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Kim Cipko

@kcipko.bsky.social

Infectious Diseases specialist. Passionate about vaccines, AMR & One Health. Trilingual πŸ‡¬πŸ‡§πŸ‡΅πŸ‡±πŸ‡ͺπŸ‡Έ. Amateur baker. Boy mum. Views are entirely my own.

1,416 Followers  |  228 Following  |  6 Posts  |  Joined: 08.11.2024  |  2.0295

Latest posts by kcipko.bsky.social on Bluesky

Interesting paper this - sounds like much more to come on the microbiome effects of ibezapolstat - effects look significant vs those of vancomycin.

Will be interesting to see if in any way this accelerates recovery of C diff colitis and prevention of recurrence
#IDSky #ClinMicro #MicroSky

12.06.2025 08:08 β€” πŸ‘ 6    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
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Plumas y virus: la gripe aviar Sensible y Resistente Β· Episode

Are you a healthcare professional interested in #H5N1 and fluent in Spanish? Don’t miss this professional podcast, it’s pure gold: "Sensible y Resistente" #IDsky @listeriacolectiva.bsky.social ‬ open.spotify.com/episode/0Gon...

11.06.2025 23:04 β€” πŸ‘ 3    πŸ” 1    πŸ’¬ 1    πŸ“Œ 0
The MEFIER Scoreβ€”A Risk Score to Stratify Infective Endocarditis in Patients With Enterococcus faecalis Bacteremia Based on an 11-Year Territory-Wide Cohort The 2023 Duke–International Society for Cardiovascular Infectious Diseases (ISCVID) guideline included Enterococcus faecalis as a typical infective endocarditis (IE) organism irrespective of the primary source and setting of infection. Universal echocardiogram for E. faecalis bacteremia is resource-intensive. Our aim was to develop a risk score that can be applied at the time of bacteremia.MethodsWe conducted a retrospective cohort study utilizing a territory-wide electronic database and included all inpatients (age β‰₯18) between 2009 and 2019 who had at least 1 blood culture positive for E. faecalis. A multistep machine learning algorithm was employed to generate the risk score.ResultsA total of 2535 distinct E. faecalis bacteremia episodes were analyzed. The percentage of IE was 3.39% (86/2535). The Machine Learning–derived Enterococcus faecalis Infective Endocarditis Risk (MEFIER) score was developed based on history of valvular heart disease (28 points), history of congenital heart disease (14 points), presence of cardiac implantable electronic device (12 points), age (β‰₯18 to <43 years: 3 points; β‰₯43 to <65 years: 6 points), male gender (2 points), community onset (11 points), and abnormal levels of hemoglobin (16 points), albumin (3 points), and platelets (1 point). With a threshold of β‰₯32 indicating high risk for IE, the MEFIER score demonstrated an area under the receiver operating characteristic curve of 0.79 (95% CI, 0.72–0.88) and a negative predictive value of 0.98 (95% CI, 0.97–0.99).ConclusionsThe MEFIER score is a unique tool to stratify IE patients with E. faecalis bacteremia, boasting a negative predictive value of 98%, to guide use of echocardiography in these patients.

The MEFIER score predicts infective endocarditis (IE) risk in 2535 E. faecalis bacteremia cases. IE occurred in 3.39% (86 cases). It has a 98% negative predictive value and AUC of 0.79. πŸ“Šβ€οΈ

#idsky

11.06.2025 01:30 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0

fantastic investigator thread about delving deeper into the BALANCE trial (7 vs 14 day antibiotics for bacteremia) to look for heterogeneity of treatment effect 😁

I was allready a BALANCE trial fanboy… this analysis makes it even more appealing. #EMIMCC

11.04.2025 23:16 β€” πŸ‘ 17    πŸ” 7    πŸ’¬ 1    πŸ“Œ 0
PHONIC Surveys you can answer with your voice.

