RFK Jr. went on national TV and spouted egregious, dangerous falsehoods about vaccines. As a parent and infectious diseases doctor, I couldn't stay silent. @FoxNews might not fact-check him, but I will. I've reviewed the trials. I've catalogued them. I have receipts. 🧵
Finally! We have an US FDA approved oral carbapenem-Sulopenem!
BUT… Looks like it’s only for uncomplicated UTIs. It is not good enough for complicated UTIs or intra-abdominal infections.
It was a wonderful experience to finally meet the members of #SouthAsiansInID#SAID at @IDWeekmtg! Thank you so much @freeradhikal for creating this group and @PriyaNori @HIVDocSK for promoting it! @IDSAInfo
@ApuAkkad1 And I will freely admit- I still run my plans for tough TxID patients with my TxID guru @jeannina_smith! I’m curious to know @ShohamTxID’s opinion too. I believe he wrote the section on Fusariosis for the Hopkins ABX guide.
@ApuAkkad1 Duration based on time needed to clear fungemia, risk of neutropenia recurrence, any intercurrent need for high dose steroids or IS, if I can do PO Vori alone or not, etc. If counts recovered ‘for good’, no new GVHD, perhaps few months of Vori and reevaluate. Assume ASTs cooking?
Thank you so much @ApuAkkad1@aalkhole@BradSpellberg@IdVilchez for your responses and engagement. I'm making an ID IAI curriculum PPT for fellows and wanted to show the differences in practice styles amongst ID experts across the country. This was very helpful!
Hello #IDtwitter! For an adult with complicated IAI 2/2 necrotizing pancreatitis now s/p drain X 7 days but intra-abdominal abscess diameter still ~5 cm. WBC count now normal & no fever X 48 hours. What's your usual next step? Please pardon my abbreviations 2/2 character limit!
@eeeejjjaaaa Good point. We typically do touch base with IR in such a cases but I’ve frequently been told that the thick necrotic goo can be slow to come out despite upsized/well positioned drains.
@IdVilchez@DrToddLee@BradSpellberg@ABsteward@Cortes_Penfield @swinndong I'm curious what you guys do at other institutions since this situation, though common, is technically "no good data" and "expert opinion (based on nuances)" territory.
@dralicehan@drtimothyli@IdVilchez@jac_amr I’m all for stewardship but when dealing with a demon MAC infection with Amikacin and Azithro resistance, I would be willing to try it!
Swapnil Lanjewar, MD (@Swapnil_ID), clinical assistant professor, @uw_infdisease, was selected to serve on the American Board of Internal Medicine (ABIM) Infectious Disease Item-Writing Task Force for the 2024-2026 term. Congratulations, Dr. Lanjewar!