Easily the most enjoyable Kickers game I have seen in months.
All Roos. All Night. 😤🦘 #UpTheRoos
Matt Hitchcock, MD, MPH
@thehitch-md.bsky.social
Infectious disease physician and hospital epidemiologist at the Richmond VAMC in Richmond, VA, and assistant professor of ID at VCU. Way too junior to speak for the federal government. Cincy-bred, and UVA-, Duke-, and Stanford-trained.
Easily the most enjoyable Kickers game I have seen in months.
All Roos. All Night. 😤🦘 #UpTheRoos
I like seeing data like this out here. I have spent a lot of time telling residents that these cultures are rarely helpful and we have no trouble isolating Candida with standard sets. We even had a case recently where the Candida only grew in standard cultures and not in dedicated fungal cultures.
Fungal blood cultures rarely detected fungal pathogens not found in paired standard blood cultures, with added findings in only 0.4% of cases. This corresponded to an annual institutional cost of approximately $102,613.50 to detect the additional 4 fungi per year. 💰️ doi.org/10.1017/ash....
Thanks @richmondkickers.bsky.social for a great game and the coolest piece of Kickers memorabilia I now own
I hope one of the biggest takeaways from the World Cup is that live soccer is awesome and progression of the game in the US requires lots of opportunities for young players to play and develop. New USL and MLS fans are way more valuable for the American game than new EPL ones.
Did the IDSA Staph aureus bacteremia guidelines get clawed back? I was looking at them yesterday and now they are gone.
On @us.theguardian.com, here on some thoughts on Seattle, a city so deserving of more US games - and one that’s fostered the game of soccer for a half century or more. www.theguardian.com/football/202...
USA soak in Seattle’s familiar support en route to making World Cup history
Long a hotbed of American soccer, Seattle showed on Friday why it should no longer be a rare visit for the national team
theguardian.com
Getting a lot of urgency to prepare for Ebola and I wish we were putting as much effort into aggressively supporting high-quality diagnosis and treatment in the places that actually need it
Interesting to see further work on Ct values in CDI and glad that my previous findings still generally hold, but this just adds to my general sense that we don’t know where the line is between CDI and colonization and perhaps never will.
This study investigated cycle threshold (Ct) values and outcomes among patients with discordant Clostridioides difficile testing. Lower Ct correlated with worse outcomes regardless of illness severity, hence favoring treatment. Ct may help decide which patients to treat. doi.org/10.1017/ash....
Great win with an incredible number of post and crossbar hits
Wire to wire 𝓦 #RICvWES x #UpTheRoos
Great to finally see another home Kickers win! It was a great night for soccer in RVA.
Home 𝙒 😤 #UpTheRoos
I have one of the red and black jerseys from 2023 and it has literally never seen a Kickers win at City Stadium
I just have to say, it’s sad that Richmond went from a pure must be place for fans of soccer to come see to just a after thought of a club in a matter of 3 years. But that what happens when progress stalls
My hot takes from time in the national parks is that no one seems to know how to open a food wrapper without a corner falling off, nor does anyone know what happens to an orange peel in the desert
@rivercity93.bsky.social has there been any indication of when we might hear more about the supposed 3-4 additional player signings that were in the works for the Kickers?
This is a fantastic kit. @richmondkickers.bsky.social can just take my money now.
The Give Me Liberty Kit — Rooted in Richmond and inspired by the historic words that ignited the American Revolution #UpTheRoos
If our main target is not associated with HO-CDI, it further brings into question whether this is a useful metric at all
@priyanori.bsky.social @yiguoid.bsky.social et al: This study evaluated antibiotic use and appropriateness in HO-C. diff cases compared to matched controls in an inpatient setting at a NYC hospital. ⬆️ or inappropriate abx use was not associated with HO-C. diff infection doi.org/10.1017/ash....
I have no interest in being the gatekeeper of this, but providers should not be able to order a multiplex PCR panel unless they have some semblance of how to interpret the results.
