iiinova — where your digital self keeps evolving

brecht ingelbeen @ingelbeen.bsky.social · 02/10/2026

net zoals in de rest van de wereld

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Ilan Schwartz @germhuntermd.bsky.social · 17/09/2026

Less is more, ortho-ID edition Another game changer in ortho ID from the group that brought you OVIVA Pts with ortho infections who underwent curative surgery (no DAIR) with local implantation of abx were randomized to <=7d vs >=4w ABx No Dif in 12 mo relapse www.nejm.org/doi/full/10.... #IDSky

Forest plot with primary analysis results which shows no difference in definite treatment failure, definite/probable treatment failure, or definite/probable/possible treatment failure according to treatment duration

Forest plot showing subgroup analysis which shows no difference between shorter and longer duration antibiotics in any of the subgroups including prosthetic infection, Staph aureus mono infection, and whether local gentamicin was used in mono therapy or combination therapy

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The Lancet Microbe @lancetmicrobe.bsky.social · 06/08/2026

New research article Effects of a community-based intervention bundle on household transmission of [ESBL]-producing Escherichia coli in rural Burkina Faso to target community-level drivers of [ #AMR] in sub-Saharan Africa www.thelancet.com/journals/lan... #IDSky #ClinMicro #OpenAccess #OA

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Sim Coddé @simcodde.bsky.social · 27/07/2026

Even reminder dat district Antwerpen binnenkort, in volle klimaatcrisis, heel deze linkse bomenrij kapt voor een extra parkeerstrook.

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Ursula Hofer @hoferu.bsky.social · 18/06/2026

Bravo, stewardship in communities. Often ignored as it's difficult to tackle and research inevitably ends up somewhat messy. Nice podcast to go with the paper 👇

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Antibiotic Steward 🅱️C🆔🅿️🌟 @absteward.bsky.social · 17/06/2026

🔥Just published 🔥NEJM SNAP RCT In patients with MSSA bacteremia, cefazolin was noninferior to flucloxacillin or cloxacillin with respect to 90-day mortality and was associated with a lower incidence of acute kidney injury. #idsky www.nejm.org/doi/full/10....

nejm.org

Cefazolin for Methicillin-Susceptible Staphylococcus aureus Bacteremia | NEJM

Staphylococcus aureus bacteremia is associated with high mortality. Whether cefazolin or an antistaphylococcal penicillin should be preferred for the treatment of methicillin-susceptible S. aureus ...

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brecht ingelbeen @ingelbeen.bsky.social · 16/06/2026

More context on the choice of intervention, why so many intervention evaluation components, and such intervention's role in population-level AMR control: 🎧an accompanying podcast: open.spotify.com/episode/2Poz... 🌍an @itmantwerp.bsky.social website story: www.itg.be/en/health-st... #AMR #IDsky

itg.be

Improving antibiotic use in Burkina Faso & DRC

Helping to turn the tide on drug-resistant infections

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brecht ingelbeen @ingelbeen.bsky.social · 16/06/2026

Community-based AMS interventions without biomarker tests can reduce antibiotic use by more than half - even more so for Watch antibiotics, with stable patient care scores. Results from CABU-EICO cluster RCT now published in @thelancetinfdis.bsky.social : authors.elsevier.com/a/1nHCg5E-Uo... #IDsky

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brecht ingelbeen @ingelbeen.bsky.social · 01/06/2026

the map in it is totally inaccurate, which is even more shockingly given the history of european powers drawing up fictional borders there. please correct it

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brecht ingelbeen @ingelbeen.bsky.social · 30/05/2026

If you still could, please correct that map. Anyone involved in response must have better maps than this catastrophic AI slur

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brecht ingelbeen @ingelbeen.bsky.social · 27/04/2026

ik ken er niks van, en ben benieuwd wat voor issues je verwacht met een batterij die verkocht wordt als plug-in in het stopcontact? er is toch geen communicatie nodig met omvormer of digitale meter, dus waar zou het kunnen vastlopen?

