Reposted by Guía PRIOAMJosé Molina @josemolinagb.bsky.social · 21/06/2026Antimicrobial Stewardship [vol.2] already running! Did we miss someone? 😉 #AMSsky #IDsky #MicroSky #PharmSky go.bsky.app/2qsEveQ 053
Reposted by Guía PRIOAMJosé Molina @josemolinagb.bsky.social · 30/04/2025Qué 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 011
Reposted by Guía PRIOAMAnita Williams @catanita.bsky.social · 11/06/2026Findings: 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
Reposted by Guía PRIOAMAntibiotic Steward 🅱️C🆔🅿️🌟 @absteward.bsky.social · 29/05/2026Amazing 😍 🔥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
Reposted by Guía PRIOAMSHORTEN-2 trial @shorten2trial.bsky.social · 30/05/2026SHORTEN2 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 1114
Reposted by Guía PRIOAMSHORTEN-2 trial @shorten2trial.bsky.social · 23/05/2026Can 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 #TxIDonlinelibrary.wiley.comOutcomes of Short Antibiotic Courses for Gram‐Negative Bloodstream Infections in Solid Organ Transplant Recipients—A Systematic Review and Meta‐AnalysisIn 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.... 063
Reposted by Guía PRIOAMClinical Infectious Diseases @cidjournal.bsky.social · 24/05/2026Speed is Not Enough: Disentangling Potential Baseline Optimized Antibiotic Stewardship and Temporal Spillover in Diagnostic Trials ✅ Just Accepted 🔗 bit.ly/4eZUcUq 1433
Reposted by Guía PRIOAMSHORTEN-2 trial @shorten2trial.bsky.social · 12/03/2026Our proposal for managing combination therapy while awaiting for susceptibility in Pseudomonas infections. Find out more: journals.plos.org/plosone/arti... #AMSsky #IDsky #PsWatch 064
Reposted by Guía PRIOAMSHORTEN-2 trial @shorten2trial.bsky.social · 12/03/2026Combined 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 152
Guía PRIOAM @guiaprioam.bsky.social · 24/11/2025En 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... 121
Reposted by Guía PRIOAMHospital 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 011
Reposted by Guía PRIOAMHospital 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 012
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... 121
Reposted by Guía PRIOAMHospital 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 121
Reposted by Guía PRIOAMHospital 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 022
Reposted by Guía PRIOAMHospital 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 122
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 153
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 052
Reposted by Guía PRIOAMSHORTEN-2 trial @shorten2trial.bsky.social · 18/10/2025Recruitment 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 0156
Reposted by Guía PRIOAMGuía PRIOAM @guiaprioam.bsky.social · 13/07/2025Is 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) 👇🏻 184
Reposted by Guía PRIOAMJosé Molina @josemolinagb.bsky.social · 19/07/2025It’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... 0103
Reposted by Guía PRIOAMJAC-AMR @jac-amr.bsky.social · 16/07/2025The outpatient Global-PPS is a new, simple tool to measure antimicrobial prescribing in global outpatient settings doi.org/10.1093/jaca... #JACAMRNews #IDSky 121
Reposted by Guía PRIOAMAntibiotic Steward 🅱️C🆔🅿️🌟 @absteward.bsky.social · 30/06/2025As 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.comWe Are GuardiansAs Infectious Diseases physicians, when asked about the importance of antimicrobial stewardship, many of us may share the same answers. For one, if we cont 2124
Guía PRIOAM @guiaprioam.bsky.social · 13/07/2025Is 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) 👇🏻 184
Reposted by Guía PRIOAMSHORTEN-2 trial @shorten2trial.bsky.social · 23/05/2025Today 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 133
Reposted by Guía PRIOAMBrad Spellberg @bradspellberg.bsky.social · 04/05/2025Thanks 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... 2186
Reposted by Guía PRIOAMJosé Molina @josemolinagb.bsky.social · 04/05/2025Caring 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 3219
Reposted by Guía PRIOAMFernanda Petersen @amr-twilight.bsky.social · 30/04/2025Pediatric 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.netPediatric Antimicrobial Stewardship ChallengesAntimicrobial resistance is a growing health crisis, contributing significantly to morbidity and mortality in adults and children. 12710
