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Sébastien Poulin

@sebpoule.bsky.social

4.4K followers 1.3K following 1.4K posts

Medical microbiologist & Infectious diseases MD @ St-Jérôme & Montréal, Québec, 🇨🇦 🔝 Interests HBV HDV HIV & General I.D. French 🇨🇦 with a 💩 accent #IDsky #HIVsky #Medsky

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Reposted by Sébastien Poulin

Paul Sax @paulsaxmd.bsky.social · 2d

What the DOTS trial of Staph bacteremia tells us:
• Dalbavancin d1 and d8 vs daily IVs for WEEKS
• No left-sided IE/CNS/prosthetics
• Dalba not superior by DOOR endpoint, but similar clinical outcomes.
Big implications for inpt care. More here! #IDSky tinyurl.com/3hjzkt96

DOTS: Optimism Around a “Negative” Dalbavancin Trial

The DOTS randomized clinical trial of dalbavancin versus standard-of-care for Staph aureus bacteremia (SAB) just landed in JAMA, where it undoubtedly will be featured in numerous ID, hospitalist, and ...

tinyurl.com

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Reposted by Sébastien Poulin

Rossana Rosa @drrossanarosa.bsky.social · 4d

Everything is a zoonosis!drawing/listing challenge
#18- Deer
This got me thinking *what* is a zoonosis?
Per WHO they r ifx “naturally transmissible from vertebrate animals to humans”
I’ve seen Lyme referred to as “vector-borne zoonotic disease”
And what is a reservoir?
Thoughts #IDSky #VetSky?

A cute picture of a deer and zoonoses associated with them. If this deer looks orange to you is because somehow I thought mixing orange and yellow alcohol markers would make a tan color, and to my surprise it didn’t so then I tried coloring over it.

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Sébastien Poulin @sebpoule.bsky.social · 4d

I'm currently managing a case of multibacillary leprosy (BB>BL) and let me tell you... god bless RMM* regimen (without Clofazimine) !

*Rifampin + Moxifloxacin + Minocycline

a man with glasses and a mustache is wearing a white shirt and says yes .

ALT: a man with glasses and a mustache is wearing a white shirt and says yes .

media.tenor.com

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Sébastien Poulin @sebpoule.bsky.social · 7d

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Sébastien Poulin @sebpoule.bsky.social · 7d

Not too bad for my first half marathon (and after a stress fracture in April)

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Sébastien Poulin @sebpoule.bsky.social · 8d

RMM prescribed today 🤞

Sébastien Poulin @sebpoule.bsky.social · 9d

Patho + clinic
… then PCR on paraffin block

Details soon, maybe ;)

Reposted by Sébastien Poulin

Antibiotic Steward 🅱️C🆔🅿️🌟 @absteward.bsky.social · Jun 24

How much evidence is needed to revise established clinical practices? and, can data alone truly catalyze such shifts?
Our 🆕🔥 Article at @cidjournal.bsky.social with 🌟s @bradspellberg.bsky.social
Practicing With Intent: How to Teach an Old Dogma New Tricks #IDSky
academic.oup.com/cid/article/...

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Sébastien Poulin @sebpoule.bsky.social · 12d

*confirmed Leprosy

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Sébastien Poulin @sebpoule.bsky.social · 14d

BPaL? We did

Sébastien Poulin @sebpoule.bsky.social · 15d

What a strange and unusual week 🏥 (for me…)

- asked for BPaL TB treatment

- saw a case of probable Leprosy (high suspicion, to be continued)

We have the best medial specialty
🤷‍♂️ #IDsky

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Sébastien Poulin @sebpoule.bsky.social · 18d

Yesterday, I prescribed HAART and DAAs for a patient living with HIV co-infected with HCV

Dr Sax;

a bald man with glasses is holding his chest and smiling

ALT: a bald man with glasses is holding his chest and smiling

media.tenor.com

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Reposted by Sébastien Poulin

Paul Sax @paulsaxmd.bsky.social · 20d

The latest in the controversy between 3 vs 2 drugs for HIV treatment -- now in advanced HIV disease, with the DOLCE study. @drlaurajwaters.bsky.social #IDSky #HIVsky blogs.jwatch.org/hiv-id-obser...

Two Drugs, Not Three: The DOLCE Study in Advanced HIV Disease

Three-drug therapy has been the standard of care for HIV therapy for so long it’s difficult to shake the view that it must be more effective than two drugs. This is particularly the case for those wit...

blogs.jwatch.org

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Sébastien Poulin @sebpoule.bsky.social · 22d

Maybe…

But I will not prescribe ATB / follow an OPAT patient for something I think is wrong 😑

I said to the dermatologist; prescribe it yourself 😈

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Sébastien Poulin @sebpoule.bsky.social · 22d

Ça fait tellement du bien 😌

Sébastien Poulin @sebpoule.bsky.social · 22d

Today, a dermatologist called me and asked 6 weeks of Ertapenem OPAT for a case of « severe suppurative hidradenitis »

I said no.

That’s it. That’s the post.

#IDsky

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Sébastien Poulin @sebpoule.bsky.social · 26d

2025 US Public Health Service Guidelines for the Management of Occupational Exposures to HIV and Recommendations for PEP in Healthcare Settings

🤯lots of NAT, no ?