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brecht ingelbeen @ingelbeen.bsky.social · 14/01/2026

😂jammer wel van dat visgerecht

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brecht ingelbeen @ingelbeen.bsky.social · 06/01/2026

Persisting barriers to health care access include: 1️⃣ Low acceptability, poor alignment between provider and population attitudes 2️⃣ Capacity + lack of integration of social & medical services 3️⃣ Geographical accessibility 4️⃣ Affordability and administrative barriers. @itmantwerp.bsky.social

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brecht ingelbeen @ingelbeen.bsky.social · 06/01/2026

🔬ARTICLE: MORTALITY AND BARRIERS TO HEALTH CARE ACCESS IN HOMELESS PEOPLE IN PARIS Work by @evelinec.bsky.social ➡️ Median age of death 54 years, 26 years (!!) below general population ➡️ Most deaths due to cancer and cardiovascular diseases - like in the general pop link.springer.com/article/10.1...

link.springer.com

Mortality and barriers to healthcare among people experiencing homelessness in Paris: a mixed-methods study - International Journal for Equity in Health

International Journal for Equity in Health - Homelessness is a global problem with significant public health implications. Persons experiencing homelessness (PEH) face poorer health outcomes and...

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Doctors Without Borders / Médecins Sans Frontières (MSF) @msf.ca · 02/01/2026

Denying medical assistance is unacceptable in any circumstances. Israel’s threat to withhold registration from MSF & other INGOs is a cynical and calculated attempt to prevent organizations from providing services in #Gaza and the #WestBank, #Palestine. ow.ly/XQwE50XR5OE

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Esther van Kleef @esthervk.bsky.social · 20/12/2025

New PREPRINT! tinyurl.com/yynzevrh Thanks to a true transdisciplinary collaboration, we developed and evaluated a low-cost community #AMR intervention set in rural Burkina Faso and DRCongo. Combining #WHO #AWaRe–based feedback/training (medicine providers) and AMR awareness campaigns (community).

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brecht ingelbeen @ingelbeen.bsky.social · 22/11/2025

For me, it's sobering to realize that another year passed while most primary care practices and hospitals around the world still lack a structural approach or resources to tackling #AMR. Luckily the relentless energy of those AMR advocates offers an annual boost of morale

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brecht ingelbeen @ingelbeen.bsky.social · 22/11/2025

Every year during #WorldAntimicrobialAwarenessWeek I'm surprised by the diversity of media, approaches, and key messages used to reach and mobilize the public or healthcare workers, and to promote better antibiotic use—driven each time by the tireless and unparalleled energy of so many AMR advocates

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brecht ingelbeen @ingelbeen.bsky.social · 18/11/2025

Nu het #WAAW is, schreef ik voor EOS een blog over ons onderzoek met CRUN in Burkina Faso. Waarom zijn er zoveel ernstige resistente bacteriële infecties op een plek waar antibioticagebruik niet excessief is? www.eoswetenschap.eu/gezondheid/w... #AMR @itmantwerp.bsky.social

eoswetenschap.eu

Waarom jaarlijks nog 200.000 kinderen sterven door antibioticaresistentie

In Europa treft antibioticaresistentie vooral ouderen en ziekenhuispatiënten, terwijl in lage-inkomenslanden vooral kinderen sterven aan infecties die resist...

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brecht ingelbeen @ingelbeen.bsky.social · 21/10/2025

😱😱 it's not just the abstract

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brecht ingelbeen @ingelbeen.bsky.social · 21/10/2025

a global health journal gives you a limit of 200 words for the abstract of an article you've been working on for years so you decide to use these words to provide historical context 😬 #AMR

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Our World in Data @ourworldindata.org · 01/08/2025

Renewables have taken the lead in Dutch electricity production

The image presents a line graph illustrating the share of electricity generated from fossil fuels and renewables in the Netherlands from 1985 to 2024.

The horizontal axis marks the years, starting at 1985 on the left and progressing to 2024 on the right. The vertical axis indicates the percentage of electricity generation, ranging from 0% to 100%.

A brown line represents fossil fuels, which shows a gradual decline over the years, starting near 90% in 1985 and dropping sharply after 2015, approaching close to 40% by 2024. In contrast, a blue line illustrates renewables, showing a slow increase from nearly 0% in 1985 to a significant rise, crossing the fossil fuel line in 2024 to surpass it.

