Marvin J. Bittner MD

infectious diseases specialist and epidemiologist

[Marvin J. Bittner MD @MarvinBittner]

@bbiebelberg @AnnalsofIM @MDaware @nickmmark @PulmCrit @gsmartinmd @bhavani_md @GermHunterMD @laxswamy @DogICUma @iwashyna @DocEd @Creighton_ID @BillFoxMD Is this an opportunity for @IDSAInfo and @ACPIMPhysicians to help @CMSGov to improve its #quality measures for #sepsis (which is apparently very heterogeneous)?

[Brett Biebelberg, MD @bbiebelberg]

🦠We call a lot of things “sepsis”

🚨In our new @AnnalsofIM study, we examine how broad this grab bag really is

⚠️Among ~75,000 patients with sepsis, we found a remarkably wide spectrum of presentations & outcomes across infection source & organ dysfunction patterns

Thread ⬇️

[Marvin J. Bittner MD @MarvinBittner]

Low-burden, sustainable QI intervention: Legionella pneumophila urine antigen testing in community-acquired pneumonia: a quality improvement initiative in diagnostic stewardship https://t.co/4AgxcdmVHs @Creighton_ID @IdNebraska @IMCreighton #IDTwitter #MedTwitter @drfaranahmad

[Marvin J. Bittner MD @MarvinBittner]

@drfaranahmad Fascinating that the closest specialty to infectious diseases (~37% burnout, ~44% professional fulfillment) was . . . surgery!

[Marvin J. Bittner MD @MarvinBittner]

@Creighton_ID Will this change practice . . . And increase the use of TMP/SMX in skin/soft tissue infections/cellulitis?

[ASHE Journal @ASHE_Journal]

We show that by BMD, TMP/SMX has high rates of susceptibility to β-hemolytic Streptococcus demonstrating its ability for monotherapy against both S. aureus and β-hemolytic Streptococcus spp. 💊https://t.co/1U8nAoHQcf

[Marvin J. Bittner MD @MarvinBittner]

@EileenBarrettNM @emily_fri Eileen, would ACP consider using its influence with JCAHO to make poor usability of electronic health records a criterion for non-accreditation? To have unannounced inspections that would treat non-working computers as much of a negative as a stool-covered patient?

[Prof. Jose-Luis Jimenez @jljcolorado]

1/ What were the historical reasons for the resistance to recognizing airborne transmission during the COVID-19 pandemic?

Our peer-reviewed open-access paper is now published:

https://t.co/2SuvreBOxK

[Renuga Vivekanandan, MD, MBA @RVivekanandanMD]

👇🏾

[Jorge Luis Salinas @jlsalinas7]

Who is writing a paper/ book on infection control issues related to animals in hospitals?

[Marvin J. Bittner MD @MarvinBittner]

Special thanks to Marin Schweizer (from the 16th author on the paper)

[Marin Schweizer @mssa_marin]

Proud to disseminate these results. Implemented nasal decolonization, CHG bathing & optimal prophylaxis b4 TJA and cardiac surgery at 11 hospitals in real world setting. Results very similar to STOP SSI. Such a great team to work with! https://t.co/ia0DRspQRg

[Marvin J. Bittner MD @MarvinBittner]

Contrasting views of abilities that develop with effort and deliberate practice (growth mindsets) vs abilities that are immutable from birth. Education enhanced by Growth Mindsets in Surgical (and likely other) Training https://t.co/2Kae9kGamK

[Marvin J. Bittner MD @MarvinBittner]

Multidisciplinary perspective (ID specialists need to be more than "antibiotic sommeliers") on Evaluation and Management of Diabetes-related Foot Infections https://t.co/GzOwipUrVX

[Micah Beachy @mbeachy16]

Great to be with @MarvinBittner @DrStephHartman @NatGallettMD @laureneppnelson @SpencerCutrow on behalf of the NE chapter to advocate for our patients.

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

Wow., it's published! @BradSpellberg et al @CMIJournal
🔥Choosing Patients Over Placebos: Oral Transitional Therapy vs. IV-Only Therapy for Bacteremia and Infective Endocarditis🔥 #IDTwitter
https://t.co/JSYPYnK64E

[Dr. Tom Frieden @DrTomFrieden]

Masks have been an effective tool throughout the Covid pandemic, despite erroneous claims to the contrary. 1/thread

[Open Forum Infectious Diseases @OFIDJournal]

Short antibiotic treatment duration for osteomyelitis complicating pressure ulcers: a quasi-experimental study

✅ Just Accepted
🔓 Open Access
🔗 https://t.co/w0qQXoZyqn

[Eric Topol @EricTopol]

Ignominy.
From https://t.co/JzZFPPUbwp

[Marvin J. Bittner MD @MarvinBittner]

@ID_Doc_Quimby Lots of bad vibes from that

[Marvin J. Bittner MD @MarvinBittner]

Is VA medicine better care? In contrast to retail pharmacies, there was not much increase in Dispensing of Ivermectin From Veterans Administration Pharmacies During the COVID-19 Pandemic https://t.co/HWGOKpTGZf via @JAMANetworkOpen part of @JAMANetwork

[Marvin J. Bittner MD @MarvinBittner]

The Importance of Shifting Sepsis Quality Measures From Processes to Outcomes https://t.co/1SaPemJkag via @JAMA_current part of @JAMANetwork