If you speak Australian English, consider completing this anonymous online survey; you will have to answer short questions orally and it takes 5-10 mins. This is a pilot to create an interactive linguistic atlas of the accents of Australian English. survey.phonic.ai/6819e46b357d96…

21.05.2025 00:42 β€” πŸ‘ 3    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0
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'Unprecedented and alarming': Bird flu has morphed to wipe out seals Australia is surrounded by the deadly H5N1 strain of bird flu. And it is morphing as sea animals and birds bring it ever closer to these shores.

The deadly H5N1 bird flu has jumped species in Antarctica. It's getting closer to 'pandemic potential' - ABC News www.abc.net.au/news/2025-05...

19.05.2025 22:08 β€” πŸ‘ 6    πŸ” 3    πŸ’¬ 0    πŸ“Œ 1
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Comparative effectiveness of azithromycin versus doxycycline in hospitalized patients with community acquired pneumonia treated with beta-lactams: A multicenter matched cohort study

More evidence that azithromycin may be the better option over doxycycline in hospitalized CAP patients treated with beta-lactams . academic.oup.com/cid/article-...

#IDsky #pharmsky

19.05.2025 13:45 β€” πŸ‘ 4    πŸ” 2    πŸ’¬ 0    πŸ“Œ 1
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RΓ©chauffement climatique : la dengue et le chikungunya pourraient devenir endΓ©miques en Europe Une Γ©tude analyse les liens entre le risque d’épidΓ©mies et de nombreux facteurs, tels que le climat, l’environnement, les conditions de vie socio-Γ©conomiques, la dΓ©mographie ainsi que les donnΓ©es ento...

Study shows that #dengue & #chikungunya may become endemic in Europe due to climate change, urbanization & travel, boosting spread of the tiger mosquito #MicroSky #IDSky

sante.lefigaro.fr/rechauffemen...

19.05.2025 13:51 β€” πŸ‘ 3    πŸ” 4    πŸ’¬ 0    πŸ“Œ 0
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The MEFIER Score - A Risk Score to Stratify Infective Endocarditis in Patients with Enterococcus faecalis bacteremia based on an 11-year territory-wide cohort The 2023 Duke-ISCVID guideline included Enterococcus faecalis as a typical infective endocarditis (IE) organism irrespective of the primary source and setting of infection.

The MEFIER Score - A Risk Score to Stratify Infective Endocarditis in Patients with Enterococcus faecalis bacteremia based on an 11-year territory-wide cohort

βœ… Just Accepted
#IDSky

19.05.2025 14:33 β€” πŸ‘ 4    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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Why do all my AI-generated doctor pics come out looking like they stepped out of a telenovela?! πŸ˜‚ Also, all male πŸ€¦β€β™€οΈAlso highly questionable infection control practices...

13.05.2025 00:16 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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πŸ†•πŸ’«The MEFIER Score - A Risk Score to Stratify Infective Endocarditis in Patients with Enterococcus faecalis bacteremia based on an 11-year territory-wide cohort
AUROC of 0.79 (95%CI 0.72-0.88), and a NPV of 0.98 (95%CI 0.97-0.99)
#idsky #IEWiki
academic.oup.com/ofid/advance...

12.05.2025 15:56 β€” πŸ‘ 9    πŸ” 6    πŸ’¬ 4    πŸ“Œ 0
Fluid-attenuated inversion recovery (FLAIR) MRI showing pathological hyperintensity of the chiasm and anterior visual pathway.

Fluid-attenuated inversion recovery (FLAIR) MRI showing pathological hyperintensity of the chiasm and anterior visual pathway.

Pegivirus hominis, a common virus that has not been linked to specific diseases, was detected in CSF, serum, and brain tissue from four patients with encephalomyelitis, with evidence of independent replication in the CNS. Read the full correspondence: nej.md/437ZK7H

#MedSky #IDSky #NeuroSky

09.05.2025 13:02 β€” πŸ‘ 19    πŸ” 9    πŸ’¬ 0    πŸ“Œ 1
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‼️ArtΓ­culo imprescindible para entender lo que estΓ‘ pasando con la #GripeAviar #H5N1 en EEUU.
La punta del iceberg es el precio de los huevos, pero debajo de eso hay un problema sanitario de primer orden que afecta a humanos y animales (va mini hilo).
elmundo.es/ciencia-y-sa...

