John Weis, DO

PGY-4 ID Fellow USF | Riverside Methodist Hospital IM | OU-HCOM Graduate | #IDTwitter *Tweets/Likes/RT’s are my own views*

[Eric Topol @EricTopol]

Yet another study shows a 24% reduced risk of dementia after the Shingles vaccine. This one in over 500,000 participants with a recent skilled nursing facility stay, adding to 4 huge natural experiments in 4 countries (US, Canada, Wales, and Australia)
https://t.co/TmYqwTB7IT @AnnalsofIM

[Outbreak Updates @outbreakupdates]

Hantavirus update

The effective transmission opportunity onboard may have been substantially higher than classic Andes outbreak assumptions predict.

[Josh Funk @Funkwrite]

Doctor on ship who helped care for passengers with hantavirus leaves medical isolation unit at @unmc Now he’s in quarantine with the other American passengers
https://t.co/2OaajAnxL8

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

📍HECK-YES
Enterobacterales w mod/high risk for clinically significant AmpC production due to an inducible ampC gene:
🔺Hafnia alvei
🔺Enterobacter cloacae
🔺Citrobacter freundii
🔺Klebsiella aerogenes
🔺YErSinia enterocolitica #idxposts

[World Health Organization (WHO) @WHO]

#Hantavirus cluster linked to cruise ship travel: 
Since 1 April when the boat set sail, of the 147 passengers and crew, 7 people have become ill, among whom 3 have died, 1 is critically ill and 3 are reporting mild symptoms.

Based on the current information, including how hantavirus spreads, WHO assesses the risk to the global population from this event as low.
We are working closely with health authorities from the countries involved and the ship's operators to ensure passengers and crew get the information and support they need.

WHO will continue to monitor the situation and update the risk assessment as more information becomes available.

More information https://t.co/4945xmA0IX

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

The study found that 98% of the 191 patients with a previously documented penicillin allergy tolerated one or more doses of piperacillin–tazobactam, demonstrating a low risk of cross-reactivity.
Furthermore, majority of patients tolerated one or more doses of piperacillin–tazobactam across all risk stratification groups, including those in the “high risk anaphylactic group.

[JAMA Internal Medicine @JAMAInternalMed]

In US nursing homes, initiating oseltamivir chemoprophylaxis for ≥70% of residents within 2 days of influenza outbreak detection reduced 14-day hospitalization risk without affecting mortality.

https://t.co/GZ2QC1G8AO

[Heritage College @OUHCOM]

#TBT to an amazing Match Day last Friday! Preliminary numbers show 98% of the Class of 2026 matched! Of those, 66% stay in Ohio, 50% entered primary care and 36% will practice primary care within Ohio. Read more: https://t.co/pH2NsGYALG

#OUHCOM50 #ForeverForward #OUHCOMmatch

[John Weis, DO @weis23_]

@ColeJWhite Thank you @ColeJWhite !

[John Weis, DO @weis23_]

Very excited to publish a case on acute schistosomiasis in a traveler returning from the Caribbean!

https://t.co/dEg6ShUaVk

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

🔥Just published 🔥
TAPER-V RCT
Initial Vancomycin Taper for the Prevention of Recurrent Clostridioides difficile Infection
In this randomized clinical trial of 256, a 4-week vancomycin pulse and taper regimen *had a probability of 74% to be superior to astandard 2-week pulse regimen in patients a first episode or first recurrence of CDI
*All patients received 14d pulse of vanco (standardized at 125 mg orally 4 times a day at the time of recruitment) →taper (125 mg q12h ×7d,then 125mg q24h ×7d) vs placebo for management of CDI (first episode or recurrence).
Vanco for 10d is obsolete! #IDXposts
https://t.co/8ChVE5sLb2

[Outbreak Updates @outbreakupdates]

55K pounds of frozen blueberries recalled as FDA warns of life-threatening listeria risk

[Infectious Disease Physicians @IDPhysicians]

If you bought Wellesley Farms Atlantic Salmon, check your freezer ASAP. BJ’s issued a recall due to listeria contamination. https://t.co/xUjOcaGN9Y

[JAMA Internal Medicine @JAMAInternalMed]

This case report describes a woman in her 60s with sequential type I Kounis syndrome and cholecystocardial syndrome, leading to dynamic, reversible electrocardiography changes mimicking acute coronary syndrome.

https://t.co/aXSlsdTcsI

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

🔥Just published 🔥
ESCMID Clinical Guidelines on the Evaluation and Management of a Reported Antibiotic Allergy #IDXposts
https://t.co/E1JJoaNIvu

[1-min ID consult @1min_IDconsult]

【Staphylococcus lugdunensis】
Let's review the 5 key characteristics of S. lugdunensis that can lead to virulent infections!

Level: Intermediate

#IDMedEd #IDFellow #IMResident #MedStudent

[NEJM @NEJM]

A 49-year-old man with acute myeloid leukemia who had been admitted to the hospital for induction chemotherapy was evaluated for prolonged neutropenic fever. On physical examination, crackles were identified at the lung bases. Computed tomography of the chest is shown. Empiric treatment with amphotericin B was started. After 2 weeks of treatment, repeat CT of the chest is shown. Submit your answer or see how others responded: https://t.co/15xUmtAtaW

[KASIC.MDRO @KASIC_MDRO]

A patient is on empiric piperacillin-tazobactam and found to have MSSA bacteremia. Is de-escalating piperacillin-tazobactam to cefazolin urgent ⌛️?

[OhioHealth @OhioHealth]

All OhioHealth urgent care locations are closed for Sunday, January 25. Additional service cancellations and closures for Monday, January 26 will be communicated here: https://t.co/SRyykLaP3r.

[10TV @10TV]

The reclassification is tied to the detection of Listeria monocytogenes, a bacteria that can cause severe illness. https://t.co/IU5q1bBBHk