Nate Shively

ID doc at @AHNtoday. Med. Director, ASP at Allegheny Valley. Husband and father of 3. Prefers being outdoors. Used to be a good bowler. Opinions my own.

[Nate Shively @NateShivelyMD]

What's the best model for TeleASP?

@zkePharmD and I tried to tackle that and much more in a giant review in @IDClinics.

Check it out: https://t.co/NiM8v7nXJe

#IDTwitter

[AHN Infectious Disease/Critical Care Medicine @AHNidccm]

Check out our ASP Team’s latest newsletter!

💊🦠🆔 #idccm #IDCCM #InfectiousDisease #CriticalCareMedicine #ASP #AntimicrobialStewardship #IDforMe

[Nate Shively @NateShivelyMD]

Great summary from Dr. Chanu Rhee on limitations of SEP-1.

Makes us check more lactates and give more broad antibiotics without improving mortality.

Mortality benefit of early abx for septic shock, SEP-1 applies urgency to lower-risk patients who don't benefit.

#IDweek2025

[AHN Infectious Disease/Critical Care Medicine @AHNidccm]

Check out our ASP Team’s latest newsletter!
AHN Surgical Prophylaxis Guidelines

💊🦠🆔 #idccm #IDCCM #InfectiousDisease #CriticalCareMedicine #ASP #AntimicrobialStewardship #IDforMe

[Jake Scott, MD @jakescottMD]

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. 🧵

[AHN Infectious Disease/Critical Care Medicine @AHNidccm]

Check out our ASP Team’s latest newsletter!
HIV Post-Exposure Prophylaxis

💊🦠🆔 #idccm #IDCCM #InfectiousDisease #CriticalCareMedicine #ASP #AntimicrobialStewardship #IDforMe

[AHN Infectious Disease/Critical Care Medicine @AHNidccm]

Check out our ASP Team’s latest newsletter!

💊🦠🆔 #idccm #IDCCM #InfectiousDisease #CriticalCareMedicine #ASP #AntimicrobialStewardship #IDforMe

[AHN Infectious Disease/Critical Care Medicine @AHNidccm]

Check out our ASP Team’s latest newsletter!

💊🦠🆔 #idccm #IDCCM #InfectiousDisease #CriticalCareMedicine #ASP #AntimicrobialStewardship #IDforMe

[AHN Infectious Disease/Critical Care Medicine @AHNidccm]

❄️Happy Holidays! ❄️

Check out our ASP Team’s latest newsletter!

💊🦠🆔 #idccm #IDCCM #InfectiousDisease #CriticalCareMedicine #ASP #AntimicrobialStewardship #IDforMe

[Brad Spellberg @BradSpellberg]

@Absteward has reported that BALANCE is now published, so the Table is now updated! GNB bacteremia is now listed as Bacteremia (non S. aureus). Neary 5,000 patients have now been randomized to 1 vs. 2 Constantine Units for non S. aureus bacteremia.
https://t.co/1oaAT6Cybb

[AHN Infectious Disease/Critical Care Medicine @AHNidccm]

Happy ASP Week!

Check out our ASP Team’s latest newsletter!

💊🦠🆔 #idccm #IDCCM #InfectiousDisease #CriticalCareMedicine #ASP #AntimicrobialStewardship #IDforMe

[Julie Ann Justo @julie_justo]

🚨Wow. Big news. First oral carbapenem, sulopenem (plus probenecid), just approved by the FDA for uUTI. 💊

Bring out the popcorn 🍿 This is gonna be interesting…. #IDtwitter @SIDPharm @accpinfdprn @IDSAInfo

https://t.co/TVoUYylU0T

[AHN Infectious Disease/Critical Care Medicine @AHNidccm]

Check out our ASP Team’s latest newsletter!

💊🦠🆔 #idccm #IDCCM #ASP #AntimicrobialStewardship #IDforMe

[AHN Infectious Disease/Critical Care Medicine @AHNidccm]

Check out our ASP Team’s latest newsletter!

💊🦠🆔 #idccm #IDCCM #ASP #AntimicrobialStewardship #IDforMe

[Brad Spellberg @BradSpellberg]

3 daily rants in one week? A new record!

It's a fair question. And the answer is, no. Even in immune suppressed patients there is no evidence that cidal vs. static means anything. Why?

[AHN Infectious Disease/Critical Care Medicine @AHNidccm]

Check out our ASP Team’s latest newsletter!

💊🦠🆔 #idccm #IDCCM #ASP #AntimicrobialStewardship #IDforMe

[Kevin Schwartz @DrKevinSchwartz]

Mailed feedback to primary care physicians on antibiotic prescribing for patients aged 65 years and older: pragmatic, factorial randomised controlled trial https://t.co/qsnKNxp6Yl

[Nate Shively @NateShivelyMD]

@BradSpellberg Well said 👏

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

🔥DOTS🔥
The most anticipated RCT #ESCMIDGLOBAL2024 Dalbavancin is non-inferior to SOC by clinical efficacy for complicated SAB incl Rt sided IE
2 doses Dalba 1500 mg on days 1 & 8 or 4-8 wks of SOC(cefaz or naf:MSSA;vanc or dapto:MRSA)
DOOR at D70
Slides shared by @LordAlirezaF

[Nate Shively @NateShivelyMD]

Seeing a lot of procalcitonin hate.

26+ RCTs is not weak evidence, folks. Just make sure you have a good stewardship program if you want procalcitonin to work to reduce unnecessary antibiotic use.

https://t.co/lUQICPEp6d

[Valerie Vaughn @ValerieVaughnMD]

This is BIG! @ESCMID emergency department abx #stewardship guidelines will be recommending procalcitonin to guide initiation (vs withholding) of antibiotics in patients with LRTI! 🔥🔥🔥#ESCMIDGlobal2024

[Brad Spellberg @BradSpellberg]

Digging through old files for data, I ran across this talk, developed in 2005. Yes, I actually gave this talk on several occasions staring in '06. For those who have wondered, yes, I've always been like this--it's congenital, not acquired, dementia with psychotic features.