Scott Crabtree

Just a man and his ID trained, Antimicrobial Stewardship practicing beagle. We like doxy and dachsies. Interested in #MedEd? I may have a game for you.

[Scott Crabtree @StewardshpBeagl]

I made a thing! For those interested in creative #MedEd options check out this antibiotic card game now on Kickstarter! Thanks #IDtwitter #MedTwitter

[Pharmageddon: Bugs vs Drugs @PharmageddonG]

📢Pharmageddon: Bugs vs Drugs has launched on Kickstarter!🚀A #MedEd card game. Play the BEST antibiotic to kill the MOST pathogens with the LEAST side effects. Please RT to anyone you think would be interested!! https://t.co/2k03WkaZ0g

[Scott Crabtree @StewardshpBeagl]

@IDSAInfo @CDCgov With all due respect to an organization that otherwise does good work, I think "deeply concerning" is weak sauce.

If the IDSA will not speak out about these and a number of other documents which were taken down then who will? Certainly not the CDC.

[Alan Koff @alan_koff]

Excited to share our comprehensive, up-to-date drug review on Maribavir, which should answer just about any question you have about this new(ish) CMV drug! https://t.co/E2iaGm0lm0
^Full text link

#TxID @maricar_malinis

[Scott Crabtree @StewardshpBeagl]

@CIDJournal Is that Lady Windermere?!

[Clinical Infectious Diseases @CIDJournal]

Executive Summary: State-of-the-Art Review: Nontuberculous Mycobacterial Pulmonary Disease: Patients, Principles, and Prospects

🔗 https://t.co/H23PxLOJhD

[Scott Crabtree @StewardshpBeagl]

@ABsteward @JAMAInternalMed @DrToddLee Looks like the patients that received pip-tazo were different in many significant ways than the patients that received cefepime before they ever received a dose.

They tried to adjust for this in many ways, but seems residual confounding may contribute?

[Allison Bond @AllisonRBond]

Your notes could be a lot better if you included the dates of surgeries, procedures, and starting/stopping antibiotics 😇

[Scott Crabtree @StewardshpBeagl]

@ABsteward @WesKufel I think the key variable here is they used a PCR-based screening test as opposed to culture.

[Scott Crabtree @StewardshpBeagl]

@EmpiricGame Fact. 😐

[Scott Crabtree @StewardshpBeagl]

@drtimothyli @NatureComms A couple of similar studies have shown that for LRTIs the rmPCRs don't seem to convince docs to do anything differently regardless the result. PNA panels don't seem to be any better than RVPs.

I think they will eventually find their niche, but certainly not for routine use.

[Dr. Glaucomflecken @DGlaucomflecken]

I’m gonna buy an MRI machine and drive it around medical centers playing music like an ice cream truck

[Scott Crabtree @StewardshpBeagl]

@ABsteward Interesting, but the populations were pretty darn different. Certainly not an apples to apples comparison and maybe not even apples to oranges. Particularly as not uncommonly a single dose AG is thrown at "UTIs" that prob aren't UTIs.

[Vu (@nguyenmv.bsky.social) @nguyenmvu_md]

New CDC MMWR report: Essentially genetically identical Mycobacterium abscessus subspecies massilienseinfections following stem cell injections at different clinics in Mexico prompted an outbreak investigation.

https://t.co/rV7OyrqIQz

@MattDavis138
@GRThompsonMD

[Cefazolin @EmpiricGame]

If you were going to get a game for teaching infectious diarrhea (GuessPoo) would you rather have a copy with the iconic Guess Who? style board for full tactile experience or a smaller/cheaper card based version for teaching on the go.

[Scott Crabtree @StewardshpBeagl]

@ABsteward @IDstewardship @ASP_Chat?

[Scott Crabtree @StewardshpBeagl]

📢Hey fans of single dose IM aminoglycosides for UTI...

Anyone got a copy of: Rocca Rossetti S. Single-shot vs conventional therapy with amikacin for treatment of uncomplicated urinary tract infections: a multicenter study. Chemioterapia. 1986 Dec;5(6):394-9. PMID: 3802301.

[Scott Crabtree @StewardshpBeagl]

Huge sample size (n = 13000+), but limited details on study methodology. :(

[Alan Koff @alan_koff]

Prior to expanding Coccidioides prophylaxis, we performed a safety study to assess whether there were any serious adverse patient outcomes from use of fluconazole in our kidney transplant recipients. (1/5)🧵
https://t.co/OHIq2NOaTm

#IDtwitter #TxID

[Scott Crabtree @StewardshpBeagl]

@IDstewardship @PharmacyPosts @ABsteward @KisgenUF @DrJRMarcelin @EmpiricGame @moore_wjustin @Billicillin @thejillianhayes @Floralquinolone @GermHunterMD 💯

[Scott Crabtree @StewardshpBeagl]

@IDstewardship @PharmacyPosts @ABsteward @KisgenUF @DrJRMarcelin @EmpiricGame @moore_wjustin @Billicillin @thejillianhayes @Floralquinolone @GermHunterMD You are right, tho, that they will price themselves out of the market. No clear meaningful benefit over similar and much cheaper drugs.