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Guía PRIOAM

@guiaprioam.bsky.social
802 followers 446 following 15 posts

Una guía para mejorar el uso de los antibióticos • Si prescribes, eres parte de la solución • Equipo #PROA en @hospitaluvrocio.bsky.social • #FOAMed ⏩️ www.guiaprioam.com

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José Molina @josemolinagb.bsky.social · 21/06/2026
Antimicrobial Stewardship [vol.2] already running! Did we miss someone? 😉 #AMSsky #IDsky #MicroSky #PharmSky go.bsky.app/2qsEveQ
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José Molina @josemolinagb.bsky.social · 30/04/2025
Qué buena noticia, @seimc.bsky.social en Bluesky! 🥳🦋 En esta lista hemos ido sumando a los microbiólogos e infectólogos españoles que hemos cazado por esta red, ¿nos dejamos a alguien? 😉 bsky.app/profile/did:... #IDsky #Microsky #Medsky
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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
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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
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SHORTEN-2 trial @shorten2trial.bsky.social · 30/05/2026
SHORTEN2 results have been presented at #CongresoSEIMC2026! 7-day treatments were shown superior to 14-day in reducing antibiotic exposure and adverse events while maintaining efficacy. Fantastic work by >100 researchers across 37 Spanish hospitals! #TeamPride #IDsky #AMSsky @seimc.bsky.social
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SHORTEN-2 trial @shorten2trial.bsky.social · 23/05/2026
Can we use short treatments for bacteremia in #SOT? This metaanalysis of observational data + SOT randomized in prior trials suggests the efficacy of short courses. We’ve got the rationale to stop excluding SOT from duration trials! onlinelibrary.wiley.com/doi/10.1111/... #IDSky #AMSsky #TxID
onlinelibrary.wiley.com
Outcomes of Short Antibiotic Courses for Gram‐Negative Bloodstream Infections in Solid Organ Transplant Recipients—A Systematic Review and Meta‐Analysis
In this meta-analysis of seven studies involving 249 solid organ transplant (SOT) recipients with Gram-negative bloodstream infections, no statistically significant differences in mortality or clinic....
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Clinical Infectious Diseases @cidjournal.bsky.social · 24/05/2026
Speed is Not Enough: Disentangling Potential Baseline Optimized Antibiotic Stewardship and Temporal Spillover in Diagnostic Trials ✅ Just Accepted 🔗 bit.ly/4eZUcUq
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SHORTEN-2 trial @shorten2trial.bsky.social · 12/03/2026
Our proposal for managing combination therapy while awaiting for susceptibility in Pseudomonas infections. Find out more: journals.plos.org/plosone/arti... #AMSsky #IDsky #PsWatch
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SHORTEN-2 trial @shorten2trial.bsky.social · 12/03/2026
Combined antipseudomonal therapy does not improve outcomes and may increase toxicity. Its main role is ensuring appropriate empirical therapy in severe infections, with no proven benefit once susceptibility is known. 📖 A systematic review: www.tandfonline.com/doi/full/10.... #AMSsky #IDsky #PsWatch
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Guía PRIOAM @guiaprioam.bsky.social · 24/11/2025
En infección urinaria, menos es más 👌🏻 Nuestro hilo sobre diagnóstico y tratamiento de la infección urinaria. ☝🏻 Bacteriuria asintomática #EAAD #WAAW #AMSsky #MedSky #UTIsky (🧵1/2) bsky.app/profile/hosp...
