Nicole Poole, MD, MPH

📈 Result: nearly 20% of all practitioners in Colorado are now using stewardship guidance. Congratulations to Joana Dimo and team on their incredible work and #IDWeek2024 poster. Learn more: firstline.org/colorado/ cc @biehle88

Register for the annual ID Conference. October 30 in person or virtual! High yield ID topics for outpatient pediatricians, hospitalists, ED or UC clinicians, MD/DO/APPs. @COpedsID @ChildrensColo #tweetiatrician @AAPColorado @aap_hpeds Register here #group-tabs-node-course-default7" target="_blank" rel="nofollow noopener">ce.childrenscolorado.org/content/26th-a…

Our own @COpedsID fellow Dr. Dimo shows that “EHR Prompt Helped Cut Acute Otitis Media Antibiotic Use by Half” in the ED/UC check it out! mdedge.com/pediatrics/art… @IDSAInfo @ChildrensCO_Pro @COPedsHandshake @CUEmergency

Our work with @PIDSociety fellow awardee Dr. Joana Dimo cut unnecessary antibiotic exposure in HALF with a cost-effective change in the EHR to decrease durations of therapy for ear infections. Shorter is better! Give me 5 Days! @MDedgePediatric @COpedsID @HandshakeASP #Giveme5 #IDtwitter #IDWeek2024 mdedge.com/pediatrics/art…

Register now! 26th annual Pediatric ID Conference at @ChildrensColo Who? You! Peds, fam med, UC/ED, hosp med #tweetiatricians Where? In-person at CHCO or virtual When? Oct 30 Why? Updates from @COpedsID faculty: 💉 Vaccine Hesitancy 💊 HIV: prevention and breastfeeding 🗣️ Communicating about abx 🫁 Mycoplasma pna 🌍 Care for new arrivals 💧 UTI management 🔴 RedBook update! Click below to register! ce.childrenscolorado.org/content/26th-a…

Check out our newest review by Dr. Dimo on short durations of abx for AOM - less is more! #IDtwitter #Pediatric #ASP #tweetitrician @COPedsHandshake @COpedsID link.springer.com/epdf/10.1007/s…

Shifting gears, @KidDocNic will give us some ideas about how we can work together to decrease / resist pressures to prescribe antibiotics. #VailPedsID2024

We're back for another great day at #VailPedsID2024. @AbxAware from @EmoryPediatrics following up on yesterday's climate change and health presentation to talk more about solutions for sustainability in health care.

🚫💉 Reducing unnecessary labs for hospitalized kids could lead to better outcomes and efficiency. #HighValueCare 🔗: …mpublications.onlinelibrary.wiley.com/doi/10.1002/jh… ✍️: @meganecollinsmd, @jmarks614, @stats_hall, @SamirShahMD, @MMolloyMD, @jillianmcotter, @TchouMd, @elisha_mccoy

1/9 Really nice article by Daniel Merenstein, Bruce Barrett, and @markebell confirming that antibiotics do not help for acute bronchitis/LRTI. link.springer.com/article/10.100…

@AllisonBartlet1 Love this so much! What a great idea

Major FOMO! This is awesome!

A few Q&As 🙋🏻‍♀️ with ⁦@GoHealio⁩ on our new article in ⁦@jpidsociety⁩ on how shorter is better for common infections 🦠 in children (GAS, sinusitis, AOM) #ASP #pediatrics #tweetiatrician #peds ⁦@RanaRanaf⁩ ⁦@ChildrensColo⁩ healio.com/news/pediatric…

The case for 5 days duration as default for antibiotics for common respiratory illnesses in kids. #IDtwitter #ASP #tweetitrician @jpidsociety @RanaRanaf @COPedsHandshake academic.oup.com/jpids/advance-…

@RachelWattier @JulianMaamari academic.oup.com/jpids/advance-…

@JulianMaamari I’m pretty sure @KidDocNic would have a great explanation of why it doesn’t make sense. The historic rationale is rheumatic fever prevention but in areas of low RF endemicity the NNT is enormous, and even then the evidence favoring 10d is weak.

Can someone explain how it makes sense to treat CAP with 3 days of antibiotics but still give 10 days for a pharyngitis?...

@mattkolleck1 @JulianMaamari Post strep GN unfortunately not impacted by abx use- but long durations have been pushed to prevent ARF from very old studies. Good review posted here from Dr Radetsky outlining this history of durations.

@JulianMaamari Yes. The issue is not the pharyngitis but rather the prevention of post strep GN.

@apsmunro @JulianMaamari @mattkolleck1 Yes eradication is what we anchor on for the 10d duration recs (sentinel study in 1950s) - but current evidence doesn’t support this rationale. Full 10d pcn courses still have 10% cx+ rates and higher if PCR. And there is no solid science that we need to eradicate to prevent ARF.

@JulianMaamari @mattkolleck1 The duration is all about strep eradication - not treating symptomatic pharyngitis Higher rates of failure with shorter courses The question is of course what you are aiming for!

@realandyrosser @RachelWattier @JulianMaamari Yes thank you for posting this article! My inspo for the IDWeek talk and upcoming review! Fantastic article ahead of its time from Dr. Radetsky

@RachelWattier @JulianMaamari @KidDocNic pubmed.ncbi.nlm.nih.gov/28030530/

@RachelWattier @JulianMaamari I will soon have an ahead-of-pub link I can add to this reply outlining my case (and that of much of the world) for shorter! 👀 stay tuned!

Amoxicillin shortages hit some pediatric outpatient institutions harder than others. Abx rx for respiratory illnesses are going up! Check out our brief from the #SHARPS_OP Collab @RanaRanaf @AJICJournal #IDtwitter #stewie sciencedirect.com/science/articl…