05.05.2025 09:50 β€” πŸ‘ 7    πŸ” 4    πŸ’¬ 1    πŸ“Œ 0
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Do current influenza rapid tests work for H5 (in humans)? All were able to detect bovine H5N1, with ranging sensitivities.
πŸ‘‰ www.medrxiv.org/content/10.1...

22.04.2025 00:09 β€” πŸ‘ 12    πŸ” 6    πŸ’¬ 1    πŸ“Œ 0
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More cats positive for H5N1 bird fluβ€”recent cases reported in Kansas, Pennsylvania, Iowa, and Illinois. Raw cat food linked to previous infections, but current sources unknown.

H5N1 also spreading among other animals across multiple states, including skunks, foxes, mice, a raccoon, and a bobcat

05.04.2025 09:52 β€” πŸ‘ 52    πŸ” 29    πŸ’¬ 4    πŸ“Œ 4

#MedskyπŸ§ͺ #IDsky #immunosky #publichealth This #casereport describes a rare case of recurrent coronary artery spasm triggered by urticaria following #COVID infection, emphasizing the importance of considering #Kounissyndrome in patients w a history of infection or allergies presenting with chest pain

04.04.2025 22:01 β€” πŸ‘ 9    πŸ” 2    πŸ’¬ 1    πŸ“Œ 1

Off-target beneficial effect of live-attenuated herpes zoster (shingles) vaccine (Zostavax).

#IDSky #vaccination

04.04.2025 04:18 β€” πŸ‘ 3    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
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Investigational Oral Biologic Achieves 100% C difficile Clinical Cure in Preliminary Cohort Lumen Bioscience’s, LMN-201, was considered safe and well-tolerated and there were no severe dose-related or serious adverse events reported.

LMN-201 was considered safe and well-tolerated and there were no severe dose-related or serious adverse events reported. #IDsky #Medsky @lumenbio.bsky.social

03.04.2025 14:51 β€” πŸ‘ 4    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0

interesting sub-study from BALANCE:

shorter duration NOT associated w/ ⬇️ resistance - the damage is often already done after the first couple of doses of abx

likely more impact in limiting (broad spectrum) abx exposure than lopping off the last few days of rx…but shorter is still better
#idsky

26.03.2025 02:04 β€” πŸ‘ 17    πŸ” 1    πŸ’¬ 1    πŸ“Œ 0
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AI Search Has A Citation Problem We Compared Eight AI Search Engines. They’re All Bad at Citing News.

Tow Center for Digital Journalism study found that "AI" chatbots provided incorrect answers to more than 60 percent of queries, with Musk's Grok 3 responding to 94 percent of the queries incorrectly.

"Premium chatbots provided more confidently incorrect answers than their free counterparts."

11.03.2025 12:40 β€” πŸ‘ 566    πŸ” 316    πŸ’¬ 23    πŸ“Œ 48
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Male-Partner Treatment to Prevent Recurrence of Bacterial Vaginosis | NEJM Bacterial vaginosis affects one third of reproductive-aged women, and recurrence is common. Evidence of sexual exchange of bacterial vaginosis–associated organisms between partners suggests that ma...

Treating Male Sexual Partners Of Women With Bacterial Vaginosis Reduces Recurrence, (Study)

#IDSky
#MedSky

www.nejm.org/doi/full/10....

06.03.2025 13:11 β€” πŸ‘ 6    πŸ” 3    πŸ’¬ 2    πŸ“Œ 0
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NIH has paused patenting of discoveries, slowing their use in developing treatments Freeze on communications and contracts blocks NIH from sharing research materials with collaborators and patenting discoveries.

STAT+: NIH has paused patenting of discoveries, slowing their use in developing treatments www.statnews.com/2025/03/07/t...