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Hospital Universitario Virgen del Rocío @hospitaluvrocio.bsky.social · 21/11/2025
🩺La celulitis infecciosa puede ser difícil de distinguir de otras enfermedades no infecciosas. Estos diagnósticos motivan con frecuencia tratamientos antibióticos innecesarios desde consultas. José Pereyra, dermatólogo, nos da las claves para acertar. #EAAD #WAAW @guiaprioam.bsky.social
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Hospital Universitario Virgen del Rocío @hospitaluvrocio.bsky.social · 20/11/2025
🤧💊Los antibióticos no te harán sentir mejor si tienes una infección por virus respiratorios como el COVID o la gripe. Marta Falcón, farmacéutica hospitalaria, nos recuerda los riesgos de la automedicación. #EAAD #WAAW #SomosHUVR @guiaprioam.bsky.social
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Guía PRIOAM @guiaprioam.bsky.social · 19/11/2025
#WinterIsComing 🥶 Un hilo con nuestras recomendaciones para acertar con tus tratamientos de consulta para las infecciones respiratorias. ☝🏻 Neumonías y EPOC reagudizado #EAAD #WAAW #AMSsky #MedSky #PharmSky (🧵1/4) bsky.app/profile/hosp...
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Hospital Universitario Virgen del Rocío @hospitaluvrocio.bsky.social · 19/11/2025
🤧La mayoría de infecciones respiratorias en niños son producidas por virus, y los síntomas no mejorarán por prescribir antibióticos. Ángela Hurtado, pediatra, nos da las claves para un uso prudente de los antibióticos en Pediatría👍🏻#EAAD #WAAW #SomosHUVR
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Hospital Universitario Virgen del Rocío @hospitaluvrocio.bsky.social · 19/11/2025
🫁Las infecciones bacterianas respiratorias serán un motivo de consulta frecuente durante el invierno.🩺 Esther Quintana, neumóloga, nos enseña a no fallar en la elección del antibiótico ni en su duración. #EAAD #WAAW #SomosHUVR @guiaprioam.bsky.social
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Hospital Universitario Virgen del Rocío @hospitaluvrocio.bsky.social · 18/11/2025
¿Trabajas en consulta? ¡Te necesitamos! El uso prudente de los antibióticos es responsabilidad de todos. Durante toda esta semana, no te pierdas nuestros vídeos para hacer un uso prudente de los antibióticos. 💪🏻 ¡La lucha contra las resistencias empieza en tu consulta! #EAAD #WAAW #AMSsky
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Guía PRIOAM @guiaprioam.bsky.social · 18/11/2025
¿Trabajas en consulta? ¡Te necesitamos! Durante toda esta semana, no te pierdas nuestra serie de vídeos prácticos para hacer un uso prudente de los antibióticos en tus pacientes ambulatorios 👊🏻 La lucha contra las resistencias, empieza en tu consulta #EAAD #WAAW #AMSsky #MedSky #PharmSky #SomosHUVR
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Guía PRIOAM @guiaprioam.bsky.social · 13/11/2025
¡Ya tenemos todo listo para el Día Europeo para el Uso Prudente de los Antibióticos! Mantente atento a las redes de @hospitaluvrocio.bsky.social y @guiaprioam.bsky.social durante la semana que viene. Tenemos un mensaje para ti… 😉 #EAAD #WAAW #AMSsky #SomosHUVR
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SHORTEN-2 trial @shorten2trial.bsky.social · 18/10/2025
Recruitment for SHORTEN-2 is officially complete! Our team is now wrapping up follow-up and polishing databases. Hope to have results ready in the first half of 2026! Hats off to this awesome research team! 🥳 #AMSsky #IDsky @seimc.bsky.social @ciberisciii.bsky.social @ibis-investigacion.bsky.social
Full protocol: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0277333
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Guía PRIOAM @guiaprioam.bsky.social · 13/07/2025
Is antimicrobial stewardship possible in transplant units? In our latest systematic review in @eclinicalmed.bsky.social, we discuss which interventions work, evidence gaps and future research priorities for SOT. 🔓 www.sciencedirect.com/science/arti... #IDSky #AMSsky #TxID Thread below! 🧵(1/6) 👇🏻
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José Molina @josemolinagb.bsky.social · 19/07/2025
It’s encouraging to see new guidelines moving toward shorter and fully-oral treatments for BSIs. We are honoured to see some of our research cited to help shape these recommendations! 😃 #AMSsky #IDsky #UTIsky @hospitaluvrocio.bsky.social @ibis-investigacion.bsky.social bsky.app/profile/jose...
