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Shreya Doshi

@shreya-pedsid.bsky.social
2.7K followers 1.9K following 90 posts

Pediatric Infectious Diseases Physician | Healthcare Sustainability | Stewardship | Quality Improvement | Sustainabil-ID | Global Health | #medsky #IDsky #pedsIDsky

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Reposted by Shreya Doshi
Ola Løkken Nordrum @olaln.bsky.social · 15/09/2026
More than 1,000 NHS operations cancelled due to record UK heatwaves.
carbonbrief.org
Revealed: More than 1,000 NHS operations cancelled due to record UK heatwaves - Carbon Brief
More than 1,000 operations at NHS hospitals were cancelled due to heat during the UK’s record May and June heatwaves, Carbon Brief can reveal.
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Reposted by Shreya Doshi
Sustainabil-ID (www.sustainabil-id.com) @sustainabil-id.bsky.social · 22/05/2026
We love all the ID pharmacists @sidpharm.bsky.social. They're integral partners in reducing antimicrobial waste amd mitigating the impact of climate change! We can do this together! 🌍💪
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The Lancet Countdown on Health and Climate Change @lancetcountdown.bsky.social · 20/05/2026
The health sector is on the frontlines of the climate crisis, responding to growing health impacts worldwide. But it can also lead the way in driving low-carbon decision-making, supported by the new Lancet MedZero platform. Explore: buff.ly/c6J50PM #LancetMedZero #WHA79
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Joseph Marcus @josephmarcusid.medsky.social · 18/05/2026
This week on rounds: Me: “Did you see the 2010 IDSA intra-abdominal infection guidelines” Med Student: “I was in Elementary School in 2010” ☠️☠️☠️ #IDSky
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Infection Control & Hospital Epidemiology @ichejournal.bsky.social · 15/05/2026
NEW: Repeat PCR gastrointestinal panel testing -- ▶️ Repeat GI panel testing within 14 days rarely identifies new pathogens and is often driven by care transitions ▶️ Authors' findings support policies to discourage early repeat testing for better stewardship #IDSky 📄: doi.org/10.1017/ice....
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Shreya Doshi @shreya-pedsid.bsky.social · 17/04/2026
All other conferences please take note📝 #idsky
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Shreya Doshi @shreya-pedsid.bsky.social · 17/04/2026
#Idsky Thanks Whitney and @sidpharm.bsky.social
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Reposted by Shreya Doshi
ASHE Journal @ashejournal.bsky.social · 10/04/2026
@jonathanrydermd.bsky.social: A CNS infection case is used as a framework for discussion of advanced CNS diagnostics, including diagnostic stewardship of multiplex PCR meningitis panels, plasma mcfDNA, and CSF mNGS.
doi.org
Mindful diagnostics: a central nervous system infection case study | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core
Mindful diagnostics: a central nervous system infection case study - Volume 6 Issue 1
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Reposted by Shreya Doshi
UW Infectious Disease Fellowship Program @uwidfellowship.bsky.social · 06/04/2026
Excellent work by one of our great UW ID pharmacists, Whitney Hartlage. Are we overusing macrolides for CAP? academic.oup.com/cid/advance-... #IDSky
academic.oup.com
Much Ado About Macrolides: Revisiting Empiric Atypical Coverage in Non-severe Community-acquired Pneumonia
Whitney Hartlage, PharmD, Priya Nori, MD; Much Ado About Macrolides: Revisiting Empiric Atypical Coverage in Non-severe Community-acquired Pneumonia, Clini
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Joseph Marcus @josephmarcusid.medsky.social · 17/03/2026
New @cidjournal.bsky.social article that immediately has impact: What is the utility of MRSA nares 👃 testing after mupirocin? Before mupirocin ✅ NPV First 7️⃣ days of mupirocin ✅ NPV 7+ days after mupirocin ❌ limited utility 2/2 effectiveness of mupirocin academic.oup.com/cid/advance-... #IDSky
academic.oup.com
Evaluation of the impact of universal mupirocin decolonization in intensive care units on the utility of MRSA PCR nasal swab testing
MRSA PCR nasal swab testing remains a reliable tool, with a high NPV across multiple culture locations, in patients who have received universal mupirocin d
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Scott Fabricant MD PhD @safabric.bsky.social · 01/03/2026
Practicing gratitude. 😌 #IDsky
Screenshot from a medical progress note. "#ID: c/f bacterial meningitis. ID consulted, really appreciate recs"
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UW Infectious Disease Fellowship Program @uwidfellowship.bsky.social · 12/02/2026
Today in the news - advice on cold sores in the NYT, by UW ID’s Dr Christine Johnston! www.nytimes.com/2025/02/25/w... #IDSky
nytimes.com
Can You Get Rid of Cold Sores for Good?
