Jorge Luis Salinas

A warm welcome to our new fellows! We are thrilled to have you on our team, here’s to an exciting journey ahead! Welcome to Stanford ID!

#WelcomeFellows #InfectiousDiseases

New in ICHE from @grod11.bsky.social et al: Using secure AI agents integrated within the EMR for the evaluation of blood culture appropriateness

LLM agents showed:
▶️ High sensitivity (77.4%)
▶️ Low specificity (36.1%)
▶️ framing, sycophancy, & semantic cues vital

#IDSky

📄: doi.org/10.1017/ice....

The misconception that antibiotic allergy assessment is solely the domain of allergists has led to complacency in clinical practice, yet verifying allergy histories should be a core competency for all physicians, particularly infectious diseases. #IDsky #EMIMCC

🌟 ABX Pearl of the Day:

❓ Q: Should I add vancomycin for severe mucositis in my patient with persistent neutropenic fever (NF) of unknown etiology? 🤔 Currently on cefepime & stable. Let’s dive in! 👇

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky

Medical Director of Infection Prevention at Missouri Baptist Hospital | Washington University School of Medicine | St. Louis, Missouri Washington University School of Medicine is hiring for Medical Director of Infection Prevention at Missouri Baptist Hospital . St. Louis, Missouri · Apply on HealtheCareers.com

Looking to start or grow your career in Infection Prevention and Hospital Epidemiology with the support of national leaders in the field?

Come join our AMAZING ID Division at WashU and help us build a new IP/HE program at MoBap.

www.healthecareers.com/idsa/job/Med...

How common is this? If rare, is public health aware? thanks!

Vaccine-Preventable Infectious Diseases Within US Immigration Detention Centers This case series examines epidemiological patterns of 3 vaccine-preventable diseases within US Immigration and Customs Enforcement facilities.

My husband Dean's nice paper in @jama.com open. Detention is a setup for disease transmission. jamanetwork.com/journals/jam...

🌟 ABX Pearl of the Day:

❓ Q: Why does the lab mention when a GNR (gram-negative rod) is “lactose fermenting”?

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky

Terrific to fly back from IDWeek to join the Stanford Center for Digital Health Annual symposium. Look forward to all the sessions including: “lunch and robots” @stanfordcdh.bsky.social

#IDweek25 peeps- Come check out one of the only posters on leprosy! P184. I’ll be there in today’s poster session. Preliminary results on a 3 year cohort on risk factors for leprosy. #IDweek

Had a great time at the #IDweek2025 escape room.
Congratulations and thank you to the organizers!

Come check out our work at #IDweek2025

Had more fun than I expected in the Escape room at #idweek2025

A systematic literature review and bayesian meta-analysis of oral vancomycin primary prophylaxis for Clostridioides difficile infection in stem cell transplant patients | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core A systematic literature review and bayesian meta-analysis of oral vancomycin primary prophylaxis for Clostridioides difficile infection in stem cell transplant patients - Volume 5 Issue 1

This study evaluated oral vancomycin primary prophylaxis effectiveness in preventing C. difficile infection (CDI) in BMT patients. Bayesian Meta-analysis showed reduced CDI incidence during hospitalization. We present an innovative approach to adjust for publication bias. doi.org/10.1017/ash....

How to leverage medication use evaluations for antimicrobial stewardship goals: a primer for physicians | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core How to leverage medication use evaluations for antimicrobial stewardship goals: a primer for physicians - Volume 5 Issue 1

@stanfordasp.bsky.social New to Medication Use Evaluations (MUEs)? This primer outlines "5 Rights of MUEs for ASPs" help stewardship MDs drive meaningful, data-informed improvements in antimicrobial use through the MUE process. doi.org/10.1017/ash....

National Healthcare Safety Network… we need to talk… | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core National Healthcare Safety Network… we need to talk… - Volume 5 Issue 1

National Healthcare Safety Network… we need to talk…
doi.org/10.1017/ash....

