Brad Cutrell, MD FIDSA

@bradcutrellmd.bsky.social @ricardolahozmd.bsky.social @utswinfdis.bsky.social
@ast-idcop.bsky.social

Clinical significance of toxin EIA positivity in patients with suspected Clostridioides difficile infection: systematic review and meta-analysis | Journal of Clinical Microbiology Clostridioides difficile infection (CDI) is a common cause of healthcare-associated infections and the leading cause of antibiotic-associated diarrhea. However, the laboratory diagnosis of CDI, primar...

🆕✨Systematic review and meta-analysis
Toxin results cannot rule in or rule out CDI, and the decision whether to treat symptomatic NAAT+/EIA− patients for CDI should be based on clinical presentation and not on the toxin result #idsky #EMIMCC #medsky
journals.asm.org/doi/10.1128/...

For patients and doctors, insurance prior authorization can be a dangerous game | Opinion Doctors trying to get patients necessary drugs and procedures stymied by health insurance prior authorization. It's not a game. It's life and death.

The timing of this story is heated, with health insurance industry in the news, but I was honored to collaborate with @fumikochino.bsky.social and grateful to my patient and his family for the chance to draw/write about the pain of #priorauth for @usatoday.com .

www.usatoday.com/story/opinio...

a man in a suit and tie is sitting at a desk with his hands in the air . ALT: a man in a suit and tie is sitting at a desk with his hands in the air .

Excited to welcome our top US healthcare Epi society @sheaepi.bsky.social and its journals @ashejournal.bsky.social @ichejournal.bsky.social to #IDSky community! @priyanori.bsky.social @germhuntermd.bsky.social

@hivdocsk.bsky.social @ricardolahozmd.bsky.social @netanyautay.bsky.social @jdbeckham.bsky.social @pearliechong.bsky.social @chrislarsenmd.bsky.social @ellenkitchell.bsky.social

One of my approaches when we have residents/students/pharmD residents is to mention a key article/study and then have one of the trainees (not the busy ID fellow!) review and give a brief summary (3-5 mins) the next day.

Everybody on team learns and find it more engaging.
#IDsky

Great to see you Mike! #IDSky just got a little more magical 🤩

Could not be more excited to announce the incoming 2025 UTSW ID Fellows! These talented and passionate docs are amazing and the microbes better watch out! #IDSky #WeareID #Match2025 #HIVSky
@utswinfdis.bsky.social @idsainfo.bsky.social

Come join one of the best ID pharmacy and stewardship teams in the country with us at UT Southwestern in Dallas! #IDSky #PharmSky @sidpharm.bsky.social @utswinfdis.bsky.social @netanyautay.bsky.social @jdbeckham.bsky.social

#PCCMsky is one of them.

Important work led by former UAB CMR and @utswinfdis.bsky.social own ID fellow Julie England and her mentors Drs. Walker, Lee and colleagues! #IDSky @ricardolahozmd.bsky.social @hivdocsk.bsky.social

Give a great big #IDSky and #HIVsky welcome to one of the most incredible HIV physicians (and physicians in general) that I have ever met, Dr Kitchell! Give her a follow and say hi! @ricardolahozmd.bsky.social @hivdocsk.bsky.social

Long-term Risk of Infection Among Patients Colonized with Antimicrobial Resistant Pathogens: A Population-wide Cohort Study This was a retrospective population-based cohort study that examined infection risk after colonization for MRSA, VRE, ESBL, and CPE over a 5-year period us

🆕✨Retrospective population-based cohort study examined infection risk after colonization for MRSA,VRE,ESBL& CPE over a 5-year period
For all organisms the highest risk period of progression from colonization to infection was the first 90d #idsky #medsky
academic.oup.com/ofid/advance...

Virtual Home Care for Patients With Acute Illness This cohort study compares outcomes of patients receiving care in an outpatient, virtual, home-based acute care model with outcomes of patients receiving standard hospital care.