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BK. Titanji @boghuma.bsky.social · 08/02/2026
#IDSky I always email residents rotating with me survival tips for their time of the ID consult service. I like to keep this short and high yield but I am constantly editing and improving the tip sheet. What would you add or remove. It cannot be longer that one page 😊.
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Sustainabil-ID (www.sustainabil-id.com) @sustainabil-id.bsky.social · 06/02/2026
We were invited by the newly formed Planetary Health sub-committee of the Australasian Society of Infectious Diseases to talk about how we built www.sustainabil-id.com and all things healthcare sustainability x ID. Excited about this new committee across the globe and happy to support!🌍 #idsky
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Shreya Doshi @shreya-pedsid.bsky.social · 29/01/2026
Love this!! @sustainabil-id.bsky.social @abxaware.bsky.social #IDSky
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Alberto Enrico Maraolo @albertoemaraolo.bsky.social · 06/01/2026
Just published new #breakpoints by #EUCAST. #Bad news: values for #TMP_SMX have been significantly #lowered for key #pathogens. Bad news under an #antimicrobial_stewardhisp perspective since the combination is a cornerstone of #Oral_is_the_new_IV. @escmid.bsky.social #IDSky.
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Shreya Doshi @shreya-pedsid.bsky.social · 17/12/2025
#IDsky
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Madhu Pai, MD, PhD @madhupai.bsky.social · 31/10/2025
The global return of childhood vaccine-preventable infectious diseases Truly outrageous that we are failing children everywhere in this day and age! www.thinkglobalhealth.org/article/vacc...
thinkglobalhealth.org
Vaccine-Preventable Disease: A Global Tracker | Think Global Health
This map is updated weekly and visualizes outbreaks of nine childhood diseases in collaboration with the International Society for Infectious Diseases
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Shreya Doshi @shreya-pedsid.bsky.social · 27/10/2025
Loving @febrilepodcast.com's infographics for going through HY ID topics!
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Shreya Doshi @shreya-pedsid.bsky.social · 23/10/2025
Been a joy to build this alongside @abxaware.bsky.social
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Shreya Doshi @shreya-pedsid.bsky.social · 23/10/2025
#Idsky #Idweek2025 Our website is now live sustainabil-id.com
sustainabil-id.com
sustainabil-id.com
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Pharmageddon @pharmageddon.bsky.social · 01/10/2025
Infectious disease crossword! 🧩 In celebration of the Epipocalypse Kickstarter, I'll be sharing a new crossword puzzle every Monday (sorry, forgot yesterday). Answers will be posted Friday. First week, zoonoses! #IDSky #MedSky #EpiSky
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The Medical Society Consortium on Climate and Health @docsforclimate.bsky.social · 04/09/2025
On a new Healthy Climate America episode, Drs. Preeti Jaggi and Shreya Doshi join host @lisapatel.bsky.social to talk about their work with Sustainabil-ID, how physicians can reduce waste, and why sustainability in healthcare is both possible and necessary. Listen here: bit.ly/HealthyClimateAmerica
A promotional graphic for the Healthy Climate America podcast. At the top, the podcast logo features a green and blue caduceus symbol with the text "Healthy Climate America." Below, three circular headshots are displayed: on the left, Lisa Patel, MD, MESc, labeled as "Host: Lisa Patel, Executive Director, The Medical Society Consortium on Climate & Health." In the middle is Preeti Jaggi, and on the right is Shreya Doshi. White soundwave graphics are in the background. The main text reads: "New Podcast Episode – Sustainabil-ID: Healing People and the Planet." At the bottom, a green banner displays "Listen now: bit.ly/HealthyClimateAmerica.
