and if you have been following the saga, you’ll know that the infection seemingly resolved but then came back last weekend
the good news is that it’s now seemingly responding to clindamycin!
the bad news is it’s responding to clindamycin 😂😭🫠🙃
the good news is that it’s now seemingly responding to clindamycin!
the bad news is it’s responding to clindamycin 😂😭🫠🙃
since we’re on the topic, shout out to the nurses of the JR’s surgical emergency ward, who shifted their obs timings to not interrupt bedtime when we were in last month! also check out this wild setup lol; they had to source a toddler bed for froglet instead of a normal crib
April 5, 2025 at 8:43 AM
and if you have been following the saga, you’ll know that the infection seemingly resolved but then came back last weekend
the good news is that it’s now seemingly responding to clindamycin!
the bad news is it’s responding to clindamycin 😂😭🫠🙃
the good news is that it’s now seemingly responding to clindamycin!
the bad news is it’s responding to clindamycin 😂😭🫠🙃
...pharmaceutical treatments like topical antibiotics (Clindamycin, Erythromycin), and topical retinoids (Tretinoin...or Retin-A)
In short...it's NOT a condition that warrants being kicked out of the military, not by any stretch of the imagination. 4/5
In short...it's NOT a condition that warrants being kicked out of the military, not by any stretch of the imagination. 4/5
March 18, 2025 at 11:22 PM
...pharmaceutical treatments like topical antibiotics (Clindamycin, Erythromycin), and topical retinoids (Tretinoin...or Retin-A)
In short...it's NOT a condition that warrants being kicked out of the military, not by any stretch of the imagination. 4/5
In short...it's NOT a condition that warrants being kicked out of the military, not by any stretch of the imagination. 4/5
Die Therapie bei Erysipel besteht in ruhigstellen (ggf. Thromboseprophylaxe mit Heparinspritzen), kühlen, Sanierung der Eintrittspforte und Antibiotika.
Mittel der Wahl sind Penicillin, alternativ Cephalosporine oder Clindamycin für mindestens 5 Tage.
Mittel der Wahl sind Penicillin, alternativ Cephalosporine oder Clindamycin für mindestens 5 Tage.
August 22, 2025 at 9:26 PM
Die Therapie bei Erysipel besteht in ruhigstellen (ggf. Thromboseprophylaxe mit Heparinspritzen), kühlen, Sanierung der Eintrittspforte und Antibiotika.
Mittel der Wahl sind Penicillin, alternativ Cephalosporine oder Clindamycin für mindestens 5 Tage.
Mittel der Wahl sind Penicillin, alternativ Cephalosporine oder Clindamycin für mindestens 5 Tage.
🔥 Late Breakers
SNAP platform RCT| Adjunctive Clindamycin in S.aureus bacteraemia
❌ No mortality benefit
90d mortality:16.9% vs 15.2% aOR 1.16 (CrI cross 1)
📊PPSup(~7%)→Futility threshold reached
⚠️ICU subgp:numerically worse with clinda
⚖️CDAD:no # (~2%)😯
#ESCMIDGlobal2026 #idsky
SNAP platform RCT| Adjunctive Clindamycin in S.aureus bacteraemia
❌ No mortality benefit
90d mortality:16.9% vs 15.2% aOR 1.16 (CrI cross 1)
📊PPSup(~7%)→Futility threshold reached
⚠️ICU subgp:numerically worse with clinda
⚖️CDAD:no # (~2%)😯
#ESCMIDGlobal2026 #idsky
April 22, 2026 at 1:33 AM
For the trainees what antibiotic is most appropriate in this situation?
1. Clindamycin
2. Augmentin
3. Ciprofloxacin
4. Bactrim and Keflex
1. Clindamycin
2. Augmentin
3. Ciprofloxacin
4. Bactrim and Keflex
My cat's cat panicked and bit me because the maintenance guys showed up and now I'm at urgent care please send memes
December 11, 2024 at 7:30 PM
For the trainees what antibiotic is most appropriate in this situation?