The title notes the historic shift in Dutch electricity generation, indicating that for the first time, most electricity now comes from renewable sources.

Data source: Ember (2025), Energy Institute (2024). The graph is licensed under CC BY.

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brecht ingelbeen @ingelbeen.bsky.social · 23/06/2025

Open position for an ID modeler @itmantwerp.bsky.social on community-level + healthcare transmission of resistant #AMR bacteria in LRS, working with Clinical Research Unit Nanoro, @esthervk.bsky.social, @bugwonk.bsky.social, KEMRI-wellcome Kilifi, myself,... #IDSky #EpiSky www.itg.be/en/jobs-and-...

itg.be

Epidemiologist

Epidemiologist for modelling AMR transmission in LMICMore than 500 staff members at the Institute of Tropical Medicine (ITM) contribute e...

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brecht ingelbeen @ingelbeen.bsky.social · 06/05/2025

Thank you for sharing this. I don't get what @escmid.bsky.social hopes to obtain by restricting access after 6 months, or making it impossible to save posters

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stevenvangucht.bsky.social @stevenvangucht.bsky.social · 30/04/2025

Belgian waste water tells the story: Alpha. Delta. Omicron. Then viral loads dropped 10×. Not luck. Not just Omicron. But population immunity — built by vaccines + infections. Vaccines helped to avoid millions of deaths in the process. Graph: Raphael Janssens 🔗 www.linkedin.com/posts/vanguc...

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brecht ingelbeen @ingelbeen.bsky.social · 30/04/2025

Great work at GLASS that @esthervk.bsky.social presented at #ESCMIDglobal, providing regional trends in AMR prevalence in bloodstream infections #AMR #IDSky

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brecht ingelbeen @ingelbeen.bsky.social · 29/04/2025

GLASS report with 2022 AMU data is out #IDSky #AMR iris.who.int/bitstream/ha... It has per capita antibiotic use expressed in DDD per 1000 inhabitants per day, confirming DID is lower in most low-income than in most high-income countries Would be great to link population-wide AMU to AMR prevalence

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Christie Wilcox @nerdychristie.bsky.social · 24/04/2025

If you love strong, pour-over coffee, a team of physicists has a tip: Pour from as high as you can without causing the stream to break apart. That and more of the best in @science.org and science in this edition of #ScienceAdviser: www.science.org/content/arti... 🧪

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brecht ingelbeen @ingelbeen.bsky.social · 15/04/2025

Vienna was marvelous and going from Copenhagen to ESCMID by day- and nightrain was a fantastic experience

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brecht ingelbeen @ingelbeen.bsky.social · 15/04/2025

I am surprised not to have picked up any major new treatment, prevention, or public health intervention breakthrough. I might have missed them, maybe I was queuing in the wrong lane, but blame the #ESCMIDGlobal app for that

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brecht ingelbeen @ingelbeen.bsky.social · 15/04/2025

8. A meeting organised by the ESCMID Study Group for Antimicrobial Stewardship actors involved in AMS in LMICs shared experiences. I retain that scaling of AMS beyond few tertiary care hospitals is nearly absent in LMIC, but still nowhere near in most HIC too. Let apart in primary care.

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brecht ingelbeen @ingelbeen.bsky.social · 15/04/2025

7. Two sessions on AMR and vaccines demonstrated again the lack of (recent) studies measuring effectiveness of (new+existing) vaccines on reducing antimicrobial use and AMR. Willian Hausdorff suggested developing combination vaccines by clinical presentation could better convince policy makers

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brecht ingelbeen @ingelbeen.bsky.social · 15/04/2025

6. Erika Vlieghe gave a talk on developing a sepsis national action plan in Belgium and had to start with a disclaimer on the complexity of healthcare decisionmaking, having to deal with 7 health ministers. Preventive and curative care are dealt with by different state levels.