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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 05/09/2025
#idboardreview Pt from Tennessee w/rheumatoid arthritis on adalimumab w/ 3mo cough, dyspnea, dizziness, confusion. Cr1.7, Ca14, ⬇️PTH,⬆️1-25dihydroxyvitD, Ct mediastinal adenopathy. BCneg, dx? #meded #idmeded #idsky
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id-journal.bsky.social @id-journal.bsky.social · 03/09/2025
Musculoskeletal infections pose challenges for ID providers. We created an online library & podcast to enhance understanding of microbiology & treatment. 📚🎧 #idsky
academic.oup.com
Enhancing the Care of Patients with Bone and Joint Infections through Educational Interventions
AbstractMusculoskeletal infections represent a significant proportion of clinical workload for infectious diseases (ID) providers, often presenting complex diagnostic and therapeutic challenges. Many providers may feel inadequately prepared to manage these conditions, which require a nuanced understanding of microbiology, musculoskeletal anatomy, surgical intervention, and orthopedic hardware. We implemented a pair of educational interventions including an online library of high-yield musculoskeletal ID literature and an educational podcast.
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WeRateDogs @weratedogs.com · 28/08/2025
This is Thanos. He has figured out how to rest and babysit at the same time. Very impressive, very Montessori. 13/10 (TT: thanosthesaint)
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UW Infectious Disease Fellowship Program @uwidfellowship.bsky.social · 25/08/2025
“Uncomplicated candidemia”? Proposed definition -controlled source, clinical response, and clearance of the bloodstream within 5 days of appropriate antifungal treatment. Recommend further evaluation of definition and RCTs for optimal duration of treatment. #IDSky www.thelancet.com/journals/lan...
thelancet.com
Towards shorter therapy for candidaemia: defining uncomplicated candidaemia in adults
Although the characteristics of complicated candidaemia are well known, uncomplicated disease remains undefined. Recommended treatment duration for candidaemia is 14 days after bloodstream infection i...
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Reposted by Shreya Doshi
Contagion® @contagionlive.bsky.social · 24/08/2025
The NARROWS framework provides a structured, behaviorally informed approach to communication that helps stewardship teams address the social, emotional, and cultural factors influencing prescribing decisions in order to optimize antimicrobial use and combat resistance. #IDsky #Medsky
contagionlive.com
Using the NARROWS Framework to Improve Antibiotic Stewardship: A Communication Tool for Hospital Clinicians
The NARROWS framework, developed within the IDSA Core Antimicrobial Stewardship Curriculum, provides a structured, behaviorally informed approach to communication that helps stewardship teams address ...
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UW Infectious Disease Fellowship Program @uwidfellowship.bsky.social · 23/08/2025
More evidence for shorter antibiotic courses, even in people with co-morbidities… #IDSky academic.oup.com/ofid/advance...
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Patrick Ching @patrickching.bsky.social · 20/08/2025
#TB #meningitis guidelines #IDSky #MedSky
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Scott Fabricant MD PhD @safabric.bsky.social · 19/08/2025
Yeah I'm into Cancel Culture. You should cancel that repeat blood culture "to assess for clearance" of GNR bacteremia from a urinary source. #IDsky
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Saira Butt, MD @sairabt.bsky.social · 19/08/2025
#TeachId #iddigest #idmeded #meded #idsky #EducatorSkill Reclaiming the Calendar: #TimeManagement for the #ClinicianEducator doi.org/10.4300/JGME...
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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 06/08/2025
🌟 ABX Pearl of the Day: ❓ Q: How do I tell if my gram-negative rod (GNR) is an extended-spectrum beta-lactamase (ESBL) producer? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky
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ASHE Journal @ashejournal.bsky.social · 29/07/2025
Let's doff! A gown conservation strategy for multidrug-resistant organism colonization during the COVID-19 pandemic and beyond #IDsky doi.org/10.1017/ash....
