Jackson Stewart

Infectious Diseases Pharmacist 🦠@UofA Edmonton 🇨🇦. PGY1 AHS ➡️ PGY2 ID Calgary 🧪. Interested in drug reactions & ID pharm myth-busting. Views my own.

[Brad Spellberg @BradSpellberg]

@ABsteward @JAMAInternalMed What was it Nick Fury said? "it's getting damn near past time for you to get with that program"
Useless test.

[Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟 @ABsteward]

🆕💫 Viewpoint @JAMAInternalMed
Nitrites for Urinary Tract Infection—Time to Say Goodbye?
Cc @BradSpellberg #idxposts
https://t.co/bJ4s2agcP7

[Jackson Stewart @jacksonjstew]

@IDdocAdi Copy that

[MGHallergy @MGHAllergy]

A great resource for evaluation and management of drug allergies authored by many of our fellows and faculty #drugallergy @USdrugallergy https://t.co/Ku32cyHUEg

[Jackson Stewart @jacksonjstew]

@TrubianoJason @ascia_news @ASIDANZ @id_austin @UniMelbMDHS @CAAR_Aus Consider a pharm colleague for a fellowship who has completed PGY-2 ID pharmacotherapy training and who must regularly assist in managing pts with complex allergy histories? 🤔

[Steven Chen 陳持威, MD, MPH, MHPEd @DrStevenTChen]

1/
While we're all doom-scrolling through Twitter, I thought I could help provide some distraction for #medtwitter, #dermtwitter & #medstudenttwitter.

A #Derm101 #tweetorial on the #dermatology exam:

REACTION PATTERNS!

AKA: "How a dermatologist approaches a rash!"
pc:@AADskin

[NEJM @NEJM]

A 67-year-old man presented with a diffuse bullous eruption while receiving treatment with vancomycin. Direct immunofluorescence revealed linear deposition of IgA along the basement membrane zone, a finding consistent with linear IgA bullous dermatosis.

[Kimberly Blumenthal, MD, MSc @KimberlyBlumen1]

Currently, we cannot appropriately document vancomycin infusion reactions in the #EHR and the historic terminology "red man syndrome" is problematic. Is your hospital ready to rename this infusion reaction and add a coded reaction for "infusion reaction"?

[Jackson Stewart @jacksonjstew]

@AlysaMartinRX Yes. Offer to help as any trained healthcare provider in an emergency. Explain your training, and if another provider appears and wants to take over, cross that bridge! Don’t be nervous to stand up! 💪🏼🩺

[Jackson Stewart @jacksonjstew]

@miramaximos @khalideljaaly Agree. Concept of "therapeutic exposure" implies dichotomous "clinical failure" below this "target". Too many confounders to count. Hypothesis generating at best. Depends on the infection and organism as always!

[Jackson Stewart @jacksonjstew]

@Cortes_Penfield @WuidQ I think the "erroneous hypothesis-based medicine" concept can be pervasive in RE: to clinical PK/PD and drug penetration. Even the daptomycin pulmonary surfactant inhibition seems to be dogmatic and not necessarily backed by clinical failure data. Conflicting in-vitro data...

[Jackson Stewart @jacksonjstew]

@RazonableMD @k_vaishnani @MayoClinicINFD @cristinacorsini Fentanyl. Fentanyl, tramadol (+tapentadol), and meperidine all have serotonin reuptake inhibition or agonism!

[CSHP/SCPRS @CSHP_SCPH]

As part of the CSHP Webinar Series, both @canuckIDpharm & @jacksonjstew presented on the ongoing #Vancomycin topic over the past few months. Check out their latest work.

[Sarah Jørgensen 🎶🎭🍁 @canuckIDpharm]

The #Vancomycin AUC debate continues...Check out our letter with @jacksonjstew & twitterless Bruce Dalton

https://t.co/DLUzhlmBN8

[Jackson Stewart @jacksonjstew]

@dfrieds89 @GermHunterMD @CDCMMWR Not old enough for that one! 🦠🤷🏻‍♂️

[Sarah Jørgensen 🎶🎭🍁 @canuckIDpharm]

🔥🔥New @CADTH_ACMTS critical appraisal of the 2020 #Vancomycin guidelines 👇👇
https://t.co/o5HbRRNel9

[Jackson Stewart @jacksonjstew]

@jennnacion Congrats! From Canadian UBC chapter

[Jackson Stewart @jacksonjstew]

@NKalveRx The clinical pharmacist role really shines when we are PROactive. It takes practice, but begin to think: what’s the NEXT step? How will this medical problem be managed today, tomorrow, in a week? You’ll find you’ll recognize more opportunities to be helpful.

[Dr. Glaucomflecken @DGlaucomflecken]

Thank you to all the infectious disease specialists out there

[Jackson Stewart @jacksonjstew]

@BBookstaver_USC Hoping for an RDJ/Jude Law Sherlock Holmes 3!