👇 Scripts/talking points for UTI #diagnosticstewardship #IDSky #MedSky #antimicrobialstewardship #healthcareepidemiology
Today I fielded a call from a colleague about “recurrent UTI” in a nursing home resident. It turned into a great diagnostic stewardship opportunity where I shared this great resource from AHRQ on talking to residentes and families about UTI/ASB.
www.ahrq.gov/sites/defaul...
#IDSky #MedSky #UTISky
www.ahrq.gov/sites/defaul...
#IDSky #MedSky #UTISky
January 17, 2025 at 2:05 AM
👇 Scripts/talking points for UTI #diagnosticstewardship #IDSky #MedSky #antimicrobialstewardship #healthcareepidemiology
Thanks Jess! I have no idea what I am doing on here... even less so than Twitter. I'd love to follow more #IDSky so please follow/reach out if you are interested in #pedsID #diagnosticstewardship #enterovirus #EVD68 #EVA71 #acuteflaccidmyelitis #encephalitis #meningitis #pandemicpreparedness
August 21, 2025 at 7:59 PM
Thanks Jess! I have no idea what I am doing on here... even less so than Twitter. I'd love to follow more #IDSky so please follow/reach out if you are interested in #pedsID #diagnosticstewardship #enterovirus #EVD68 #EVA71 #acuteflaccidmyelitis #encephalitis #meningitis #pandemicpreparedness
If money was no object, should you run every medical test? #DiagnosticStewardship
If money was no object, should you run every medical test?
YouTube video by Medlife Crisis
www.youtube.com
July 16, 2026 at 2:59 AM
If money was no object, should you run every medical test? #DiagnosticStewardship
Dr. Mark Rupp is featured on the latest episode of the @ichejournal.bsky.social podcast:
"Initial Specimen Diversion Devices for Preventing Blood Culture Contamination"
#IDSky #DiagnosticStewardship
podcasts.apple.com/us/podcast/e...
"Initial Specimen Diversion Devices for Preventing Blood Culture Contamination"
#IDSky #DiagnosticStewardship
podcasts.apple.com/us/podcast/e...
Episode 56: Initial Specimen Diversion Devices (ISDDs) for Preventing Blood Culture Contamination
Podcast Episode · The ICHE Podcast · 03/07/2025 · 38m
podcasts.apple.com
March 10, 2025 at 3:30 PM
Dr. Mark Rupp is featured on the latest episode of the @ichejournal.bsky.social podcast:
"Initial Specimen Diversion Devices for Preventing Blood Culture Contamination"
#IDSky #DiagnosticStewardship
podcasts.apple.com/us/podcast/e...
"Initial Specimen Diversion Devices for Preventing Blood Culture Contamination"
#IDSky #DiagnosticStewardship
podcasts.apple.com/us/podcast/e...
We didn't agree that #CRP is a zombie test or that it's missing a vowel. Just hoping for nuance--both in #diagnosticstewardship & in the way we read & convey trial results. (& Emily is a great editor @cmicomms.bsky.social)
IDSky MedSky @escmid.bsky.social
authors.elsevier.com/a/1j%7ELp,RG...
October 24, 2024 at 3:59 PM
We didn't agree that #CRP is a zombie test or that it's missing a vowel. Just hoping for nuance--both in #diagnosticstewardship & in the way we read & convey trial results. (& Emily is a great editor @cmicomms.bsky.social)
IDSky MedSky @escmid.bsky.social
authors.elsevier.com/a/1j%7ELp,RG...
🔬For #WAAW2025 Day 2, we’re shining the spotlight onto #microbiology & diagnostic stewardship.
At REVERSE, we're developing tools & strategies to optimise diagnostic practices.
🔗 Explore how REVERSE is advancing diagnostic stewardship: www.reverseproject.eu/wp2
#DiagnosticStewardship #AMR #ABS
At REVERSE, we're developing tools & strategies to optimise diagnostic practices.
🔗 Explore how REVERSE is advancing diagnostic stewardship: www.reverseproject.eu/wp2
#DiagnosticStewardship #AMR #ABS
November 19, 2025 at 9:04 AM
🔬For #WAAW2025 Day 2, we’re shining the spotlight onto #microbiology & diagnostic stewardship.
At REVERSE, we're developing tools & strategies to optimise diagnostic practices.
🔗 Explore how REVERSE is advancing diagnostic stewardship: www.reverseproject.eu/wp2
#DiagnosticStewardship #AMR #ABS
At REVERSE, we're developing tools & strategies to optimise diagnostic practices.
