NHS Lothian Antimicrobial Stewardship
@AMSLothian
💊 ⌛ Edinburgh based multi-disciplinary team of #AntibioticGuardians #KeepAntibioticsWorking #AntimicrobialResistance #AntimicrobialStewardship #AMR
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Tomorrow is #EuropeanAntibioticAwarenessDay we have updated our intranet page with lots of resources #dontbeadipstick #WAAW2020 thanks to @elizbeech for the inspiration "to dip or not to dip"
Like Edinburgh and the Lothians? Come be my boss! An exciting time in infection medicine - joint ID and micro job apply.jobs.scot.nhs.uk/Job/JobDetail?…
2023 RCPATH ACHIEVEMENT AWARD WINNERS 🏆 Huge effort by NHS Lothian infection team to deliver the "Infection bootcamp" over past 2 years. Well deserved recognition of the team's hard work 🎉
Well done Team Micro/Virol NHSLothian for our fantastic Infection Training Bootcamp!
@NCAS_Aus Journal Club. Thanks @simgalimam for discussing his local health networks implementation of antibiotic hard stops, the benefits of reducing #DOTs and #LOTs and potential consequences when not reviewed. Read full publication here: bmcinfectdis.biomedcentral.com/articles/10.11…
The official opening of the new and improved Junior Doctors mess at WGH today in Pentland Lodge. Thank you to all who made it happen especially our Chief Registrars and @NHSLothianMedEd team
I also have a related editorial with @ValerieVaughnMD that a lot of the environment we "swim" in hasn't been thoughtfully designed at all. #HVMC2023 qualitysafety.bmj.com/content/27/8/5…
“ACCEPT-UTI: Empirical use of piperacillin/tazobactam for ESBL UTIs showed no difference in clinical success outcomes compared to the empirical use of carbapenems” Check out this study by @sylviastefanos et al: doi.org/10.1093/jacamr… @AthenaLVHobbs @SIDPharm #JACAMRNews
Found my poster! 📸 Outcome: 40% REDUCTION in antibiotic prophylaxis for recurrent UTI within Bridgend locality! That’s >2,200 fewer antibiotics per year. #UTIFriday #BSACSpring2023
Fluoroquinolone antibiotics: reminder of measures to reduce the risk of long-lasting, disabling and potentially irreversible side effects | European Medicines Agency europa.eu/!WGkDrR via @EMA_News
From @dr_vpatel910; @BrianChuSF; @UPenn_Allergy: A penicillin allergy testing service assessed penicillin allergy in patients with hematologic malignancies. All tested patients were negative. Patients who were challenged passed and were delabeled. 📄cup.org/42DWxvj
Transfer of antibiotics and their metabolites in human milk: Implications for infant health and microbiota: doi.org/10.1002/phar.2…
🆕️⚡️ @antibioticsmdpi @MassimoSartelli Six Long-Standing Questions about Antibiotic Prophylaxis in Surgery #IDTwitter mdpi.com/2079-6382/12/5…
Are you an early-stage clinician interested in haematological #infections? The #ICDhaem course in our Infection Clinical Dilemmas series explores the common infection issues in haemato-oncology patients and the best ways to manage them 🦠 Join now! 👇 infectionclinicaldilemmas.co.uk/webinar/haemat…
Assessing clinical cure of empirical piperacillin/tazobactam for ESBL urinary tract infections (ACCEPT—UTI) academic.oup.com/jacamr/article…
@ErinMcCreary giving us a unique argument for advocating IV to PO abx switch for serious infections ➡️ Saving massive amounts of nursing time! ⏰ (avg 22 min to administer IV vs. 80 seconds for PO) 🤯 @MAD_ID_ASP #MADID2023
"IV antibiotics hold some kind of “mythical status” for both the clinician and patient, especially when it comes to deeper infections like bacteremia and infective endocarditis.Mythology is, unfortunately, a poor proxy for data, but luckily evidence-based alternatives exist!"🎯
Wow., it's published! @BradSpellberg et al @CMIJournal 🔥Choosing Patients Over Placebos: Oral Transitional Therapy vs. IV-Only Therapy for Bacteremia and Infective Endocarditis🔥 #IDTwitter clinicalmicrobiologyandinfection.com/article/S1198-…
clinicalmicrobiologyandinfection.org
Choosing patients over placebos: oral transitional therapy vs. IV-only therapy for bacteraemia and...
The belief that antibiotics must be administered intravenously (IV) to treat bacteraemia and endocarditis has its origins 70 years ago and has engrained itself in the psyche of the medical community...
"Choosing the less safe, not more effective IV-only alternative may be akin to administering a proverbial “placebo” to treat the clinician’s or patient’s own anxiety" Please RT
Wow., it's published! @BradSpellberg et al @CMIJournal 🔥Choosing Patients Over Placebos: Oral Transitional Therapy vs. IV-Only Therapy for Bacteremia and Infective Endocarditis🔥 #IDTwitter clinicalmicrobiologyandinfection.com/article/S1198-…
clinicalmicrobiologyandinfection.org
Choosing patients over placebos: oral transitional therapy vs. IV-only therapy for bacteraemia and...
The belief that antibiotics must be administered intravenously (IV) to treat bacteraemia and endocarditis has its origins 70 years ago and has engrained itself in the psyche of the medical community...
Defining the Optimal Duration of Therapy for Hospitalized Patients With Complicated Urinary Tract Infections and Associated Bacteremia academic.oup.com/cid/article-ab…
Real-world evaluation of linezolid-associated serotonin toxicity with and without concurrent serotonergic agents @UKCPAPIN @ESGAP_ABS @biainfection @NCAS_Aus @FIP_org @CW_Pharmacists @ptsafetyNHS sciencedirect.com/science/articl…
Another study that shows the low utility of urine culture in those without urinary symptoms, even for a high risk patient group (HSCT recipients with neutropenic fever)
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