Michael Hidy - PharmD, BCPS

Clinical pharmacist. All things infectious disease.

[Michael Hidy - PharmD, BCPS @HidyHo5]

@BradSpellberg Signed!! ✍🏼

[Josh Farkas MD 💊 @PulmCrit]

continuing empiric vancomycin for >48 hours without *any* evidence of MRSA (no PCR, culture, or gram stain data to support the presence of MRSA) should be a federal crime.

[Infected Terran, MD @Infected_Terran]

@AIZiadSaliba @zchagla @NEJMClinician Also it helps to get sensei @BradSpellberg to give grand rounds and lay out the view from 10k feet

[Brad Spellberg @BradSpellberg]

Okay you Med Twitter cefadroxil-ites! The long awaited cohort study of cefadroxil for bacteremia (Including staph aureus!) with or without osteo is here! Have at it!
https://t.co/cmS0uY9fQg

[Michael Hidy - PharmD, BCPS @HidyHo5]

@BradSpellberg Has your study published? Trying to convince a provider cefadroxil 1g bid is effective for staph osteo instead of 4 weeks of dapto.....

[Brad Spellberg @BradSpellberg]

@DiorIzzy @ABsteward @IDSAInfo There's actually a physics equation that describes this paradigm in the universe. It's known as the Schrodinger Guideline Formula:

shmidelines = arrogance * inertia (squared)

[Brad Spellberg @BradSpellberg]

@MCPhillipsMD @DrToddLee @ABsteward So that's a really important point. The key metric isn't bone:serum. The key metric is, what concentration of drug can you get into bone (mcg drug/g bone) vs. the MIC. Check out Tables 1 and 2 in https://t.co/BjdVdH5hPP.
Also tables in WikiGuidelines on pyogenic osteo.

[Todd C. Lee @DrToddLee]

Today in @NEJM we show that cefazolin should be the preferred agent for MSSA bacteremia

https://t.co/BCVDzDfUqL

We also show in @TheLancet that penicillin should be preferred to anti-staphyloccal penicilins for PSSA

https://t.co/X3JSm7NxJG

@snap_trial @RIMUHC1

[Michael Hidy - PharmD, BCPS @HidyHo5]

@BradSpellberg Would love for you to do a grand rounds on shorter is better or the humility of uncertainty! I'm a pharmacist trying to be more involved in the ID space at my hospital.

[Michael Hidy - PharmD, BCPS @HidyHo5]

@ABsteward I’m working on a retrospective chart review study to try and validate local risk factors for MRSA/PSA in CAP at my hospital. Are there any risk factors I should include that I might be missing? Appreciate the input!

[Michael Hidy - PharmD, BCPS @HidyHo5]

@ABsteward I thought so too. Should it be assumed if R to pip tazo then present?

[Michael Hidy - PharmD, BCPS @HidyHo5]

@DiorIzzy What are your thoughts on anaerobic coverage for possible aspiration pneumonia? Several providers are insistent on zosynq but I thought anaerobes were rarely isolated and ceftriaxone has coverage of normal mouth anaerobes and prevents unnecessary use of an anti-PSA abx?

[Michael Hidy - PharmD, BCPS @HidyHo5]

@DrToddLee What are your thoughts on anaerobic coverage for aspiration pneumonia? Several providers are insistent on needing pip/tazo. Anaerobes are rarely isolated and ceftriaxone has decent coverage of normal mouth anaerobes preventing unnecessary use of an anti-PSA abx.

[Michael Hidy - PharmD, BCPS @HidyHo5]

@BradSpellberg @ABsteward @DrToddLee What are your thoughts on anaerobic coverage for aspiration pneumonia? Several providers are insistent on needing pip/tazo but I thought anaerobes were rarely isolated and ceftriaxone has decent coverage of normal mouth anaerobes and prevents unnecessary use of an anti-PSA abx.

[Johnathon Watterson @jh2oson]

#CrissAngelLive

[Covers.com Football @Covers_Football]

Every bettor in the US right now #SCOTUS

[Joe Posnanski @JPosnanski]

Well, let's just say it: Never seen a game like this before. Seen some wild ones. But never a game like this.

[Michael Hidy - PharmD, BCPS @HidyHo5]

@LukeTemperelli That was an absolute trash call.

[Michael Hidy - PharmD, BCPS @HidyHo5]

@sabswallace @TheFunnyTeens Yesssss 😂😂😂

[Mick Shaffer @mickshaffer]

Pat Mahomes dad used to dominate the Royals lineup. Could probably currently dominate the Royals lineup.