Reposted by Guía PRIOAMSHORTEN-2 trial @shorten2trial.bsky.social · 29/04/2025SOT 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 174
Reposted by Guía PRIOAMJosé Molina @josemolinagb.bsky.social · 24/04/2025Just 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! 💪🏼 062
Reposted by Guía PRIOAMAnthony Lau, PharmD BCPS @alaurx.bsky.social · 17/02/2025Not 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 casesmedia.tenor.comtwo men in suits and ties are drinking water from a bottle .ALT: two men in suits and ties are drinking water from a bottle . 1125
Reposted by Guía PRIOAMGaladriel 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 #IDskyopen.spotify.com 165
Reposted by Guía PRIOAMJonathan Ryder, MD @jonathanrydermd.bsky.social · 30/01/2025Systematic 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... 12812
Reposted by Guía PRIOAMJosé Molina @josemolinagb.bsky.social · 12/02/2025Post-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 0135
Reposted by Guía PRIOAMJosé Molina @josemolinagb.bsky.social · 27/01/2025Already listed in Antibiotic Stewards' Starterpack vol.2! 😉 #AMSsky #IDSky Vol. 1: go.bsky.app/7KcDc2n Vol. 2: go.bsky.app/2qsEveQ 072
Reposted by Guía PRIOAMShivan Shah @idoncology.bsky.social · 08/01/2025link.springer.com/article/10.1... Short-term vs long term abx treatment for nocardia infections #OncID #idskylink.springer.comShorter vs. standard-duration antibiotic therapy for nocardiosis: a multi-center retrospective cohort study - InfectionPurpose 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 ... 1134
Reposted by Guía PRIOAMT. Neil Ku, MD, FSHEA, FIDSA @kutneil.bsky.social · 22/01/2025Longer doesn't appear to be better when it comes to antibiotic duration in older adults. #AMSSky academic.oup.com/cid/advance-...academic.oup.comEvaluating Harms Associated With Prolonged Antibiotic Duration of Therapy in Community-Dwelling Older Adults: A Cohort Study Using Instrumental Variable AnalysisIn this instrumental variable analysis of 117 682 community-dwelling older adults prescribed amoxicillin, cephalexin, or ciprofloxacin, longer antibiotic c 1135
Reposted by Guía PRIOAMJosé Molina @josemolinagb.bsky.social · 28/01/2025In 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 4104
Reposted by Guía PRIOAMAnthony Lau, PharmD BCPS @alaurx.bsky.social · 26/01/2025One antibiotic PK table to rule them all. This is amazing 🙌 #medsky #pharmsky #AMSky #idsky #MedEdmedia.tenor.coma man with long hair is holding a ring in his hands and the word precious is above himALT: a man with long hair is holding a ring in his hands and the word precious is above him 0268
Reposted by Guía PRIOAMBrad Spellberg @bradspellberg.bsky.social · 25/01/2025Thx 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... 33812
Reposted by Guía PRIOAMAntibiotic 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.comDEFINE_ME 1199
Reposted by Guía PRIOAMSaira 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... 0226
Reposted by Guía PRIOAMSHORTEN-2 trial @shorten2trial.bsky.social · 02/12/2024Only 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 083
Reposted by Guía PRIOAMBrad Spellberg @bradspellberg.bsky.social · 30/11/2024For 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.comVirtual Home Care for Patients With Acute IllnessThis 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. 158325
Reposted by Guía PRIOAMAntibiotic 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.... 34720
Reposted by Guía PRIOAMSHORTEN-2 trial @shorten2trial.bsky.social · 24/11/2024New 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 #IDskyajicjournal.orgEffectiveness of novel β-lactams for Pseudomonas aeruginosa infection: A systematic review and meta-analysisNovel 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... 1116
Reposted by Guía PRIOAMStanford 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 54424
Reposted by Guía PRIOAMJosé Molina @josemolinagb.bsky.social · 24/11/2024It'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 092
Reposted by Guía PRIOAMT. Neil Ku, MD, FSHEA, FIDSA @kutneil.bsky.social · 25/11/2024Locum 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.comThe Bad News Behind the Rise in Locum TenensWhat 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. 122