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Nadine Hillock

@nadinehillock.bsky.social
679 followers 566 following 62 posts

Public Health Pharmacist Researcher, University of Adelaide (#antimicrobialresistance #AMR #AMS #HTA #healthpolicy #pharmacoepidemiology #medsafety #healtheconomics), Salsa dancer, Kiwi 🇳🇿, Aussie 🇦🇺, Mum, Wife, PhD. #OneHealth

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Nadine Hillock @nadinehillock.bsky.social · 07/04/2026
3 short podcasts on AMR worth listening to, including the economic challenges of new antibiotics: www.bbc.co.uk/programmes/w... www.bbc.co.uk/programmes/w... www.bbc.com/audio/play/w... #AntimicrobialResistance #AMR #PublicHealth #Antibiotics #BBC @peaseroland.bsky.social
bbc.co.uk
BBC World Service - Discovery, Superbugs: Resistance rising, part 1
Antibiotic resistant bacteria is rising - is a great global crisis on the horizon?
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Ben Vezina @bananabenana.bsky.social · 27/02/2026
Surveyed misconceptions around #AntibioticResistance are fascinating: • 66% believe they aren't at risk of resistance when taking antibiotics • ~70% assume ‘antibiotic resistance’ refers to the body gaining resistance • ~25% expect antibiotics for viral infections #AMR #SciComm Sources below:
Lookback meme.
Woman in red dress with caption: "Antibiotics".
Man in blue shirt checking out woman in red dress captioned: "The public".
Partner of man in blue shirt glaring at man who is checking out woman in red dress, captioned: "Cold/flu symptoms"
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Nadine Hillock @nadinehillock.bsky.social · 28/02/2026
Shocked to realise that children are not mentioned once in the National Antimicrobial Resistance strategy! 😱 Prof Chris Blyth highlighting the lack of focus on solutions to AMR in children @ausantibiotics.bsky.social #antimicrobials2026 #AMR
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Nadine Hillock @nadinehillock.bsky.social · 27/02/2026
Dr Richard Alm from #CARB-X presenting on the lack of investment in new antibiotics & the undervaluing of these drugs to fight drug-resistant infections. #antimicrobials2026 #AMR #publichealth @carb-x.bsky.social
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Nadine Hillock @nadinehillock.bsky.social · 26/02/2026
“Minimal AMR, maximal STI control” - reducing stigma and blame a good first step. Great Howard Flory oration by Prof Christopher Fairley at #Antimicrobials2026 #AMR #STI #Adelaide #HowardFloreyOration
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Australian Society for Antimicrobials @ausantibiotics.bsky.social · 26/02/2026
Tonight @ #Antimicrobials2026: #HowardFloreyOration. Honouring Prof Christopher (Kit) Fairley for his leadership in public health, sexual health medicine, and STI control. A fitting recognition of a career that has shaped policy, practice and research. #sexualhealth #AMR #PublicHealth
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Australian Society for Antimicrobials @ausantibiotics.bsky.social · 16/02/2026
Antimicrobials 2026 is happening in less than two weeks—don’t miss it! REGISTER NOW! The countdown is on and we look forward to seeing you there! www.antimicrobials.com.au #microsky #idsky #medsky
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Nadine Hillock @nadinehillock.bsky.social · 14/01/2026
Published today in Applied Health Economics and Health Policy: rdcu.be/eY1LH Estimating how much more antimicrobial stewardship experts would be willing to pay for a narrow-spectrum drug #AMR #AMS #spectrum #DCE @tracymerlin.bsky.social @hesrjdk.bsky.social #GangChen #JohnTurnidge #JennieLouise.
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Nadine Hillock @nadinehillock.bsky.social · 08/01/2026
Just published 🙂 pubmed.ncbi.nlm.nih.gov/41483490/ Off-label use & documentation of #antimicrobials in Australian operating theatres - insights from hospital #pharmacists with expertise in antimicrobial stewardship and #medsafety #AMS #AMR @acipc.bsky.social @ncas.bsky.social @edraby.bsky.social
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Australian Society for Antimicrobials @ausantibiotics.bsky.social · 06/11/2025
🌍 Symposium 4 - Emerging Threats & Novel Solutions Explore new frontiers in #infection control and #vaccines with Andrew Stewardson and Christopher Blyth. Innovation shaping tomorrow’s #health. 👉 Register now: antimicrobials.com.au #Antimicrobials2026 #AMR #IDsky #Medsky #clinmicrosky
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Nadine Hillock @nadinehillock.bsky.social · 20/09/2025
Hardly any National Action Plans to address antimicrobial resistance include reducing antibiotic use as an explicit goal 🤯 Report shows only 3 countries had a significant reduction in sales after implementing their NAPs: Jordan, Sth Africa & Indonesia 👏👏 #AMR #NAP doi.org/10.1017/ice....