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JAC-AMR @jac-amr.bsky.social · 16/07/2025
The outpatient Global-PPS is a new, simple tool to measure antimicrobial prescribing in global outpatient settings doi.org/10.1093/jaca... #JACAMRNews #IDSky
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Antibiotic Steward 🅱️C🆔🅿️🌟 @absteward.bsky.social · 30/06/2025
As ID physicians, when asked about the importance of ASP, many of us may share the same answers How do we know that today's carbapenem use will lead to a superbug tomorrow? Why worry about resistance decades later, when I have a patient to worry about now. #IDSky academic.oup.com/cid/article/...
academic.oup.com
We Are Guardians
As Infectious Diseases physicians, when asked about the importance of antimicrobial stewardship, many of us may share the same answers. For one, if we cont
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Guía PRIOAM @guiaprioam.bsky.social · 13/07/2025
Is antimicrobial stewardship possible in transplant units? In our latest systematic review in @eclinicalmed.bsky.social, we discuss which interventions work, evidence gaps and future research priorities for SOT. 🔓 www.sciencedirect.com/science/arti... #IDSky #AMSsky #TxID Thread below! 🧵(1/6) 👇🏻
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SHORTEN-2 trial @shorten2trial.bsky.social · 23/05/2025
Today we celebrated our 3rd Annual Researchers’ Meeting at the XXVIII Congress of @seimc.bsky.social! Only 2️⃣4️⃣ patients left to complete the trial! An amazing team doing an amazing work! 🤩🔝 #IDSky #AMSsky #TeamPride
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Brad Spellberg @bradspellberg.bsky.social · 04/05/2025
Thanks to @josemolinagb.bsky.social from Seville, Spain, for finding a great Shorter Is Better study from 2021 for bronchiectasis exacerbations! Updated tables attached, with link to website with citations. Had to shrink the font to fit so many RCTs in table! www.bradspellberg.com/shorter-is-b...
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José Molina @josemolinagb.bsky.social · 04/05/2025
Caring for patients with bronchiectasis poses a challenge for both pulmonologists and #AMSky teams. Standard 14d treatments for exacerbations lack good evidence support. This small RCT favors shorter durations such as 8d 👉🏻 publications.ersnet.org/content/erj/... #IDsky @bradspellberg.bsky.social
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Fernanda Petersen @amr-twilight.bsky.social · 30/04/2025
Pediatric antimicrobial stewardship is catching up fast. Tailored strategies, rising implementation, and tools like "handshake stewardship" are key to optimizing antibiotic use and tackling #AMR in our tiniest patients. #PedsID #Stewardship karger.com/neo/article/... www.idse.net/Review-Artic...
idse.net
Pediatric Antimicrobial Stewardship Challenges
Antimicrobial resistance is a growing health crisis, contributing significantly to morbidity and mortality in adults and children.
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SHORTEN-2 trial @shorten2trial.bsky.social · 29/04/2025
SOT patients have been systematically excluded from most RCTs on treatment duration, leading to prolonged courses still being the standard of care in many centers, even for non-complicated infections. (🧵1/3) #AMSky #IDsky #TxID
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José Molina @josemolinagb.bsky.social · 24/04/2025
Just 23% of patients received AMS support in transplant units. A lot to do for stewies in this field yet! Let’s get to work #AMSky & #TxID! 💪🏼
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Anthony Lau, PharmD BCPS @alaurx.bsky.social · 17/02/2025
Not all aspirations need Abx ☺️ aspiration pneumonitis resolves in 24-48h; if symptoms persist >48h, treat aspiration pneumonia with CTX CTX covers key oral anaerobes (eg Peptostreptococcus) so extended anaerobe coverage is usually unnecessary avoid piptaz first-line & reserve for resistant cases
media.tenor.com
two men in suits and ties are drinking water from a bottle .
