Victor_Cepeda

Infectious Diseases Doctor, UTHSCA trained. Educator, Technophile, Lifestyle #IDtwitter, #IDlife, #IDeducation.

[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

[Victor_Cepeda @id_matrix]

@JoeRoganRecaps The recent nobel laureate shows hiw the universe renders when its measured so it does not exist at the same time all the time.

[Victor_Cepeda @id_matrix]

@ImBigPharma Thats a high level but imaging pattern and risk factors matter a lot. If you labs uses standard cutoff levels for the GLM that level above 4 is very high. I usually care when it is above 0.85. I would expect to see growth on the cultures at that level so I wouldn't jump on Tx.

[Victor_Cepeda @id_matrix]

@IdVilchez They passed the G0545 code but some hospitals are not paying it, same with G2211. Sad since there is no monitoring and enforcing.

[Paul Sax @PaulSaxMD]

Read for free: https://t.co/F4ZnpM5wwF

[Victor_Cepeda @id_matrix]

@BJegorovic @BradSpellberg I would yeah so not to keep unnecessary broad spectrum.

[Victor_Cepeda @id_matrix]

@PaulSaxMD Thanks for sharing your personal anecdote.

[Victor_Cepeda @id_matrix]

@PaulSaxMD Great read Dr Sax. It reminded me a similar situation with my father. I diagnosed him with right renal carcinoma during my third year of IM while I was in the US and he was in Colombia. The complexities of being the family doctor and being in a different country are tough.

[Paul Sax @PaulSaxMD]

What the DOTS trial of Staph bacteremia tells us:
• Dalbavancin d1 and d8 vs daily IVs for WEEKS
• No left-sided IE/CNS/prosthetics
• Dalba not superior by DOOR endpoint, but similar clinical outcomes.
Big implications for inpt care. More in link ⬇️⬇️⬇️

[Eric Feigl-Ding @DrEricDing]

⚠️TYLENOL & AUTISM—RFK Jr and Trump are wrong—the largest & best study in the world in 2.5 MILLION KIDS—found no increased autism risk with acetaminophen (aka paracetamol, Tylenol) use by the mother during pregnancy. A crude unadjusted analysis found only a preliminary 5% risk, but once you adjust for family by matching using sibling controls (who didn’t get autism), the even tiny 5% risk vaporizes to 0% 📉. (Fun fact: I used to do drug safety epidemiology and have been whistleblower against big pharma when their drugs were dangerous—so I know a few things about drug safety data). Thread 🧵.

[Victor_Cepeda @id_matrix]

https://t.co/DDuWRhZBrt

[Victor_Cepeda @id_matrix]

https://t.co/DDuWRi09h1

[Victor_Cepeda @id_matrix]

@elonmusk https://t.co/GILG8F0KiB

[Paul Sax @PaulSaxMD]

The federal HIV guidelines are facing a shutdown.
A trusted, living resource — used by clinicians, programs, and public health agencies for decades — may disappear due to “budget decreases and revised priorities.”
Big mistake.
https://t.co/AXmpdBjXNJ

[Samuel Hume @DrSamuelBHume]

It was a big week of progress in medicine!

Here are the highlights: 🧵

[Victor_Cepeda @id_matrix]

@CeraGibson Estimates suggest we've lost about half of the world's original forests over human history, and a significant chunk of that was in the last 100 years.

[Victor_Cepeda @id_matrix]

@CeraGibson Quick summary:

Globally = fewer trees now than 100 years ago.

USA = about the same or slightly more trees now than 100 years ago.

[Victor_Cepeda @id_matrix]

#IDXposts, #IDX
https://t.co/q1iozXXldo

A must watch.

[William Wright @wwrighID]

#IDTwitter @JHMed_ID

Happy New Year Infectious Diseases colleagues!

The @IDSAInfo worked hard to advocate for the add-on billing code G0545 that can now be used when evaluating inpatient confirmed or suspected infections!

[Victor_Cepeda @id_matrix]

@IDSAInfo Is there a recording to watch? Thanks.