

Tom Hellyer
980 posts

@hellyerthomas
Clinical academic critical care medicine. Antibiotic stewardship in critically ill patients. Clinical deputy director Newcastle CTU. @SHORTERtrial @RiscSepsis










🆕🔥Multicenter OL RCT @CMIJournal Compared with the GOLD strategy, PCT-guided antibiotic therapy significantly 🔽 the rate of antibiotic prescription for patients with AECOPD, without negatively affecting the treatment success rate #idxposts clinicalmicrobiologyandinfection.com/article/S1198-…



We submitted a manuscript on 17 Jul. 4 months later, only message from journal was to say the original editor now unavailable & they are seeking a new one. We’ve chased twice & been told manuscript remains “under review”. At what point do we withdraw & submit elsewhere?

Original Article: Antibiotic Treatment for 7 versus 14 Days in Patients with Bloodstream Infections (BALANCE) nej.md/3Z5bTJD #CCCF2024 | @CCCForum



This has been our practice for several years now, good to see it confirmed in a trial. Question is, do we need 7 days? Next trial I would like is either a fair bit shorter or adaptive depending on patient condition (and if we could speed up blood culture- pathogen clearance)

I’m at an NIHR Senior Investigators meeting where Patrick Chinnery presented on an academic clinical careers and a forthcoming report. Looks v promising from his short presentation.




Challenging dogma if evidence non‑existent, weak, outdated part II 💊give a week’s course of ABT 🍬standardized management for DKA 🫀icarbonate improves contractility in severe acidosis ⚗️hypophosphatemia needs correction 🔓rdcu.be/dVaRu Part I 🔓rdcu.be/dVaUx






19 sites open and 168 patients have had the opportunity to participate in research! Wow! Incredible work by all the @SHORTERtrial sites. Keep up the good work. More sites to open soon. 🎯👏👏👏 @NIHRresearch @NclCTU @UniofNewcastle @hellyerthomas