José Molina's Avatar

José Molina

@josemolinagb.bsky.social

ID doc & Antibiotic Steward • • Clinical trials and #FOAMed believer • Now on @shorten2trial.bsky.social #AMSsky #IDSky #AMR Hospital Virgen del Rocío • Seville, Spain 🇪🇸

1,675 Followers  |  778 Following  |  157 Posts  |  Joined: 10.11.2024
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Posts by José Molina (@josemolinagb.bsky.social)

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This post hoc analysis of the subgroup of patients with P. aeruginosa BSI recruited for the BALANCE RCT showed no differences in 90d mortality between patients treated for 7 vs 14d.

However, sample size and wide CIs preclude definite conclusions.

academic.oup.com/cid/advance-... #IDsky #AMSsky

05.03.2026 08:42 — 👍 4    🔁 1    💬 0    📌 0
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El 18 de Marzo celebramos en Sevilla la IX Jornada de TB celebrando el día mundial de la TB. La inscripción es gratuita. Será presencial y on line simultáneamente. Os animamos a participar
#Tuberculosis #TBSky

28.02.2026 12:30 — 👍 1    🔁 1    💬 0    📌 0
ClinicalTrials.gov

Stay tuned
TAPER V2
Vanco taper Vs Fidaxomicin
Vancomycin Taper to Prevent Recurrent Clostridioides Difficile (TAPER-V2)
Study Details | NCT07328971 | Vancomycin Taper to Prevent Recurrent Clostridioides Difficile | #Idsky
clinicaltrials.gov/study/NCT07328…

27.02.2026 22:06 — 👍 1    🔁 1    💬 0    📌 0
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Initial Vancomycin Taper for the Prevention of Recurrent C difficile Infection This randomized clinical trial tested whether a 4-week pulse and taper vancomycin regimen was superior to a 2-week pulse regimen for preventing recurrence among patients with a first episode or first ...

🔥Just published 🔥
TAPER-V RCT
In this RCT of 256, a 4-week vancomycin pulse and taper regimen *had a probability of 74% to be superior to a standard 2-week pulse regimen in patients a first episode or first recurrence of CDI
Vanco for 10d is obsolete! #IDSky #EMIMCC
jamanetwork.com/journals/jam...

27.02.2026 16:17 — 👍 39    🔁 9    💬 7    📌 6
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Promotional Toolkit ESCMID Global (formerly ECCMID): an annual congress bringing together experts and specialists in Clinical Microbiology and Infectious Diseases.

With ESCMID Global quickly approaching!
To help you spread the word and get involved, check out ESCMID Global 2026 Promotional Toolkit
The official hashtag for the congress this year is #ESCMIDGlobal2026 on all social media channels. #IDSky
www.escmid.org/congress-eve...

13.02.2026 17:30 — 👍 5    🔁 4    💬 0    📌 0
Panel A: The weekly Gravitrap Aedes aegypti index (GAI), which measures the abundance of adult A. aegypti mosquitoes, in the intervention and control clusters before and during the release of wolbachia-infected male mosquitoes.  

Panel B: A spatial visualization of the intervention (red) and control (teal) clusters.

Panel A: The weekly Gravitrap Aedes aegypti index (GAI), which measures the abundance of adult A. aegypti mosquitoes, in the intervention and control clusters before and during the release of wolbachia-infected male mosquitoes. Panel B: A spatial visualization of the intervention (red) and control (teal) clusters.

In this report from Singapore, the release of wolbachia-infected, irradiated male 𝘈𝘦𝘥𝘦𝘴 𝘢𝘦𝘨𝘺𝘱𝘵𝘪 mosquitoes resulted in a reduction in the vector population and in the risk of dengue infection. Full report: nej.md/4atd2iN

#MedSky #IDSky

11.02.2026 22:25 — 👍 24    🔁 10    💬 1    📌 3
An illustrated diagram of the immunopathophysiology of VITT.

An illustrated diagram of the immunopathophysiology of VITT.

VITT is caused by a somatic hypermutation of an anti–adenovirus pVII antibody that generates more avid binding of platelet factor 4 than of adenovirus pVII, its original target, which results in platelet activation. Full study results: nej.md/3MBnaOx

#MedSky #Hematology

11.02.2026 23:01 — 👍 15    🔁 3    💬 0    📌 0
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Advantages with HD. Check out this week’s KASIC pearl to learn about Hemodialysis-only Antibiotic Dosing kymdro.org/kasic/?p=8784

#IDsky #AntimicrobialResistance #antimicrobialstewardship #rxsky #pharmacy #FOAMed #NPs #PAs

17.01.2026 15:26 — 👍 3    🔁 3    💬 0    📌 0

Non pay walled link: authors.elsevier.com/a/1mCdH3AjoX...

