https://www.cambridge.org/core/journals/infection-control-and-hospital-epidemiology/information/about-this-journal
▶️ Used multiple healthcare facility types
▶️ Reduction of 69-75% of CRE BSIs if used in LTACH/vSNFs
▶️ 90% averted BSIs would have been in Pts w/o agent
#IDSky
📄: doi.org/10.1017/ice....
▶️ Used multiple healthcare facility types
▶️ Reduction of 69-75% of CRE BSIs if used in LTACH/vSNFs
▶️ 90% averted BSIs would have been in Pts w/o agent
#IDSky
📄: doi.org/10.1017/ice....
10 months in Arizona
▶️ 39 clinical cases
▶️ 17.6% (158/899) contacts colonized with C. auris
▶️ 9.5% (15/158) developed infection
#IDSky
📄: doi.org/10.1017/ice....
10 months in Arizona
▶️ 39 clinical cases
▶️ 17.6% (158/899) contacts colonized with C. auris
▶️ 9.5% (15/158) developed infection
#IDSky
📄: doi.org/10.1017/ice....
Increase of M. mucogenicum in BAL (6.1% ▶️ 18.6%)
--Non-sterile ice baths contaminated samples
--No true infections
--458 hours of FTEs
--$88,426 of laboratory costs
#IDSky
📄: doi.org/10.1017/ice....
Increase of M. mucogenicum in BAL (6.1% ▶️ 18.6%)
--Non-sterile ice baths contaminated samples
--No true infections
--458 hours of FTEs
--$88,426 of laboratory costs
#IDSky
📄: doi.org/10.1017/ice....
Listen here: on.soundcloud.com/E8RR2No5ZT4u...
Listen here: on.soundcloud.com/E8RR2No5ZT4u...
A model using prior healthcare exposures (SNF, LTACH) had varying performance:
▶️ AUC = 0.76-0.82 for HAI-associated pathogens
▶️ AUC = 0.59, 0.61 for community-based pathogens
#IDSky
📃: doi.org/10.1017/ice....
A model using prior healthcare exposures (SNF, LTACH) had varying performance:
▶️ AUC = 0.76-0.82 for HAI-associated pathogens
▶️ AUC = 0.59, 0.61 for community-based pathogens
#IDSky
📃: doi.org/10.1017/ice....
Researchers used LLM to review EMR notes & flag likely cases across 3 VA hospitals
▶️ High agreement w/ expert review
▶️ Manual adjudication still needed
#IDSky
📃: doi.org/10.1017/ice....
Researchers used LLM to review EMR notes & flag likely cases across 3 VA hospitals
▶️ High agreement w/ expert review
▶️ Manual adjudication still needed
#IDSky
📃: doi.org/10.1017/ice....
Check whether your institution has an open access publishing agreement with Cambridge using the eligibility checker: www.cambridge.org/core/eligibi...
Check whether your institution has an open access publishing agreement with Cambridge using the eligibility checker: www.cambridge.org/core/eligibi...
📄: doi.org/10.1017/ice....
📄: doi.org/10.1017/ice....
▶️ Authors find that only 5/173 cases of serial plasma metagenomic next-generation sequencing had significant clinical impact
#IDSky
📃: doi.org/10.1017/ice....
▶️ Authors find that only 5/173 cases of serial plasma metagenomic next-generation sequencing had significant clinical impact
#IDSky
📃: doi.org/10.1017/ice....
🦠 5097 urine cultures from 59 nursing homes
➡️2 years weighted-incidence syndromic antibiogram (WISCA) = valid antibiogram
#IDSky
📃: doi.org/10.1017/ice....
🦠 5097 urine cultures from 59 nursing homes
➡️2 years weighted-incidence syndromic antibiogram (WISCA) = valid antibiogram
#IDSky
📃: doi.org/10.1017/ice....
⏫ facilities reporting
BSI Rates:
2012-2020 ⏬ 8.9%
2020-2021 ❌ no change
#IDSky
📃: doi.org/10.1017/ice....
⏫ facilities reporting
BSI Rates:
2012-2020 ⏬ 8.9%
2020-2021 ❌ no change
#IDSky
📃: doi.org/10.1017/ice....
High-risk antibiotics aOR 2.70 for CDI
#IDSky
📃: doi.org/10.1017/ice....
High-risk antibiotics aOR 2.70 for CDI
#IDSky
📃: doi.org/10.1017/ice....