🔗 Explore how REVERSE is advancing diagnostic stewardship: www.reverseproject.eu/wp2
#DiagnosticStewardship #AMR #ABS
📣 Used indiscriminately, the BDG assay for P. jirovecii pneumonia #PCP is only moderately sensitive & specific.
@drtoddlee.bsky.social et al. apply it to the 'right' patients & greatly improve predictive value.
www.cmi-comms.com/article/S295...
#diagnosticstewardship #IDSky #clinmicro #MedSky
@drtoddlee.bsky.social et al. apply it to the 'right' patients & greatly improve predictive value.
www.cmi-comms.com/article/S295...
#diagnosticstewardship #IDSky #clinmicro #MedSky
Optimizing use of the (1-3)-β-D-Glucan Assay for the Diagnosis of Pneumocystis jirovecii Pneumonia
Pneumocystis jirovecii pneumonia (PCP) can be challenging to diagnose because the
tests used are imperfect and/or invasive. The Fungitell serum (1-3)-β-D-glucan (BDG)
assay is one non-invasive test; h...
www.cmi-comms.com
February 13, 2025 at 11:08 AM
📣 Used indiscriminately, the BDG assay for P. jirovecii pneumonia #PCP is only moderately sensitive & specific.
@drtoddlee.bsky.social et al. apply it to the 'right' patients & greatly improve predictive value.
www.cmi-comms.com/article/S295...
#diagnosticstewardship #IDSky #clinmicro #MedSky
@drtoddlee.bsky.social et al. apply it to the 'right' patients & greatly improve predictive value.
www.cmi-comms.com/article/S295...
#diagnosticstewardship #IDSky #clinmicro #MedSky
📣 Foley et al assess #syphilis PCR & serology in >8K Australian patients
#Serology: still essential for first infections & reinfections
#PCR: limited add'l benefit in first infections; w/ serology can improve detection of reinfections
#IDSky #clinmicro #diagnosticstewardship
ow.ly/hh0M50Y5j50
#Serology: still essential for first infections & reinfections
#PCR: limited add'l benefit in first infections; w/ serology can improve detection of reinfections
#IDSky #clinmicro #diagnosticstewardship
ow.ly/hh0M50Y5j50
The utility of combined syphilis PCR and serology during an outbreak in Western Australia: A multicentre retrospective diagnostic evaluation
Syphilis has re-emerged as a global public health concern. Although serology is well established, the role of PCR remains unclear. We evaluated the di…
ow.ly
January 29, 2026 at 10:52 AM
📣 Foley et al assess #syphilis PCR & serology in >8K Australian patients
#Serology: still essential for first infections & reinfections
#PCR: limited add'l benefit in first infections; w/ serology can improve detection of reinfections
#IDSky #clinmicro #diagnosticstewardship
ow.ly/hh0M50Y5j50
#Serology: still essential for first infections & reinfections
#PCR: limited add'l benefit in first infections; w/ serology can improve detection of reinfections
#IDSky #clinmicro #diagnosticstewardship
ow.ly/hh0M50Y5j50
Have been meaning to post here some articles we've published recently (pre-Bluesky account). This one by J Baghdadi & D Morgan on #diagnosticstewardship is downloaded a lot.
www.cmi-comms.com/article/S295...
#IDSky #MedSky #MicroSky #stewardship @cmicomms.bsky.social @escmid.bsky.social
www.cmi-comms.com/article/S295...
#IDSky #MedSky #MicroSky #stewardship @cmicomms.bsky.social @escmid.bsky.social
September 22, 2024 at 12:37 PM
Have been meaning to post here some articles we've published recently (pre-Bluesky account). This one by J Baghdadi & D Morgan on #diagnosticstewardship is downloaded a lot.
www.cmi-comms.com/article/S295...
#IDSky #MedSky #MicroSky #stewardship @cmicomms.bsky.social @escmid.bsky.social
www.cmi-comms.com/article/S295...
#IDSky #MedSky #MicroSky #stewardship @cmicomms.bsky.social @escmid.bsky.social
Viewpoint on how #diagnosticstewardship can & should go much further by Jon Baghdadi & Dan Morgan. "Diagnostic tests should be assessed for clinical impact" too (not just diagnostic performance/accuracy).
#IDSky #AMSSky
www.cmi-comms.com/article/S295...
![Excerpt from the article by Baghdadi & Morgan entitled "Diagnostic tests should be assessed for clinical impact."
