Providence, RI
Joined September 2019
- Tweets199
- Following258
- Followers1.5K
- Likes159
Brown Infectious Disease Fellowship retweeted
Another @IDWeekmtg poster! Happy to share my @mvrmcimres residency project & Effective Writing for Health Care (EWHC) @HMSPostgradCE capstone after completion in 1st year ID fellowship. Thrilled to receive IDTrainee Award on it! #IDWeek2023 #WeAreID #Medmicrobiology
Brown Infectious Disease Fellowship retweeted
Thrilled to represent our @BrownIDprogram at the @IDWeekmtg Special thanks to Dr @DFarmakiotis for his research mentorship & thorough guidance.
Grateful to our PD, Dr. Cunha, Dr @MarthaCSanchezD for their immense support & motivation #IDWeek2023 #WeAreID #TxID
Brown Infectious Disease Fellowship retweeted
I was honored to present our research work under the lead of Dr. Farmakiotis @DFarmakiotis on the utility of CMV-specific T-cell mediated immunity panel (TCIP) to predict protection against CMV among kidney transplant recipients #IDWeek2023 #IDWeekmtg #WeAreID #TxID
Brown Infectious Disease Fellowship retweeted
We (or YOU, really!) have thoughts. Some highlights in diagnostic stewardship (removing UA/cx from order sets), ER interventions on following up on UA cx, and a "mindful pause" on diagnosis.... #ASPchat
doi.org/10.1017/ash.2023.117
doi.org/10.1017/ash.2023.166
doi.org/10.1017/ash.2022.343
Brown Infectious Disease Fellowship retweeted
MICRO-plate rounds @BrownIDprogram
50 YM with liver abscess status post aspiration. Gram stain showing GNRs. MacConkey Agar as shown
1. Name the test
2. Name the organism
3. Its association
#WeAreID #microrounds #TxID #IDTwitter #IDFellows #IDMedEd #MedEd
@BrownIMChiefs
Brown Infectious Disease Fellowship retweeted
Brown Infectious Disease Fellowship retweeted
Plenty of favorable data of linezolid in endocarditis. Be careful of iv therapy in endocarditis. Staph failure rates with iv therapy are like 30%! 😉
Brown Infectious Disease Fellowship retweeted
Really enjoyed this concise personal perspective on the "oral vs IV" antibiotic debate, in particular the author's experience with home OPAT.
(It wasn't good.)
jamanetwork-com.ezp-prod1.hu… @BradSpellberg
Brown Infectious Disease Fellowship retweeted
No fan of OPAT (an understatement!), I read with great interest this study on completing endocarditis treatment with oral Rx assembled by @SarahRawi1 @bradspellberg et al in @CIDJournal.
Oral Antibiotic Therapy for Endocarditis — Are We There Yet? blogs.jwatch.org/hiv-id-obse…
Brown Infectious Disease Fellowship retweeted
The legendary Burke Cuhna published a review of doxy that indicated good kidney/urinary levels if GFR good. Sounds like levels fall substantively with poor GFR. pubmed.ncbi.nlm.nih.gov/7048…
Brown Infectious Disease Fellowship retweeted
These are GREAT! A few more mini-myths:
- if PCN allergy➡️allergy to ALL beta lactams
- if SSRI➡️never linezolid
- FQs: too toxic to use in outpt setting -- ever
- Never use nitrofurantoin w/⬇️GFR
- Linezolid is 💰
- Doxy is a "weak" abx
- Dental work + prosthetic joint = Abx
🦄💊
#Antibiotic myths. This list has 15 and counting. 🤔 Have another to add?
🆕 ➡️ idstewardship.com/15-antibio…
#TwitteRx #MedTwitter #PharmacyRes
Brown Infectious Disease Fellowship retweeted
Today in @ICHEJournal a new SHEA white paper offers guidance for antibiotic use in a pandemic following lessons learned from COVID-19 #antibioticstewardship #antimicrobialresistance
Full article: doi.org/10.1017/ice.2022.194
Press Release: bit.ly/3QKT1IF
Brown Infectious Disease Fellowship retweeted
Antibiotics have been overprescribed during COVID-19, potentially leading to more antibiotic resistance.
New White Paper today from @SHEA_Epi on recommendations for how to improve use during ID emergencies
📄: doi.org/10.1017/ice.2022.194
Brown Infectious Disease Fellowship retweeted
A 50 year old rose gardener w/COPD p/w dyspnea & worsening rash along his leg. 2 months ago, he had a thorn prick that caused a small nodule. Culture showed thin, septate, branched hyphae w/radulospores giving it a “daisy” image. What is the diagnosis & treatment? #IDtwitter
Brown Infectious Disease Fellowship retweeted
A 40 year old diabetic p/w difficulty chewing & right cheek swelling after recent dental surgery. Tissue biopsy showed branching, gram positive filaments w/sulfur granules. Acid fast test was negative. What is the diagnosis & treatment? #IDtwitter #MedEd
Brown Infectious Disease Fellowship retweeted
A 60 year old woman w/ uncontrolled diabetes came with rhinorrhea, periorbital swelling & black necrotic eschar over her nares. Biopsy of the eschar showed nonseptate hyphae branching at wide angles. What is the diagnosis & treatment? #IDtwitter #MedTwitter
Brown Infectious Disease Fellowship retweeted
A male in his 40s returned from east Africa with a slowly enlarging lesion. He reported being bit by sand flies. Physical exam showed hepatosplenomegaly. Skin biopsy showed amastigotes inside macrophages. What is the diagnosis? #IDtwitter #Medtwitter #MedEd
Brown Infectious Disease Fellowship retweeted
#1/2 There is this fascinating, widespread cognitive dissonance around the safety of oral therapy. Uncertainties about exposure and safety of oral therapy? What about exposure and safety of IV therapy? Ain't no data for the latter. So why is oral held to a different standard?