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Nadine Hillock @nadinehillock.bsky.social · 14/07/2025
‘Pharma companies make money on a new drug by selling a lot or charging a lot - but with antimicrobials neither is possible.’ - Andrew Bowskill #AAMRNet. Delinking funding from use is the only way to stimulate investment in new antimicrobials #MTPConnect #AMR #antimicrobials @drewabow.bsky.social
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Nadine Hillock @nadinehillock.bsky.social · 14/07/2025
Surveillance of antimicrobial use and resistance ‘in isolation is like counting raindrops in a thunderstorm’ - we need more investment in innovation and prevention of AMR. Dr Richard Alm Speaking in Adelaide #MTPConnect #AAMRNet #AMR #PublicHealth #antimicrobials @carb-x.bsky.social
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Nadine Hillock @nadinehillock.bsky.social · 10/06/2025
Study highlights higher risk of multidrug-resistant pathogens in cancer patients: analysis of US data compared cancer outpatient cohort with non-cancer patients. eg. 2-3x higher incidence of carbopenem-resistant P.aeruginosa #AMR #AMS www.thelancet.com/journals/lan... ‪@thelancetoncol.bsky.social‬
thelancet.com
Incidence and prevalence of antimicrobial resistance in outpatients with cancer: a multicentre, retrospective, cohort study
AMR proportions and IRRs for most key pathogens were up to three-times higher in isolates from outpatients with cancer than those without cancer, highlighting the need for enhanced surveillance, infec...
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Nadine Hillock @nadinehillock.bsky.social · 30/05/2025
Tebipenem - a new oral carbapenem for complicated UTIs - efficacy data is good 😀 Marketing now the challenge - how to make it profitable for pharma but prevent overuse? 🤔 De-linked funding model needed! #tebipenem #PIVOT-PO #antibiotic #de-linked #AMR #AMS www.globenewswire.com/news-release...
globenewswire.com
Spero Therapeutics and GSK Announce PIVOT-PO Phase 3 Study for Tebipenem HBr Stopped Early for Efficacy Following Review by Independent Data Monitoring Committee
If approved, tebipenem HBr could be the first oral carbapenem antibiotic for US patients with complicated urinary tract infections (cUTIs) An estimated 2.9...
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ASHE Journal @ashejournal.bsky.social · 24/04/2025
Topical use of last-line antibiotics during surgery largely undocumented - potential focus for stewardship and improved governance. Australian surveillance data illustrates rifampicin use not uncommon. doi.org/10.1017/ash....
doi.org
Off-label use of intravenous rifampicin during surgery: analysis of Australian surveillance data and retrospective audit at a tertiary hospital | Antimicrobial Stewardship & Healthcare Epidemiolog...
Off-label use of intravenous rifampicin during surgery: analysis of Australian surveillance data and retrospective audit at a tertiary hospital - Volume 5 Issue 1
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Minyon Avent @minyonavent.bsky.social · 21/05/2025
To celebrate #IDPharmacistsDay look out for the videos from AdPha.au pharmacists showcasing their contributions to Innovations in Infectious Diseases @adphaau.bsky.social @nadinehillock.bsky.social @sonkoning.bsky.social @leggwamy.bsky.social @sidpharm.bsky.social
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Antimicrobial resistance #AMR @antimicrobial.bsky.social · 18/05/2025
Analysis of over 208K Salmonella genomes find that #AMR varies by region, source, and serovar, with increases linked to poultry and environment. Antibiotic use, agriculture, and climate drive AMR, offering insights into global spread and evolution. #OneHealth www.nature.com/articles/s41...
nature.com
A global atlas and drivers of antimicrobial resistance in Salmonella during 1900-2023 - Nature Communications
Salmonella is a major cause of foodborne disease worldwide. Authors created a Salmonella database and present a genetic atlas of antimicrobial resistance, identifying some socioeconomic and environmen...