ALT: two men in suits and ties are drinking water from a bottle .
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Galadriel Pellejero @listeriacolectiva.bsky.social · 15/02/2025
🎙️💊 Sensible y Resistente - Episodio 1 @micromunidad.bsky.social ¿Hasta qué punto importa la duración del tratamiento antibiótico? 🧐 open.spotify.com/episode/4yak31… Hilo con claves y artículos 📚👇 #AMSsky #IDsky
open.spotify.com
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Jonathan Ryder, MD @jonathanrydermd.bsky.social · 30/01/2025
Systematic review of antibiotic durations in @jac-amr.bsky.social n=315 RCTs 85% demonstrated equivalence or non-inferiority of shorter therapy Only 7% in ICU, 14% in LMIC, and 15% low risk of bias academic.oup.com/jacamr/artic...
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José Molina @josemolinagb.bsky.social · 12/02/2025
Post-discharge prescriptions should be a key focus for #AMSsky! In her fantastic talk at #ESCMIDglobal, @valerievaughnmd.bsky.social showed how >90% of antibiotic duration excess occurs post-discharge! The ROADhome framework can be helpful for this task 👉🏻 academic.oup.com/cid/article/... #IDSky
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José Molina @josemolinagb.bsky.social · 27/01/2025
Already listed in Antibiotic Stewards' Starterpack vol.2! 😉 #AMSsky #IDSky Vol. 1: go.bsky.app/7KcDc2n Vol. 2: go.bsky.app/2qsEveQ
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Shivan Shah @idoncology.bsky.social · 08/01/2025
link.springer.com/article/10.1... Short-term vs long term abx treatment for nocardia infections #OncID #idsky
link.springer.com
Shorter vs. standard-duration antibiotic therapy for nocardiosis: a multi-center retrospective cohort study - Infection
Purpose The prolonged treatment recommended for nocardiosis does not rely on strong evidence. Consequently, some clinicians opt shorter therapy in certain circumstances. We assessed the effectiveness ...
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T. Neil Ku, MD, FSHEA, FIDSA @kutneil.bsky.social · 22/01/2025
Longer doesn't appear to be better when it comes to antibiotic duration in older adults. #AMSSky academic.oup.com/cid/advance-...
academic.oup.com
Evaluating Harms Associated With Prolonged Antibiotic Duration of Therapy in Community-Dwelling Older Adults: A Cohort Study Using Instrumental Variable Analysis
In this instrumental variable analysis of 117 682 community-dwelling older adults prescribed amoxicillin, cephalexin, or ciprofloxacin, longer antibiotic c
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José Molina @josemolinagb.bsky.social · 28/01/2025
In this table you can find a summary with different antimicrobials’ penetration into the bile (and the peritoneum). Hope you find it useful! 🙂 #AMSsky #IDOnc #IDSky
References:
2012 Surg Inf, Adnan
2016 J Chemotherapy, Mazzei
2017 WJES, Sartelli
2020 Pharmacotherapy, Thabit
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Anthony Lau, PharmD BCPS @alaurx.bsky.social · 26/01/2025
One antibiotic PK table to rule them all. This is amazing 🙌 #medsky #pharmsky #AMSky #idsky #MedEd
media.tenor.com
a man with long hair is holding a ring in his hands and the word precious is above him
ALT: a man with long hair is holding a ring in his hands and the word precious is above him
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Brad Spellberg @bradspellberg.bsky.social · 25/01/2025
Thx to @absteward.bsky.social for finding a new oral vs. IV osteo RCT! Primary endpoint was re surgery. But, 2nd endpoints = treatment failure, recurrence, and non-union. Similar oral vs. IV outcomes for all outcomes. So this is the 10th RCT now, added to table. bradspellberg.com/oral-antibio...
