Nate Shively (@nateshivelymd) 's Twitter Profile
Nate Shively

@nateshivelymd

ID doc at @AHNtoday. Med. Director, ASP at Allegheny Valley. Husband and father of 3. Prefers being outdoors. Used to be a good bowler. Opinions my own.

ID: 1192638279474135040

calendar_today08-11-2019 03:01:54

1,1K Tweet

1,1K Followers

268 Following

ID:IOTS podcasting / idiots-pod.bsky.social (@idiots_pod) 's Twitter Profile Photo

ONE ANTIBIOTIC PK TABLE TO RULE THEM ALL Absorption takes drug into blood from GI, Vd spreads drug out to where bug calls home. And after bacteria are doomed to die, Theyโ€™re mostly eliminated on the porcelain throne In the Land of Notion where this table doth lie. 1/2

ONE ANTIBIOTIC PK TABLE TO RULE THEM ALL

Absorption takes drug into blood from GI,
Vd spreads drug out to where bug calls home.
And after bacteria are doomed to die,
Theyโ€™re mostly eliminated on the porcelain throne

In the Land of Notion where this table doth lie.
1/2
Kao-Ping Chua (@kaopingchua) 's Twitter Profile Photo

1/ New Clinical Infectious Diseases: using commercial/Medicare Advantage claims, we show the % of people w/inappropriate antibiotics dropped in March 2020 but soon returned to pre-pandemic levels. Antibiotic stewardship remains important. Jeff Linder CHEAR U-M IHPI academic.oup.com/cid/advance-arโ€ฆ

1/ New <a href="/CIDJournal/">Clinical Infectious Diseases</a>: using commercial/Medicare Advantage claims, we show the % of people w/inappropriate antibiotics dropped in March 2020 but soon returned to pre-pandemic levels. Antibiotic stewardship remains important. <a href="/jeffreylinder/">Jeff Linder</a> <a href="/UMchear/">CHEAR</a> <a href="/UM_IHPI/">U-M IHPI</a>
academic.oup.com/cid/advance-arโ€ฆ
Brad Spellberg (@bradspellberg) 's Twitter Profile Photo

Digging through old files for data, I ran across this talk, developed in 2005. Yes, I actually gave this talk on several occasions staring in '06. For those who have wondered, yes, I've always been like this--it's congenital, not acquired, dementia with psychotic features.

Digging through old files for data, I ran across this talk, developed in 2005. Yes, I actually gave this talk on several occasions staring in '06. For those who have wondered, yes, I've always been like this--it's congenital, not acquired, dementia with psychotic features.
Antibiotic Steward Bassam Ghanem ๐Ÿ…ฑ๏ธC๐Ÿ†”๐Ÿ…ฟ๏ธ๐ŸŒŸ (@absteward) 's Twitter Profile Photo

๐Ÿ”ฅDOTS๐Ÿ”ฅ The most anticipated RCT #ESCMIDGLOBAL2024 Dalbavancin is non-inferior to SOC by clinical efficacy for complicated SAB incl Rt sided IE 2 doses Dalba 1500 mg on days 1 & 8 or 4-8 wks of SOC(cefaz or naf:MSSA;vanc or dapto:MRSA) DOOR at D70 Slides shared by Alireza FakhriRavari, PharmD, BCPS, BCIDP, AAHIVP

๐Ÿ”ฅDOTS๐Ÿ”ฅ
The most anticipated RCT #ESCMIDGLOBAL2024 Dalbavancin is non-inferior to SOC by clinical efficacy for complicated SAB incl Rt sided IE
2 doses Dalba 1500 mg on days 1 &amp; 8 or 4-8 wks of SOC(cefaz or naf:MSSA;vanc or dapto:MRSA)
DOOR at D70
Slides shared by <a href="/LordAlirezaF/">Alireza FakhriRavari, PharmD, BCPS, BCIDP, AAHIVP</a>
Nate Shively (@nateshivelymd) 's Twitter Profile Photo

Seeing a lot of procalcitonin hate. 26+ RCTs is not weak evidence, folks. Just make sure you have a good stewardship program if you want procalcitonin to work to reduce unnecessary antibiotic use. x.com/NateShivelyMD/โ€ฆ

Kevin Schwartz (@drkevinschwartz) 's Twitter Profile Photo

Mailed feedback to primary care physicians on antibiotic prescribing for patients aged 65 years and older: pragmatic, factorial randomised controlled trial bmj.com/content/385/bmโ€ฆ

Brad Spellberg (@bradspellberg) 's Twitter Profile Photo

3 daily rants in one week? A new record! It's a fair question. And the answer is, no. Even in immune suppressed patients there is no evidence that cidal vs. static means anything. Why?

Julie Ann Justo (@julie_justo) 's Twitter Profile Photo

๐ŸšจWow. Big news. First oral carbapenem, sulopenem (plus probenecid), just approved by the FDA for uUTI. ๐Ÿ’Š Bring out the popcorn ๐Ÿฟ This is gonna be interestingโ€ฆ. #IDtwitter SIDP ACCP INFD PRN IDSA globenewswire.com/news-release/2โ€ฆ

AHN Infectious Disease/Critical Care Medicine (@ahnidccm) 's Twitter Profile Photo

Happy ASP Week! Check out our ASP Teamโ€™s latest newsletter! ๐Ÿ’Š๐Ÿฆ ๐Ÿ†” #idccm #IDCCM #InfectiousDisease #CriticalCareMedicine #ASP #AntimicrobialStewardship #IDforMe

Happy ASP Week!