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Antimicrobial resistance #AMR @antimicrobial.bsky.social · 04/05/2025
This large multi-center study shows cancer patients are infected with #AMR bacteria at 1.2 to 3 times higher rates due to frequent hospital visits and antibiotic use. This highlights the need for better antibiotic #stewardship and surveillance in these patients. www.thelancet.com/journals/lan...
thelancet.com
Incidence and prevalence of antimicrobial resistance in outpatients with cancer: a multicentre, retrospective, cohort study
AMR proportions and IRRs for most key pathogens were up to three-times higher in isolates from outpatients with cancer than those without cancer, highlighting the need for enhanced surveillance, infec...
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Prof Sam Illingworth @samillingworth.com · 12/05/2025
🧪 Antibiotics in our rivers: a global problem A new study has found that 8,500 tonnes of antibiotics from human use end up in rivers every year. In 6 million km of rivers, levels are high enough to harm ecosystems or promote resistance. 🔗 doi.org/10.1093/pnas... #SciComm #WaterQuality #AMR
doi.org
Antibiotics in the global river system arising from human consumption
Abstract. The presence of antibiotics in surface waters poses risks to aquatic ecosystems and human health due to their toxicity and influence on antimicro
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Nadine Hillock @nadinehillock.bsky.social · 09/05/2025
Interesting webinar coming up on antimicrobial clinical trials conducted after marketing #antimicrobial #AMR #ID @steventong.bsky.social #PatrickHarris @gardp.bsky.social register.gotowebinar.com/register/755...
register.gotowebinar.com
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Nadine Hillock @nadinehillock.bsky.social · 23/04/2025
Sprinkles and washes ... the true extent of topical rifampicin use during surgery is unclear due to lack of documentation - a huge opportunity for stewardship and better governance bit.ly/42nFmQT Thanks to my co-authors Matt Rawlins and @edraby.bsky.social #AMS #off-label #rifampicin #AMR #NAUSP
bit.ly
Off-label use of intravenous rifampicin during surgery: analysis of Australian surveillance data and retrospective audit at a tertiary hospital | Antimicrobial Stewardship & Healthcare Epidemiolog...
Off-label use of intravenous rifampicin during surgery: analysis of Australian surveillance data and retrospective audit at a tertiary hospital - Volume 5 Issue 1
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Nadine Hillock @nadinehillock.bsky.social · 23/04/2025
Price of pretomanid to drop by 25% to increase accessibility for patients with TB. Great example of how global public-private partnerships can increase access to antimicrobials while maintaining economic viability for manufacturing #TB #publichealth #antimicrobials www.stoptb.org/news/global-...
stoptb.org
Global Drug Facility Announces Another Big Price Drop: 25% Reduction in the Price of Pretomanid | Stop TB Partnership
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Nadine Hillock @nadinehillock.bsky.social · 22/04/2025
Great comprehensive summary on the safe & effective use of vancomycin in the Australian Prescriber australianprescriber.tg.org.au/articles/saf... Congrats to the authors! @leggwamy.bsky.social @tonylai.bsky.social @feliciadevchand.bsky.social @amandagwee.bsky.social Indy Sandaradura #vancomycin #AMS
australianprescriber.tg.org.au
Safe and effective use of vancomycin
Vancomycin is an important antimicrobial for the treatment of Gram-positive infections. To optimise efficacy and minimise toxicity, monitoring the area under the vancomycin concentration–time curve ov...
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CIDRAP @cidrap.bsky.social · 18/04/2025
Large study ties early-life antibiotic exposure to higher risk of asthma, allergies, other conditions The authors of the observational study say the findings highlight the need for more judicious antibiotic prescribing in children under age 2. www.cidrap.umn.edu/a...
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Nadine Hillock @nadinehillock.bsky.social · 15/04/2025
Deaths due to antimicrobial resistance are increasing, especially in children in South East Asia and Africa. New study estimates 3 million kids died in 2022 globally due to AMR @cidrap.bsky.social #AMR #publichealth #mortality #antibioticresistance www.cidrap.umn.edu/antimicrobia...
