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Reposted by Stanford Antimicrobial Safety & Sustainability Program

MAD-ID The Antimicrobial Stewardship Meeting @mad-id.bsky.social · 12/03/2026

From infants to elders, tackle CAP conundrums with Dr Holubar and Dr. Yu. Register today for the 2026 MAD-ID and SIDP Annual meeting, May 14-17 in Orlando. @pidsociety.bsky.social 🔗 buff.ly/KWgqZS6

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 11/03/2026

🌟 ABX Pearl of the Day 💡 Q: My patient is admitted with an acute biliary infection. Is empiric metronidazole needed in this and other IAI? #IDsky #MedSky #PharmSky #SkyRX #AMSsky

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 26/02/2026

🌟 ABX Pearl of the Day ❓ Q: In a patient with suspected osteomyelitis, should I start empiric antibiotics or withhold antibiotics to improve diagnostic yield? #IDsky #medsky #meded #pharmsky #skyRX

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 19/02/2026

🌟 ABX Pearl of the Day: Enterococcus gallinarum in Blood Cultures ❓ Q: My patient’s blood cultures are growing Enterococcus gallinarum with susceptibilities pending. They’re on empiric vancomycin + piperacillin/tazobactam. Is this appropriate coverage? #IDsky #medsky #meded #pharmsky #skyRX

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 12/02/2026

🌟 ABX Pearl of the Day: bilateral LE erythema = cellulitis? ❓ Q: What are common mimics of cellulitis? #IDsky #medsky #meded #pharmsky #skyRX

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 04/02/2026

🌟 ABX Pearl of the Day: ❓ Q: My patient with febrile neutropenia (FN*) on IV cefepime is hemodynamically stable but continues to have fevers. Do we need to switch empiric antibiotics to IV meropenem? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 22/01/2026

🌟 ABX Pearl of the Day: ❓ Q: My patient with febrile neutropenia (FN*) has been afebrile for 72 hours, is asymptomatic, and we haven’t found an obvious infectious source. How long should I continue cefepime? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 15/01/2026

🌟 ABX Pearl of the Day: ❓Q: Candida in the urine? Should you treat? ✅ A: Usually not. Candiduria almost always reflects colonization, not infx. It should prompt elimination of risk factors- e.g., d/c indwelling catheters rather than antifungal tx🚫 #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 08/01/2026

🌟 ABX Pearl of the Day: ❓Q: My patient has isolated yeast (NOT Cryptococcus) from a respiratory culture. Do I need to treat this? ✅ A: In the vast majority of cases… NO. #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 16/12/2025

🌟 ABX Pearl of the Day: ❓Q: If the urinalysis (UA) has elevated WBC or bacteria, does this mean the patient has a UTI? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 10/12/2025

🌟 ABX Pearl of the Day: ❓Q: My patient is admitted for heart failure and has a chronic indwelling foley with cloudy urine. Should I send a urinalysis or urine culture (UCx) to assess for UTI? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 03/12/2025

🌟 ABX Pearl of the Day: ❓ Q: We are treating a patient with CAP. Can we treat for a course shorter than 5 days? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 12/11/2025

🌟 ABX Pearl of the Day: ❓ Q: My male patient with dysuria is growing E. coli (>100,000 CFU/mL) on urine culture. 🚨 He has no systemic symptoms or signs of pyelonephritis or prostatitis. Does he have a complicated UTI? 🤔 #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 05/11/2025

🌟 ABX Pearl of the Day: ❓ Q: Should I add vancomycin for severe mucositis in my patient with persistent neutropenic fever (NF) of unknown etiology? 🤔 Currently on cefepime & stable. Let’s dive in! 👇 #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 29/10/2025

🌟 ABX Pearl of the Day: ❓ Q: Treating HAP/VAP? 🤔 Can we go shorter than 7 days? 💡A: Yes! While 7 days is the norm, evidence supports shorter courses in specific cases. Let’s break it down! 👇 #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 23/10/2025

🌟 ABX Pearl of the Day: ❓ Q: Why does the lab mention when a GNR (gram-negative rod) is “lactose fermenting”? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 15/10/2025

🌟 ABX Pearl of the Day: ❓ Q: When should I empirically cover for Pseudomonas aeruginosa in diabetic foot infections (DFIs)? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 08/10/2025

