amandagwee.bsky.social
@amandagwee.bsky.social
Gen paed, ID physician, clinical pharmacologist. Researcher, interest in optimising antimicrobial use in kids. Views my own
Pinned
Excited to publish this review with kidsdose.org.au network summarising the available clinical trial, pk data and evidence gaps in antibiotic tx for resistant Gram neg infections in kids. www.sciencedirect.com/science/arti.... #idsky #paedsid #pedsid @mcri.bsky.social @lancetrh-wpac.bsky.social
Drug-resistant gram-negative bacterial infections in children in the Oceania region: review of the epidemiology, antimicrobial availability, treatment, clinical trial and pharmacokinetic data, and key...
Gram-negative bacterial infections remain a major cause of morbidity and mortality in children and neonates globally, compounded by the rise of antimi…
www.sciencedirect.com
Pkpd study in immunocompromised kids showing GCV AUC24 corresponding to 90% maximal suppression and elimination effects was approximately 40-100 mg/L·h. WCC significantly affected the viral decline rate. Time for routine tdm? bpspubs.onlinelibrary.wiley.com/doi/10.1002/... #cmv #pedsid #TxIDChat
BPS Publications
Aims Ganciclovir (GCV) is commonly used to treat cytomegalovirus (CMV) infections in immunocompromised children. Currently, the therapeutic target for effective treatment is unclear: Adult studies s...
bpspubs.onlinelibrary.wiley.com
November 13, 2025 at 12:00 PM
Excited to publish this review with kidsdose.org.au network summarising the available clinical trial, pk data and evidence gaps in antibiotic tx for resistant Gram neg infections in kids. www.sciencedirect.com/science/arti.... #idsky #paedsid #pedsid @mcri.bsky.social @lancetrh-wpac.bsky.social
Drug-resistant gram-negative bacterial infections in children in the Oceania region: review of the epidemiology, antimicrobial availability, treatment, clinical trial and pharmacokinetic data, and key...
Gram-negative bacterial infections remain a major cause of morbidity and mortality in children and neonates globally, compounded by the rise of antimi…
www.sciencedirect.com
November 13, 2025 at 11:36 AM
Reposted
Vancomycin Taper trial presented by @dremilymcd.bsky.social #ESCMID2025. In people who get better by day 10 should we stop or give taper? Reduced recurrences by primary outcome timepoint but the KM suggests it may be just delaying rather than truly preventing recurrence? #IDSky
April 13, 2025 at 3:38 PM
All you need to know about vancomycin dosing in adults and kids led by @leggwamy.bsky.social and @tonylai.bsky.social
April 22, 2025 at 10:40 AM
Systematic review on posaconazole levels & clinical outcomes of IFI in kids. All but 1 breakthrough IFI occurred with serum levels ≤0.7mg/L. For IFI treatment, no association between trough >1.0mg/L & efficacy. Poor outcomes seen with levels between 0.2-4.8mg/L. pubmed.ncbi.nlm.nih.gov/40037294/
Relationship between posaconazole concentrations and clinical outcomes in paediatric cancer and haematopoietic stem cell transplant recipients - PubMed
