iiinova — where your digital self keeps evolving

Catherine Berry (she/her) @catherineberry.bsky.social · 12h

Thanks for this interesting summary. The UK don't audit hand hygiene?

000

Catherine Berry (she/her) @catherineberry.bsky.social · 06/10/2026

No. Not insurmountable. MAC remains a PITA to deal with.

000

Catherine Berry (she/her) @catherineberry.bsky.social · 06/10/2026

So will be interesting to see if the access to this changes.

100

Catherine Berry (she/her) @catherineberry.bsky.social · 28/09/2026

There was a big push to make this first line for a wider range of indications in my centre. I pushed back because we don't have fabulous cover out of hours in some of our peripheral hospitals and I think it needs to be used with nuance and support. So no change for me.

010

Catherine Berry (she/her) @catherineberry.bsky.social · 14/09/2026

Our national guidelines weren't further updated with respect to this. It recommends for non severe hospitalised patients and outpatients at high risk.

110

Catherine Berry (she/her) @catherineberry.bsky.social · 14/09/2026

This was what was developed in response to the conference presentation which coincided with our flu season. livingevidence.org.au/influenza/

livingevidence.org.au

Influenza - Australian Living Evidence Collaboration

More information coming soon

131

Catherine Berry (she/her) @catherineberry.bsky.social · 10/09/2026

Thanks Tim. Great summary. The AHA statement was a good read.

010

Catherine Berry (she/her) @catherineberry.bsky.social · 06/09/2026

Will read with interest. Thank you for sharing.

010

Catherine Berry (she/her) @catherineberry.bsky.social · 03/09/2026

Was it controversial? This type of study gets sent to me to justify the need for 48 hours abx. I know we're all trying to gain ground from different starting points. I do think language is important.

000

Catherine Berry (she/her) @catherineberry.bsky.social · 30/08/2026

Haha. Just wondering if I was missing something. Net benefit but higher relapse makes sense.

100

Reposted by Catherine Berry (she/her)

KC @achkc.bsky.social · 28/07/2026

On #WorldHepatitisDay: Hepatitis E Virus causes 20 M infections/3.3 M symptomatic cases annually. A hepatitis E vaccine was 95.5% effective in a 2007 trial, yet was never developed further. Why? www.nejm.org/doi/full/10.... @worldhepalliance.bsky.social #idsky #episky #medsky #publichealth

Cumulative Hazard of Hepatitis E.
The cumulative hazard of a first hepatitis E episode (i.e., the incidence rate) was estimated as a minus-log transformation (log data to nonlog data) of the Kaplan–Meier survival curve during the period after the administration of the first dose of study drug until the end of the study among all subjects who received at least one dose of either vaccine or placebo. The numbers below the graph are the numbers of patients in each group remaining under surveillance at 100-day intervals. The difference between subjects who received placebo and those who received vaccine was significant (P<0.001 by the log-rank test). Vaccine efficacy from the first dose, calculated with the Cox regression model, was 89.9% (95% CI, 77.9 to 94.5%).

031

Catherine Berry (she/her) @catherineberry.bsky.social · 28/07/2026

I think we threw it as a hail Mary at a multiresistant endovascular pseudomonas with ? Azteeonam. In the early 2010s so pre- extended spectrum beta-lactmase inhibitors.

000

Catherine Berry (she/her) @catherineberry.bsky.social · 23/07/2026

Looking forward to reading. Thanks for sharing!

010

Catherine Berry (she/her) @catherineberry.bsky.social · 20/07/2026

I think I've only been involved in its use maybe twice?

110

Reposted by Catherine Berry (she/her)

ID:IOTS Podcast @idiots-pod.bsky.social · 17/06/2026

Well, it only took ‘em 2 years to get past Reviewer 2, but they did it & as we say in Scotland, ‘it’s Oot’! SNAP paper 1, available now. Congrats 2 Todd Lee, Steve Tong, Josh Davis & the rest. First dram of this bottle is in your honour! Slàinte!! #IDsky #SNAP #morelikePoocloxacillin

3245

Reposted by Catherine Berry (she/her)

Asher Perlman @asherperlman.bsky.social · 15/06/2026

My cartoon in the January 22, 2026 issue of The New Yorker

946374799

Catherine Berry (she/her) @catherineberry.bsky.social · 15/06/2026

We use Ben pen in infusers for what it's worth ( I know it's expensive in nth America). There was a long discussion for the last case - I'll see what we did.

120

Catherine Berry (she/her) @catherineberry.bsky.social · 12/06/2026

Really interesting and essential work. Thanks for sharing. #TBaky

010

Reposted by Catherine Berry (she/her)

Eurosurveillance journal @eurosurveillance.org · 11/06/2026

Thanks to high #vaccination rates, the Northern Territory of #Australia had not seen locally acquired #diphtheria disease since the late 1990s - until cutaneous cases emerged in 2025 and respiratory cases in 2026 Read about the #outbreak ➡️ bit.ly/EUS3123 #IDSky #EpiSky #MicroSky #MedSky 🧪🛟 #HIVSky

Table of content issue 23 in 2026:

Rapid Communication
Diphtheria outbreak, Northern Territory of Australia, 2025 to 2026

Research
Characterising individuals with newly diagnosed HIV before versus during the era of PrEP: a descriptive time-series analysis of data from a sexual health centre in Amsterdam, the Netherlands, 2015 to 2024

055

Reposted by Catherine Berry (she/her)

Anita Williams @catanita.bsky.social · 11/06/2026

Findings: Use of antibiotics is unlikely to improve patient-important outcomes in individuals with non-severe, severe, or critical COVID-19 infections. The 2025 WHO guidelines recommend against antibiotics in patients with low suspicion of bacterial infection #AMR #IDSky #MedSky

082

Catherine Berry (she/her) @catherineberry.bsky.social · 07/06/2026

I'm informed that the police were called. To a medical conference. Because the editors of a journal held views. Sorry?

