Joseph Torrisi

@t11bmartin @elipwilber @JoeTPharmD @AdvaniShreena: The impact of implementation of rapid blood culture identification panels on #antimicrobial optimization: a retrospective cohort study bit.ly/3xDkOa2

@EmoryMedicine @emoryimchiefs @EmoryDeptofMed @EmoryatGrady #EmoryMatchDay #Match2024 #Match24

@SheenaKandiah @IDstewardship @AdvaniShreena

@IDstewardship This is GOLD. @JoeTPharmD @AdvaniShreena - will make it the new asp mantra. Will add it to - you get what you get and don’t get upset.

Every breath you take And every move you make Every bond you break Every step you take I'll be watching you Every single day And every word you say Every game you play Every night you stay I'll be watching you #Pharmacistsbelike

@ASPGuruPharmD I’ve only done higher frequency erta in hypoalbuminemia

Is anyone doing this in practice?

@ASP_Chat @BRxAD @IDstewardship @SHEA_Epi @SIDPharm @KelliePharmD @dr_pbailey @PriyaNori What kind of days supply and/or follow up will be implemented for the patients? I’d rather not have doxy be used like a Z pack for “any cough”

🔥 Q2. ANRS IPERGAY Randomized Trial found doxycycline may have a role for post-exposure prophylaxis to prevent STIs. 🤔 What ponderings have you mulled on this topic? #ASPchat thelancet.com/journals/lanin…

@SheenaKandiah @ASP_Chat @BRxAD @IDstewardship @PriyaNori @SHEA_Epi @amylcarr @EB_Hirsch @mmPharmD @DrJRMarcelin @jpogue1 @lodise_tom In a time with so much GNR resistance and altered PK in the ICU - I think less guessing on if we’re therapeutic is better. #ASPchat

@ASP_Chat @BRxAD @IDstewardship @PriyaNori @SHEA_Epi @amylcarr @EB_Hirsch @mmPharmD @DrJRMarcelin @jpogue1 @lodise_tom what say you pharmacists - would having serum levels change your opinion? #aspchat

🔥 Q1. Recently the MERCY RCT reported no difference for intermittent vs continuous infusion meropenem for critically ill patients with MDR GNRs. Is this practice-changing for u? What’s ur current top reason to reach for a prolonged infusion? #ASPchat jamanetwork.com/journals/jama/…

@blandman19 @ASP_Chat @BRxAD @IDstewardship @PriyaNori @SHEA_Epi @amylcarr @EB_Hirsch @mmPharmD @DrJRMarcelin @jpogue1 @lodise_tom I can’t remember the baseline resistance here… wondering if even 2 g Q8 of the Mero would’ve made a difference and use of other abx prior to initiation of the meropenem

@ASP_Chat @BRxAD @IDstewardship @PriyaNori @SHEA_Epi @amylcarr @EB_Hirsch @mmPharmD @DrJRMarcelin @jpogue1 @lodise_tom Way too much meropenem resistance at baseline to make any meaningful conclusions. #aspchat

@ASP_Chat @CLSI_LabNews @IDstewardship @BRxAD @jpogue1 @ErinMcCreary @SIDPharm @SHEA_Epi @EB_Hirsch @BWDionne US Cast offers some great insight into the nitty gritty of the AG and Zosyn breakpoints and data that is out there for them! @jpogue1 #ASPchat Also realize breakpoint interpretation by both ID and non-ID providers is still a spot for education…

🔥 Q4: Recently @CLSI_LabNews made gent non-usable for Pseudomonas. What’s something you have 🧠 learned about breakpoints in the last year or two? #ASPchat 📄 clsi.org/all-free-resou… 🎙sidp.pinecast.co/episode/d6c8a8…

@IDstewardship @ASP_Chat @Sudamonas @BRxAD @SHEA_Epi @KelliePharmD @mmPharmD @dr_pbailey @blandman19 @GermHunterMD @julie_justo @JulieSzymczak Rolling out paxlovid in the hospital is a huge potential cost savings vs using rem pending the cost..

@ASP_Chat @Sudamonas @BRxAD @SHEA_Epi @KelliePharmD @mmPharmD @dr_pbailey @blandman19 @GermHunterMD @julie_justo @JulieSzymczak A5. Well, anything with remdesivir is worth considering as it is a major and overt pharmacy budget buster. I wonder how much commercially available Paxlovid will be whenever it comes out? 🤔 #ASPchat

🔥Q5. In the post-COVID world healthcare orgs are seeking to ⬇️ 💲 related to 🤒infections & 💊drug costs 🤷‍♂️ What are some important cost savings initiatives institutions should 🎯 in 2023-2024 for abx stewardship? #ASPchat 📄 academic.oup.com/ajhp/article-a… cc @Sudamonas

💥Critical Care Pharmacist job opening @GradyHealth - only Level 1 Trauma ➕Comprehensive Stroke Center ➕Burn Center in Atlanta, Georgia. Lots of growth in the upcoming years and an exciting opportunity for ICU pharmacists. Come join our team! 🏥 Contact TWALTON@gmh.edu for info

Happy July!! Our MICU team getting a well deserved break with our favorite pups @emoryimchiefs @EmoryCCC @EmoryDeptofMed

🆕 Episode of #Breakpoints! 🫁 Curious about controversies in the management of HAP/VAP? Let’s clear the air! Check out this infographic from @littlebugdrug and @moore_wjustin and listen along as Drs. @dblake096, @owenralb, and Ryan Rivosecchi join @ErinMcCreary to discuss!

🔥🔥Just published 🔥🔥 @iwgdf / @IDSAInfo 2023 Guidelines on the diagnosis and treatment of foot infection in persons with diabetes Check 🌟table 5🌟 similar to our OM @Wiki_Guidelines recomm #shorterisbetter theme is prevailing! #IDTwitter iwgdfguidelines.org/infection-guid… #IDTwitter

In update published today @US_FDA now warning doctors prescribing @AstraZeneca's Evusheld to inform patients of "increased risk for developing COVID-19 when exposed to variants of SARS-CoV-2 that are not neutralized" fda.gov/drugs/drug-saf…

Logging in to see the pt you de-esc’d to cefazolin yesterday is now on meropenem #IDTwitter

🆕⚡⚡ematic Review & Meta-Analysis @CIDJournal @DrToddLee 🌟s @BogochIsaac @DrEmilyMcD Revisiting the Evidence Base for Modern Day Practice of Treatment of Toxoplasmic Encephalitis TMP-SMX appears to be as effective & safer than pyrimethamine-containing academic.oup.com/cid/advance-ar…

We love a stoplight table! Check out this great summary made by @moore_wjustin of PsA resistance 🦠 to beta-lactams from the recent #Breakpoints discussion with @erinmccreary, @MaggieMonogue, and @aoliverp73. Then listen to the episode for all the details: sidp.pinecast.co

Beta-lactam antibiotic therapeutic drug monitoring in critically ill patients: a systematic review and meta-analysis et al. ✅ Just Accepted 🔗 bit.ly/3tYN02p

Happy #IDPharmacists Day! So grateful for the Atlanta ID Pharmacists fighting against antimicrobial resistance @JoeTPharmD @mpatel197272 @pharmertrinh @ViridansPharmD @Albrechtazole not pictured (@ASPGuruPharmD @summerasize @AdvaniShreena) #IDTwitter #RxTwitter @SIDPharm