07.03.2025 10:37 β€” πŸ‘ 2    πŸ” 3    πŸ’¬ 0    πŸ“Œ 1
Flyways - Pacific, Central, Mississippi, and Atlantic for birds

Flyways - Pacific, Central, Mississippi, and Atlantic for birds

H5N1 D1.1 isn't your grandpa's bird flu

Most human cases have been mild, but D1.1 hits harderβ€”linked to:

Severely ill child (BC)
Death (Louisiana)
Hospitalization (CO, from WY)
Dairy herds & a worker (NV)

Wild birds spread D1.1 along their flyways
It's springtime again and birds are taking off 🧡

07.03.2025 11:08 β€” πŸ‘ 32    πŸ” 18    πŸ’¬ 3    πŸ“Œ 3
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Evaluation of ampicillin plus ceftobiprole combination therapy in treating Enterococcus faecalis infective endocarditis and bloodstream infection - Scientific Reports Scientific Reports - Evaluation of ampicillin plus ceftobiprole combination therapy in treating Enterococcus faecalis infective endocarditis and bloodstream infection

Promising work in E. faecalis showing cefobiprole (which has high affinity for all Enterococcus PBPs) reaching PK/PD targets when used alone or in combination with ampicillin.

#IDSky

www.nature.com/articles/s41...

11.02.2025 02:57 β€” πŸ‘ 17    πŸ” 5    πŸ’¬ 0    πŸ“Œ 0

Applauding this outspoken commentary from @thelancet.bsky.social, standing strong against the current "attack on the health and medical research community".

#NIH #CDC #MedSky #EpiSky #IDSky #HepSky πŸ§ͺ

06.02.2025 11:11 β€” πŸ‘ 14    πŸ” 7    πŸ’¬ 2    πŸ“Œ 0

I ❀️ the series! Latest article πŸ‘‡πŸΌ
#IDSky

06.02.2025 12:07 β€” πŸ‘ 3    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
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Rethinking Antibiotic Prophylaxis for Spontaneous Bacterial Peritonitis in Patients with Cirrhosis: First, Do No Harm Abstract. Antibiotic prophylaxis for spontaneous bacterial peritonitis (SBPPr) in patients with cirrhosis has been considered standard of care since the 19

Wait. ONE lousy trial is the major reason for spontaneous bacterial peritonitis prophylaxis?! Thanks to @paulsaxmd.bsky.social for this!

#IDSky #Medsky

academic.oup.com/cid/advance-...

04.02.2025 21:43 β€” πŸ‘ 8    πŸ” 3    πŸ’¬ 1    πŸ“Œ 0
Site Index STIs are common. Many are curable - all are preventable.

PLEASE SHARE WIDELY #medsky #IDsky #obgynsky #pedsky
CDC STI treatment guidelines have been taken down. They are archived here πŸ‘‡
web.archive.org/web/20250202...

05.02.2025 06:24 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
From medical editors: A call to the global infectious diseases and clinical microbiology community Each time a man stands up for an ideal, or acts to improve the lot of others, or strikes out against injustice, he sends forth a tiny ripple of hope.Robert F. Kennedy, Senior

πŸ“£ Medical editors call for #action against the decisions being taken in the #USA undermining #medicine and #science, and international #coordination to preserve what has been built across borders.

#IDSky #Clinmicro #MedSky #Episky #publichealth #vaccines

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

05.02.2025 07:38 β€” πŸ‘ 64    πŸ” 34    πŸ’¬ 3    πŸ“Œ 6
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Burden of bacterial antimicrobial resistance among hospitalised patients in Spain: findings from three nationwide prospective studies The burden of disease caused by MDRO infections among hospitalised patients in Spain is very high and remains stable over the study period. National actions to combat bacterial resistance need to be i...

Burden of #bacterial antimicrobial #resistance among hospitalised patients in #Spain: findings from three nationwide prospective studies - The Lancet

The burden of disease caused by MDRO infections among hospitalised patients in Spain is very high.

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

05.02.2025 09:31 β€” πŸ‘ 12    πŸ” 8    πŸ’¬ 2    πŸ“Œ 0

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