Adi Shah

Lines on the line: evaluating the impact of antibiotic lock therapy versus catheter removal in the management of central vascular catheter infections AbstractObjectives. To compare the efficacy and safety of antibiotic lock therapy (ALT) versus catheter removal in managing central vascular catheter–assoc

New in JAC: "Lines on the Line" from @iddocadi.bsky.social et al

Retrospective study of antibiotic lock therapy (ALT) vs catheter removal for CRBSIs

ALT: shorter LOS & abx duration, but higher 90-day relapse

CONS independent risk factor for ALT failure

#IDSky

academic.oup.com/jac/advance-...

bring it, rheumatology

Wonder if ID should start reciprocal consult note length tariffs

Attendings don’t say “I don’t know” they say “that’s an excellent question, why don’t you look it up and tell us about it tomorrow” and I think that’s beautiful

M&M conferences be like

I indiscriminately cancel procalcitonin when I see it ordered.

ID consult notes

Me to the pharmacist friend who helps me dose bactrim

Roses are red
Violets are blue
Stop that unneeded cefepime
Or c diff will come for you

Maybe Chiefs needed an EO to win

Determinants of Antibiotic Prescription in Outpatient Hospice: A Regional Observational Study - Patrick D. Crowley, Francis X. Whalen, Leslie R. Siegel, Douglas W. Challener, 2025 Background Patients enrolling in hospice care are asked their preferences for antibiotic treatment. There is little information regarding which patients are mor...

Published! My main fellowship research project was accepted. Want to know whether a Hospice enrollee is likely to get abx? Take a look. #IDSky

Determinants of Antibiotic Prescription in Outpatient Hospice: A Regional Observational Study journals.sagepub.com/doi/10.1177/...

🇮🇳❤️

#Stewardmeme

(Approved 2/2014)

Dosa in Mumbai 🇮🇳
Little joys of life ❤️

Reflections from recent inpatient service: medical notes have gotten longer and longer yet seem to say less and less relevant information

Reviewer 1: burn it down
Reviewer 2: excellent submission and adds to literature

Intern versus attending

I’m a Polio Survivor. I Don’t Want You to Get It. Polio is once again a public health threat in the United States. Grace is disappointed, though not surprised.

Since everyone’s finding old and new friends, take a moment to read my story, I’m a 32yo polio survivor because I was not vaccinated. Pass on my story, repeat it, tell it to any vaccine hesitate parent. No kid deserves vaccine preventable diseases

www.voicesforvaccines.org/as-a-polio-s...

Quarterly tradition, 30 LKA questions here I come. #IDSky

Me on secure chat

Unbelievable amount of anti Indian sentiment recently. I believe 🇺🇸 is an incredibly welcoming country which respects merit above all. Americans have always been extremely kind to me personally, but the amount of hate against Indians recently these days with re the work visa debate is disheartening 😔

Dr. Thomas O'Brien -- Expert in Antimicrobial Resistance and Giant in His Field (Literally) Dr. Thomas (Tom) O’Brien was born in January 1929, in between the discovery of penicillin (September 1928) and the publication of the findings in a medical journal (May 1929). As noted by his longtime...

Remembering Dr. Thomas O'Brien -- expert in antimicrobial resistance, and all-around great guy.

Plus, there's that interesting thing about his son ... 😄 #IDSky
blogs.jwatch.org/hiv-id-obser...

Any Minnesotans on here?

Trying to understand this place :)

@iddocadi.bsky.social is here!!!! 🥳🥳🥳

Early Tecovirimat Treatment for Mpox Disease Among People With HIV - PubMed Results of this cohort study support starting tecovirimat in all PWH as soon as an mpox diagnosis is suspected. Additional research is warranted to confirm these findings.

US based STOMP trial of tecovirimat (tpoxx) for clade 2 mpox fails to demonstrate efficacy benefit. Just as it did not in PALM 007 in clade 1 mpox in DRC.

There is no known treatment for mpox

Vaccination is the key control strategy and more research is needed.
pubmed.ncbi.nlm.nih.gov/38190312/

Do antibiotics exist that aren’t flagyl?

my first case of a Bluesky pile-on!! 😂😂😂

I should have clarified that we use OPAT when oral options not feasible (frequent enough to keep us busy!)

The collateral gut damage is a real issue and a good point, though not sure PO Abx that much better. Wait till the oral carbapenems arrive! 😱😱😱

Co-trim
Linezolid
Combinations of TB drugs