1. Clindamycin
2. Augmentin
3. Ciprofloxacin
4. Bactrim and Keflex
1. Clindamycin
2. Augmentin
3. Ciprofloxacin
4. Bactrim and Keflex
In SNAP Clindamycin
Persistent bactremia was more in Clindamycin group
It's intriguing!
Any thoughts, insights please
#ESCMIDGlobal2026 #idsky
Persistent bactremia was more in Clindamycin group
It's intriguing!
Any thoughts, insights please
#ESCMIDGlobal2026 #idsky
April 21, 2026 at 12:59 PM
In SNAP Clindamycin
Persistent bactremia was more in Clindamycin group
It's intriguing!
Any thoughts, insights please
#ESCMIDGlobal2026 #idsky
Persistent bactremia was more in Clindamycin group
It's intriguing!
Any thoughts, insights please
#ESCMIDGlobal2026 #idsky
I didn’t realize until today that the AHA endocarditis prophylaxis explicitly tells dentists 🦷 NOT to give clindamycin.
“Clindamycin is no longer recommended for antibiotic prophylaxis for a dental procedure”
#IDSky
“Clindamycin is no longer recommended for antibiotic prophylaxis for a dental procedure”
#IDSky
May 15, 2025 at 11:26 PM
I didn’t realize until today that the AHA endocarditis prophylaxis explicitly tells dentists 🦷 NOT to give clindamycin.
“Clindamycin is no longer recommended for antibiotic prophylaxis for a dental procedure”
#IDSky
“Clindamycin is no longer recommended for antibiotic prophylaxis for a dental procedure”
#IDSky
SNAP trial update
➡️ The DSMC provided a recommendation to close the ADJUNCTIVE domain (Clindamycin), due to a statistical trigger for futility being met.
#IDsky
➡️ The DSMC provided a recommendation to close the ADJUNCTIVE domain (Clindamycin), due to a statistical trigger for futility being met.
#IDsky
July 16, 2025 at 11:07 AM
SNAP trial update
➡️ The DSMC provided a recommendation to close the ADJUNCTIVE domain (Clindamycin), due to a statistical trigger for futility being met.
#IDsky
➡️ The DSMC provided a recommendation to close the ADJUNCTIVE domain (Clindamycin), due to a statistical trigger for futility being met.
#IDsky
They certainly got it from their mom, Spot, who got it while living at the colony, eating infected mice & birds and sharing close quarters with other infected cats. The treatment is 4 weeks of clindamycin, which they’re doing well on so far!
August 14, 2025 at 2:14 PM
They certainly got it from their mom, Spot, who got it while living at the colony, eating infected mice & birds and sharing close quarters with other infected cats. The treatment is 4 weeks of clindamycin, which they’re doing well on so far!
This is excellent! Finally an article I can cite showing 33% clindamycin resistance to GAS in the US (instead of citing CDC surveillance data!)
From 2013 to 2022, invasive group A Streptococcus infections increased in 10 US states, with higher incidence among older adults, American Indian or Alaska Native persons, and vulnerable groups. https://ja.ma/3G9OPT2
Invasive Group A Streptococcal Infections in 10 US States
This population-based surveillance study investigates trends in the incidence, characteristics, antimicrobial resistance, and outcomes of invasive group A Streptococcus infections among individuals in 10 US states.
ja.ma
April 8, 2025 at 1:26 AM
This is excellent! Finally an article I can cite showing 33% clindamycin resistance to GAS in the US (instead of citing CDC surveillance data!)
🆕️⚡️⚡️Case series and review of literature #JAC
Use of echinocandins + clindamycin in Pneumocystis pneumonia
Echinocandin & clindamycin may be a safe & effective alternative treatment for patients who can't be given co-trimoxazole for PCP #idsky
academic.oup.com/jac/advance-...
Use of echinocandins + clindamycin in Pneumocystis pneumonia
Echinocandin & clindamycin may be a safe & effective alternative treatment for patients who can't be given co-trimoxazole for PCP #idsky
academic.oup.com/jac/advance-...