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id-journal.bsky.social @id-journal.bsky.social · 12/07/2025
Implanted devices risk biofilm infections. Biomaterial design affects infection risk, strength, biodegradation, & therapeutic release. This review aids ID clinicians in understanding biomaterials. 🦠💉 #idsky
academic.oup.com
Implant Infectious Diseases: An Introduction to Biomaterials for ID Physicians
AbstractImplanted biomedical devices are becoming ubiquitous in the practice of medicine but are at risk for biofilm-related infection. The biomaterial composition of these devices can significantly affect their risk for infection. Biomaterials design is complex with compositional choices leading to different properties, including mechanical strength, biodegradation rate, and ability to locally release therapeutics. In this review, we introduce the field of “Implant Infectious Diseases,” review practical biomaterial fundamentals for the infectious disease (ID) clinician, and apply these principles to case vignettes. This review serves as a primer for a broad ID audience to better understand the role of biomaterials in medical devices and as therapeutics.
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Springer Medicine @springermedicine.com · 12/07/2025
How is #ClimateChange impacting ocular infections? Discover how extreme weather events, air pollution, and rising temperatures are contributing to the changing epidemiology and distribution of infectious eye diseases. 👉 buff.ly/Um7LeFA #EyeSky #IDSky
buff.ly
Climate Change and the Impact on Ocular Infectious Diseases: A Narrative Review
Examine how extreme weather events, air pollution, and rising temperatures are contributing to the changing epidemiology and distribution of infectious eye diseases.
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Saira Butt, MD @sairabt.bsky.social · 04/07/2025
#IDsky #idboardreview #idfellows #idfellowship #TeachID #IDchalkTalk Fungal biomarkers by Dr Sara Dong idsame.notion.site/Fungal-Bioma...
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Saira Butt, MD @sairabt.bsky.social · 02/07/2025
#idsky #meded Please share fantastic #IDmeded resources with your new #IDfellows all from IDSA meded COP teaching & learning workgroup idsame.notion.site/8828b806170e...
idsame.notion.site
The AI workspace that works for you. | Notion
A tool that connects everyday work into one space. It gives you and your teams AI tools—search, writing, note-taking—inside an all-in-one, flexible workspace.
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Reposted by Shreya Doshi
Geno Tai MD @tai-md.com · 01/07/2025
This one for sure. academic.oup.com/cid/advance-...
academic.oup.com
Practicing With Intent: How to Teach an Old Dogma New Tricks
Abstract. Clinicians are constantly bombarded with an onslaught of newly published data, yet they must make clinical decisions despite a dearth of clinical
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id-journal.bsky.social @id-journal.bsky.social · 01/07/2025
Antimicrobial resistance may cause more deaths than cancer by 2050. 🦠 Shifting mindsets on stewardship is tough; strategic communication is key for Infectious Diseases physicians. #idsky
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 continue our current practices, antimicrobial resistance will lead to more deaths by the year 2050 than cancer [1]. Further, there are the risks of diarrhea, Clostridioides difficile colitis, cytopenia, hepatotoxicity, nephrotoxicity, severe drug eruption, among additional complications. Although these answers are alarming and motivate many of us in infectious diseases to appropriately prescribe antimicrobials, I find myself troubled when it does not persuade others of the importance of stewardship. For many physicians, prescribing antibiotics provides security in situations of uncertainty, rationalized by the familiar mantra, “just in case.” Because “cytopenia and hepatoxicity can be monitored with labs,” “C. difficile is treatable,” and “why worry about resistance decades later, when I have a patient to worry about now.” Shifting these mindsets is challenging, and I realized during fellowship that strategic communication, negotiation, and persuasion were just as important to my performance as an Infectious Diseases fellow as was my expertise in clinical guidelines. However, as I transitioned to the bench for my physician scientist training, I came to appreciate a better, more convincing answer for the importance of antimicrobial stewardship. An answer that I believe validates the need for our specialty and makes me look at the future of our field with nothing but optimism. It centers on the importance of microbes.
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NEJM.org @nejm.org · 25/06/2025
In a new article on measles, the authors review the epidemiology, clinical presentation, and associated illnesses as well as treatment and prevention strategies. Read the full article: nej.md/4lmC1Ir #MedSky @lshtm.bsky.social
Panels A–C: Features of measles including Koplik spots on the buccal mucosa; rash on the trunk, spreading to the face, head, arms, and legs; and conjunctivitis. 

Panel D: A timeline of the pathogenesis of measles.