This review supports current recommendations for posaconazole prophylaxis in paediatric oncology and HSCT recipients. The absence of a clear correlation found between serum trough concentrations and t...
pubmed.ncbi.nlm.nih.gov
March 28, 2025 at 9:22 AM
Reduction in sputum pseudomonas bacterial load (live and dead) associated with improvement in FEV1 in children with CF receiving antibiotics. No correlation between change in total sputum bacterial load and improvement in FEV1. #Idsky
pubmed.ncbi.nlm.nih.gov/40090524/
Relationship between sputum bacterial load and lung function in children with cystic fibrosis receiving tobramycin - PubMed
A greater reduction in total sputum P. aeruginosa bacterial load (live + dead) was associated with improved lung function (FEV<sub>1</sub>) in children with CF receiving tobramycin.
pubmed.ncbi.nlm.nih.gov
March 28, 2025 at 8:53 AM
Reposted
📚 Our findings, along with our earlier study showing that #BCGvaccine increased risk of symptomatic [but not severe] #COVID-19, suggest that BCG vaccination does not enhance immunity to #SARSCoV2 or COVID-19 vaccines 🌍✨ #IDsky #Immunosky www.sciencedirect.com/science/arti...
BCG vaccination of healthcare workers for protection against COVID-19: 12-month outcomes from an international randomised controlled trial
Bacille Calmette-Guérin (BCG) vaccine has immunomodulatory effects that may provide protection against unrelated infectious diseases. We aimed to dete…
www.sciencedirect.com
February 4, 2025 at 5:33 AM
Reposted
Vaccines and immunization fact sheets you can't find on CDC website anymore are archived at the link below. May be helpful to bookmark this for future reference.
www.immunize.org/vaccines/vis...
Vaccine Information Statements (VISs) Overview | Immunize.org| Immunize.org
Find materials on legal requirements to give VISs to patients before vaccinating.
www.immunize.org
February 1, 2025 at 2:37 PM
Reposted
In this table you can find a summary with different antimicrobials’ penetration into the bile (and the peritoneum).
Hope you find it useful! 🙂
#AMSsky #IDOnc #IDSky
January 28, 2025 at 4:44 AM
Reposted
🆕💫Retrospective cohort study #CMI
AKI is a frequent complication of S. aureus bacteraemia and is associated with 30-day mortality
Not “a cute” complication: phenotypic analysis of acute kidney injury in S. aureus bacteraemia #idsky #EMIMCC
www.clinicalmicrobiologyandinfection.com/article/S119...
DEFINE_ME
www.clinicalmicrobiologyandinfection.com
December 31, 2024 at 4:37 AM
Reposted
Slipping into 2024 right as the door closes is the publication of the AGAR Kids manuscript depicting antibiotic resistance trends in gram-neg bacteraemia isolates from children over nine years
@ausantibiotics.bsky.social
#AMR #MedSky #Microsky #IDsky #pediatrics #newarticle
doi.org/10.1093/jpid...
Antimicrobial Resistance in Enterobacterales, Acinetobacter spp. and Pseudomonas aeruginosa Isolates From Bloodstream Infections in Australian Children, 2013–2021
Pediatric gram-negative bacteremia is associated with considerable morbidity and mortality. Enterobacterales resistance is increasing in Australian pediatr
doi.org
December 31, 2024 at 1:21 AM
Reposted
Reviews of antimicrobial dosing:

