Clinical academic critical care medicine. Antibiotic stewardship in critically ill patients. Clinical deputy director Newcastle CTU. @SHORTERtrial @RiscSepsis

Newcastle University
Joined June 2010
We're hiring! The NIHR-funded @SHORTERtrial seeks a Senior Research Fellow for the Process Evaluation. A great opportunity for qualitative/mixed-methods researchers to step into a senior role and develop leadership skills @EdinburghNapier Apply now ⬇️ jobs.ac.uk/job/DLA526/senior…
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#CCRdownunder24 congress just started 1st study ADAPT-Sepsis published in @JAMA_current Procalcitonin guided protocol ⬇️ antibiotic treatment duration by 1day (significant) but 28-day mortality non-sign⬆️by 7% (relative risk): from 19.4 to 20.9% jamanetwork.com/journals/jam…
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Tom Hellyer retweeted
Published in JAMA with #CCRdownunder: In critically ill adults with suspected sepsis, antibiotic regimens were safely reduced when guided by measurement of procalcitonin but not by C-reactive protein. @CritCareReviews ja.ma/41t10TE
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7d is not a country mile away from standard care in the UK. Recognising microbiological cure is hard. Antibiotics are not without harm. Try @SHORTERtrial @hellyerthomas
Original Article: Antibiotic Treatment for 7 versus 14 Days in Patients with Bloodstream Infections (BALANCE) nej.md/3Z5bTJD #CCCF2024 | @CCCForum
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UK critical care could offer @SHORTERtrial to patients. @hellyerthomas
This has been our practice for several years now, good to see it confirmed in a trial. Question is, do we need 7 days? Next trial I would like is either a fair bit shorter or adaptive depending on patient condition (and if we could speed up blood culture- pathogen clearance)
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Tom Hellyer retweeted
This is what I gleaned the working group recognised and will seek to address (1) the infeasibility of training in academia and two medical specialities (2) academia now linked to pay penalties through slower progression and diminished merit awards….
I’m at an NIHR Senior Investigators meeting where Patrick Chinnery presented on an academic clinical careers and a forthcoming report. Looks v promising from his short presentation.
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More posters today from trial managers Gillian Watson and @AGrSwain Come and find out more about recruitment during COVID-19 and lessons in running dental trial @enhanced_trial #ICTMC2024
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Come and see @Dean_Allerton to learn more about #eConsent in the @IBDResponse study #ICTMC2024
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New data released today in @TheLancet shows that without urgent action, antimicrobial resistance could kill 39 million people by 2050. Deaths and inequities from the global antibiotic emergency are increasing and now is the time to take urgent action. thelancet.com/journals/lance…
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NHIP Academy was delighted to support eight exceptional researchers throughout their application process to be successfully awarded the new Senior Clinical and Practitioner Research Award (SCPRA) from the @NIHRresearch (NIHR). Read the full story here: newcastlehealthinnovation.or…
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There is a crisis in clinical academia in the UK. We talk of the need to expand medical schools, embed research into the NHS to improve care, & the importance of a vibrant life sciences sector for the economy of the UK, & yet we seem unable to tackle the underlying issues 1/9
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Tom Hellyer retweeted
SHORTERtrial@SHORTERtrial12 Jul 2024
19 sites open and 168 patients have had the opportunity to participate in research! Wow! Incredible work by all the @SHORTERtrial sites. Keep up the good work. More sites to open soon. 🎯👏👏👏 @NIHRresearch @NclCTU @UniofNewcastle @hellyerthomas
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Tom Hellyer retweeted
❌ We NEVER want to see a sign like this ever again. ❌ The next government has the power to make that happen. They can end the need for food banks.
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#A2Btrial results presentation is now live! Dexmedetomidine vs Clonidine vs Propofol for ICU sedation criticalcarereviews.com #CCR24 @Ed_TimWalsh Chris Weir & Ranjit Lall
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Delighted to review #BLINGIII examining continuous v intermittent infusion in critically ill patients with sepsis, at #CCR24. While this one sentence JAMA summary is technically correct, the full data and discussion at #CCR24 provides a different perspective. Here is why..1/
BLING III: In critically ill patients with sepsis, continuous vs intermittent β-lactam antibiotic infusions did not significantly reduce 90-day mortality. ja.ma/3VEouCa #CCR24
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“How much have you earned from royalties from pharma companies since pandemic began?” Fauci: “Zero” @NMalliotakis: “you saying you didn’t receive any of $710 mil in royalties”? Fauci: Only $122 for a monoclonal antibody that I made 25 years ago.
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There has been concern that targeting immune pathways in sepsis may be harmful. @VirtueOfNothing @hellyerthomas @MathioudakisAG @timwfelton demonstrate that most immunomodulatory drugs appear safe for use in sepsis. 🔗associationofanaesthetists-p…
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Immunomodulatory drugs and sepsis Therapeutic adjuncts or a threat to patient safety? @VirtueOfNothing @hellyerthomas @MathioudakisAG @timwfelton 🔗associationofanaesthetists-p…
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