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id-journal.bsky.social @id-journal.bsky.social · 24/06/2025
📈 Cases of 🦠Candida infections are rising. Azole antifungal resistance is a major public health threat. This review covers resistance mechanisms in key species like C. albicans & C. auris. #idsky
academic.oup.com
Understanding the mechanisms of resistance to azole antifungals in Candida species
AbstractCases of Candida infection have been on the rise in recent years. A comprehensive and clear understanding of the mechanisms of antifungal resistance is fundamental for developing novel therapies to address the current and emerging threat of fungal diseases. Certain Candida species can cause superficial or invasive infections in immunocompromised hosts, and invasive Candida infections are major contributors to infectious disease deaths. As fungi are eukaryotes like humans, there are only a limited number of unique molecular targets available for antifungal drug development. Until recently, there have only been four primary classes of antifungals used to treat systemic fungal infections. Among these, azole antifungals are globally used because they are both inexpensive and effective. Due to various factors, resistance to antifungal drugs—especially azole antifungals—has developed in many Candida species, posing a significant public health threat. This review discusses the known mechanisms of azole antifungal resistance in Candida albicans, Candida auris, Nakaseomyces glabrata, Candida tropicalis, Candida parapsilosis and explores strategies to overcome the resistance problem.
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Sustainabil-ID (www.sustainabil-id.com) @sustainabil-id.bsky.social · 01/06/2025
Attached are some powerful anecdotes on climate change and air pollution from peds ID providers that show a glimpse of how disease patterns are changing and geographic boundaries are expanding.
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Sustainabil-ID (www.sustainabil-id.com) @sustainabil-id.bsky.social · 29/05/2025
Survey of Pediatric Infectious Diseases Providers on Healthcare Sustainability and Climate Change academic.oup.com/jpids/articl...
academic.oup.com
Survey of Pediatric Infectious Diseases Providers on Healthcare Sustainability and Climate Change
Scientific evidence suggests that climate change represents a fundamental threat to human health, as reported by the World Health Organization as well as 2
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Shreya Doshi @shreya-pedsid.bsky.social · 19/05/2025
I have never found myself taking notes during a podcast but this one was really amazing! Learning about the complexity and credibility of the trial is fascinating! Amazing job by the trial team. A tiny mention of environmental sustainability by @angelahuttner.bsky.social made my heart melt! #IDsky
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Shreya Doshi @shreya-pedsid.bsky.social · 19/05/2025
Grateful to professors and classmates at #GWU for accompanying me on my journey to MPH in Global and Environmental Health. I hope to us some of these skills and knowledge towards research in healthcare sustainability ( reducing healthcare's environmental harm) to improve patient safety and quality
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Paul Sax @paulsaxmd.bsky.social · 18/05/2025
We love what we do. But yes, we’d also like to get paid. ID is a cognitive, consult-heavy specialty -- and often a “loss leader” in a fee-for-service world. A look at how the money actually flows (or doesn’t), Part 1. #IDSky blogs.jwatch.org/hiv-id-obser...
blogs.jwatch.org
How ID Doctors Get Paid -- The Bread, Butter, and Budget Deficits of Infectious Diseases
Two decades ago, Dr. Atul Gawande wrote a memorable piece for The New Yorker about how doctors in the United States get paid. Providing a nice mix of self-reflection about his own experience and some ...
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Ilan Schwartz @germhuntermd.bsky.social · 15/05/2025
I really can't stress enough just how critical ID pharmacists are in improving patient care Over 6 months, 10 ID pharmacists were "curbsided" w/ 1,518 Qs, 3/4 from ID attendings 89% of answers led to changes in management!!! @erinmccreary.bsky.social @sidpharm.bsky.social #IDSky #PharmSky
academic.oup.com
You’ve Got a Friend in Me: Curbside Questions Infectious Diseases Clinicians Ask Infectious Diseases Pharmacists
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Shreya Doshi @shreya-pedsid.bsky.social · 28/04/2025
At #PAS2025: Integrating healthcare sustainability in QI and Research (talk) and a roundtable session on antimicrobial stewardship × environmental sustainability @pidsociety.bsky.social #PASmeeting
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Shreya Doshi @shreya-pedsid.bsky.social · 28/04/2025
At #PAS2025: Integrating healthcare sustainability in QI and Research (talk) and a roundtable session on antimicrobial stewardship × environmental sustainability @pidsociety.bsky.social #PASmeeting
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