@prodgersmichael.bsky.social
MD, clinical microbiology. Nijmegen, the Netherlands.
Why do you prefer amp-sulbactam?
30.07.2025 18:27 — 👍 1 🔁 0 💬 1 📌 0Wow, interesting
28.07.2025 16:24 — 👍 0 🔁 0 💬 0 📌 0Seems to be going okay. Has been in use again for a few years.
27.07.2025 19:16 — 👍 0 🔁 0 💬 1 📌 0😂😂😂
27.07.2025 19:14 — 👍 0 🔁 0 💬 0 📌 0I know, which is the reason why it disappeared from use in the Netherlands for decades. However now it’s being used more and more again, mostly iv.
27.07.2025 19:11 — 👍 0 🔁 0 💬 1 📌 0Ah I see, good point. Though it would be weird to find those in a blood culture. Never seen that myself.
27.07.2025 19:10 — 👍 0 🔁 0 💬 0 📌 0Probably all zoonotic species. Never heard of the human commensal species causing serious infections.
26.07.2025 20:17 — 👍 1 🔁 0 💬 1 📌 0Was the patient asplenic or alcoholic?
26.07.2025 20:16 — 👍 0 🔁 0 💬 0 📌 0Metamizole as well
26.07.2025 20:11 — 👍 1 🔁 0 💬 1 📌 0When you say hepatitis C is treated in primary care, do you mean GP’s are the ones prescribing the antivirals?
26.07.2025 20:10 — 👍 0 🔁 0 💬 1 📌 0Hadn’t heard of that dogma. We don’t do it here in The Netherlands. Had S. aureus in two urine cultures today. Just check their file to see if they have symptoms pointing to SAB. If not, I ignore it.
21.07.2025 18:52 — 👍 3 🔁 0 💬 3 📌 0Interesting thread!
21.07.2025 18:47 — 👍 2 🔁 0 💬 0 📌 0Rare to have GBS in an adult. Any idea what caused the infection in this patient?
27.06.2025 16:15 — 👍 0 🔁 0 💬 1 📌 0Never heard of that. Depending on your audience maybe consider writing the acronym in full.
07.06.2025 15:31 — 👍 1 🔁 0 💬 1 📌 0What is MPGN?
07.06.2025 08:12 — 👍 0 🔁 0 💬 1 📌 0B. If I find S. aureus of S. pyogenes, I will only cover that. Something less obviously, I will also cover anaerobes.
28.05.2025 05:37 — 👍 0 🔁 0 💬 0 📌 06 weeks.
25.05.2025 11:05 — 👍 1 🔁 0 💬 0 📌 0
You can check the distribution on EUCAST mic.eucast.org/search/show-...
21.05.2025 05:45 — 👍 2 🔁 0 💬 0 📌 0Did Hymenolepis change? CDC still calls it that.
27.04.2025 18:28 — 👍 0 🔁 0 💬 1 📌 0Cool
27.04.2025 06:30 — 👍 2 🔁 0 💬 0 📌 0And another bonus point if you can pronounce the new name right in one go:
Dibothriocephalus latus (formerly Diphyllobothrium latum
📌
26.04.2025 06:31 — 👍 0 🔁 0 💬 0 📌 0What was the diagnosis? Article behind paywall.
25.04.2025 19:42 — 👍 0 🔁 0 💬 0 📌 0Interesting, thanks for sharing.
21.04.2025 14:33 — 👍 0 🔁 0 💬 0 📌 0And this is the screening protocol www.hematologie-wijzer.nl/home/behande...
21.04.2025 14:28 — 👍 1 🔁 0 💬 1 📌 0And this is the empiric therapy, based on colonisation cultures: www.hematologie-wijzer.nl/getmedia/45f...
21.04.2025 14:27 — 👍 1 🔁 0 💬 0 📌 0This is the prophylaxis table: webshare.zenya.work/DocumentReso...
It’s in Dutch, but ChatGPT or other AI can translate
Yes we use rectal swabs to look for colonisation with gram negatives and yeasts and tailor decolonisation therapy according to what we find. And also use the swab results for empiric therapy.
21.04.2025 08:36 — 👍 1 🔁 0 💬 1 📌 0Cipro in SCT patients, and cotrim plus colistin in intensive chemotherapy patients.
19.04.2025 20:42 — 👍 0 🔁 0 💬 1 📌 0Our stem cell transplant patients get decontaminated with either colistin + trim/sulfa, or ciprofloxacin.
19.04.2025 20:40 — 👍 1 🔁 0 💬 1 📌 0