For my inaugural post, Im proud to announce the publication of our Safer@Home care model. This is going to change how medicine is practiced. No need to admit pts "for IV antibiotics" anymore. Or just for IV diuresis in CHF. Or just for EtOH withdrawal. Etc.
jamanetwork.com/journals/jam...

Serologic screening and molecular surveillance of Kaposi sarcoma herpesvirus (KSHV)/human herpesvirus-8 (HHV-8) infections for early recognition and effective treatment of KSHV-associated inflammatory... Kaposi sarcoma herpesvirus/human herpesvirus-8 (HHV-8) neoplastic and non-neoplastic disease in solid organ transplant (SOT) recipients can be life-threatening. We evaluated the seroprevalence of HHV-...

In this single-center retrospective study, @mularoni.bsky.social tested donors (3%) and recipients (8%) for HHV-8. Most of the donor-derived HHV-8-related disease manifested as KICS!! 🤯 On the other hand, most reactivations presented as KS. #TxID #IDSky pubmed.ncbi.nlm.nih.gov/39551265/

Conventional intermittent dosing remains the current standard of care for beta-lactam antibiotics
🆕🔥 Editorial with ✨Prof.Jason Roberts
Is it time to implement prolonged infusions of beta-lactam antibiotics in and beyond critical care settings? #idsky #medsky
onlinelibrary.wiley.com/doi/10.1111/...

A man is in an ICU hospital bed, intubated and sedated. The graphic around him depicts various organ systems that can contribute to fevers in ICU patients, including CNS, endocrine, cardiac, respiratory, GI, GI, bone, skin/soft tissue, and others (I.e. malignancy, autoimmune conditions, and drug fevers).

Differential diagnosis for fever in an ICU patient #IDSky #MedSky #SciArt

Your #IDSky #BlueSky era will be your best yet

a woman wearing a black tuxedo and red lipstick applauds Alt: Taylor Swift doing a chef’s kiss sign

It’s cool that folks can reinvent themselves during the #IDSky migration

Some have been surprised to find plum handles unclaimed eg @iddoc.bsky.social

But the best transformation
🐛➡️🦋 is @MaggieMonogue to @tazoswift.bsky.social

So excited to have the one and only @tazoswift.bsky.social on #IDSky queen of all things PKPD and Taylor Swift! Give her a shoutout and follow @ricardolahozmd.bsky.social @sidpharm.bsky.social @ebhirsch.bsky.social @mmpharmd.bsky.social @erinmccreary.bsky.social

Please welcome our UTSW ID chief @jdbeckham.bsky.social to the #IDSky community! @paulsaxmd.bsky.social @germhuntermd.bsky.social @ricardolahozmd.bsky.social @krutikakuppalli.bsky.social @netanyautay.bsky.social

Seeing so many #IDSky people here, wanted to resurface the most widely shared #VisualAbstract in the first year we started making them. #MedSky (35k views in 7 days!)

Antibiotic stewardship for surgeons in Annals. journals.lww.com/annalsofsurg...

Imagine a world without antibiotics.

#AMR #WAAW

🦠🧫🔬💊

Seven-year performance of a clinical metagenomic next-generation sequencing test for diagnosis of central nervous system infections - Nature Medicine Next-generation metagenomic testing increases the accuracy and sensitivity of the etiology of central nervous system infections in hospitalized patients.

Key paper alert

'Seven-year performance of a clinical metagenomic next-generation sequencing test for diagnosis of central nervous system infections'

www.nature.com/articles/s41...

'These data justify routine use of diagnostic mNGS testing for hospitalized patients with suspected CNS infection'

Excited to join the #IDSky #MedSky party. I’m an adult ID doc and fellowship PD, passionate about all things MedEd and abx stewardship. Deputy editor for OFID journal so always looking for interesting new ID content. I love EBM, think ID docs and pharmDs are the best so let’s connect.