Providence OR ID/Antimicrobial Stewardship Program

64 posts

Providence OR ID/Antimicrobial Stewardship Program

@ProvOregonIDASP

Infectious Diseases/Antimicrobial Stewardship pharmacists and providers from Portland OR. Views are our own and do not represent those of our organization.

Portland, OR Se unió Nisan 2022

80 Siguiendo123 Seguidores

Providence OR ID/Antimicrobial Stewardship Program retuiteado

Emily Fox@FoxEPharmD·9 Kas

Calling all PGY1s interested in infectious diseases🚨🦠We are recruiting for our next ID PGY2 resident at @ProvOregonIDASP in Portland, OR🌲⛰️ Schedule a 30-min virtual session at the link below or meet with us at PPS for more info 👇🏼 gme.providence.org/pharmacy-resid…

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Providence OR ID/Antimicrobial Stewardship Program retuiteado

WikiGuidelines@Wiki_Guidelines·16 Mar

📢 📢📢 We are delighted to announce that we have begun to assemble a team for UTI WikiGuideline. Join us to create guidelines with the humility of uncertainty. Use the link below to begin the process by April 9, 2023 forms.office.com/r/Tyb8R0iM8X #MedTwitter #IDTwitter

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Providence OR ID/Antimicrobial Stewardship Program@ProvOregonIDASP·25 Şub

@DrToddLee @GermHunterMD @drtimothyli Agree. A lot of ASPs are doing meropenem stewardship by changing people to ertapenem. Not sure they’re equivalent.

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Todd C. Lee@DrToddLee·25 Şub

@GermHunterMD @drtimothyli Even if you accept mero is better than pip tazo for esbl bacteremia (I don't) -- what says that extends to ertapenem with it's different PK and higher MICs?

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Timothy Li@drtimothyli·24 Şub

#IDtwitter Bloodstream infection due to ESBL-producing Enterobacterales, susceptible to ertapenem No oral option available Clinically improving on meropenem Do you switch to ertapenem for completion of treatment?

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Providence OR ID/Antimicrobial Stewardship Program@ProvOregonIDASP·23 Şub

@BradSpellberg @mmPharmD @zacroBID @Wiki_Guidelines @ABsteward

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Brad Spellberg@BradSpellberg·23 Şub

@mmPharmD @zacroBID @Wiki_Guidelines @ABsteward No idea. And not sure why that matters?

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Snacks, PharmD, MPH@zacroBID·23 Şub

Hoping to do some crowd sourcing on interest on developing a new @Wiki_Guidelines for urinary tract infections!! It has been over a decade since IDSA released “uncomplicated” cystitis/pyelo and catheter-associated guidelines! @ABsteward @BradSpellberg #IDTwitter

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Providence OR ID/Antimicrobial Stewardship Program@ProvOregonIDASP·16 Şub

@IdVilchez @BradSpellberg @DrToddLee @ABsteward Yes S to all the usual agents. We generally have highly S Acinetobacter (thankfully). tmp/smx and minocycline sensi is pending, so it may turn out to be not quite everything else.

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Gabe 🦊@IdVilchez·16 Şub

@ProvOregonIDASP @BradSpellberg @DrToddLee @ABsteward everything else? I am going to let the worst of me take over and to disappoint @BradSpellberg but unless is susceptible to TMP-SMX would treat with ampicillin sulbactam and meropenem, not sure for how long, I am to afraid of acinetobacter. PO TMP-SMX/Levo +rifabutin as PO tx

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Providence OR ID/Antimicrobial Stewardship Program@ProvOregonIDASP·16 Şub

#IDTwitter How would you treat A. baumannii native valve IE? I to CIP, sensitive to all other abx. Amp/sul alone? Combination? If so, what combo? @BradSpellberg @DrToddLee @ABsteward @IdVilchez

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Providence OR ID/Antimicrobial Stewardship Program retuiteado

JAC-AMR@jac_amr·7 Şub

The authors estimate the pricing required for fidaxomicin to be cost saving through preventing recurrence at $1140 USD and $860 CAD, respectively doi.org/10.1093/jacamr… @DrToddLee @ASPphysician @DrEmilyMcD @BrentFooter @AntibioticDoc @BradSpellberg #JACAMRNews

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Providence OR ID/Antimicrobial Stewardship Program@ProvOregonIDASP·2 Şub

Stumbled across this ID consult note gem, " pt able to follow and contribute to our conversation in-between a classic @SouthPark episode on TV." #IDTwitter - what "classic" episode was on? #CasaBonita #ScottTenormanMustDie #MakeLoveNotWarcraft

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Providence OR ID/Antimicrobial Stewardship Program@ProvOregonIDASP·13 Oca

Celebration Friday continues! Another great article. This time with a contribution from @BrentFooter. Amazing job all! #IDTwitter #TwitteRx #MedTwitter

Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟@ABsteward

🔥Ohh Finally @DrToddLee 🔥 With the 🌟 @DrEmilyMcD 🆕️⚡️ @jac_amr @davidvanduin Fidaxomicin to prevent recurrent Clostridioides difficile: what will it cost in the USA and Canada? #IDTwitter academic.oup.com/jacamr/article…

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Providence OR ID/Antimicrobial Stewardship Program@ProvOregonIDASP·13 Oca

Never too late to celebrate! Fantastic article w/a contribution from our very own @drummond_wendi. #IDTwitter #MedTwitter #TwitteRx

Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟@ABsteward

🆕️⚡️⚡️Narrative Review @InfectDis_Ther @johnsontannerm Contemporary Pharmacotherapies for Nontuberculosis Mycobacterial Infections(NTM) Non-stop ID learning process, Follow @ABsteward A shameless self-promotion #IDTwitter link.springer.com/article/10.100…

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Providence OR ID/Antimicrobial Stewardship Program@ProvOregonIDASP·5 Oca

Our ID Pharmacy team is 👀for an ID pharmacist to join our awesome ID Rph and docs. providence.jobs/portland-or/cl… DM w/ questions #IDTwitter #TwitteRX

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Providence OR ID/Antimicrobial Stewardship Program@ProvOregonIDASP·12 Ara

Our ID Pharmacy PGY2 is having two open houses on 12/13 and 12/15. Sign up below for a 15 minute time slot or reach out to our RPD @BrentFooter #IDtwitter #TwitteRx signupgenius.com/go/10c0c4dacae…

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Providence OR ID/Antimicrobial Stewardship Program@ProvOregonIDASP·10 Ara

Our ID Pharmacy PGY2 is having two open houses on 12/13 and 12/15. Sign up below for a 15 minute time slot or reach out to our RPD @BrentFooter. signupgenius.com/go/10c0c4dacae… #IDTwitter #TwitteRx

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Providence OR ID/Antimicrobial Stewardship Program@ProvOregonIDASP·30 Kas

@wfwrighID @OncIDPharmd @ABsteward @ErinMcCreary @IdVilchez @coltont00 Thanks. Hadn’t seen this yet.

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Providence OR ID/Antimicrobial Stewardship Program@ProvOregonIDASP·30 Kas

#IDTwitter KPC via Cepheid with Ertapenem S (< 0.5) and Meropenem R (>16), Imipenem R (8) tested on Vitek. We see this phenotype has been reported but not clear on mechanism. Any thoughts? @OncIDPharmd @wfwrighID @ErinMcCreary @ABsteward @IdVilchez @coltont00

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Providence OR ID/Antimicrobial Stewardship Program@ProvOregonIDASP·30 Kas

@OncIDPharmd @ABsteward @wfwrighID @ErinMcCreary @IdVilchez @coltont00 First one we’ve seen. Carbapenamases extremely rare in OR. N=9 for the entire state ytd.

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Providence OR ID/Antimicrobial Stewardship Program@ProvOregonIDASP·30 Kas

@ABsteward @OncIDPharmd @wfwrighID @ErinMcCreary @IdVilchez @coltont00 We found similar. Erta S on E test and S to Mero on disk diffusion

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Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟@ABsteward·30 Kas

@ProvOregonIDASP @OncIDPharmd @wfwrighID @ErinMcCreary @IdVilchez @coltont00 But is it possible that KP isolate 3 with KPC but Vitek 2 R to IMI & MER but S to Erta In disk diffusion and E-test showed S to all carbapenems But if it's KPC it's R to carbapenems regardless of MIC , Right? #IDTwitter

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Providence OR ID/Antimicrobial Stewardship Program retuiteado

WikiGuidelines@Wiki_Guidelines·18 Kas

Speaking of updating WikiGuidelines in real-time, we are grateful to have @ABsteward to keep us informed on the latest publications.

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Providence OR ID/Antimicrobial Stewardship Program@ProvOregonIDASP·17 Kas

@ABsteward @ProvPPMC_RxRes @FoxEPharmD bmcinfectdis.biomedcentral.com/articles/10.11…

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Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟@ABsteward·17 Kas

@ProvOregonIDASP @ProvPPMC_RxRes @FoxEPharmD Thanks for sharing, link please

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Providence OR ID/Antimicrobial Stewardship Program@ProvOregonIDASP·17 Kas

Awesome publication from former @ProvPPMC_RxRes PGY1 resident and budding ID superstar @FoxEPharmD. Love to see former residents doing great work. #IDTwitter #TwitteRx @ABsteward

Will A@Willeeuhmm

Great work, @FoxEPharmD! “Patients with severe neutropenia, 4 out of 4 positive index blood culture bottles, and lack of source control were more likely to develop persistent VRE bacteremia despite directed antibiotic treatment.” @StanfordASP @Stanford_ID @MDAndersonNews

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@DrToddLee @drtimothyli @BradSpellberg @mmPharmD @zacroBID @Wiki_Guidelines @ABsteward @IdVilchez