Alice Han

It came up on Roon a couple days ago

I just can’t imagine how you would be able to catch them! Maybe an ant. No way I could catch a fly.

And then how do you culture them? You swab their bodies?

This is a beautiful story. Thank you for sharing. ❤️

HHS Gave a $1.6 Million Grant to a Controversial Vaccine Study. These Emails Show How That Happened Two Danish researchers faced accusations of “questionable research practices” as RFK Jr.’s top appointees made their study a “funding priority.”

I was wondering what kind of physician in the world could be responsible for such a heinous idea, which led me to this article. So terrible.

www.rollingstone.com/politics/pol...

#IDSky Blood culture from the febrile patient in ICU. Proteus miralbilis is isolated (susceptibility below). How would you treat?
@dralicehan.bsky.social
@antibioticdoc.bsky.social
@bradspellberg.bsky.social
@idiots-pod.bsky.social
@wwrighid.bsky.social
@cortes-penfield.bsky.social

Wow, that’s terrible. I don’t know. I feel like it has to be a MBL, so maybe aztreonam-avibactam? Or maybe if it’s an oxa-48, cefidericol? Or maybe it’s one of those monster NDM with the pbp3 mutations?

I am going to call a friend @jgpharmd.bsky.social @juliejusto.bsky.social

We are genotyping and phenotyping as many of the isolates as we can get hold of (will be most). So the analysis of blaZ and cefazolin inoculum effect will follow once done. Can't wait to see what this shows!
Altogether there were 1341 participants in SNAP, so much larger than CloCeBa.

Cloxacillin versus cefazolin for meticillin-susceptible Staphylococcus aureus bacteraemia (CloCeBa): a prospective, open-label, multicentre, non-inferiority, randomised clinical trial Cefazolin constitutes an alternative to cloxacillin for the treatment of MSSA bacteraemia, offering non-inferior clinical efficacy and potentially enhanced tolerability.

#IDsky
Somehow I missed this in November! I thought snap put worries about BlaZ and inoculum effect to bed, but in the CloCeBa trial, in the BlaZ
Type A subset, cefazolin did not meet noninferiority. Thoughts?
@steventong.bsky.social @erinmccreary.bsky.social

www.thelancet.com/journals/lan...

#IDsky

Looking for private practice ID groups interested in joining a network that facilitates connections with local fellowship programs. Please contact me if you are interested!

I suspect the issue is with who is drawing samples. Phlebotomists can be reeducated on technique based off of contamination rates and reeducation works well, but PIV’s are typically placed by nurses who are tasked with innumerable other responsibilities. Watch one episode of the PITT and it’s 🤯

Agree, but I usually look back at old cxs to help decide. I have rarely seen a renal abscess that wasn’t “partially” treated as an outpt and then ended up being more complicated

Wow!

Malpractice litigation is a reality for many clinicians - even in ID. This article explains the anatomy of a lawsuit and shares proves risk reduction strategies to help protect your practice and your patients 🩺 💡

www.ppidjournal.com/doi10-55636-...

Teaching Infectious Diseases in the Context of a Busy Private Practice: A Pragmatic Framework for Clinician Educators - Private Practice Infectious Disease Abstract Teaching infectious diseases (ID) in private practice is inherently constrained by multiple external and internal factors, including time scarcity, documentation burden, and financial…

Clinical educators - this one’s for you! A pragmatic approach to teaching ID in a busy private practice - actionable strategies to boost engagement and learning!

There are a fair share of appropriate lawsuits as well, but as a person in the the general public, it’s challenging to know what is the standard of care. I think the tips provided in this article are very helpful reminders on how to provide good care in general

An Introduction to Medical Negligence Litigation: Anatomy of a Lawsuit and Risk Reduction Strategies - Private Practice Infectious Disease Medical negligence litigation poses substantial economic and emotional concerns for healthcare providers, including infectious disease specialists. Even in relatively low risk specialties such as infectious...

Medical lawsuits are the most emotionally stressful part of a physician’s job. This was an incredible article outlining how malpractice claims work. I loved the section on risk reduction strategies to protect your practice and patients. One to bookmark!

Would recommend vaccinating partner and waiting several weeks assuming male pt is not immunocompromised

I think this is a very difficult organism to treat and high chance of relapsed infection with prosthesis, likely biofilm

Omg. 😱

I would ask how in the world does this ever happen, but I do remember ordering takeout once years ago and finding a huge cooked roach in the food.

It was horrifying. These are the kinds of cases that give you delusional parasitosis.

#idboardreview A Pt w/travel to Mexico a few months prior (drank tap water, ate raw vegetables) noticed a small worm-like object on inner surface of her lower lip. She removed the object with a needle. Dx? #medEd #idmeded #IDsky #parasitology

Pt relapsed twice. Has a deep seated infection until proven otherwise and now has a prosthetic valve so would suppress indefinitely

🤣

I got a different antibiotic this time! I am now moxifloxacin! I don’t know what that means about me. I feel like I was penicillin before

I would repeat TEE to make sure there isn’t a perivalvular abscess and consider imaging of spine as well. Would consider linezolid, tedizolid (not sure if it’s available anymore) or dalvance suppression after repeat treatment course

I blame p traps

The hospital is handing out taffy apples 🍎today, and I am just here to say they are delicious!

I am ashamed to admit I grew up in the midwest, and this is the first time I have ever had a taffy apple.

Don’t make my mistake, go try one now! They are so good! 😋

I would start empiric cefepime for neutropenic fever pending workup and then try to figure out if the neutropenia is drug related or a newly diagnosed heme malignancy

I appreciate that the bluejay puts wing hygiene first

I am still catching up but I really enjoyed this one. Very helpful to go through cases and the decision making involved. The cmv case provided more clarity for me as those cases are very challenging

Cefdinir Versus Cephalexin for the Treatment of Uncomplicated Urinary Tract Infections Due to its poor bioavailability and urinary excretion, cefdinir may be a suboptimal agent for UTI treatment. Our findings demonstrate that patients treated

‼️Just shared at #IDWeek2025 & now published in @ofidjournal.bsky.social cephalexin vs. cefdinir for tx of uUTI in females. Spoiler: Cefdinir was independently associated with/failure & cefdinir pts were twice as likely to fail. Let’s stop Rx’ing cefdinir for UTI! 🛑💊 academic.oup.com/ofid/article...