ID:IOTS Podcast

Psst. Want to know everything you need to on Capnocytophagia?

Got 15 minutes?

Listen here.

Free pun included! It’s a regular ‘Cap Friday’ deal!

#idsky #microsky

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We don’t cover IPC, sorry.

Ask Infection Control Matters, those guys will know!

World Antimicrobial Awareness Week: AMR and Politics Podcast Episode · ID:IOTS - Infectious Disease Insight Of Two Specialists · 19/11/2025 · 42m

It’s World Antimicrobial Awareness Week! Did u know AMR might kill us all? @bsacandjac.bsky.social do: they partnered up with interested politicians to drive AMR up the UK's political agenda. How is what this episode is all about! Listen on!
#IDsky #microsky #amr

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I think we’re doing an episode on it?

Maybe. Callum and Alyssa tell me nothing!

Survey on Enterococcus BSI RCT design: an opportunity to give your thoughts!

BRITISH PEOPLE ONLY!!! (not sure why)

They invade hair and nail and skin
The diagnostics not so tough
And if the patient’s has enough
You can try some terbinafin(e)

So come on down and sub to pod
Give ID:IOTS a try tonight
And get an education
On managing Dermatophytes

#idsky #microsky #fungal #mould

123. Moulds: Dermatophytes Podcast Episode · ID:IOTS - Infectious Disease Insight Of Two Specialists · 03/11/2025 · 31m

It’s the end of Halloween
But for those who want more frights
Allow me to present this show
On the dermatophytes

#idsky #microsky #fungal #mould

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Ever the salesman

Epipocalypse, from the folks over at @pharmageddon.bsky.social , now on Kickstarter!!

Bit of Vitamin C’ll sort it out *

*or Vitamin A if you use Azithro as your main macrolide

I think in theory: Mouths are wet, and I think mouth to mouth on a patient with legionella is ill advised, to say the least. Not heard of it transmitted this way but haven’t looked.

I guess I’d try to get more information, seeing as the patient’s not sick:
1. Nature of penicillin allergy
2. Details of the other persons illness and death.

Assuming none of that is forthcoming, I’d go empirical for severe LRTI, and do resp viral testing.

Ceftriaxone/macrolide?

119. The Moulds: Aspergillus part 2, invasive and chronic disease Podcast Episode · ID:IOTS - Infectious Disease Insight Of Two Specialists · 08/09/2025 · 41m

A rare ‘Jame on an episode about fungi’ appearance this week, as we discuss Aspergillus diagnosis & treatment with Dr Iain Page & Prof Darius Armstrong-James.

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#idsky #microsky #fungisky #breakingthamould

The #BSMM annual meeting is next week in Norwich! Details here.

Our Master of Moulds Alyssa will be there too!

Tickets still available!

#idsky #microsky #fungi

It's finally happening

The first Girlymicrobiologist book is coming!

It Shouldn't Happen to a PhD Student: How to thrive, not just survive, during your PhD

This is the book I wish someone had given me when I started my PhD

Live to order (amazon depending) on 17/10/25

Pls share with yr networks

Ooh, that’s an interesting point. I’ve tried to move away from Broad and Narrow, but it’s so baked into our lexicon it’s difficult to avoid it completely.

Do you use other terms instead?

#idsky

I forgot to add hashtags. Oops.

A brilliant article on the real world impact of AMR. As time goes on I worry about this becoming a bigger part of ID clinical practice.

@kasic.bsky.social posts are a great place to start; I pointed ppl towards them when I was working in England and got great feedback; their influence spreads far beyond Kentucky! (They K stands for Kentucky they’re from Kentucky)

I guess I’ll stop here. I just wanted to add my thoughts to @kasic.bsky.social’s original post, and not just shitpost around it.

BTW if anyone’s after more stewardship resources…

UKHSA AWaRe classification of antibiotics

The ‘medium’ & ‘narrow’ columns I’ve got more of an issue with; I’d probably move Vanc & Clinda into ‘medium’; here I think I’m being partially influenced by the UK version of WHO’s AWaRe classification of ABx:

Why don’t you want to use Aztreonam unless you have to? Because we need to reserve it for Rx DTR Gm negs.

The other agents in ‘broad spectrum’ are all antipseudomonal/important for Gm negs, so their use should be restricted on those grounds.

(FQ also have a poor side effect profile if course)

The issue I think is that spectrum isn’t the only determinant for de-escalation, which isn’t explicitly stated in this table; it’s stewardly use of ABx.

If you look at the spectrum for these drugs, you’ll see it’s all over the place.
AGs are arguably wider spectrum than Aztreonam;
So too Cotrim & Ceftriaxone
Doxy, HUGE spectrum, is in the middle
And in terms of C.diff risk, the highest risk agent (Clinda) is in the ‘narrow’ column.

KASIC Putting or another brilliant post on De-escalation of ABx with some brilliant references about how de-escalation is associated with BETTER OUTCOMES for patients!

Let’s talk about this table though, as it’s been on my mind. 🪡

Oh I forgot about that, did you or @absteward.bsky.social post that previously, in another place?

V interesting. I’m putting that in my ID:IOTS Guide to Co-trimoxazole when I get round to writing it!

I hadn’t even heard of Cystoisospora!

Fine I’ll give you dimorphic fungi, but there’s a lot of crossover in your bacteria section (eg Melioid)

Like a parent of 2 children, though… I love them both equally

But also like a parent of 2 children, not 50:50 all the time

(I’m a parent of 2 children)

WHAT??!!

I love Cotrim but it’s got no atypical cover, no worms and malaria cover, doesn’t do STIs, can’t use it for H.pylori

Doxy’s winning that fight (unless the fight’s happening in plasma)

Mero: AZTREONAM, what are you doing up here in Broad Spectrum?
Aztreo: I treat Pseudomonas!
Piptaz: yeah, *tobramycin* treats Pseudomonas
Tobra: hey…
Aztreo: I’m important for DTR Gram Negatives!
Mero: yeah when your little friend Avibactam is with you
Ceftazidime: that guy’s not so bad TBF

Ceftriaxone: I’m a big broad spectrum boy. I cover Staph aureus, Strep, & Enterobacterales!
Cotrimoxazole: MRSA?
Cef: No
Cotrim: ESBL?
Cef: No
Cotrim: CPE?
Cef: No
Cotrim: PCP?
Cef: No. That’s not even a bacteria, no drug could cover all that
Cotrim: okay. What do I know. I’m only MEDIUM SPECTRUM