Ron Keren

[Ron Keren @chopqualitydoc]

@sentoomey 30+ million kids w/ #Medicaid need you to save their health care. Pls protect children's health when considering #BCRA!

[Ron Keren @chopqualitydoc]

Trio of Studies Shows Oral Antibiotics Are As Good As IV Antibiotics After Discharge | Bench to Bedside https://t.co/lLtkqNoGQd

[Ron Keren @chopqualitydoc]

@jellingsworth Can you send me your email address or tel number so that i can talk to you about how to get admin access to the box?

[Ron Keren @chopqualitydoc]

@jellingsworth Hey John! @chopqualitydoc aka Ron Keren from CHOP here. The image library you built for us lives on, but is in need of work.

[Ron Keren @chopqualitydoc]

Thanks everyone. This was a lot of fun. Spread the word! Ron
#jamapedsjc

[Ron Keren @chopqualitydoc]

@joyclee For uncomplicated acute hematog osteo, stop using PICCs! Oral is just as good, and avoids pain, potential harm of PICC #jamapedsjc

[Ron Keren @chopqualitydoc]

@DrCharleneWong @childrensphila Thanks guys! I'm happy to talk more about the study in real time.

[Ron Keren @chopqualitydoc]

@DrCharleneWong No, they were excluded. These were just bacteria.#jamapedsjc

[Ron Keren @chopqualitydoc]

1/ @joyclee We looked specifically at that, as some docs worry about using oral abx for confirmed MRSA infection. No Difference!#jamapedsjc

[Ron Keren @chopqualitydoc]

@DrCharleneWong CHOP uses PO 95% of the time. #jamapedsjc

[Ron Keren @chopqualitydoc]

@joyclee @AaronMilstone now that would be cool. #jamapedsjc

[Ron Keren @chopqualitydoc]

@jonmosser @DrCharleneWong
I agree. #jamapedsjc

[Ron Keren @chopqualitydoc]

@AaronMilstone I would start there. #jamapedsjc

[Ron Keren @chopqualitydoc]

@DrCharleneWong great question. RCT evidence is stronger. This (i think) is next best. RCT will never happen- not feasible #jamapedsjc

[Ron Keren @chopqualitydoc]

@DrCharleneWong we are planning a dissemination and implementation study to get all hospitals on board. #jamapedsjc

[Ron Keren @chopqualitydoc]

@DrCharleneWong Right, doesn't have to be normal, but has to be trending down. Maybe we need a clin pathway for this? #jamapedsjc

[Ron Keren @chopqualitydoc]

@DrCharleneWong. Best evidence is in fact to use CRP as guide for when to switch to PO. See Peltola paper from pediatrics. #jamapedsjc

[Ron Keren @chopqualitydoc]

@DrCharleneWong Interesting idea. All kids got IV beforehand. Transition to oral after CRP comes down based on Peltola study #jamapedsjc

[Ron Keren @chopqualitydoc]

@AaronMilstone No, but it's a good idea. Want some data to analyze? #jamapedsjc

[Ron Keren @chopqualitydoc]

3/ and compared outcomes. Across hospital matching matched PICC and oral pts with same p-score across all hospitals. #jamapedsjc