Broadly, diagnostic stewardship seeks to match the right test to the
right patient at the right time for the right action, which requires a comprehensive understanding of how a test functions in real-world patient care [2]. In infectious diseases, the implicit focus is on how tests can be implemented to improve antibiotic use. Evidence is needed to inform (1) which test to use, (2) which patients will benefit from testing, (3) when testing should be performed, (4) what action testing will lead to, and above all else, (5) how testing will impact the patient’s clinical outcome. Studies intended to evaluate test accuracy or performance should be designed to address these questions.](https://cdn.bsky.app/img/feed_thumbnail/plain/did:plc:ao7ykaoap23gbmrggv4ytobn/bafkreicfh5uvvzedvkotmhyf2zxiyq7ccbwfdl42on5lccw2udyslcjeau)
November 25, 2024 at 9:13 AM
Viewpoint on how #diagnosticstewardship can & should go much further by Jon Baghdadi & Dan Morgan. "Diagnostic tests should be assessed for clinical impact" too (not just diagnostic performance/accuracy).
#IDSky #AMSSky
www.cmi-comms.com/article/S295...
📢 New in AJIC
Do all patients need two blood culture sets? During a supply shortage, using a single set in selected situations maintained diagnostic yield while supporting diagnostic stewardship.
📄 www.ajicjournal.org/article/S019...
#DiagnosticStewardship #InfectionPrevention
Do all patients need two blood culture sets? During a supply shortage, using a single set in selected situations maintained diagnostic yield while supporting diagnostic stewardship.
📄 www.ajicjournal.org/article/S019...
#DiagnosticStewardship #InfectionPrevention
Changing the paradigm: Are two sets of blood cultures always needed?
We describe a multifaceted intervention deployed amidst a blood culture (BC) bottle
shortage and its impact on BC yields.
www.ajicjournal.org
June 26, 2026 at 7:31 PM
📢 New in AJIC
Do all patients need two blood culture sets? During a supply shortage, using a single set in selected situations maintained diagnostic yield while supporting diagnostic stewardship.
📄 www.ajicjournal.org/article/S019...
#DiagnosticStewardship #InfectionPrevention
Do all patients need two blood culture sets? During a supply shortage, using a single set in selected situations maintained diagnostic yield while supporting diagnostic stewardship.
📄 www.ajicjournal.org/article/S019...
#DiagnosticStewardship #InfectionPrevention
Nurses can be valuable in diagnostic stewardship. However, the challenge remains in reassuring clinicians concerned about missed diagnoses and meeting patient satisfaction expectations when antibiotic therapy is expected.
#diagnosticstewardship #AMSSky
#diagnosticstewardship #AMSSky
Can nurses lead outpatient UTI stewardship? This EHR-integrated triage tool improved symptom documentation, reduced unnecessary urine cultures, and cut antibiotic treatment of asymptomatic bacteriuria—all without increasing pyelonephritis. #ABXstewardship #NursingResearch doi.org/10.1017/ash....
July 7, 2026 at 3:22 PM
Nurses can be valuable in diagnostic stewardship. However, the challenge remains in reassuring clinicians concerned about missed diagnoses and meeting patient satisfaction expectations when antibiotic therapy is expected.
#diagnosticstewardship #AMSSky
#diagnosticstewardship #AMSSky
It’s not too late to register! Join the Sepsis Alliance Symposium: Diagnostics and Diagnostic Stewardship, March 11–12. RN CE & CME credits available. Register today: https://sepsisalliance.info/DX
#Sepsis #SepsisLearning #Diagnostics #DiagnosticStewardship
#Sepsis #SepsisLearning #Diagnostics #DiagnosticStewardship
February 26, 2026 at 8:55 PM
It’s not too late to register! Join the Sepsis Alliance Symposium: Diagnostics and Diagnostic Stewardship, March 11–12. RN CE & CME credits available. Register today: https://sepsisalliance.info/DX
#Sepsis #SepsisLearning #Diagnostics #DiagnosticStewardship
#Sepsis #SepsisLearning #Diagnostics #DiagnosticStewardship
👀 Have you checked out the latest episode?
Metagenomics doesn’t replace cultures, PCR, or serology. Its value is knowing when to use it—on the right patient, with the right sample, at the right time.
🎙️ Let’s Talk Micro
👉 directory.libsyn.com/episode/inde...
#DiagnosticStewardship #Metagenomics
Metagenomics doesn’t replace cultures, PCR, or serology. Its value is knowing when to use it—on the right patient, with the right sample, at the right time.
🎙️ Let’s Talk Micro
👉 directory.libsyn.com/episode/inde...
#DiagnosticStewardship #Metagenomics
January 20, 2026 at 8:33 PM
👀 Have you checked out the latest episode?