From @drrossanarosa.bsky.social et al: Using in-house PCR for C auris screen, we observed ⬆️ rates of new colonization POA but have maintained stable rates of C. auris hospital-onset BSI. This suggests rapid ID and isolation can mitigate horizontal transmission of C. auris. doi.org/10.1017/ash....
Stable bloodstream infection rates despite rising colonization: insights from a hospital system using in-house polymerase chain reaction screening for Candidozyma auris | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core
Stable bloodstream infection rates despite rising colonization: insights from a hospital system using in-house polymerase chain reaction screening for Candidozyma auris - Volume 5 Issue 1
doi.org
@thehitch-md.bsky.social et al: AI v. ASP Experts: Chatbots for BCID2 Interpretation doi.org/10.1017/ash....
Evaluating chain-of-thought prompting in a GPT chatbot for BCID2 interpretation and stewardship: how does AI compare to human experts? | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core
Evaluating chain-of-thought prompting in a GPT chatbot for BCID2 interpretation and stewardship: how does AI compare to human experts? - Volume 5 Issue 1
doi.org
It was a pleasure to work on this project with our ID pharmacist colleagues. AI has a lot of potential in this space, especially with the basic interpretation of data, but still needs human guidance to work through the complexities of patient management. Looking forward to doing more of this!
Evaluating chain-of-thought prompting in a GPT chatbot for BCID2 interpretation and stewardship: how does AI compare to human experts? | Antimicrobial Stewardship & Healthcare Epidemiology | Cambr...
Evaluating chain-of-thought prompting in a GPT chatbot for BCID2 interpretation and stewardship: how does AI compare to human experts? - Volume 5 Issue 1
cambridge.org
It was a pleasure to work on this project with our ID pharmacist colleagues. AI has a lot of potential in this space, especially with the basic interpretation of data, but still needs human guidance to work through the complexities of patient management. Looking forward to doing more of this!
Evaluating chain-of-thought prompting in a GPT chatbot for BCID2 interpretation and stewardship: how does AI compare to human experts? | Antimicrobial Stewardship & Healthcare Epidemiology | Cambr...
Evaluating chain-of-thought prompting in a GPT chatbot for BCID2 interpretation and stewardship: how does AI compare to human experts? - Volume 5 Issue 1
cambridge.org
Great time at the Kickers game tonight, too bad the officiating wasn’t as good as the play
Great work by a great colleague! I hope more studies like this come out to help support high rates of childhood vaccinations, especially MMR.
🧵1/N New study published in @jama.com on re-emergence of vaccine-eliminated infectious diseases under declining vaccination in the US. We model long-term risk and conditions for return to endemicity for measles, rubella, polio, & diphtheria. Collab w/ @Mathewkiang.com jamanetwork.com/journals/jam...
Great work from current and former VCU fellows (with the lead author just casually mentioning it during clinic today!)
Plant-Based Diets & Climate Change, A Perspective for Infectious Disease Providers “This review advocates for the adoption of plant-based diets as a dual strategy to combat climate change & improve health outcomes, particularly in the context of infectious diseases” academic.oup.com/ofid/advance...
The cocci exposure risk was worth these desert views
We're looking for a new Division Chief in Adult ID at Stanford. We have a great ID/Medicine family here and the division has been growing by leaps and bounds. We also have great Pedi ID, Micro, Immunology and Transplant teams. Please share!
There have been some anxious times here recently, but it was nice to hear from one of my patients today that if I get canned by DOGE she’ll never come to the VA again #IDSky
Unnecessary #antibiotics: #SBP prophylaxis in #cirrhosis ⬆️ #SBP & other infections! Esp #UTIs w similar🦠 latest from VA & Trinetx ⤵️ pubmed.ncbi.nlm.nih.gov/40062879/ 50% of US ❌use SBPProph..should we all follow & ⬇️ #AMR? @absteward.bsky.social @amcollegegastro.bsky.social @ebtapper.bsky.social