120

Reposted by Catherine Berry (she/her)

Antibiotic Steward 🅱️C🆔🅿️🌟 @absteward.bsky.social · 06/06/2026

Tuberculous Meningitis (TBM) is an often lethal form of tuberculosis with damage to the brain ,the treatment regimen for TBM comprises 4 antitubercular drugs and anti-inflammatory glucocorticoids. The regimen has not changed for over 40 years #idsky

012

Reposted by Catherine Berry (she/her)

Antibiotic Steward 🅱️C🆔🅿️🌟 @absteward.bsky.social · 29/05/2026

Amazing 😍 🔥SHORTEN 2 RCT A 7-day treatment course is superior to 14 days for uncomplicated Pseudomonas aeruginosa bacteremia, achieving similar clinical response rates with lower antibiotic exposure, fewer superinfections, and fewer serious adverse events #idsky @shorten2trial.bsky.social

3389

Catherine Berry (she/her) @catherineberry.bsky.social · 27/05/2026

And accompanying Cochrane. Tiny benefit in select patients. Surprised there was anything.https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD014221.pub2/full

020

Catherine Berry (she/her) @catherineberry.bsky.social · 18/05/2026

I'm giving year 5 medical students a talk on the pharmacology of antimicrobials. Delivery via zoom. 2 hours 🙄. Tips for keeping it interesting? What pearls do you always include?

static.klipy.com

Mr. Incredible Working Tiredly

ALT: Mr. Incredible Working Tiredly

230

Reposted by Catherine Berry (she/her)

Rossana Rosa @drrossanarosa.bsky.social · 17/05/2026

A mini zine about My Infectious Diseases Life Issue #19- the present is never a ghost, thinking more than the machine, sería picheo?, graduated with honors, not even youth was enough #IDSky #MedSki #zine

On Monday, TB was not a thing of the past

On Tuesday, two stewardesses’ heads were better than

On Wednesday, a call left me, wondering if I was being duped or onto a breakthrough

On Thursday someone graduated from clinic: you’re cured!

0134

Reposted by Catherine Berry (she/her)

Antibiotic Steward 🅱️C🆔🅿️🌟 @absteward.bsky.social · 13/05/2026

"The best antibiotics are a scalpel and a drainage needle. Don’t try to replace a surgeon or interventional radiologist with an antibiotic Andrew Morris, M.D #IDquotes #idsky

0105

Reposted by Catherine Berry (she/her)

Rhea Liang @liangrhea.bsky.social · 12/05/2026

Listening to the talkative teens currently inhabiting my living room. Can confirm that they have an utter disdain for AI, and by extension, for teachers who use AI. Also, that they discuss AI and its associated issues with far more knowledge and sophistication than most adults. #TheKidsAreAlright

56313

Catherine Berry (she/her) @catherineberry.bsky.social · 11/05/2026

A lot of the participants with a positive tb-lam were not started on therapy. The benefit of diagnostics will only be seen if fully implemented. The 8 week mortality was a sobering 25 to 28%. We need to do better for PLHIV. There is much to learn from this trial. #TBsky #IDsky

000

Reposted by Catherine Berry (she/her)

Alicia Ault @aliciaault.bsky.social · 03/05/2026

3 Dead of Suspected Hantavirus Infections on Cruise Ship, W.H.O. Says Whoa. This is crazy. #IDsky #epidemiology #virology #travel

nytimes.com

3 Dead of Suspected Hantavirus Infections on Cruise Ship, W.H.O. Says

154

Reposted by Catherine Berry (she/her)

ID:IOTS Podcast @idiots-pod.bsky.social · 29/04/2026

Now this looks like an ep for thee About a drug that gets into your pee It’s known to treat crypto and also yeast It’s time to learn about flucytosine podcasts.apple.com/gb/podcast/i... #idsky #microsky #podcast

podcasts.apple.com

137. Flucytosine

Podcast Episode · ID:IOTS - Infectious Disease Insight Of Two Specialists · 27 April · 22min

293

Reposted by Catherine Berry (she/her)

Jack Goodall @jackwgoodall.bsky.social · 29/04/2026

I'm pretty convinced by the recent Bayesian meta-analysis of selective decontamination of the digestive tract for ventilated patients. evidence.nejm.org/doi/10.1056/... I have to admit that I instinctively *really* don't like this as an idea (but hey - I guess that's what RCT evidence is for) #IDSky

evidence.nejm.org

Selective Decontamination of the Digestive Tract in Adult Mechanically Ventilated Patients — An Updated Systematic Review with Bayesian Meta-Analysis

There is uncertainty whether the use of selective decontamination of the digestive tract (SDD) as a preventive antimicrobial strategy reduces mortality in adult patients receiving mechanical ventil...

143

Catherine Berry (she/her) @catherineberry.bsky.social · 29/04/2026

Generalisability will be heavily dependent on setting. Ceftriaxone or cefuroxime monotherapy would be optimistic in many settings in 2026. Curious about cluster design to answer this question too? Glad they reported it still as the as treated findings look concerning.

030