PharmD, BCIDP | ID/ASP Pharmacist @utmedicalcenter 🧫🦠 | PGY-1 & PGY-2 @parkland | PharmD @osu_pharmacy | Views are my own 🥾🛶⛺️🐶 #gobucks
Knoxville, TN
Joined July 2022
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Excited to finally share this data from my residency research project! Found low rates of MRSA and PsA as causes of CAP at our institution and identified areas for improvement in diagnostic stewardship/empiric treatment.
📑 Open access article here: pubmed.ncbi.nlm.nih.gov/3901…
Safety net hospital finds low incidence of MRSA & PsA in CAP patients. Understanding local resistance patterns is crucial for targeting antibiotic therapy & reducing unnecessary broad-spectrum use. @helenpharmd @nsmang @jloomisyo @jkortwine @wenningID
Helen Ding retweeted
MRSA nares screening can reliably be used for de-escalation of anti-MRSA therapy within 28 days of bacterial culture for all patients, including transplant recipients and patients with neutropenia.
⭐NPV = 95.8% across all anatomical culture sites
doi.org/10.1093/ofid/ofae408
Not looking forward to seeing the implications of this 😖
Due to supply disruptions, the @US_FDA recommends laboratories and health care providers conserve the supply of BD BACTEC blood culture media bottles for patients at highest risk. Learn more in our Letter to Health Care Providers: fda.gov/medical-devices/lett…
Does anyone work at or know of hospitals that use Labcorp or another third party lab for internal microbiology processing? If so, would love to get connected!
Has anyone actually experienced treatment failure with dapto combo tx with bacteriostatic agents (e.g., doxy, linezolid) in MRSA BSI c/b lung involvement?
There’s some in vitro stuff suggesting an antagonistic effect. How concerned should we really be?
#IDtwitter @BDubbMD
My coworker @dosyn_zosyn received this gem from his student today. This may be the most iconic thing to have happened in ID pharmacy history!!! Which one is your fave?
Creds: @sarah_mch
Helen Ding retweeted
Getting my own talk from yesterday up late.
Also presented at the Big Beasts session on Community-Acquired Pneumonia.
Focused at stewardship folks but something in here for everyone 👇
#SHEASpring2024
#IDTwitter
#MedTwitter
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I am hopelessly doomed to always have 20 tabs open by mid-day despite trying my best to start with a clean slate every morning 😅
Late post, but excited to share our review on the available data for PO antibiotics in the treatment of serious bacterial infections including endocarditis and bacteremia! @jkortwine @WenningID @nsmang @brent_on_hall
✨️One Small Step (Down) for Antibiotics, One Giant Leap for Outpatient Therapy: The Role of Oral Antibiotics in Serious Bacterial Infection ✨️ #IDXposts #MedEd
link.springer.com/article/10…
Nearly 2x as much treatment failure at 14 days when using cefdinir, compared to cephalexin which has substantially better bioavailability and urinary concentrations in lower UTIs. Makes sense! #downwithcefdinir
Cefdinir V🔥 Cephalexin in lower UTI
🆕️⚡️⚡️Small retrospective study @AJHPOfficial
There were no significant differences in treatment failure at d7 or d14 between the agents
Numerically higher rate of treatment failure with cefdinir #downwithcefdinir
academic.oup.com/ajhp/advanc…
Helen Ding retweeted
🔥🔥SABATO RCT 🔥🔥 @TheLancetInfDis
Efficacy and safety of an early oral switch in low-risk Staphylococcus aureus BSI
Oral switch antimicrobial therapy was non-inferior to IV standard therapy in participants with low-risk S aureus BSI @BradSpellberg
thelancet.com/journals/lanin…
Patient admitted for pneumonia, sputum cx +MSSA, ESBL (resistant to all oral options), PsA. What option are you going with?
78%Meropenem monotherapy
8%Meropenem + Cefazolin
8%Meropenem + Linezolid
8%Other (please comment)
40 votes • Final results‼️Did you know that susceptibilities for many PO cephalosporins are inferred from cefazolin, not ceftriaxone? May overcall resistance but safest option if unable to test directly.
Removed cefdinir from our adult formulary and switched to cefuroxime. Here’s why! #downwithcefdinir
Helen Ding retweeted
Abnormal urinalysis c/w UTI and u/a c/w UTI should be banned from the medical vernacular
Do you use “fever” as a verb?
Just learned that not everyone has “fevering” in their lexicon 🤣
71%Yes
29%No
24 votes • Final results Helen Ding retweeted
Comparing the risk for community-associated Clostridioides difficile infection across different antibiotics
As expected, clindamycin is the worst 👎
While doxycycline is among those with the lowest risk 👍
doi.org/10.1093/ofid/ofad413
Helen Ding retweeted
Happy last day of residency to @HelenPharmD!! I can’t wait to see all the amazing things you’re going to do in Tennessee! And now…my favorite end of the year tradition…