cidrap.umn.edu
More than 3 million child deaths in 2022 linked to antimicrobial resistance
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Raksha Kochi @rakshakochi.bsky.social · 12/04/2025
Go where the money is? No go where the AMR is. Asia remains the epicenter of antimicrobial resistance, yet is underrepresented in clinical trials. David Paterson’s keynote at #ESCMIDGlobal 2025 @escmid.bsky.social underscores the urgency the need for urgent action 🙌 #AMR #ESCMIDGlobal2025
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Antibiotic Steward 🅱️C🆔🅿️🌟 @absteward.bsky.social · 12/04/2025
The most anticipated RCT in ID 🔥SNAP RCT🔥The largest RCT 2 date in SA bactermia N:1341 Cefazolin Vs ASPs ((flu)cloxacillin) for MSSA bacteremia Cefazolin is non-inferior (90d mortality)& less AKI than ASPs A practice-changer RCT that must change the guidelines #ESCMIDGlobal #IDSky
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Erin McCreary, PharmD @erinmccreary.bsky.social · 12/04/2025
@steventong.bsky.social presents the results of the PSSA domain of the SNAP 🫰 trial - the worlds largest trial of staph aureus bacteremia - at #ESCMID2025 fluclox resulted in higher mortality and more AKI compared to penicillin for PSSA
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Nadine Hillock @nadinehillock.bsky.social · 13/04/2025
JAMA review of Staph aureus bacteraemia. Empiric treatment should include MRSA cover in areas with rates >5% or in patients with risk MRSA risk factors #SAB @jama.com @steventong.bsky.social
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Nadine Hillock @nadinehillock.bsky.social · 12/04/2025
Guide to buying sustainable chocolate this Easter 🐰🐇 #GoodEgg versus #BadEgg @theconversation.com #antislavery #climatesmart #sustainability #genderequity theconversation.com/heres-who-to...
theconversation.com
Here’s who topped the rankings in this year’s scorecard for sustainable chocolate – and which confectionery giant refused to participate
The global Chocolate Scorecard evaluates traders and brands on efforts to address child labour, deforestation and other measures.
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Nadine Hillock @nadinehillock.bsky.social · 08/04/2025
Timely access to appropriate antimicrobials is essential for patient care, antimicrobial stewardship & minimising the risk of resistance - excellent summary of the issues here: amr.solutions/2025/04/07/y... Thanks to @johnhrexmd.bsky.social for highlighting our paper #AMR #AntibioticAccess #AMS 💊
amr.solutions
You reach for the antibiotic ... and it's not there!
Dear All (with thanks to Louise for co-authoring and with a wonkish alert … settle in for the ride!), Today’s newsletter discusses the intersection of three themes around antibiotic access. Recall fir...
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The Medical Journal of Australia @mja.com.au · 20/03/2025
🔔 NEW in the Medical Journal of Australia Shortages of benzathine benzylpenicillin G in Australia highlight the need for new sovereign manufacturing capability ✍️ Rosemary Wyber, Glenn Pearson and Laurens Manning OPEN ACCESS www.mja.com.au/journal/2025...
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Nadine Hillock @nadinehillock.bsky.social · 19/03/2025
Fantastic (& FREE) presentation from Assoc Prof Hayley Blackburn on reducing medication waste in hospitals. Pharmacy can lead on this! Medicines are key contributors to the healthcare carbon footprint & cause water pollution adpha.au/event/medsaw... #RxforClimate #OneHealth #AdPhA #AMR #medwaste
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Nadine Hillock @nadinehillock.bsky.social · 19/03/2025
#WHO study shows high gonococcal resistance to #tetracycline (92% isolates in 8 countries) #DoxyPEP unlikely to reduce gonorrhoea. Adverse impact to consider: selection of MDR gonococcal strains, impact on other pathogens & commensals doi.org/10.1093/jac/... #AMR #EGASP @bsacandjac.bsky.social
doi.org
Exceedingly high levels of tetracycline resistance in Neisseria gonorrhoeae in eight WHO Enhanced Gonococcal Antimicrobial Surveillance Programme countries in three WHO regions, 2021–2024—doxycycline ...
AbstractObjectives. Doxycycline post-exposure prophylaxis (doxycycline-PEP) can reduce incident cases of syphilis, chlamydia and possibly gonorrhoea especi
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Nadine Hillock @nadinehillock.bsky.social · 18/03/2025
New report scoping data capture in residential aged care facilities aehrc.csiro.au/wp-content/u... No mention of external care providers using different documentation systems for IV meds, a data gap highlighted by Maher et al: doi.org/10.1016/j.ja... #medicines #agedcare #RACF @csiro.bsky.social
aehrc.csiro.au
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JAC-AMR @jac-amr.bsky.social · 12/03/2025
The access pathway for unregistered medicines in Australia is used extensively to access antimicrobials, including for life-threatening infections Difficulty accessing appropriate antimicrobials is not only a problem affecting LMICs doi.org/10.1093/jaca... @nadinehillock.bsky.social
doi.org
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Nadine Hillock @nadinehillock.bsky.social · 05/03/2025
On average, 15–16 patients/day require an antibacterial not registered for use in Australia Highlights that new pathways are needed to register antibacterials for otherwise untreatable infections doi.org/10.1093/jaca... @jac-amr.bsky.social @drewabow.bsky.social @peripatetical.bsky.social #AMR
doi.org
Do policies that allow access to unregistered antimicrobials address the unmet need? Australia as a case study of a high-income country with universal healthcare
AbstractBackground. Ensuring timely and equitable access to effective and optimal antimicrobials is crucial for optimal patient care, to minimize the use o
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Antimicrobial resistance #AMR @antimicrobial.bsky.social · 14/02/2025
WHO report warns AMR is now a top killer in Africa, surpassing malaria, HIV, and TB, with 1.05M deaths in 2019. Poor drug access, substandard meds, and antibiotic overuse fuel the crisis. #AMR #GlobalHealth #OneHealth#AMR #GlobalHealth #OneHealth reliefweb.int/report/world...