Metagenomics doesn’t replace cultures, PCR, or serology. Its value is knowing when to use it—on the right patient, with the right sample, at the right time.
🎙️ Let’s Talk Micro
👉 directory.libsyn.com/episode/inde...
#DiagnosticStewardship #Metagenomics
Metagenomics doesn’t replace cultures, PCR, or serology. Its value is knowing when to use it—on the right patient, with the right sample, at the right time.
🎙️ Let’s Talk Micro
👉 directory.libsyn.com/episode/inde...
#DiagnosticStewardship #Metagenomics
Free webinar! Learn how diagnostic decisions impact stewardship and safety. Join VIPTC & Dr. Dan Morgan to explore strategies to reduce overuse and improve outcomes.
🗓 May 7, 2025 🕒 12:00 - 1:00 PM
🔗 bit.ly/4jsfucM
#DiagnosticStewardship #VIPTC
🗓 May 7, 2025 🕒 12:00 - 1:00 PM
🔗 bit.ly/4jsfucM
#DiagnosticStewardship #VIPTC
April 25, 2025 at 8:40 PM
Free webinar! Learn how diagnostic decisions impact stewardship and safety. Join VIPTC & Dr. Dan Morgan to explore strategies to reduce overuse and improve outcomes.
🗓 May 7, 2025 🕒 12:00 - 1:00 PM
🔗 bit.ly/4jsfucM
#DiagnosticStewardship #VIPTC
🗓 May 7, 2025 🕒 12:00 - 1:00 PM
🔗 bit.ly/4jsfucM
#DiagnosticStewardship #VIPTC
I’ve noticed a slight increase in orders for #HSV PCR, Blood. Clinicians report using it to screen asymptomatic patients. In terms of #DiagnosticStewardship, what role does viremia testing have in outpatients? Should its use be limited to hospitalized patients? #ClinMicro #IDsky
November 25, 2024 at 6:17 PM
I’ve noticed a slight increase in orders for #HSV PCR, Blood. Clinicians report using it to screen asymptomatic patients. In terms of #DiagnosticStewardship, what role does viremia testing have in outpatients? Should its use be limited to hospitalized patients? #ClinMicro #IDsky
In today's #TheScienceImReading: A great #DiagnosticStewardship study from Albin & team. pubmed.ncbi.nlm.nih.gov/38163481/
🌟This diagnostic stewardship intervention was safe & associated w/20% rate reduction in + respiratory cultures, as well as significant ⬇️ in ICU antibiotic use 👏
🌟This diagnostic stewardship intervention was safe & associated w/20% rate reduction in + respiratory cultures, as well as significant ⬇️ in ICU antibiotic use 👏
January 15, 2024 at 10:09 PM
In today's #TheScienceImReading: A great #DiagnosticStewardship study from Albin & team. pubmed.ncbi.nlm.nih.gov/38163481/
🌟This diagnostic stewardship intervention was safe & associated w/20% rate reduction in + respiratory cultures, as well as significant ⬇️ in ICU antibiotic use 👏
🌟This diagnostic stewardship intervention was safe & associated w/20% rate reduction in + respiratory cultures, as well as significant ⬇️ in ICU antibiotic use 👏
In 15 #PediatricIntensiveCareUnit sites, clinical decision support for #DiagnosticStewardship was associated with lower endotracheal aspirate culture rates without significant changes in antibiotic use or safety outcomes.
ja.ma/4xipawY
ja.ma/4xipawY
August 1, 2026 at 3:09 AM
In 15 #PediatricIntensiveCareUnit sites, clinical decision support for #DiagnosticStewardship was associated with lower endotracheal aspirate culture rates without significant changes in antibiotic use or safety outcomes.
ja.ma/4xipawY
ja.ma/4xipawY
🧫 Clinical decision support reduced respiratory culture use by 16% across 15 US pediatric intensive care units, without evidence of adverse patient outcomes.
🔗 Read more: https://ow.ly/Goel50ZIizh
#Microbiology #DiagnosticStewardship
🔗 Read more: https://ow.ly/Goel50ZIizh
#Microbiology #DiagnosticStewardship
September 3, 2026 at 3:30 PM
🧫 Clinical decision support reduced respiratory culture use by 16% across 15 US pediatric intensive care units, without evidence of adverse patient outcomes.
🔗 Read more: https://ow.ly/Goel50ZIizh
#Microbiology #DiagnosticStewardship
🔗 Read more: https://ow.ly/Goel50ZIizh
#Microbiology #DiagnosticStewardship
💊 Alicia Powell, RN, & Lauren Cianciolo, PharmD, of Memorial Healthcare walked us through their work in #DiagnosticStewardship in #ASB. A reminder that #stewardship is built through partnership across the care team.