1. Anti-fungals: doi.org/10.1093/ofid...
2. All-antimicrobials: ccforum.biomedcentral.com/articles/10....

Systematic Reviews:
1. Definitions of ECMO infections: www.ajicjournal.org/article/S019...
2. Use of ppx antibiotics: journals.lww.com/asaiojournal...
Antifungals in Patients With Extracorporeal Membrane Oxygenation: Clinical Implications
This review summarizes antifungal use in ECMO patients, exploring specific substances, dosing, TDM and ECMO-related factors from a clinical point of view.
doi.org
December 23, 2024 at 8:32 PM
Reposted
Broad-Spectrum Antibiotics Linked To Increased Risk For Adverse Drug Events Among Outpatients With CAP

#IDSky

Antimicrobial stewardship efforts are needed to promote judicious use of antibiotics, and ultimately decrease antibiotic-related ADEs

academic.oup.com/cid/advance-...
Comparative Safety of Different Antibiotic Regimens for the Treatment of Outpatient Community-Acquired Pneumonia Among Otherwise Healthy Adults
Among otherwise healthy, nonelderly adults treated for community-acquired pneumonia in the outpatient setting, each broad-spectrum antibiotic regimen was a
academic.oup.com
December 21, 2024 at 8:58 PM
Reposted
Reposted
#IDSky colleague from New Zealand @maxgbloomfield.bsky.social sent us his study on environmental benefits when they switched TID cefuroxime to once a day ceftriaxone. They had a 383kg waste reduction! Nice to connect with #IDSky across the globe on sustainability.
pubmed.ncbi.nlm.nih.gov/38696830/
Incorporating patient, nursing and environmental factors into antimicrobial stewardship: effects of simplifying treatment from cefuroxime to ceftriaxone - PubMed
This simplification of our AG from a three-times-daily to a once-daily antibiotic resulted in considerable savings for our hospital (roughly 1.7 full-time equivalent nurses and over a tonne of waste y...
pubmed.ncbi.nlm.nih.gov
November 21, 2024 at 12:00 PM
Reposted
WHO recommendations for management of serious bacterial infections in infants aged 0–59 days
8 December 2024
www.who.int/publications...
WHO recommendations for management of serious bacterial infections in infants aged 0–59 days
The World Health Organization (WHO) has developed guidelines for the management of infants aged 0-59 days with serious bacterial infections (sepsis, meningitis, and pneumonia) in hospital and also out...
www.who.int
December 10, 2024 at 11:21 AM
Reposted
Pharmacodynamic studies indicate that anaerobic killing is optimized when the plasma AUC) to MIC ratio is ≥70:1; the probability of achieving this target with 1000mg/d of metronidazole is > 99% against B. fragilis that exhibit MICs < 2mg/L #idsky #medsky #EMIMCC
December 10, 2024 at 8:14 PM
Reposted
🔥The ADAPT-Sepsis RCT🔥
Daily PCT-guided protocol 🔽 total antibiotic duration & had noninferior all-cause mortality compared with standard care.
No difference was found in total Abx duration between standard care & daily CRP-guided protocol
CRP failure #idsky #EMIMCC
jamanetwork.com/journals/jam...
Biomarker-Guided Antibiotic Duration for Patients With Suspected Sepsis
This clinical trial assessed whether treatment protocols for monitoring C-reactive protein or procalcitonin safely reduced the amount of time critically ill adults with suspected sepsis received antib...
jamanetwork.com
December 10, 2024 at 3:39 AM
Reposted
🆕️✨️Retrospective cohort study
Oral doxycycline for the treatment of ocular syphilis may be safe and effective as IV penicillin in a selected subset of patients who completed an extended oral antibiotic #idsky #medsky #AMSsky
jamanetwork.com/journals/jam...
Outpatient Oral Doxycycline Therapy for Ocular Syphilis
This cohort study compares the outcomes of oral doxycycline therapy with those of intravenous penicillin therapy among patients with ocular syphilis.
jamanetwork.com
December 6, 2024 at 4:11 PM
Reposted
This #StrepA paper was a LONG labour of love from a great team 😊 Equal first & senior author credits buried at the very end, so I want to highlight the critical contributions of Dr Hannah Frost & @njmoreland.bsky.social & Dr Danika Hill @precisionvaxlab.bsky.social rdcu.be/d2gBV
Streptococcus pyogenes pharyngitis elicits diverse antibody responses to key vaccine antigens influenced by the imprint of past infections
Nature Communications - Streptococcus pyogenes is a deadly bacteria without a vaccine. Here, researchers measured antibodies in serum and saliva from a strep throat human challenge trial. Baseline...
rdcu.be
December 3, 2024 at 10:37 PM
Thanks @absteward.bsky.social. The link to the original pop pk study on which the dosing regimen was based is pubmed.ncbi.nlm.nih.gov/32412727/
December 4, 2024 at 10:21 AM
Reposted
The standard four times daily cephalexin dose makes treatment adherence challenging
🆕️⚡️⚡️Retrospective #JAC
Efficacy and tolerability of high-dose cefalexin 45 mg/kg/dose (maximum 1.5 g) three times daily in children with bone and joint infections #idsky
academic.oup.com/jac/article-...
Efficacy and tolerability of high-dose cefalexin 45 mg/kg/dose (maximum 1.5 g) three times daily in children with bone and joint infections
AbstractBackground. Cefalexin, a first-generation cephalosporin, is commonly used as oral continuation therapy for paediatric bone and joint infections (BJ
academic.oup.com
November 21, 2024 at 6:33 AM