Annie Joseph

📌

Communicable E33: Ethics in infectious diseases Ethics in the field of infectious disease can be a delicate interplay...

🎙️ Just published a new #Communicable episode: Communicable E33: Ethics in infectious diseases

Hosted by Angela Huttner @angelahuttner.bsky.social

with invited guests:
Zeb Jamrozik (Melbourne, Australia)
Beenish Syed (Karachi, Pakistan)

Listen here:

#IDSky #Clinmicro #MedSky

Prophylactic Antibiotics for Upper Gastrointestinal Bleeding in Patients With Cirrhosis This systematic review and meta-analysis evaluates the evidence supporting the current guidelines antibiotic prophylaxis use in patients with cirrhosis and upper gastrointestinal bleeding.

International guidelines recommend 5 to 7 days of antibiotic prophylaxis for patients with cirrhosis & upper GI bleeding.
🆕🔥Systematic Review ( 14 RCTs, N=1322) & Bayesian Meta-Analysis challenged this universally held dogma #idsky
jamanetwork.com/journals/jam...

📣 Next #Communicable drops Mon 11 Aug!
@angelahuttner.bsky.social hosts Zeb Jamrozik (Melbourne) & Beenish Syed (Karachi) for an illuminating discussion about approaching ID & clinical practice through an ethical lens 🔍 drawing from #COVID19, #antibiotic use, #stewardship & more!

#IDSky #clinmicro

Do you experience chronic or recurrent UTIs, or care for those who do? Take this survey powered by surveymonkey.com. Create your own surveys for free.

@jameslindalliance.bsky.social priority setting survey for UTI, looking for responses from patients, clinicians and stakeholders. Pls help share to ensure a representative sample #UTISKY

@jennyrohn.bsky.social @angelahuttner.bsky.social @gpollara.bsky.social

www.surveymonkey.com/r/UTI_PSP

She was frickin amazing too!!!

Shocking and depressing #AMR #IDSky #UTISky

Neighborhood deprivation, antimicrobial resistance, and mortality in patients with Enterobacterales: a retrospective cohort study Antimicrobial resistance disproportionately affects socioeconomically disadvantaged populations. We examined how neighborhood deprivation relates to prevalence of antimicrobial resistance and 30-day a...

📣 Henderson & @davidvanduin.bsky.social show socioeconomic disadvantage predicts increased #AMR & mortality in patients w/ non-susceptible #Enterobacterales in this 22K cohort 📈

Addressing AMR requires addressing disparities in #access

www.cmi-comms.com/article/S295...

#IDSky #MedSky #clinmicro

Things are heating up! 🔥 🌎 🍄

Climate change & fungal disease is such a hot topic right now...

Check out the latest @cmicomms.bsky.social Communicable episode🎙

#IDsky
#Clinmicro

Static vs Cidal Antibiotics: Concepts Revisited — Editors in Conversation A common description of antibiotic action aims to classify them between “bactericidal” or “bacteriostatic”. Although these phenomena have robust in vitro foundations, the clinical translation of these...

LIVE, from ASM Microbe 2025, an episode from Editors in Conversation on Static v Cidal ABx mythbusting starring @bradspellberg.bsky.social !

No doubt he listened to our episode 58. Mythbusting Cidal vs Static, & wanted to spread the word. One assumes.

#idsky #microsky

overcast.fm/+AAkR9-FA5Vw

Another good reason to be involved in leadership in professional societies in our own countries... so we can do the right thing if it ever does come to this here.

@bsacandjac.bsky.social

Hoping our very first Grand Round for UTI cases will be the start of something good!!

If successful, there will be more to come... so please get involved with
@esguti-studygroup.bsky.social

#UTIsky #IDsky

I LOVE this stuff Gabriele ❤️ 🤓. And the podcasts that will soon interview the team, to make me even more in awe!!

Micro-palaeontology. Actually it might be palaeo-microbiology... they are both things I think!!

If mild and isolated pulmonary, why not co-trim mono?

Keep linez, moxi, mino in case of reactions. Or as a second oral if v bulky disease.