🌟 ABX Pearl of the Day: ❓ Q: When should you consider empiric MRSA coverage for SSTI treatment? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 01/10/2025

🌟 ABX Pearl of the Day: (Part 2) ❓Q: If my patient with pneumonia has a positive MRSA nasal PCR but respiratory cultures are NOT available, do I need to continue vancomycin for a full course of therapy? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 01/10/2025

🌟 ABX Pearl of the Day: ❓ Q: If my patient with pneumonia has a positive MRSA nasal PCR but respiratory cultures are negative for MRSA, do I need to continue vancomycin for a full course of therapy? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 24/09/2025

🌟 ABX Pearl of the Day: ❓ Q: Candida only grew in 1/4 bottles. Is this a contaminant? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

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Reposted by Stanford Antimicrobial Safety & Sustainability Program

ASHE Journal @ashejournal.bsky.social · 22/09/2025

@ritikaprasad.bsky.social @stanfordasp.bsky.social @marisa-holubar.bsky.social: The inpatient mandatory indication field outperformed the ICD-10 in inferring dc abx indications, and can be used to assess abx appropriateness without needing manual chart review. doi.org/10.1017/ash....

doi.org

Unraveling indications for discharge antibiotics: the Devil’s in the details | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Unraveling indications for discharge antibiotics: the Devil’s in the details - Volume 5 Issue 1

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 17/09/2025

🌟 ABX Pearl of the Day: ❓ Q: My patient is growing yeast in blood cultures. Is this Candida? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 10/09/2025

🌟 ABX Pearl of the Day: ❓ Q: My immunocompromised patient is admitted to the ICU and starting ABX for presumed CAP. Do they need empiric MRSA and Pseudomonas coverage? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 03/09/2025

🌟 ABX Pearl of the Day: ❓ Q: I’m looking for oral ABX options for UTI. When might oral fosfomycin be appropriate? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 20/08/2025

🌟 ABX Pearl of the Day: ❓ Q: Can I use piperacillin-tazobactam to treat an Enterobacter cloacae intra-abdominal infection? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 13/08/2025

🌟 ABX Pearl of the Day: ❓ Q: Can I use piperacillin-tazobactam to treat an ESBL E. coli intra-abdominal infection? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

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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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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 24/07/2025

🌟 ABX Pearl of the Day: UTI in males ❓ Q: My male patient with dysuria is growing E. coli (>100,000 CFU/mL) on urine culture. He has no systemic symptoms or signs of pyelonephritis or prostatitis. Does he have a complicated UTI? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 16/07/2025

🌟 ABX Pearl of the Day: penicillin allergies ❓ Q: My patient reports a reaction to penicillin (acute, self-limited rash) over 10 years ago. Can they safely receive cefazolin for their MSSA infection? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 09/07/2025

🌟 ABX Pearl of the Day: sputum interpretation ❓ Q: My patient has 4+ growth of an organism on respiratory culture. Does this mean he has pneumonia? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 02/07/2025

🌟 ABX Pearl of the Day: ertapenem hypoalbuminemia ❓ Q: My ICU patient with hypoalbuminemia has ESBL E. coli pyelonephritis, resistant to PO abx. He improved (afeb, WBC WNL, off pressors) after 3d of meropenem. Should I avoid narrowing to ertapenem? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 25/06/2025

🌟 ABX Pearl of the Day: ABX CNS penetration ❓ Q: Which antibiotics have "good" CNS penetration for the treatment of bacterial meningitis/ventriculitis? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 18/06/2025

🌟 ABX Pearl of the Day: Corynebacterium in resp cultures- do I treat? ❓ Q: My patient’s sputum culture is growing Corynebacterium species in addition to normal respiratory flora. Do I need to treat this? 💡 A: In most cases, no tx is necessary. #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 11/06/2025

🌟 ABX Pearl of the Day: Coverage in septic BMT patient ❓ Q: A BMT recipient is in the ICU with septic shock. She is on IV posaconazole for antifungal prophylaxis; should we add/switch to an IV echinocandin empirically for Candida coverage? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 04/06/2025

