Antibiotic Steward 🅱️C🆔🅿️🌟
@absteward.bsky.social
Stay up-to-date in Infectious Diseases, Clinical Pharmacist, Antibiotics, #IDTwitter t✨p influencer #interstellar #dune
🌹❤️Misk #idsky #medsky #AMSsky #idxposts
Bassam Ghanem,PharmD MS BCPS BCIDP
🌹❤️Misk #idsky #medsky #AMSsky #idxposts
Bassam Ghanem,PharmD MS BCPS BCIDP
🔥🔥Back online🔥🔥
IDSA/ESCMID 2026 Guidelines on Staphylococcus aureus Bacteremia: Risk Stratification, Diagnostic Evaluation, and Management of Adults and Children Part-1 #idsky
www.idsociety.org/practice-gui...
IDSA/ESCMID 2026 Guidelines on Staphylococcus aureus Bacteremia: Risk Stratification, Diagnostic Evaluation, and Management of Adults and Children Part-1 #idsky
www.idsociety.org/practice-gui...
September 9, 2026 at 4:12 PM
🔥🔥Back online🔥🔥
IDSA/ESCMID 2026 Guidelines on Staphylococcus aureus Bacteremia: Risk Stratification, Diagnostic Evaluation, and Management of Adults and Children Part-1 #idsky
www.idsociety.org/practice-gui...
IDSA/ESCMID 2026 Guidelines on Staphylococcus aureus Bacteremia: Risk Stratification, Diagnostic Evaluation, and Management of Adults and Children Part-1 #idsky
www.idsociety.org/practice-gui...
🔥Just published 🔥
Infective Endocarditis: Diagnosis, Antibiotic Therapy, and Management: A Scientific Statement From the American Heart Association #idsky
www.ahajournals.org/doi/10.1161/...
Infective Endocarditis: Diagnosis, Antibiotic Therapy, and Management: A Scientific Statement From the American Heart Association #idsky
www.ahajournals.org/doi/10.1161/...
September 8, 2026 at 4:40 PM
🔥Just published 🔥
Infective Endocarditis: Diagnosis, Antibiotic Therapy, and Management: A Scientific Statement From the American Heart Association #idsky
www.ahajournals.org/doi/10.1161/...
Infective Endocarditis: Diagnosis, Antibiotic Therapy, and Management: A Scientific Statement From the American Heart Association #idsky
www.ahajournals.org/doi/10.1161/...
What's in a name?
The story of Coccidioides begins with a medical trainee, a mistaken identity, and a discovery that changed medical mycology.
More than a century later, that trainee would have a species named in his honor.
And yes—there's a reason it's called "Valley fever." #IDsky
The story of Coccidioides begins with a medical trainee, a mistaken identity, and a discovery that changed medical mycology.
More than a century later, that trainee would have a species named in his honor.
And yes—there's a reason it's called "Valley fever." #IDsky
August 5, 2026 at 8:18 PM
What's in a name?
The story of Coccidioides begins with a medical trainee, a mistaken identity, and a discovery that changed medical mycology.
More than a century later, that trainee would have a species named in his honor.
And yes—there's a reason it's called "Valley fever." #IDsky
The story of Coccidioides begins with a medical trainee, a mistaken identity, and a discovery that changed medical mycology.
More than a century later, that trainee would have a species named in his honor.
And yes—there's a reason it's called "Valley fever." #IDsky
🔥🔥IDSA AMR Guidance 2026🔥🔥
🔺Notable Updates from the 2024 IDSA AMR Guidance Document
🔺Meropenem dosing update: individualized dosing approach (1–2 g IV q8h) with higher doses considered in selected clinical scenarios. #idsky
www.idsociety.org/practice-gui...
🔺Notable Updates from the 2024 IDSA AMR Guidance Document
🔺Meropenem dosing update: individualized dosing approach (1–2 g IV q8h) with higher doses considered in selected clinical scenarios. #idsky
www.idsociety.org/practice-gui...
July 30, 2026 at 10:32 PM
🔥🔥IDSA AMR Guidance 2026🔥🔥
🔺Notable Updates from the 2024 IDSA AMR Guidance Document
🔺Meropenem dosing update: individualized dosing approach (1–2 g IV q8h) with higher doses considered in selected clinical scenarios. #idsky
www.idsociety.org/practice-gui...