Use of echinocandins combined with clindamycin in Pneumocystis pneumonia: a case series of 14 patients
AbstractBackground. Pneumocystis jirovecii pneumonia (PcP) is an opportunistic infection for which the standard of care is co-trimoxazole. However, safety
academic.oup.com
November 13, 2024 at 6:33 PM
🆕️⚡️⚡️Case series and review of literature #JAC
Use of echinocandins + clindamycin in Pneumocystis pneumonia
Echinocandin & clindamycin may be a safe & effective alternative treatment for patients who can't be given co-trimoxazole for PCP #idsky
academic.oup.com/jac/advance-...
Use of echinocandins + clindamycin in Pneumocystis pneumonia
Echinocandin & clindamycin may be a safe & effective alternative treatment for patients who can't be given co-trimoxazole for PCP #idsky
academic.oup.com/jac/advance-...
19,764 S. aureus isolates were collected from patients with various infection types at 37 US medical centers 2016 to 2022
MRSA (8,184) isolates:
Bactrim: 95% S
Clindamycin: 74% S
Vancomycin: 100% S
MDR MRSA (2,421) isolates:
Bactrim: 85% S
Clindamycin: 17% S
Vancomycin: 100% S #idsky
MRSA (8,184) isolates:
Bactrim: 95% S
Clindamycin: 74% S
Vancomycin: 100% S
MDR MRSA (2,421) isolates:
Bactrim: 85% S
Clindamycin: 17% S
Vancomycin: 100% S #idsky
🆕💫Ceftobiprole shows strong activity against MRSA(99% S) & MDR S.aureus (98% S). It outperforms ceftaroline & remains effective against 87% of ceftaroline-R isolates offering hope for treatment of MRSA isolates with decreased ceftaroline susceptibility #idsky
journals.asm.org/doi/10.1128/...
journals.asm.org/doi/10.1128/...
Ceftobiprole activity against multidrug-resistant Staphylococcus aureus clinical isolates collected in the United States from 2016 through 2022 | Antimicrobial Agents and Chemotherapy
Staphylococcus aureus continues to represent a significant cause of infection worldwide, with elevated
morbidity and mortality rates. S. aureus is a leading cause of both community-acquired and health...
journals.asm.org
January 13, 2025 at 10:11 PM
19,764 S. aureus isolates were collected from patients with various infection types at 37 US medical centers 2016 to 2022
MRSA (8,184) isolates:
Bactrim: 95% S
Clindamycin: 74% S
Vancomycin: 100% S
MDR MRSA (2,421) isolates:
Bactrim: 85% S
Clindamycin: 17% S
Vancomycin: 100% S #idsky
MRSA (8,184) isolates:
Bactrim: 95% S
Clindamycin: 74% S
Vancomycin: 100% S
MDR MRSA (2,421) isolates:
Bactrim: 85% S
Clindamycin: 17% S
Vancomycin: 100% S #idsky
ID corner:
A query to Google Gemini re: Clindamycin.
Reply "quite powerful".
This is poor framing. Antibiotics are described as broad vs narrow spectrum. The opposite of powerful is weak or ineffective. If a student said this it would be a teaching opportunity but I can't yell at AI.
A query to Google Gemini re: Clindamycin.
Reply "quite powerful".
This is poor framing. Antibiotics are described as broad vs narrow spectrum. The opposite of powerful is weak or ineffective. If a student said this it would be a teaching opportunity but I can't yell at AI.
March 17, 2026 at 3:10 PM
ID corner:
A query to Google Gemini re: Clindamycin.
Reply "quite powerful".
This is poor framing. Antibiotics are described as broad vs narrow spectrum. The opposite of powerful is weak or ineffective. If a student said this it would be a teaching opportunity but I can't yell at AI.
A query to Google Gemini re: Clindamycin.
Reply "quite powerful".
This is poor framing. Antibiotics are described as broad vs narrow spectrum. The opposite of powerful is weak or ineffective. If a student said this it would be a teaching opportunity but I can't yell at AI.
Make clindamycin cool again.
Just kidding, let it sit on the shelf a bunch, ha!
Just kidding, let it sit on the shelf a bunch, ha!
February 6, 2025 at 2:22 AM
Make clindamycin cool again.
Just kidding, let it sit on the shelf a bunch, ha!