When I last looked, erta has the poorest activity of the carbs, plus an all oral regime is in reach..?

My feeling is the limited data for pyelo is all for 400 QID, the UK license dosing for uUTI is a lot lower at 200 TID. For ESBLs I tend to give 400 as well, just based on what I've read. Odd BNF dosing strikes again!

Not me but def others... usually the Scandis! There's a few from Norway and Denmark on these indications.

And it is an option in the ongoing DURATIONS pyelo study arm, alongside cefalexin & co-amox (tho I suspect will be low numbers that get pivmec).

I like it 400mg QID for pyelo as admission avoidance. And evidence as bacteraemia stepdown. Good drug ❤️

Welcome to ESGUTI on BlueSky!

We are the newly founded ESCMID Study Group for Urinary Tract Infections (UTIs) - all working together to improve UTI care through collaboration, science and innovation.

We’re just getting started - and look forward to you joining us!
#ESGUTI #ESCMID #UTI #JoinUs

In the UK, the former!!

She's one of the best characters in the department!

#lovewhatyoudo

Thank you @drrossanarosa.bsky.social ❤️ so pleased you enjoyed this ep, it was fun & I learnt so much from Cat Bradshaw.

Good to keep the Women's Health ID topics in focus too!! 🌸 💪🏽

A paradigm shift in BV...

Join us for a deep dive with expert Catriona Bradshaw in E29 out today!🎙 @cmicomms.bsky.social

We unpack her recently published study on the role of male partners & partner treatment in @nejm.org

#IDsky #clinmicro #medsky

We are recruiting a tenure-track assistant professor in molecular microbiology in our department in Lausanne! Do consider appyling!!

📣 Next #Communicable drops Mon 16 Jun! @angelahuttner.bsky.social & @anniejoseph.bsky.social host Catriona Bradshaw (Melbourne, Australia) whose groundbreaking trial on bacterial vaginosis #BV has changed the paradigm-and guidelines: treating male partners hugely effective

#IDSky #clinmicro #MedSky

How to establish a hospital wastewater surveillance program for antimicrobial resistance: Current experience and future knowledge gaps Surveillance of antimicrobial resistance (AMR) in healthcare settings is essential for effective management of infections, optimization of antibiotic treatments and early detection of hospital outbrea...

📣Wastewater surveillance - a powerful tool highlighted during #COVID-19 - can also serve hospitals monitoring #AMR. A review by Hassoun-Kheir et al www.cmi-comms.com/article/S295...

✨A key follow-up from the #Communicable podcast episode! share.transistor.fm/s/a44eaddd

#IDSky #clinmicro #MedSky

Decreasing antimicrobial resistance in representative UK livestock species was associated with reduced total sales of antimicrobials in the last decade AbstractBackground. Antimicrobial resistance (AMR) in pathogenic bacteria is a leading global health crisis estimated to currently contribute to human mort

🔽 antibiotic sales for livestock 👉 🔽 antibiotic resistance in livestock.

Livestock = an important, *modifiable* reservoir of #AMR

#IDSky #ClinMicro @bsacandjac.bsky.social

📌

Philanthropies rush to save measles surveillance network pushed to brink of collapse by U.S. cuts The Trump administration’s gutting of global aid is threatening to collapse a network of laboratories responsible for global measles and rubella surveillance

There's an effort afoot to try to save #GMRLN (pronounced Gremlin), the global #measles & #rubella lab surveillance network that was reliant on US funding that has disappeared. It costs a pittance, in global health terms, to run. Its loss would be huge. www.statnews.com/2025/06/09/t...

But seriously, we find that we cannot get the infection to fully resolve with abx/antifungals unless the flozin stops. Even then, it takes weeks for the glycosuria to clear and infection to settle.

Seen a number of fatal cases with candidaemia, fungal balls etc 😬

If the infection has led to admission with sepsis, we will stop it & do a yellow card for adverse event. And then later the cardiologists try to restart it 🤣

"If he dies from urosepsis/fourniers, he won't get the long-term mortality benefits of the flozin" is my usual argument...