🔺Notable Updates from the 2024 IDSA AMR Guidance Document
🔺Meropenem dosing update: individualized dosing approach (1–2 g IV q8h) with higher doses considered in selected clinical scenarios. #idsky
www.idsociety.org/practice-gui...
🔥🔥Just published 🔥🔥
IDSA AMR Guidance 2026
IDSA 2026 Guidance on the Treatment of Antimicrobial Resistant Gram-Negative Infections
🔺ESBL , AmpC Enterobacterales
🔺CRE
🔺DTR P. aeruginosa
🔺CRAB
🔺Stenotrophomonas maltophilia #idsky
www.idsociety.org/practice-gui...
IDSA AMR Guidance 2026
IDSA 2026 Guidance on the Treatment of Antimicrobial Resistant Gram-Negative Infections
🔺ESBL , AmpC Enterobacterales
🔺CRE
🔺DTR P. aeruginosa
🔺CRAB
🔺Stenotrophomonas maltophilia #idsky
www.idsociety.org/practice-gui...
July 27, 2026 at 4:06 PM
🔥🔥Just published 🔥🔥
IDSA AMR Guidance 2026
IDSA 2026 Guidance on the Treatment of Antimicrobial Resistant Gram-Negative Infections
🔺ESBL , AmpC Enterobacterales
🔺CRE
🔺DTR P. aeruginosa
🔺CRAB
🔺Stenotrophomonas maltophilia #idsky
www.idsociety.org/practice-gui...
IDSA AMR Guidance 2026
IDSA 2026 Guidance on the Treatment of Antimicrobial Resistant Gram-Negative Infections
🔺ESBL , AmpC Enterobacterales
🔺CRE
🔺DTR P. aeruginosa
🔺CRAB
🔺Stenotrophomonas maltophilia #idsky
www.idsociety.org/practice-gui...
June 19, 2026 at 5:52 PM
🆕🔥🟢Post hoc subgroup analysis of the BALANCE RCT 7 Vs 14d duration of antibiotic therapy for bacteremia in immune compromised hosts
1037 immune compromised patients #idsky
www.clinicalmicrobiologyandinfection.org/article/S119...
1037 immune compromised patients #idsky
www.clinicalmicrobiologyandinfection.org/article/S119...
June 9, 2026 at 5:44 PM
🆕🔥🟢Post hoc subgroup analysis of the BALANCE RCT 7 Vs 14d duration of antibiotic therapy for bacteremia in immune compromised hosts
1037 immune compromised patients #idsky
www.clinicalmicrobiologyandinfection.org/article/S119...
1037 immune compromised patients #idsky
www.clinicalmicrobiologyandinfection.org/article/S119...
🆕💥🟢Retrospective observational study
Anti-MRSA Cephalosporins + Daptomycin as Initial Therapy for MRSA Bacteremia: Does a “Hit Hard and Fast” Strategy Improve Outcomes?
#idxposts #DOOR #idsky academic.oup.com/cid/article/...
Anti-MRSA Cephalosporins + Daptomycin as Initial Therapy for MRSA Bacteremia: Does a “Hit Hard and Fast” Strategy Improve Outcomes?
#idxposts #DOOR #idsky academic.oup.com/cid/article/...
June 9, 2026 at 2:34 PM
🆕💥🟢Retrospective observational study
Anti-MRSA Cephalosporins + Daptomycin as Initial Therapy for MRSA Bacteremia: Does a “Hit Hard and Fast” Strategy Improve Outcomes?
#idxposts #DOOR #idsky academic.oup.com/cid/article/...
Anti-MRSA Cephalosporins + Daptomycin as Initial Therapy for MRSA Bacteremia: Does a “Hit Hard and Fast” Strategy Improve Outcomes?
#idxposts #DOOR #idsky academic.oup.com/cid/article/...
🆕🔥🟢Excellent review article
Carbapenemases: epidemiology, detection & management in a changing global landscape
🔺Carbapenemase classification.
🔺Characteristics of key carbapenemase families
🔺Geographic distribution
🔺Guideline-based treatment recommendation #idsky
academic.oup.com/jacamr/artic...
Carbapenemases: epidemiology, detection & management in a changing global landscape
🔺Carbapenemase classification.
🔺Characteristics of key carbapenemase families
🔺Geographic distribution
🔺Guideline-based treatment recommendation #idsky
academic.oup.com/jacamr/artic...
June 9, 2026 at 12:14 PM
🆕🔥🟢Excellent review article
Carbapenemases: epidemiology, detection & management in a changing global landscape
🔺Carbapenemase classification.