Check out our ASP Teamโ€™s latest newsletter! 

๐Ÿ’Š๐Ÿฆ ๐Ÿ†” #idccm #IDCCM #InfectiousDisease #CriticalCareMedicine #ASP #AntimicrobialStewardship #IDforMe
Brad Spellberg (@bradspellberg) 's Twitter Profile Photo

@Absteward has reported that BALANCE is now published, so the Table is now updated! GNB bacteremia is now listed as Bacteremia (non S. aureus). Neary 5,000 patients have now been randomized to 1 vs. 2 Constantine Units for non S. aureus bacteremia. bradspellberg.com/shorter-is-betโ€ฆ

@Absteward has reported that BALANCE is now published, so the Table is now updated! GNB bacteremia is now listed as Bacteremia (non S. aureus). Neary 5,000 patients have now been randomized to 1 vs. 2 Constantine Units for non S. aureus bacteremia.
bradspellberg.com/shorter-is-betโ€ฆ
AHN Infectious Disease/Critical Care Medicine (@ahnidccm) 's Twitter Profile Photo

โ„๏ธHappy Holidays! โ„๏ธ Check out our ASP Teamโ€™s latest newsletter! ๐Ÿ’Š๐Ÿฆ ๐Ÿ†” #idccm #IDCCM #InfectiousDisease #CriticalCareMedicine #ASP #AntimicrobialStewardship #IDforMe

โ„๏ธHappy Holidays! โ„๏ธ

Check out our ASP Teamโ€™s latest newsletter! 

๐Ÿ’Š๐Ÿฆ ๐Ÿ†” #idccm #IDCCM #InfectiousDisease #CriticalCareMedicine #ASP #AntimicrobialStewardship #IDforMe
AHN Infectious Disease/Critical Care Medicine (@ahnidccm) 's Twitter Profile Photo

Check out our ASP Teamโ€™s latest newsletter! ๐Ÿ’Š๐Ÿฆ ๐Ÿ†” #idccm #IDCCM #InfectiousDisease #CriticalCareMedicine #ASP #AntimicrobialStewardship #IDforMe

Check out our ASP Teamโ€™s latest newsletter! 

๐Ÿ’Š๐Ÿฆ ๐Ÿ†” #idccm #IDCCM #InfectiousDisease #CriticalCareMedicine #ASP #AntimicrobialStewardship #IDforMe
AHN Infectious Disease/Critical Care Medicine (@ahnidccm) 's Twitter Profile Photo

Check out our ASP Teamโ€™s latest newsletter! ๐Ÿ’Š๐Ÿฆ ๐Ÿ†” #idccm #IDCCM #InfectiousDisease #CriticalCareMedicine #ASP #AntimicrobialStewardship #IDforMe

Check out our ASP Teamโ€™s latest newsletter! 

๐Ÿ’Š๐Ÿฆ ๐Ÿ†” #idccm #IDCCM #InfectiousDisease #CriticalCareMedicine #ASP #AntimicrobialStewardship #IDforMe
AHN Infectious Disease/Critical Care Medicine (@ahnidccm) 's Twitter Profile Photo

Check out our ASP Teamโ€™s latest newsletter! HIV Post-Exposure Prophylaxis ๐Ÿ’Š๐Ÿฆ ๐Ÿ†” #idccm #IDCCM #InfectiousDisease #CriticalCareMedicine #ASP #AntimicrobialStewardship #IDforMe

Check out our ASP Teamโ€™s latest newsletter! 
HIV Post-Exposure Prophylaxis

๐Ÿ’Š๐Ÿฆ ๐Ÿ†” #idccm #IDCCM #InfectiousDisease #CriticalCareMedicine #ASP #AntimicrobialStewardship #IDforMe
Jake Scott, MD (@jakescottmd) 's Twitter Profile Photo

RFK Jr. went on national TV and spouted egregious, dangerous falsehoods about vaccines. As a parent and infectious diseases doctor, I couldn't stay silent. Fox News might not fact-check him, but I will. I've reviewed the trials. I've catalogued them. I have receipts. ๐Ÿงต

AHN Infectious Disease/Critical Care Medicine (@ahnidccm) 's Twitter Profile Photo

Check out our ASP Teamโ€™s latest newsletter! AHN Surgical Prophylaxis Guidelines ๐Ÿ’Š๐Ÿฆ ๐Ÿ†” #idccm #IDCCM #InfectiousDisease #CriticalCareMedicine #ASP #AntimicrobialStewardship #IDforMe

Check out our ASP Teamโ€™s latest newsletter! 
AHN Surgical Prophylaxis Guidelines 

๐Ÿ’Š๐Ÿฆ ๐Ÿ†” #idccm #IDCCM #InfectiousDisease #CriticalCareMedicine #ASP #AntimicrobialStewardship #IDforMe