07.12.2025 03:32 — 👍 6    🔁 2    💬 1    📌 1
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Clarity Initiative Clinical Literature Appraisal and Research education in InfecTious diseases

A group of ID clinical researchers passionate about clinical research and evidence appraisal has just launched the CLARITY initiative (clarityinitiative.org), which aims to improve the generation and interpretation of evidence in ID and Microbiology.

30.11.2025 23:39 — 👍 17    🔁 11    💬 1    📌 0
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Global and regional knowledge of antibiotic use and resistance among the general public: a systematic review and meta-analysis Antibiotic resistance threatens effective infection treatment and medical procedures. Global initiatives, such as World AMR Awareness Week, aim to improve public understanding and promote rational ant...

Although I'm not surprised that there is a huge disparity in the knowledge that antibiotics don't work against viruses globally, what is disappointing to see is there are still so many Americans who believe they do.
#IDSky #AMSSky
www.clinicalmicrobiologyandinfection.org/article/S119...

24.11.2025 21:27 — 👍 4    🔁 2    💬 0    📌 1

En infección urinaria, menos es más 👌🏻

Nuestro hilo sobre diagnóstico y tratamiento de la infección urinaria.

☝🏻 Bacteriuria asintomática

#EAAD #WAAW #AMSsky #MedSky #UTIsky
(🧵1/2)
bsky.app/profile/hosp...

24.11.2025 22:33 — 👍 2    🔁 1    💬 1    📌 0

👆🏻 #AMSsky

20.11.2025 00:17 — 👍 0    🔁 0    💬 0    📌 0
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💡Applications for the 2026-2028 AMS Certificate Programme & EUCIC Certificate Programme are open! These training programmes are designed to strengthen your expertise in antimicrobial stewardship & IPC.

Learn more:
AMS: https://ow.ly/kYz550Xu6iW
EUCIC: https://ow.ly/zlsl50Xu6iU

#IDSky #clinmicro

19.11.2025 16:05 — 👍 0    🔁 2    💬 1    📌 0

#WinterIsComing 🥶

Un hilo con nuestras recomendaciones para acertar con tus tratamientos de consulta para las infecciones respiratorias.

☝🏻 Neumonías y EPOC reagudizado

#EAAD #WAAW #AMSsky #MedSky #PharmSky
(🧵1/4)
bsky.app/profile/hosp...

19.11.2025 19:37 — 👍 2    🔁 1    💬 1    📌 0
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¿Trabajas en consulta?
¡Te necesitamos!

El uso prudente de los antibióticos es responsabilidad de todos. Durante toda esta semana, no te pierdas nuestros vídeos para hacer un uso prudente de los antibióticos.
💪🏻 ¡La lucha contra las resistencias empieza en tu consulta!
#EAAD #WAAW #AMSsky

18.11.2025 20:34 — 👍 2    🔁 2    💬 1    📌 1
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¿Trabajas en consulta?
¡Te necesitamos!

Durante toda esta semana, no te pierdas nuestra serie de vídeos prácticos para hacer un uso prudente de los antibióticos en tus pacientes ambulatorios

👊🏻 La lucha contra las resistencias, empieza en tu consulta
#EAAD #WAAW #AMSsky #MedSky #PharmSky #SomosHUVR

18.11.2025 07:54 — 👍 5    🔁 3    💬 1    📌 0
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¡Ya tenemos todo listo para el Día Europeo para el Uso Prudente de los Antibióticos!

Mantente atento a las redes de @hospitaluvrocio.bsky.social y @guiaprioam.bsky.social durante la semana que viene.
Tenemos un mensaje para ti… 😉

#EAAD #WAAW #AMSsky #SomosHUVR

13.11.2025 09:36 — 👍 5    🔁 2    💬 0    📌 0
Antimicrobial drug-resistant Neisseria gonorrhoeae (GC) infections in men using doxycycline postexposure prophylaxis. A substudy of the ANRS 174 DOXYVAC trial Bacterial STI prevention by doxycycline postexposure prophylaxis (DoxyPEP) in men who have sex with men (MSM) has raised concerns about antimicrobial drug resistance (AMR). We studied the impact of DoxyPEP on Neisseria gonorrhoeae (GC) AMR in the ANRS 174 DOXYVAC trial.MethodsMSM on HIV PrEP randomized to DoxyPEP (n= 362) or no-PEP (n=183) arms were tested for GC at baseline and every three months thereafter, by culture and NAAT. MICs were determined with Etest (Biomerieux) and interpreted according to EUCAST guidelines. We performed whole-genome sequencing and/or PCR sequencing on GC isolates and NAAT-positive samples, using Fisher’s exact tests for comparisons.ResultsFrom January 2021 to February 2023, MICs were determined for 78 GC isolates, and 233 NAAT only GC-positive samples were analysed to identify the molecular determinants of resistance. All GC isolates were resistant to tetracycline with a significant increase in rate of high-level tetracycline resistance mediated by the tetM gene in the DoxyPEP arm than in the no-PEP arm (35.5 vs. 12.5%, respectively p=0.043). The MICs of ceftriaxone, fluoroquinolones and azithromycin were similarly distributed in the DoxyPEP and no-PEP arms. All GC isolates were susceptible to ceftriaxone and cefixime, but isolates with decreased susceptibility to cefixime linked to the mosaic penA34.007 allele were more frequent in the DoxyPEP arm than the no-PEP arm (32.3% vs 10.0%, respectively p=0.033).ConclusionsDoxyPEP use was associated with a significant increase in high-level tetracycline resistance and decreased susceptibility to cefixime in GC. AMR should therefore be closely monitored when using this strategy.