🌟 ABX Pearl of the Day: TMP-SMX and cytopenias ❓ Q: My immunocompromised patient is experiencing severe cytopenias while on PJP prophylaxis with trimethoprim/ sulfamethoxazole (TMP/SMX). How might I address this issue? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 28/05/2025

🌟 ABX Pearl of the Day: revisiting Vancomycin Zosyn nephrotoxicity ❓ Q: Is the combination of vancomycin and piperacillin-tazobactam safe for the kidneys? #IDsky #medsky #meded #pharmsky #skyRX

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 20/05/2025

🌟 ABX Pearl of the Day: ongoing fevers in febrile neutropenia (FN) but cultures negative ❓ Q: My patient with FN on IV cefepime is hemodynamically stable but continues to have fevers. Do we need to switch empiric antibiotics to IV meropenem? #IDsky #medsky #meded #pharmsky #skyRX

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 14/05/2025

🌟 ABX Pearl of the Day: empiric vanco in IAI ❓ Q: My patient is admitted for an intra-abdominal infection. Is empiric IV vancomycin needed to provide coverage for MRSA and enterococcus? #IDsky #medsky #meded #pharmsky #skyRX

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 08/05/2025

🌟 ABX Pearl of the Day: Positive UCx but unable to verbalize UTI symptoms ❓ Q: My elderly patient had a fall with altered mental status, and UCx is growing pan-S E. coli (>100K CFU/mL). They are unable to verbalize UTI symptoms. Should I treat for UTI? #IDsky #medsky #meded #pharmsky #skyRX

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 07/05/2025

🌟 ABX Pearl of the Day: meningitis/ventriculitis dx tips 💡 ❓ Q: I am working up my patient for healthcare-associated bacterial meningitis/ventriculitis. What are some tips on diagnostics? #IDsky #medsky #meded #pharmsky #skyRX

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 30/04/2025

🌟 ABX Pearl of the Day ❓ Q: Candida only grew in 1/4 bottles. Is this a contaminant? #IDsky #medsky #meded #pharmsky #skyRX

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 24/04/2025

🌟 ABX Pearl of the Day: QTc risk with FQ ❓ Q: My patient has a QTc of 450 ms, and I want to prescribe a fluoroquinolone. Would this be appropriate? #IDsky #medsky #meded #pharmsky #skyRX

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 18/04/2025

🌟 ABX Pearl of the Day: Linezolid drug interactions ❓ Q: I'd like to prescribe linezolid but my patient is on serotonergic agents. What is the incidence of serotonin syndrome with this combination? #IDsky #medsky #meded #pharmsky #skyRX

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 17/04/2025

🌟 ABX Pearl of the Day (Outpatient): Cough- infectious vs non-infectious causes. ❓ Q: What are the common infectious causes of cough? #IDsky #medsky #meded #pharmsky #skyRX

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 09/04/2025

🌟 ABX Pearl of the Day: "static" vs "cidal" ABX💊 ❓ Q: I am treating an MSSA abscess with TMP/SMX. This is a “static” antibiotic - should I switch to a “cidal” agent like cephalexin? #IDsky #medsky #meded #pharmsky #skyRX

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 07/04/2025

🌟 ABX Pearl of the Day: Candida in urine cx💊 ❓ Q: My patient is growing Candida albicans in his urine, do I need to treat him? #IDsky #medsky #meded #pharmsky #skyRX

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 31/03/2025

🌟 ABX Pearl of the Day: Candida in respiratory cx💊 ❓ Q: My patient has isolated yeast (not Cryptococcus) from respiratory culture. Do I need to treat this? #IDsky #medsky #meded #pharmsky #skyRX

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 25/03/2025

🌟 ABX Pearl of the Day: ABX initiation in osteomyelitis💊 ❓ Q: In a patient with suspected osteomyelitis, should I start empiric antibiotics or withhold antibiotics to improve diagnostic yield? #IDsky #medsky #meded #pharmsky #skyRX

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Stanford Antimicrobial Safety & Sustainability Program @stanfordasp.bsky.social · 20/03/2025

🌟 ABX Pearl of the Day: combo ABX for SSTI? 💊 ❓ Q: Do I need combination therapy (e.g., TMP-SMX and cephalexin) to cover both Group A β-hemolytic Strep and MRSA when empirically treating non-purulent cellulitis? #IDsky #medsky #meded #pharmsky #skyRX

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