July 21, 2026 at 7:48 PM
💊 Alicia Powell, RN, & Lauren Cianciolo, PharmD, of Memorial Healthcare walked us through their work in #DiagnosticStewardship in #ASB. A reminder that #stewardship is built through partnership across the care team.
Going to IDWeek and looking for information on multiplex testing? Free CME/CE available. This will also be posted as an enduring program after the meeting. ⚕️🧪👩🔬
#meded #foamed
#meded #foamed
Medavera & On Medical Grounds on LinkedIn: #meded #foamed #idweek2024 #diagnosticstewardship #molecular
Are you going to IDWeek 2024? Join us on October 16th for an accredited satellite symposium with Dr. Vittorio Sambri, Dr. Blake W. Buchan, and Dr. Laila…
www.linkedin.com
August 30, 2024 at 9:40 PM
#TheScienceImReading This CDC Prevention Epicenters study analyzes blood culture contamination reporting practices among 52 US hospitals/labs. Bottom line: Large heterogeneity in reporting practices and definitions. Great opportunity for #DiagnosticStewardship buff.ly/a7XmNph
July 26, 2025 at 4:34 PM
#TheScienceImReading This CDC Prevention Epicenters study analyzes blood culture contamination reporting practices among 52 US hospitals/labs. Bottom line: Large heterogeneity in reporting practices and definitions. Great opportunity for #DiagnosticStewardship buff.ly/a7XmNph
This up-to-date review published in @asm.org #CMR explores innovative techniques for rapidly identifying bloodstream infections. Great opportunities for micro labs to enhance #DiagnosticStewardship efforts. buff.ly/ha1QJe5
July 11, 2025 at 10:57 PM
This up-to-date review published in @asm.org #CMR explores innovative techniques for rapidly identifying bloodstream infections. Great opportunities for micro labs to enhance #DiagnosticStewardship efforts. buff.ly/ha1QJe5
Happy to share our new study in BMJ Paediatrics Open: Multiplex PCR RVPs helped cut antibiotic use in key paediatric groups in our LMIC setting. Small test, big impact. #PedsID #AMR
#DiagnosticStewardship #IDsky
#BMJOpen
bmjpaedsopen.bmj.com/content/bmjp...
#DiagnosticStewardship #IDsky
#BMJOpen
bmjpaedsopen.bmj.com/content/bmjp...
bmjpaedsopen.bmj.com
December 9, 2025 at 5:44 PM
Happy to share our new study in BMJ Paediatrics Open: Multiplex PCR RVPs helped cut antibiotic use in key paediatric groups in our LMIC setting. Small test, big impact. #PedsID #AMR
#DiagnosticStewardship #IDsky
#BMJOpen
bmjpaedsopen.bmj.com/content/bmjp...
#DiagnosticStewardship #IDsky
#BMJOpen
bmjpaedsopen.bmj.com/content/bmjp...
Mo' tests, mo' problems? 🧪 Not if you have a plan!
In Episode 18 of PASCV: Gone Viral we’re talking #DiagnosticStewardship with Dr. Francesca Lee & Dr. David Gaston.
✅ Value-based testing
✅ Patient-centered performance
✅ Provider relationships
🎙️ podcasts.apple.com/us/podcast/e...
In Episode 18 of PASCV: Gone Viral we’re talking #DiagnosticStewardship with Dr. Francesca Lee & Dr. David Gaston.
✅ Value-based testing
✅ Patient-centered performance
✅ Provider relationships
🎙️ podcasts.apple.com/us/podcast/e...
Episode 18: Diagnostic Stewardship
Podcast Episode · PASCV: Gone Viral · February 2 · 39m
buff.ly
March 5, 2026 at 5:15 PM
Mo' tests, mo' problems? 🧪 Not if you have a plan!
In Episode 18 of PASCV: Gone Viral we’re talking #DiagnosticStewardship with Dr. Francesca Lee & Dr. David Gaston.
✅ Value-based testing
✅ Patient-centered performance
✅ Provider relationships
🎙️ podcasts.apple.com/us/podcast/e...
In Episode 18 of PASCV: Gone Viral we’re talking #DiagnosticStewardship with Dr. Francesca Lee & Dr. David Gaston.
✅ Value-based testing
✅ Patient-centered performance
✅ Provider relationships
🎙️ podcasts.apple.com/us/podcast/e...