DoxyPEP in MSM (n=362) led to 35.5% high-level tetracycline resistance vs. 12.5% in no-PEP (p=0.043). Cefixime susceptibility decreased (32.3% vs. 10.0%, p=0.033). AMR monitoring is essential.

#idsky

10.11.2025 12:00 — 👍 1    🔁 2    💬 0    📌 0

It’s SO #AMSsky… 😂😂😂

22.10.2025 14:32 — 👍 3    🔁 0    💬 0    📌 0
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Dr Tamma mentions the ongoing GOAT trial (PI Tamma & Cosgrove)
This will be a most needed and important study. clinicaltrials.gov/study/NCT060...
#IDweek2025 #IDsky

19.10.2025 18:46 — 👍 19    🔁 4    💬 1    📌 1
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New from IDSA, thanks to Dr William Werbel, resp virus vax in immunocompromised population:

- vax 2 weeks before or 3-6 months after immunocompromise expected
- expect blunted response if given within that window
- defer during acute rejection, illness
- adjust for viral circulation
#IDSky #IDWeek

20.10.2025 19:06 — 👍 8    🔁 3    💬 1    📌 1
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🆕🔥🔥CloCeBa RCT
Cloxacillin versus cefazolin for MSSA Bacteraemia
Cefazolin has a non-inferior efficacy regarding mortality, microbiological or clinical endpoints and was associated with a lower rate of serious adverse events #IDSky
www.thelancet.com/journals/lan...

19.10.2025 04:34 — 👍 39    🔁 16    💬 0    📌 5

Fantastic - this will be an impactful study on treatment duration of blood stream Pseudomonas infection.

Our centre already mostly does 7 days (and my prediction is that this will be non-inferior) but it's RCT like these that will shift dial across the board with persuasive evidence.

#IDSky #AMR

18.10.2025 11:37 — 👍 15    🔁 5    💬 1    📌 0

The rationale of the RCT was testing the current standard (7d) in the specific setting of Pseudomonas BSIs.

The DURATIONS design is a relevant contribution, but it adds complexity and I wonder if a multi-arm (5?) approach is convenient when testing durations in such a narrow timeframe.

19.10.2025 05:53 — 👍 2    🔁 0    💬 1    📌 0

There was a session at ESCMID 2025 on macrolides for CAP and this paper was heavily featured (lead investigator was panelist). Patient population in this trial was much “sicker” than in other studies. I was convinced of their role and benefit, but not for every hospitalized pt (icu only perhaps)

18.10.2025 13:26 — 👍 3    🔁 1    💬 1    📌 0
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Totally agree. Definitely not for any CAP.

I was also shocked by the mean age (>80y) and Charlson. Probably this was a major driver for the high mortality, beyond the severity of the infection itself — mean CURB65 was 2-3, the setting for recruitment were Internal Medicine wards instead of ICUs…

18.10.2025 17:18 — 👍 1    🔁 0    💬 1    📌 0
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I have the same concern!
In this RCT, 25% of patients received steroids in both arms.
The subgroup analysis showed benefits independently (and apparently superior) to the use of steroids, but this relevant question was not primarily addressed by the trial
pdf.sciencedirectassets.com/271247/1-s2....

18.10.2025 16:58 — 👍 2    🔁 0    💬 0    📌 0
Full protocol: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0277333

Full protocol: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0277333

Recruitment for SHORTEN-2 is officially complete!
Our team is now wrapping up follow-up and polishing databases. Hope to have results ready in the first half of 2026!

Hats off to this awesome research team! 🥳
#AMSsky #IDsky @seimc.bsky.social @ciberisciii.bsky.social @ibis-investigacion.bsky.social

18.10.2025 09:57 — 👍 15    🔁 6    💬 0    📌 1
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I think REMAP-CAP has ongoing domains to adress this question, hopefully we’ll get new data soon to confirm the hypothesis
🤞🏻 www.remapcap.eu/domains/

18.10.2025 09:18 — 👍 1    🔁 0    💬 1    📌 0