Our thoughts onto slow shift of #NHSN #CLABSI definitions. Becoming less and less relevant. We have a problem! Do you agree? #IDSky #MedSky www.cambridge.org/core/journal...

First publication from our lab!

🆕 New in ICHE:

A blood culture algorithm safely reduced unnecessary cultures in SOT recipients - 25% were inappropriate, none missed true infections.

Findings support expanding diagnostic stewardship

#IDSky

📄: doi.org/10.1017/ice....

Unraveling indications for discharge antibiotics: the Devil’s in the details | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core Unraveling indications for discharge antibiotics: the Devil’s in the details - Volume 5 Issue 1

@ritikaprasad.bsky.social @stanfordasp.bsky.social @marisa-holubar.bsky.social: The inpatient mandatory indication field outperformed the ICD-10 in inferring dc abx indications, and can be used to assess abx appropriateness without needing manual chart review.
doi.org/10.1017/ash....

Towards the integration of antibiotic resistance gene mobility into environmental surveillance and risk assessment - npj Antimicrobials and Resistance npj Antimicrobials and Resistance - Towards the integration of antibiotic resistance gene mobility into environmental surveillance and risk assessment

Excited to share our new Perspective in npj Antimicrobials & Resistance:

"Towards the integration of antibiotic resistance gene mobility into environmental surveillance and risk assessment.”

www.nature.com/articles/s44...

1/3

#AMR #microsky

100% support this!

Bartonella: From the Andes to the Cat Scratch The bacilli that shaped Andean medicine, haunted the trenches of war, and still hides in our cats.

Bartonella: From the Andes to the Cat Scratch
open.substack.com/pub/alvaroay...

Low-cost interventions to improve ventilation in naturally-ventilated hospital spaces in Liberia were installed and evaluated. Louvered doors and windows were found to be effective and acceptable, while wind turbines may have mixed effects. doi.org/10.1017/ash....

Sharing our results of multiple interventions aimed at improving natural ventilation in healthcare facilities in Africa www.cambridge.org/core/journal...

Sharing our results of multiple interventions aimed at improving natural ventilation in healthcare facilities in Africa www.cambridge.org/core/journal...

Our analysis showing the low yield of repeating urine cultures within up to six days in hospitalized patients
www.cambridge.org/core/journal...

Acquisition of Escherichia coli carrying extended-spectrum ß-lactamase and carbapenemase genes by hospitalised children with severe acute malnutrition in Niger - Nature Communications Hospital treatment for children with severe malnutrition may facilitate antibiotic resistance. Here, using rectal swabs from 1,371 children receiving treatment for severe acute malnutrition in Niger, ...

🧐 @msf.ca last publication on @nature.com

In Niger, 76% of malnourished kids carried #AMR 𝘌 𝘤𝘰𝘭𝘪, 25% with blaNDM-5 at admission.

By discharge, 69% 𝗵𝗮𝗱 𝗮𝗰𝗾𝘂𝗶𝗿𝗲𝗱 it

😮🦠

#IPC is essential in all hospitals

www.nature.com/articles/s41...
#medsky #LMIC #humanitarian

Beyond the basics: rethinking antimicrobial stewardship by targeting cytomegalovirus immune globulin for immunocompromised patients | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core Beyond the basics: rethinking antimicrobial stewardship by targeting cytomegalovirus immune globulin for immunocompromised patients - Volume 5 Issue 1

@ritikaprasad.bsky.social, @stanfordasp.bsky.social, @marisa-holubar.bsky.social et al: Identifying ASP targets in immunocompromised patients is challenging. We implemented a restriction program that ⬆️ appropriate use of CMV-IGIV, highlighting a unique ASP opportunity. doi.org/10.1017/ash....

Wastewater-based epidemiology & surveillance have made enormous strides in recent years, demonstrating utility in characterizing pathogen distributions in populations. However, current methods are too costly to be scalable in LMICs where the need for improved disease surveillance is greatest. (1/2)