Bug Pharmacist // Tim Gauthier
@idstewardship.bsky.social
I ❤️ bugs & drugs. Opinions mine. https://linktr.ee/IDstewardship
Amazing 😍 🔥SHORTEN 2 RCT A 7-day treatment course is superior to 14 days for uncomplicated Pseudomonas aeruginosa bacteremia, achieving similar clinical response rates with lower antibiotic exposure, fewer superinfections, and fewer serious adverse events #idsky @shorten2trial.bsky.social
😲 On IG and TikTok this video of @mgilchrist123.bsky.social and I has over 27 cumulative days of watch time, over about 72 hours. #IDsky
Some #MADIDxSIDP2026 highlights. Forever grateful for @sidpharm.bsky.social @mad-id.bsky.social reading my ridiculous email proposing an OPAT workshop & running with it 😱 Great to network, learn, reconnect & of course 🎢 Now ....back to the real world (...until the next #OPATworkshop amirite??)
🤓🤓🤓🤓🤓🤓🤓🤓🤓 Amazing experience to be there for the first @mad-id.bsky.social x @sidpharm.bsky.social meeting #Antimicrobials over the last few days. If you missed it, here are a few nuggets I picked up… 📲 www.idstewardship.com/pearls-for-a...
#MADIDxSIDP2026 bonus! Got to meet @idstewardship.bsky.social and @letstalkmicro.bsky.social, makers of great ID educational resources (check out their website and podcasts respectively). And apparently #ATS2026 is just next door. Come by and say hi too!
I stole all the @pharmageddon.bsky.social games at #Antimicrobials hope I don’t get caught!! Not really stolen of course, but super cool to meet IRL!
🤓 Excited to get to hang out with amazing people here at MAD-ID x SIDP!!
The 2026 #ScienceSymposium is coming up! I've updated the Make Your Own Antibiotic worksheet and I've introduced a new Antibiotic or Pokemon game (some of these stumped me!) The 3rd activity will be a bean bag (antibiotic) toss at cans (bacteria) based on antibiogram. That's a project for next week
Super interesting: Ceftriaxone-R E.coli / K.pneumoniae BSI(n=163) 2022-24 🧬blaCTX-M+:85.3% 🧬 No-blaCTX-M:14.7% ⚠️🔼 No-blaCTX-M ceftriaxone R ⏱ CTX-M+:faster optimal therapy 💡 Molecular testing still useful for ESBL detection→ always confirm with AST #idsky academic.oup.com/ofid/article...
Impact of a Rapid Change in Beta-lactam Resistance Epidemiology on the Management of Patients With Bloodstream Infections
Abstract. The impact of a shift in the epidemiology of ceftriaxone resistance among Escherichia coli and Klebsiella pneumoniae recovered from blood culture
academic.oup.com
Important piece of work that guides much of our OPAT practice in UK. It's also impressive in its acceptance of the evidence. Literally the guideline for use of IV antibiotics is advocating for use of oral antibiotics instead! 👏 #IDSky #ClinMicro #AMR #OPAT
Antibiotic Steward 🅱️C🆔🅿️🌟@absteward.bsky.social · 3mo ago🔥Just published 2026 Updated good practice recommendations for OPAT in adults & children in the UK Oral antimicrobial therapy should always be used in preference to IV where these have equivalent efficacy unless there are other relevant factors* #idsky academic.oup.com/jacamr/artic...
Screening patients for colonisation of drug resistant organisms can help reduce carbapenem use and duration of antibiotics in febrile neutropenia #escmidglobal2026
David Paterson at #ESCMIDGlobal2026 Highlights important issue of generic versus brand name meropenem – previous work has suggested chemical differences, harder to dissolve and even higher mortality with generic preparations
Listening to @drneilstone.bsky.social talk about Twitter vs Bluesky in Arena 3: Says don’t concede space in Twitter to anti-science influencers #ESCMIDGlobal2026 #IDSky #clinmicro
📊 Looking at Bluesky and X, the science community is still stronger on X from what I’m seeing with #ESCMIDglobal2026 content cc: @absteward.bsky.social @krutikamh.bsky.social @drneilstone.bsky.social
“The Year in Clinical Micro” at #ESCMIDGlobal2026 🔬 A devastating reality: ⚠️ >3 million children died from AMR-related infections in 2022 🌍 Highest burden in Southeast Asia & Africa 💊 Many deaths linked to Watch & Reserve antibiotics AMR is already a leading cause of child mortality.
Normal urine is not sterile! Urine microbiome being introduced by @nicoledenisco.bsky.social #ESCMIDGlobal2026 #UTISky
🔥Late Breakers PeterPen RCT prelim results challenges carbapenem default in ESBL BSI Pip/tazo vs MER (EI) ✅Non-inferior 7d failure(29.4% vs 33.5%) ❌No early mortality signal 30d mortality 14.4%(interim) 👉Will mortality follow?MERINO taught us the hard way! #ESCMIDGlobal2026 #IDsky
Now @erinmccreary.bsky.social is speaking to a packed house on podcasting in infectious diseases, with photo of her and Ryan Shields recording the first #Breakpoints podcast in 2018 @sidpharm.bsky.social #ESCMIDGlobal2026
Despite its worldwide prevalence, research about #UTI is sparse here at #ESCMIDGlobal2026. But managed to find a concentrated mini-population of researchers at the poster session niche—enriched for the London strain, but quite a small sample size, p values not reaching significance! #UTISky #IDSky
💊Antibiotic shortages - they are a problem! Here is a fantastic poster from #ESCMIdglobal2026 that discusses the issue! cc @escmid.bsky.social @krutikakuppalli.bsky.social @absteward.bsky.social @drneilstone.bsky.social
🤔🤔 Daptomycin - are premixed bags the way to go when doses vary by weight, organism, and infection type? #ESCMIDglobal2026 trying these new videos with posters as a social media ambassador for the Congress. Any feedback or suggestions are always appreciated! cc @escmid.bsky.social
💻👾Antibiotic stewardship tools are super important. How are they being kept alive? Who keeps them alive and who owns them? #ESCMIDglobal2026 #pharmacist #Antibiotics cc: @escmid.bsky.social @absteward.bsky.social @dianeashiru.bsky.social @krutikakuppalli.bsky.social @drneilstone.bsky.social
🦷 💊 Dental prescribing and antibiotic stewardship - here is a great poster from Dr. Goff at #ESCMIDglobal2026 #pharmacist #dentist #Antibiotics @escmid.bsky.social @krutikakuppalli.bsky.social @drneilstone.bsky.social
A post applicable way beyond just #ESCMIDGlobal2026! 👇 #MedSky #AcademicSky
Bug Pharmacist // Tim Gauthier@idstewardship.bsky.social · 4mo ago😶🌫️🫥🫣 Imposter!!! Who me? #ImposterSybdrome is extremely common and something to recognize and work on if you experience it. Take it from me, I’ve totally felt this way more times than I can count!! 😆 … #ESCMIDglobal2026 … 7/n #meded #pharmed #pharmacist @escmid.bsky.social @sidpharm.bsky.social
It helps me to remember that imposter syndrome relies on circular logic: if you're a fraud then you must have outsmarted everyone.