Just kidding, let it sit on the shelf a bunch, ha!
Whoa, this story by @lizszabo.bsky.social is wild! I had no idea clindamycin was so bad! www.cidrap.umn.edu/antimicrobia...
Dentists still write millions of prescriptions a year for an antibiotic with life-threatening risks
www.cidrap.umn.edu
February 24, 2026 at 2:09 PM
Whoa, this story by @lizszabo.bsky.social is wild! I had no idea clindamycin was so bad! www.cidrap.umn.edu/antimicrobia...
verbinde sie mit sterilen Kompressen, überprüfe den Tetanusimpfschutz, der vorhanden ist und veranlasse die Krankenhauseinweisung.
Aufgrund des ausgeprägten Befundes muss sie mit Antibiotika i.v. (Penicillin oder Clindamycin) behandelt werden.
Aufgrund des ausgeprägten Befundes muss sie mit Antibiotika i.v. (Penicillin oder Clindamycin) behandelt werden.
December 20, 2023 at 9:54 PM
verbinde sie mit sterilen Kompressen, überprüfe den Tetanusimpfschutz, der vorhanden ist und veranlasse die Krankenhauseinweisung.
Aufgrund des ausgeprägten Befundes muss sie mit Antibiotika i.v. (Penicillin oder Clindamycin) behandelt werden.
Aufgrund des ausgeprägten Befundes muss sie mit Antibiotika i.v. (Penicillin oder Clindamycin) behandelt werden.
January 1, 2025 at 5:11 AM
“Are you concerned that AI will take over your job?”
AI interpreted clindamycin as “clean the license for partner.” I think my job is still secure for the moment
AI interpreted clindamycin as “clean the license for partner.” I think my job is still secure for the moment
March 10, 2026 at 9:11 PM
“Are you concerned that AI will take over your job?”
AI interpreted clindamycin as “clean the license for partner.” I think my job is still secure for the moment
AI interpreted clindamycin as “clean the license for partner.” I think my job is still secure for the moment
“Clindamycin is notorious for causing C diff infections,” which kill nearly 30,000 people a year in the US, @ameshaa.bsky.social said. Yet “clindamycin is one of the go-to antibiotics for dentists.”
Read one woman's story, and how it happened:
www.cidrap.umn.edu/antimicrobia...
Read one woman's story, and how it happened:
www.cidrap.umn.edu/antimicrobia...
Dentists still write millions of prescriptions a year for an antibiotic with life-threatening risks
www.cidrap.umn.edu
February 24, 2026 at 1:47 PM
“Clindamycin is notorious for causing C diff infections,” which kill nearly 30,000 people a year in the US, @ameshaa.bsky.social said. Yet “clindamycin is one of the go-to antibiotics for dentists.”
Read one woman's story, and how it happened:
www.cidrap.umn.edu/antimicrobia...
Read one woman's story, and how it happened:
www.cidrap.umn.edu/antimicrobia...
Oh, that’s clindamycin! I hope your bacterial infection clears up soon, and make sure to wear a condom until it does
March 25, 2024 at 2:33 AM
Oh, that’s clindamycin! I hope your bacterial infection clears up soon, and make sure to wear a condom until it does
Clindamycin is an old antibiotic, but it still gets a lot of use. Here's the latest on an extensive synthetic effort to make a better one (no one has gotten one of these all the way through for over fifty years!)
New Synthetic Antibiotics
www.science.org
March 11, 2025 at 7:48 PM
Clindamycin is an old antibiotic, but it still gets a lot of use. Here's the latest on an extensive synthetic effort to make a better one (no one has gotten one of these all the way through for over fifty years!)
In an outpatient setting with ⬆️ rates of clindamycin resistance, who is prescribing clindamycin?
⬆️ 2% of prescribers = 20% of scripts (check out Pareto graph in figure 1)
❌ scripts from ER +Primary Care
❌Indications w/ beta-lactam allergy- 🦷 infection
❌ w/o: SSTI
doi.org/10.1017/ash....