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brecht ingelbeen @ingelbeen.bsky.social · 15/04/2025

5. Sonephet Vantava demonstrated how in hospitals in Lao PDR, healthcare worker attitudes and PPS antibiotic use data from will be combined to inform #AMS addressing frequent antibiotic use before and after delivery. Knowledge influences attitudes differently by profession @icarsglobal.bsky.social

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brecht ingelbeen @ingelbeen.bsky.social · 15/04/2025

Vilada Chansamouth then demonstrated how they used pathogen distribution and AMR prevalence data to develop guidelines in Lao PDR

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brecht ingelbeen @ingelbeen.bsky.social · 15/04/2025

4. A session on AMR surveillance gave excellent examples of analyzing and using clin micro AMR surveillance data, largely all examples from SE Asia. Many LMIC still struggle analyzing the data they have. Would be great if @WHO copy-pastes more from these examples

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brecht ingelbeen @ingelbeen.bsky.social · 15/04/2025

3. A session on biomarkers reviewed evidence on use of CRP to treat outpatient respi tract infections or fevers in low-resource settings. Large differences in effectiveness largely due to differences in antibiotic use prevalence. A cheap single malaria +semiquantitative CRP lateral flow test awaited

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brecht ingelbeen @ingelbeen.bsky.social · 15/04/2025

(I need to post one at a time apparently - takes a bit of time)

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brecht ingelbeen @ingelbeen.bsky.social · 15/04/2025

2. On relevant metrics to evaluate #AMS interventions: Days of Antibiotic Spectrum Coverage/DASC not only measures days of treatment but also at how wide the spectrum is of the antibiotic administered. Narrowing treatment is measured, and thus effectiveness in limiting selective pressure

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brecht ingelbeen @ingelbeen.bsky.social · 15/04/2025

1. Plans to harmonise and merge global-PPS and the WHO PPS. Countries I work with often pick the WHO PPS but then struggle to analyze antimicrobial use in sufficient detail to inform AMS or to benchmark w/ others. Planned for the next year or so, but still unclear how data sharing will go #ESCMID

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brecht ingelbeen @ingelbeen.bsky.social · 15/04/2025

for 4,5 days of #ESCMIDGlobal with permanently 20 sessions in parallel and some #IDSky skeeters posting about sessions I wasn't in, more than once I had the feeling I have when picking a lane in a supermarket. Some bits I learned, mostly relevant for #AMR control intervention implementation in LMIC:

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brecht ingelbeen @ingelbeen.bsky.social · 05/04/2025

Couldn’t it also have been a lower prevalence of known covid19 risk factors (diabetes, hypertension, copd) in each age stratum?

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Yanis Varoufakis @yanisvaroufakis.bsky.social · 31/03/2025

Day in day out, Israel is adding war crime to war crime, with the world looking for something 'new' to worry about. We are running the danger of becoming de-sensitised. Resistance now takes more than to condemn the genocide. We must also oppose the de-sensitisation of our souls!

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The Lancet Microbe @lancetmicrobe.bsky.social · 26/03/2025

New comment The cost of blood cultures: a barrier to diagnosis in low-income and middle-income countries www.thelancet.com/journals/lan... #IDSky #ClinMicro #OpenAccess #OA

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John Burn-Murdoch @jburnmurdoch.ft.com · 14/03/2025

NEW 🧵 Is human intelligence starting to decline? Recent results from major international tests show that the average person’s capacity to process information, use reasoning and solve novel problems has been falling since around the mid 2010s What should we make of this? www.ft.com/content/a801...

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Infectious Diseases @infectiousdz.bsky.social · 13/03/2025

Cholera in Angola: As of 11 March 2025, a total of 6,651 cholera cases have been reported in Angola, with 240 death (Case Fatality Rate of 3.6%) The outbreak creates a risk for spread Despite no cholera in Namibia for over a decade, 1 case has been confirmed in Namibia, just south of Angola border

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Michael Wagner @michiwagner4.bsky.social · 12/03/2025

Before the introduction of measles vaccine in 1963 and widespread vaccination, major epidemics occurred approximately every two to three years and caused an estimated 2.6 million deaths each year www.who.int/news-room/fa...

who.int

Measles

Measles remains one of the leading causes of death among young children globally, despite the availability of a safe and effective vaccine.

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brecht ingelbeen @ingelbeen.bsky.social · 02/03/2025

Nee (wat het artikel ook concludeert) Is dit nu misinformation of disinformation @de-standaard.bsky.social?

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