🔺Characteristics of key carbapenemase families
🔺Geographic distribution
🔺Guideline-based treatment recommendation #idsky
academic.oup.com/jacamr/artic...
Carbapenemases: epidemiology, detection & management in a changing global landscape
🔺Carbapenemase classification.
🔺Characteristics of key carbapenemase families
🔺Geographic distribution
🔺Guideline-based treatment recommendation #idsky
academic.oup.com/jacamr/artic...
💥 🔴 Case Report
Emergence of Dalbavancin Non-Susceptible Methicillin-Resistant Staphylococcus epidermidis in a Patient Treated With Dalbavancin prolonged therapy despite adequate systemic exposure #idsky
www.sciencedirect.com/science/arti...
Emergence of Dalbavancin Non-Susceptible Methicillin-Resistant Staphylococcus epidermidis in a Patient Treated With Dalbavancin prolonged therapy despite adequate systemic exposure #idsky
www.sciencedirect.com/science/arti...
June 5, 2026 at 9:22 PM
💥 🔴 Case Report
Emergence of Dalbavancin Non-Susceptible Methicillin-Resistant Staphylococcus epidermidis in a Patient Treated With Dalbavancin prolonged therapy despite adequate systemic exposure #idsky
www.sciencedirect.com/science/arti...
Emergence of Dalbavancin Non-Susceptible Methicillin-Resistant Staphylococcus epidermidis in a Patient Treated With Dalbavancin prolonged therapy despite adequate systemic exposure #idsky
www.sciencedirect.com/science/arti...
Have you ever heard of the Eagle effect?
When more kills less.
One of microbiology's most intriguing paradoxes: sometimes higher antibiotic concentrations result in less bacterial killing.
This phenomenon has even been proposed as a potential rationale for combination therapy. #idsky
Link 👇
When more kills less.
One of microbiology's most intriguing paradoxes: sometimes higher antibiotic concentrations result in less bacterial killing.
This phenomenon has even been proposed as a potential rationale for combination therapy. #idsky
Link 👇
June 5, 2026 at 12:26 PM
Have you ever heard of the Eagle effect?
When more kills less.
One of microbiology's most intriguing paradoxes: sometimes higher antibiotic concentrations result in less bacterial killing.
This phenomenon has even been proposed as a potential rationale for combination therapy. #idsky
Link 👇
When more kills less.
One of microbiology's most intriguing paradoxes: sometimes higher antibiotic concentrations result in less bacterial killing.
This phenomenon has even been proposed as a potential rationale for combination therapy. #idsky
Link 👇
What Is Ebola?
🆕💥🟢JAMA Patient Page describes how Ebola is transmitted, how common the infection is and where outbreaks have occurred, risk factors and symptoms, and how it is diagnosed and treated. #idsky
jamanetwork.com/journals/jam...
🆕💥🟢JAMA Patient Page describes how Ebola is transmitted, how common the infection is and where outbreaks have occurred, risk factors and symptoms, and how it is diagnosed and treated. #idsky
jamanetwork.com/journals/jam...
June 3, 2026 at 4:07 PM
What Is Ebola?
🆕💥🟢JAMA Patient Page describes how Ebola is transmitted, how common the infection is and where outbreaks have occurred, risk factors and symptoms, and how it is diagnosed and treated. #idsky
jamanetwork.com/journals/jam...
🆕💥🟢JAMA Patient Page describes how Ebola is transmitted, how common the infection is and where outbreaks have occurred, risk factors and symptoms, and how it is diagnosed and treated. #idsky
jamanetwork.com/journals/jam...
🆕💥🟢Bundibugyo ebolavirus (BDBV): what first responders/clinicians need to know. #idsky
www.cmi-comms.org/article/S295...
www.cmi-comms.org/article/S295...
June 3, 2026 at 4:06 PM
🆕💥🟢Bundibugyo ebolavirus (BDBV): what first responders/clinicians need to know. #idsky
www.cmi-comms.org/article/S295...
www.cmi-comms.org/article/S295...
🆕💥🟢A sub analysis of the DIANA RCT Dataset
In critically ill ICU patients, appropriate empirical antimicrobial therapy is independently associated with reduced 28-day mortality rates #idsky #EMIMCC
link.springer.com/article/10.1...
In critically ill ICU patients, appropriate empirical antimicrobial therapy is independently associated with reduced 28-day mortality rates #idsky #EMIMCC
link.springer.com/article/10.1...
