Sirisha Kundrapu

MD MS| Director of Blood Banking-Transfusion Medicine| @CWRU @MetrohealthCLE| Opinions my own

[Sirisha Kundrapu @skundrap]

@ I just signed up for Activities, Classes and Programs at City of Solon https://t.co/6X1dAGMvMq

[Venkata Sunkesula @vsck123]

Abx didnt reduce LOS-uncomplicated diverticulitis double blinded randomized trial. However,30d readmission was higher in placebo group 10/94 11% vs 5/84 6%. Do you use abx in ur practice?
@CPSolvers @sargsyanz @stevenbollipo @drdalbir

https://t.co/GkhzZkqO6G

[Venkata Sunkesula @vsck123]

Covid Morality risk calculator: Estimating excess 1-year mortality associated with the COVID-19 pandemic according to underlying conditions and age: a population-based cohort study - The Lancet https://t.co/7b9MVC32XH

[Venkata Sunkesula @vsck123]

Interesting study: The impact of COVID pandemic on GI bleed in NYC.
1. Overall, increased LOS & transfusions - mostly due to decreased EGDs/high threshold for an EGD
2. Decrease in white pateint admsn & NSAID use
@stevenbollipo @drdalbir
https://t.co/aYkFFS9RXW

[Venkata Sunkesula @vsck123]

@IBD_FloMD 1. Prospective observational study of 79 IBD pts. 85% live in north Italy - IBD pts not at higher risk to covid c/to gen pop
2. immunosuppresive Rx is not a/w negative covid outcomes
3. Severe IBD flare a/w worse outcomes. Cont maintanence rx to prevent flares & hospitalizations

[Venkata Sunkesula @vsck123]

Italian IBD study concluded - pts on biologics are not at higher risk to contract COVID, and recommends to continue to prevent flares and hospitalizations. https://t.co/y0mdR6B10I

[Sirisha Kundrapu @skundrap]

Very cool. Thanks

[Venkata Sunkesula @vsck123]

At our facility, it takes 3 hours. However, at a different hospital, which is only 3 miles away, it takes 24 hrs. Some hospitals may batch them once daily, leading to delays. Testing needs to be standardized.

[Venkata Sunkesula @vsck123]

1. If we don’t mass test HCWs - we may unknowingly transmit infection (~ incubation 14d) not only to the sick but to our colleagues which further worsen HCW shortage. The vicious cycle could be terminated by mass testing beginning with HCWs @CarlosdelRio7 @eliowa @drsanjaygupta

[Venkata Sunkesula @vsck123]

“If the White House ran a press conference at the same time as Cuomo, more people would tune to Cuomo right now” https://t.co/vT9LZhwKUb

[Dr. Sanjay Gupta @drsanjaygupta]

The @cdc now recommends people wear cloth (non-medical) face masks when out in public. It is a voluntary recommendation to reduce the spread of the virus.

[Brennan Spiegel, MD, MSHS @BrennanSpiegel]

Does #COVID19 pass in stool? This question remains vital yet elusive. In this outstanding Tweetorial, @Suzanne_Devkota, a microbiome expert, analyzes new @nature study indicating C19 is not alive in stool. "Cannot conclude from this," she says, "that stool is not infectious."

[Venkata Sunkesula @vsck123]

Samples tested in India are bare minimal - this is SCARY. We have 1.4bn population & we need MORE TESTING KITS. @narendramodi @JP_LOKSATTA @SrBachchan @PawanKalyan
we do not have the hospital facilities/ventilators. Testing and quarantine is the only option

[Venkata Sunkesula @vsck123]

More New deaths in the US & UK, but the numbers pleateau in Spain and Italy @FT

[Venkata Sunkesula @vsck123]

with no cultures from the stool viruses - can we conclude that oro-fecal transmission is very low. Understand we need more data. Thanks