#IDSky
⬆️ 2% of prescribers = 20% of scripts (check out Pareto graph in figure 1)
❌ scripts from ER +Primary Care
❌Indications w/ beta-lactam allergy- 🦷 infection
❌ w/o: SSTI
doi.org/10.1017/ash....
#IDSky
Evaluation of outpatient clindamycin prescriptions across a large military healthcare network | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core
Evaluation of outpatient clindamycin prescriptions across a large military healthcare network - Volume 5 Issue 1
doi.org
October 27, 2025 at 9:52 PM
In an outpatient setting with ⬆️ rates of clindamycin resistance, who is prescribing clindamycin?
⬆️ 2% of prescribers = 20% of scripts (check out Pareto graph in figure 1)
❌ scripts from ER +Primary Care
❌Indications w/ beta-lactam allergy- 🦷 infection
❌ w/o: SSTI
doi.org/10.1017/ash....
#IDSky
⬆️ 2% of prescribers = 20% of scripts (check out Pareto graph in figure 1)
❌ scripts from ER +Primary Care
❌Indications w/ beta-lactam allergy- 🦷 infection
❌ w/o: SSTI
doi.org/10.1017/ash....
#IDSky
🔥 Late Breakers
SNAP platform RCT| Adjunctive Clindamycin in S.aureus bacteraemia
❌ No mortality benefit
90d mortality:16.9% vs 15.2% aOR 1.16 (CrI cross 1)
📊PPSup(~7%)→Futility threshold reached
⚠️ICU subgp:numerically worse with clinda
⚖️CDAD:no # (~2%)😯
#ESCMIDGlobal2026 #idsky
SNAP platform RCT| Adjunctive Clindamycin in S.aureus bacteraemia
❌ No mortality benefit
90d mortality:16.9% vs 15.2% aOR 1.16 (CrI cross 1)
📊PPSup(~7%)→Futility threshold reached
⚠️ICU subgp:numerically worse with clinda
⚖️CDAD:no # (~2%)😯
#ESCMIDGlobal2026 #idsky
April 21, 2026 at 7:25 AM
🔥 Late Breakers
SNAP platform RCT| Adjunctive Clindamycin in S.aureus bacteraemia
❌ No mortality benefit
90d mortality:16.9% vs 15.2% aOR 1.16 (CrI cross 1)
📊PPSup(~7%)→Futility threshold reached
⚠️ICU subgp:numerically worse with clinda
⚖️CDAD:no # (~2%)😯
#ESCMIDGlobal2026 #idsky
SNAP platform RCT| Adjunctive Clindamycin in S.aureus bacteraemia
❌ No mortality benefit
90d mortality:16.9% vs 15.2% aOR 1.16 (CrI cross 1)
📊PPSup(~7%)→Futility threshold reached
⚠️ICU subgp:numerically worse with clinda
⚖️CDAD:no # (~2%)😯
#ESCMIDGlobal2026 #idsky
Streptokokken lassen sich durch Abstriche, Gewebeproben oder Blutproben nachweisen.
Infektionen durch Streptokokken werden mit Antibiotika behandelt.
Therapie der Wahl ist Penicillin, in bestimmten Fällen auch Vancomycin oder Clindamycin, bei Penicillinallergie Makrolide.
Infektionen durch Streptokokken werden mit Antibiotika behandelt.
Therapie der Wahl ist Penicillin, in bestimmten Fällen auch Vancomycin oder Clindamycin, bei Penicillinallergie Makrolide.
April 5, 2024 at 12:13 PM
Streptokokken lassen sich durch Abstriche, Gewebeproben oder Blutproben nachweisen.
Infektionen durch Streptokokken werden mit Antibiotika behandelt.
Therapie der Wahl ist Penicillin, in bestimmten Fällen auch Vancomycin oder Clindamycin, bei Penicillinallergie Makrolide.
Infektionen durch Streptokokken werden mit Antibiotika behandelt.
Therapie der Wahl ist Penicillin, in bestimmten Fällen auch Vancomycin oder Clindamycin, bei Penicillinallergie Makrolide.
clindamycin i hate u
forcing myself to finish this muffin so the antibiotics don't blender my guts again
November 24, 2024 at 3:03 PM
clindamycin i hate u