June 2, 2026 at 11:27 AM
🆕💥🟢A sub analysis of the DIANA RCT Dataset
In critically ill ICU patients, appropriate empirical antimicrobial therapy is independently associated with reduced 28-day mortality rates #idsky #EMIMCC
link.springer.com/article/10.1...
In critically ill ICU patients, appropriate empirical antimicrobial therapy is independently associated with reduced 28-day mortality rates #idsky #EMIMCC
link.springer.com/article/10.1...
🆕💥🟢RCT OL NI
Oral fosfomycin trometamol (3 g Q48h d4,6)as transitional therapy achieved clinical outcomes comparable to continued carbapenem treatment( 75% Erta,min 3d IV) in adults( 62% females) with cUTIs caused by 3GCRE(>90% E.coli, no KP) #IDsky
www.ijidonline.com/article/S120...
Oral fosfomycin trometamol (3 g Q48h d4,6)as transitional therapy achieved clinical outcomes comparable to continued carbapenem treatment( 75% Erta,min 3d IV) in adults( 62% females) with cUTIs caused by 3GCRE(>90% E.coli, no KP) #IDsky
www.ijidonline.com/article/S120...
May 30, 2026 at 9:27 AM
🆕💥🟢RCT OL NI
Oral fosfomycin trometamol (3 g Q48h d4,6)as transitional therapy achieved clinical outcomes comparable to continued carbapenem treatment( 75% Erta,min 3d IV) in adults( 62% females) with cUTIs caused by 3GCRE(>90% E.coli, no KP) #IDsky
www.ijidonline.com/article/S120...
Oral fosfomycin trometamol (3 g Q48h d4,6)as transitional therapy achieved clinical outcomes comparable to continued carbapenem treatment( 75% Erta,min 3d IV) in adults( 62% females) with cUTIs caused by 3GCRE(>90% E.coli, no KP) #IDsky
www.ijidonline.com/article/S120...
🔥FDA has approved Zaynich (cefepime and zidebactam) for adults with complicated urinary tract infections (cUTIs) caused by designated susceptible microorganisms.🔥 www.accessdata.fda.gov/drugsatfda_d...
May 29, 2026 at 7:23 PM
🔥FDA has approved Zaynich (cefepime and zidebactam) for adults with complicated urinary tract infections (cUTIs) caused by designated susceptible microorganisms.🔥 www.accessdata.fda.gov/drugsatfda_d...
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
🔥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
May 29, 2026 at 4:27 PM
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
🔥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
🆕💥🟢Rapid Microbiological Diagnostics for Sepsis: Narrative Review of Current and Prospective Approaches #idsky
journals.lww.com/ccejournal/f...
journals.lww.com/ccejournal/f...
May 27, 2026 at 11:04 PM
🆕💥🟢Rapid Microbiological Diagnostics for Sepsis: Narrative Review of Current and Prospective Approaches #idsky
journals.lww.com/ccejournal/f...
journals.lww.com/ccejournal/f...
🆕💥🟢Systematic Review & Proportional Meta-Analysis
Burden and Global Distribution of Antimicrobial Resistance in Non-Bloodstream Infections Among Adults with Cirrhosis
Gram-negative bacteria dominate cirrhosis-associated non-BSIs (60%) #idsky
www.sciencedirect.com/science/arti...
Burden and Global Distribution of Antimicrobial Resistance in Non-Bloodstream Infections Among Adults with Cirrhosis
Gram-negative bacteria dominate cirrhosis-associated non-BSIs (60%) #idsky
www.sciencedirect.com/science/arti...
May 27, 2026 at 10:40 PM
🆕💥🟢Systematic Review & Proportional Meta-Analysis
Burden and Global Distribution of Antimicrobial Resistance in Non-Bloodstream Infections Among Adults with Cirrhosis
Gram-negative bacteria dominate cirrhosis-associated non-BSIs (60%) #idsky
www.sciencedirect.com/science/arti...
Burden and Global Distribution of Antimicrobial Resistance in Non-Bloodstream Infections Among Adults with Cirrhosis
Gram-negative bacteria dominate cirrhosis-associated non-BSIs (60%) #idsky
www.sciencedirect.com/science/arti...
Updated “Shorter Is Better” tables — now including the new pediatric neutropenic fever trial.
That makes 4 neutropenic fever trials supporting the HOW LONG criteria.
Are there still oncologists in denial? 👀 #idsky @bradspellberg.bsky.social
That makes 4 neutropenic fever trials supporting the HOW LONG criteria.
