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Ever been frustrated by the excuse, “Sorry, it’s against hospital policy” when you needed to do something important to help someone? Well, we solved that. Get your hospital to adopt the Policy to Override Policies! jamanetwork.com/journals/jamai…

idsociety.org/news--publicat… Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟 Emily McDonald Brad Spellberg Balance results will be presented Friday at ID week. 7 days NI to 14 for most uncomplicated bacteremia (powered on *mortality*)

I love these two slides on the evidence for combination therapy in persistent MRSA and MSSA bacteremia. References in footer of each slide. #IDWeek2024

🔥BALANCE RCT🔥 results #IDWeek2024 3,608 patients 74 hospitals in 7 countries A 7-day course of antibiotics for hospitalized patients with bloodstream infections is just as effective as a 14-day course,Both treatment durations demonstrated similar 90d mortality & relapse rates.

So curious if anyone attended this and could share slides or some insight!

Thanks to Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟 for finding the latest Shorter Is Better study! No, not BALANCE. That ain't published yet. Rather, it's the 57th short course periop prophylaxis RCT. Yes, you heard right. 57. So...how many do you need? Kinda getting embarrassing no? bradspellberg.com/shorter-is-bet…

1% MRSA and 1% pseudomonas? Could have fooled me with the empiric coverage 😢

Uhhhhh

Oral water more effective than IV water for immediate BP rise in orthostatic hypotension. Oropharyngeal SNS receptors to the rescue. Super cool. #KidneyWk

Dang! Would not have guessed that!

This one has me scratching my head a bit. What’s the mechanism here?

Maybe more valuable to ask what the rush to obtain access when compressions and rhythm check/shocking are so much more valuable. Considering the results of PARAMEDIC-2, would have hoped for a different approach in this trial.

Great presentation on this a few years ago at C4 conference. I think about this most days in the ICU.

Filed under “duh” but it’s the thing that gets done every time. I’m all for ensuring there isn’t some component of vitamin K deficiency but the repeated daily (or more frequent!) dosing blows my mind

🔥🔥Just published🔥🔥 Our NEW WikiGuidelines JAMA Network Open A stellar cast of auth🌟rs Snacks, PharmD, MPH Alfredo J Mena Lora MD FIDSA Brad Spellberg Todd C. Lee Emily McDonald Guidelines for the Prevention Diagnosis,and Management of Urinary Tract Infections in Pediatrics& Adults jamanetwork.com/journals/jaman…

And we’re off! See y’all on the other side!

Come work with a fantastic group of ID pharmacists! Lots of exciting ID projects to do and patients to care for!