reliefweb.int
Monitoring progress on antimicrobial resistance in the WHO African Region - World
Analysis in English on World about Health; published on 14 Feb 2025 by WHO
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Antimicrobial resistance #AMR @antimicrobial.bsky.social · 19/02/2025
Miscommunication about AMR fuels fear and misinformation. Scare tactics cause inaction, hygiene myths ignore key drivers, and "natural cures" delay treatment. Clear, actionable messaging is key to combatting #AMR effectively. #infectiousdisease #onehealth sciencenigeria.com/experts-high...
sciencenigeria.com
Experts Highlight Role Of Risk Communication In Combatting AMR
As antimicrobial resistance (AMR) continues to pose a significant threat to global health, experts emphasise the critical importance of effective risk communication in addressing this “silent…
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Australian Society for Antimicrobials @ausantibiotics.bsky.social · 22/02/2025
Dr Kylie McIntosh Safer Care Victoria providing updates on the Victorian pilot of pharmacist led UTI management, implications on #AMS and the critical need to #upskill #communitypharmacists #antimicrobials2025 #pharmacysymposium #IDsky #AMSsky #UTI
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Australian Society for Antimicrobials @ausantibiotics.bsky.social · 22/02/2025
@cindyclau.bsky.social #linezolid does one dose fit all???? Most likely not! Dr Cindy Lau goes through some scenarios - elderly, renal and hepatic impairment, #DDIs - where dose reductions may be warranted to improve patient care (& reduce toxicities) #antimicrobials2025 #IDsky #amssky
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Australian Society for Antimicrobials @ausantibiotics.bsky.social · 22/02/2025
Kicking off the #pharmacysymposium We have @michyong.bsky.social highlighting the use of marabivir in tricky #ID populations #CMV and real world use beyond the clinical trials. (With promising clinical effectiveness) #antiviralstewardship #antimicrobials2025
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Murray Green @murraybgreen.bsky.social · 20/02/2025
Giske: beware using Cefiderocol discs in MBL strains - many isolates are S by MIC but in ATU (uncertain) on disc, resulting in over-calling of resistance. #antimicrobials2025
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Nadine Hillock @nadinehillock.bsky.social · 22/02/2025
Highlighting undocumented off-label topical use of rifampicin during surgery in Australian hospitals, and opportunities for AMS #Antimicrobials2025 #ASA2025 #rifampicin #surgery #AntimicrobialStewardship @edraby.bsky.social #MattRawlins
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Nadine Hillock @nadinehillock.bsky.social · 22/02/2025
Advocating for linezolid TDM to improve patient outcomes 😊#Antimicrobials2025 #ASA2025 #linezolid #TDM @lisaparadiso.bsky.social
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Australian Society for Antimicrobials @ausantibiotics.bsky.social · 22/02/2025
@iainabbott.bsky.social #antimicrobials2025 Excellent summary slides of current and future oral antimicrobials for #UTIs and what’s lefts in the case of #MDR UTIs #IDSky #AMSsky
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Nadine Hillock @nadinehillock.bsky.social · 22/02/2025
Urinary concentrations of antibiotics much more variable bt patients (compared to variability in blood conc). Many variables to consider including fluid intake, variability across a day, other urodynamic factors - Iain Abbott discussing complexity of treating MDR UTIs #Antimicrobials2025 #AMR #UTI
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Nadine Hillock @nadinehillock.bsky.social · 22/02/2025
Should we still be thinking of classifying UTIs using a dichotomous definition - complicated vs uncomplicated? Dr Iain Abbott explaining that UTIs are described across more of a spectrum … #Antimicrobials2025 #UTI
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