Are there still oncologists in denial? 👀 #idsky @bradspellberg.bsky.social
May 27, 2026 at 8:57 PM
Updated “Shorter Is Better” tables — now including the new pediatric neutropenic fever trial.
That makes 4 neutropenic fever trials supporting the HOW LONG criteria.
Are there still oncologists in denial? 👀 #idsky @bradspellberg.bsky.social
That makes 4 neutropenic fever trials supporting the HOW LONG criteria.
Are there still oncologists in denial? 👀 #idsky @bradspellberg.bsky.social
What's in a name?
Pseudomonas aeruginosa—from Sédillot’s blue-green wound dressings and grapes like odor (1850), to Gessard’s isolation (1882), to Migula’s formal naming of the genus (1900).
A pathogen that made its name unforgettable recognizable #IDsky
Pseudomonas aeruginosa—from Sédillot’s blue-green wound dressings and grapes like odor (1850), to Gessard’s isolation (1882), to Migula’s formal naming of the genus (1900).
A pathogen that made its name unforgettable recognizable #IDsky
May 27, 2026 at 3:13 PM
What's in a name?
Pseudomonas aeruginosa—from Sédillot’s blue-green wound dressings and grapes like odor (1850), to Gessard’s isolation (1882), to Migula’s formal naming of the genus (1900).
A pathogen that made its name unforgettable recognizable #IDsky
Pseudomonas aeruginosa—from Sédillot’s blue-green wound dressings and grapes like odor (1850), to Gessard’s isolation (1882), to Migula’s formal naming of the genus (1900).
A pathogen that made its name unforgettable recognizable #IDsky
Honored to contribute to this peer-reviewed commentary in CMI Communications alongside an incredible panel of ID physicians and clinical trialists discussing some of the top infectious diseases papers of 2025. #idsky
www.cmi-comms.org/article/S295...
www.cmi-comms.org/article/S295...
May 26, 2026 at 1:39 PM
Honored to contribute to this peer-reviewed commentary in CMI Communications alongside an incredible panel of ID physicians and clinical trialists discussing some of the top infectious diseases papers of 2025. #idsky
www.cmi-comms.org/article/S295...
www.cmi-comms.org/article/S295...
I’m leaning toward the POINT perspective: hospital antibiograms may soon become obsolete! #idsky #microsky
Link: journals.asm.org/doi/10.1128/...
Link: journals.asm.org/doi/10.1128/...
May 23, 2026 at 3:32 PM
I’m leaning toward the POINT perspective: hospital antibiograms may soon become obsolete! #idsky #microsky
Link: journals.asm.org/doi/10.1128/...
Link: journals.asm.org/doi/10.1128/...
Excellent Correspondence
Andes virus on a cruise ship: person-to-person transmission and an empty pipeline #idsky
www.thelancet.com/journals/lan...
Andes virus on a cruise ship: person-to-person transmission and an empty pipeline #idsky
www.thelancet.com/journals/lan...
May 22, 2026 at 10:41 PM
Excellent Correspondence
Andes virus on a cruise ship: person-to-person transmission and an empty pipeline #idsky
www.thelancet.com/journals/lan...
Andes virus on a cruise ship: person-to-person transmission and an empty pipeline #idsky
www.thelancet.com/journals/lan...
🆕💥🔴AZ-SWED RCT
Azithromycin did not lead to a greater reduction in symptom severity than placebo among preschool children presenting to the emergency department with wheezing, regardless of whether they tested positive for pathogenic bacteria #idsky #EMIMCC
www.nejm.org/doi/full/10....
Azithromycin did not lead to a greater reduction in symptom severity than placebo among preschool children presenting to the emergency department with wheezing, regardless of whether they tested positive for pathogenic bacteria #idsky #EMIMCC
www.nejm.org/doi/full/10....
May 21, 2026 at 9:12 PM
🆕💥🔴AZ-SWED RCT
Azithromycin did not lead to a greater reduction in symptom severity than placebo among preschool children presenting to the emergency department with wheezing, regardless of whether they tested positive for pathogenic bacteria #idsky #EMIMCC
www.nejm.org/doi/full/10....
Azithromycin did not lead to a greater reduction in symptom severity than placebo among preschool children presenting to the emergency department with wheezing, regardless of whether they tested positive for pathogenic bacteria #idsky #EMIMCC
www.nejm.org/doi/full/10....