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

🌟 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

🌟 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

🌟 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

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

🌟 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

🌟 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

🌟 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

🌟 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

🌟 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

🌟 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

🌟 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

🌟 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

🌟 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

🌟 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

🌟 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

🌟 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

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

🌟 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

🌟 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

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

@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....

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

doi.org

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

🌟 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

🌟 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

🌟 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

🌟 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

🌟 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

🌟 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

🌟 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