Nicole Poole, MD, MPH

pediatric infectious disease physician on a mission to improve antibiotic use in kids

[Firstline @Firstline]

📈 Result: nearly 20% of all practitioners in Colorado are now using stewardship guidance.

Congratulations to Joana Dimo and team on their incredible work and #IDWeek2024 poster.

Learn more: https://t.co/6xyYakJ5b9

cc @biehle88

[Nicole Poole, MD, MPH @KidDocNic]

Register for the annual ID Conference. October 30 in person or virtual! High yield ID topics for outpatient pediatricians, hospitalists, ED or UC clinicians, MD/DO/APPs. @COpedsID @ChildrensColo #tweetiatrician @AAPColorado @aap_hpeds Register here https://t.co/bLTVowega4

[Nicole Poole, MD, MPH @KidDocNic]

Our own @COpedsID fellow Dr. Dimo shows that “EHR Prompt Helped Cut Acute Otitis Media Antibiotic Use by Half” in the ED/UC check it out! https://t.co/QiTscUXoDg @IDSAInfo @ChildrensCO_Pro @COPedsHandshake @CUEmergency

[Nicole Poole, MD, MPH @KidDocNic]

Our work with @PIDSociety fellow awardee Dr. Joana Dimo cut unnecessary antibiotic exposure in HALF with a cost-effective change in the EHR to decrease durations of therapy for ear infections. Shorter is better! Give me 5 Days! @MDedgePediatric @COpedsID @HandshakeASP #Giveme5 #IDtwitter #IDWeek2024 https://t.co/8nI923LXzy

[Nicole Poole, MD, MPH @KidDocNic]

Register now! 26th annual Pediatric ID Conference at @ChildrensColo
Who? You! Peds, fam med, UC/ED, hosp med #tweetiatricians
Where? In-person at CHCO or virtual
When? Oct 30
Why? Updates from @COpedsID faculty:
💉 Vaccine Hesitancy
💊 HIV: prevention and breastfeeding
🗣️ Communicating about abx
🫁 Mycoplasma pna
🌍 Care for new arrivals
💧 UTI management
🔴 RedBook update!

Click below to register!
https://t.co/cuxMPUijOk

[Nicole Poole, MD, MPH @KidDocNic]

Check out our newest review by Dr. Dimo on short durations of abx for AOM - less is more! #IDtwitter #Pediatric #ASP #tweetitrician @COPedsHandshake @COpedsID https://t.co/WPeDWGF6Zd

[Colorado Pediatric Infectious Diseases @COpedsID]

Shifting gears, @KidDocNic will give us some ideas about how we can work together to decrease / resist pressures to prescribe antibiotics. #VailPedsID2024

[Colorado Pediatric Infectious Diseases @COpedsID]

We're back for another great day at #VailPedsID2024. @AbxAware from @EmoryPediatrics following up on yesterday's climate change and health presentation to talk more about solutions for sustainability in health care.

[Journal of Hospital Medicine @JHospMedicine]

🚫💉 Reducing unnecessary labs for hospitalized kids could lead to better outcomes and efficiency. #HighValueCare

🔗: https://t.co/XFK8j2ETik
✍️: @meganecollinsmd, @jmarks614, @stats_hall, @SamirShahMD, @MMolloyMD, @jillianmcotter, @TchouMd, @elisha_mccoy

[Jeff Linder @jeffreylinder]

1/9
Really nice article by Daniel Merenstein, Bruce Barrett, and @markebell confirming that antibiotics do not help for acute bronchitis/LRTI.

https://t.co/jCPnPaMcbt

[Nicole Poole, MD, MPH @KidDocNic]

@AllisonBartlet1 Love this so much! What a great idea

[Nicole Poole, MD, MPH @KidDocNic]

A few Q&As 🙋🏻‍♀️ with ⁦@GoHealio⁩ on our new article in ⁦@jpidsociety⁩ on how shorter is better for common infections 🦠 in children (GAS, sinusitis, AOM) #ASP #pediatrics #tweetiatrician #peds ⁦@RanaRanaf⁩ ⁦@ChildrensColo⁩ https://t.co/WvdUCEzkzP

[Nicole Poole, MD, MPH @KidDocNic]

The case for 5 days duration as default for antibiotics for common respiratory illnesses in kids. #IDtwitter #ASP #tweetitrician @jpidsociety @RanaRanaf @COPedsHandshake

https://t.co/1dHgFEfyZ5

[Nicole Poole, MD, MPH @KidDocNic]

@RachelWattier @JulianMaamari https://t.co/BX0RBa55tN

[Nicole Poole, MD, MPH @KidDocNic]

@mattkolleck1 @JulianMaamari Post strep GN unfortunately not impacted by abx use- but long durations have been pushed to prevent ARF from very old studies. Good review posted here from Dr Radetsky outlining this history of durations.

[Nicole Poole, MD, MPH @KidDocNic]

@apsmunro @JulianMaamari @mattkolleck1 Yes eradication is what we anchor on for the 10d duration recs (sentinel study in 1950s) - but current evidence doesn’t support this rationale. Full 10d pcn courses still have 10% cx+ rates and higher if PCR. And there is no solid science that we need to eradicate to prevent ARF.

[Nicole Poole, MD, MPH @KidDocNic]

@realandyrosser @RachelWattier @JulianMaamari Yes thank you for posting this article! My inspo for the IDWeek talk and upcoming review! Fantastic article ahead of its time from Dr. Radetsky

[Nicole Poole, MD, MPH @KidDocNic]

@RachelWattier @JulianMaamari I will soon have an ahead-of-pub link I can add to this reply outlining my case (and that of much of the world) for shorter! 👀 stay tuned!

[Nicole Poole, MD, MPH @KidDocNic]

Amoxicillin shortages hit some pediatric outpatient institutions harder than others. Abx rx for respiratory illnesses are going up! Check out our brief from the #SHARPS_OP Collab @RanaRanaf @AJICJournal #IDtwitter #stewie
https://t.co/ofvZoNooZ4