Kawasaki #RSV #Mpox #COVID #EVA71 #EVD68 #ASP #syphilis #TB #vaccines #HSV

[Nicole Poole, MD, MPH @KidDocNic]

Caleb Matteson presents on ophthalmic abx overuse in outpatient settings #hcsrn2023. ~80% of #conjunctivitis led to rx. Pink eye is self limiting, let’s practice watchful waiting. Watch out med schools-he’s an applicant this year! @COPedsHandshake #IDtwitter @HCSRN @ChildrensColo

[JClinMicro EIC @JClinMicro]

Our latest "Editors in Conversation" podcast with @andreaprinzi, @HandshakeASP and co-host @ETheelPhD.

How Can Clinical Microbiology Labs Contribute to Antimicrobial Stewardship?

https://t.co/RWna0cV15S @ASMicrobiology

[Holly Frost @HFrostLab]

If we cut our amox use by 30% (since at least 30% of scripts are unnecessary), would we still have a shortage? Asking for a friend….and a few million children.

[ASHE Journal @ASHE_Journal]

From @Peds_Hai_D, @ChristineMacBr1, @HandshakeASP, @KidDocNic: Evaluating ambulatory broad-spectrum cephalosporin prescriptions at a large freestanding children’s hospital and identifying targeted areas for improved prescribing practices. #stewardship
📄https://t.co/G3R7vmw3zX

[Roberta DeBiasi @VirusDocDeBiasi]

3 decades of science and fun together @HandshakeASP at the @IDSAInfo leadership dinner #IDWeek2022 📸credit @andreaprinzi

[Stanford Pediatric ASP @StanfordPedsASP]

#ASP #Pharmacist presence on #infectiousdiseases rounds results in more interventions. Shoutout to the best ASP Pharmacists, Dr. Laura Bio & @LPthePharmD! #idweek2022 @LPCH_IDProgram

[Jillian Cotter, MD @jillianmcotter]

Excited to be able to share my #diagnosticstewardship work at #IDweek 💩! As a hospitalist, it’s been so fun to learn from all the very smart adult and peds ID docs here 😃 @ColoradoPHM @COpedsID

[Colorado Pediatric Infectious Diseases @COpedsID]

Mano a Mano: @COpedsID's outpatient antimicrobial stewardship expert @KidDocNic debates @jeffreysgerber on the necessity of 10 days of antibiotics for group A strep pharyngitis. One for the history books! @PIDSociety #IDWeek2022 🔥🔥🔥

[Rachel Wattier, MD, MHS (she/her) @RachelWattier]

@IDWeek2022 s/p Mano-a-Mano "Group A Streptococcus Pharyngitis Requires 10 Days of Antibiotic Treatment: Pro/Con" #JeffreyGerber @KidDocNic now I'm all fired up against GAS pharyngitis treatment https://t.co/tFrJPJorDM #IDTwitter @PIDSociety

[Sarah Parker @HandshakeASP]

#IDWeek2022 so happy to see data on Handshake #Stewardship in adults! Thanks for the work @LoyolaMedMD #IDTwitter

[Sarah Parker @HandshakeASP]

@COPedsHandshake @JasonGNewland

[Sarah Parker @HandshakeASP]

Let’s add PK/PD back to ID fellowship education! Thanks to @TracyZembles and @andrewhaynes great session #IDWeek2022 !