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Antibiotic Steward 🅱️C🆔🅿️🌟 @absteward.bsky.social · 04/12/2024
🆕🔥 systematic review and meta-analysis #CMIJournal 6 RCTs,10 adjusted cohorts& 22 unadjusted cohorts N=11,566 Early transition to oral antibiotics was noninferior to continued IV antibiotic treatment for bacteraemia & sepsis #idsky #medsky www.clinicalmicrobiologyandinfection.com/article/S119...
clinicalmicrobiologyandinfection.com
DEFINE_ME
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Saira Butt, MD @sairabt.bsky.social · 25/11/2024
#idsky #IDSATLRgroup #antimicrobials #stewardship #antibiotic #failure how to think through when someone calls you for advice regarding antibiotic failure #idchalktalk by Drs Miller & Paras idsame.notion.site/ID-Chalk-Tal...
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SHORTEN-2 trial @shorten2trial.bsky.social · 02/12/2024
Only 58 patients to go! Recruitment is moving along as planned, and fingers crossed, we’ll be done before summer. Huge shoutout to the @shorten2trial.bsky.social team for keeping up the great work! #AMSsky #IDSky #ShorterIsBetter
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Brad Spellberg @bradspellberg.bsky.social · 30/11/2024
For my inaugural post, Im proud to announce the publication of our Safer@Home care model. This is going to change how medicine is practiced. No need to admit pts "for IV antibiotics" anymore. Or just for IV diuresis in CHF. Or just for EtOH withdrawal. Etc. jamanetwork.com/journals/jam...
jamanetwork.com
Virtual Home Care for Patients With Acute Illness
This cohort study compares outcomes of patients receiving care in an outpatient, virtual, home-based acute care model with outcomes of patients receiving standard hospital care.
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Antibiotic Steward 🅱️C🆔🅿️🌟 @absteward.bsky.social · 25/11/2024
🆕️🔥Article @thetxidjournal.bsky.social Not Just an Oxymoron: The Utilitarian's Guide to Antimicrobial Stewardship in Transplant Infectious Diseases Table ✨️2: TID ASP opportunities & initiatives #idsky #medsky #Txid onlinelibrary.wiley.com/doi/full/10....
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SHORTEN-2 trial @shorten2trial.bsky.social · 24/11/2024
New β-lactams allow treating Pseudomonas that were untreatable, but… are they better than previous options? This meta-analysis of RCTs shows they are not superior to prior alternatives when available: www.ajicjournal.org/article/S019... 👐🏻 Use them wisely, make them last #PsWatch #AMSsky #IDsky
ajicjournal.org
Effectiveness of novel β-lactams for Pseudomonas aeruginosa infection: A systematic review and meta-analysis
Novel β-lactams have in vitro activity against Pseudomonas aeruginosa (PA), but their clinical performances and the selection criteria for practical use are still not clear. We aimed to evaluate the e...
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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 22/11/2024
🌟 ABX Pearl of the Day: Duration of treatment in intra-abdominal infections (IAI)! 💊 💡 Q: How long should I treat IAI after source control? 🔍 A: While STOP-IT trial calls for 4 days post-source control, there are notable exceptions. See infographic for details 👇 #IDsky #AMSsky #MedSky #Pharmsky
ABX durations for secondary peritonitis and acute cholecystitis and cholangitis
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José Molina @josemolinagb.bsky.social · 24/11/2024
It's not only how long, but also how much pressure. A key message to promote earlier de-escalations, especially in high-risk units (ICU, #IDOnc and #TxID). #AMSsky #IDSky
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T. Neil Ku, MD, FSHEA, FIDSA @kutneil.bsky.social · 25/11/2024
Locum tenens are often necessary at many rural and critical access hospitals. However, they pose significant challenges to healthcare quality and safety. Persuasion and nudge-based interventions are less effective as they practice based on what’s familiar to them rather than what’s appropriate.
medscape.com
The Bad News Behind the Rise in Locum Tenens
What used to be the preserve of older physicians transitioning to retirement is now becoming a career choice; a long-time locum tenens practitioner sees a downside to the rise in this mode of work.
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