280 samples:
▶️ 81.1% (n = 227) any bacterial growth
▶️ 20.7% (n = 58) ≥1 potential pathogen
#IDSky
📃: doi.org/10.1017/ice....
280 samples:
▶️ 81.1% (n = 227) any bacterial growth
▶️ 20.7% (n = 58) ≥1 potential pathogen
#IDSky
📃: doi.org/10.1017/ice....
Are SEP-1 and blood culture stewardship at odds? Retrospective review of SEP-1 failures pre- and during a blood culture bottle shortage
BCs avoided without patient harm!
#IDSky @kcawcutt.bsky.social
📄: doi.org/10.1017/ice....
Are SEP-1 and blood culture stewardship at odds? Retrospective review of SEP-1 failures pre- and during a blood culture bottle shortage
BCs avoided without patient harm!
#IDSky @kcawcutt.bsky.social
📄: doi.org/10.1017/ice....
@kcawcutt.bsky.social @ichejournal.bsky.social #IDSky
www.cambridge.org/core/journal...
@kcawcutt.bsky.social @ichejournal.bsky.social #IDSky
www.cambridge.org/core/journal...
#IDSky
📃: doi.org/10.1017/ice....
#IDSky
📃: doi.org/10.1017/ice....
Authors used a propensity-matched cohort to evaluate intermittent vs. continuous cefazolin for SSI prevention in cardiac/neuro procedures🧠❤️
▶️ While non-significant differences, 0% SSI rate among cardiac surgeries + continuous infusion
#IDSky
📄: doi.org/10.1017/ice....
Authors used a propensity-matched cohort to evaluate intermittent vs. continuous cefazolin for SSI prevention in cardiac/neuro procedures🧠❤️
▶️ While non-significant differences, 0% SSI rate among cardiac surgeries + continuous infusion
#IDSky
📄: doi.org/10.1017/ice....
▶️ 16 MMSA infxs in 3 weeks + 31 colonizations
▶️ Multiple ST clusters <10 SNPs
▶️ Educational interventions
▶️ Suspect respiratory devises or adhesives
#IDSky
📄: doi.org/10.1017/ice....
▶️ 16 MMSA infxs in 3 weeks + 31 colonizations
▶️ Multiple ST clusters <10 SNPs
▶️ Educational interventions
▶️ Suspect respiratory devises or adhesives
#IDSky
📄: doi.org/10.1017/ice....
AI + WGS can speed outbreak reviews and help IP teams act faster #IDSky
Genomic surveillance is a key must!
📃: doi.org/10.1017/ice....
AI + WGS can speed outbreak reviews and help IP teams act faster #IDSky
Genomic surveillance is a key must!
📃: doi.org/10.1017/ice....
LLM agents showed:
▶️ High sensitivity (77.4%)
▶️ Low specificity (36.1%)
▶️ framing, sycophancy, & semantic cues vital
#IDSky
📄: doi.org/10.1017/ice....
LLM agents showed:
▶️ High sensitivity (77.4%)
▶️ Low specificity (36.1%)
▶️ framing, sycophancy, & semantic cues vital
#IDSky
📄: doi.org/10.1017/ice....
Authors found:
▶️ VRE+ patients had recent high-risk antibiotic exposure
▶️ Using abx-guided screening = avoided 50% of tests
▶️ VRE+ rate = 5.6% w/ targeted vs 2.6% overall
▶️ Maintained 100% NPV
#IDSky
📄: doi.org/10.1017/ice....
Authors found:
▶️ VRE+ patients had recent high-risk antibiotic exposure
▶️ Using abx-guided screening = avoided 50% of tests
▶️ VRE+ rate = 5.6% w/ targeted vs 2.6% overall
▶️ Maintained 100% NPV
#IDSky
📄: doi.org/10.1017/ice....
In LA County, contact precautions for MRSA/VRE:
▶️ Use 7.3 million gowns annually
▶️ Generate 506 tons of plastic waste
▶️ 1.73 million kgs of CO2 equivalents
= -4.07 DALYs
#IDSky
📄: doi.org/10.1017/ice....
In LA County, contact precautions for MRSA/VRE:
▶️ Use 7.3 million gowns annually
▶️ Generate 506 tons of plastic waste
▶️ 1.73 million kgs of CO2 equivalents
= -4.07 DALYs
#IDSky
📄: doi.org/10.1017/ice....
Interprofessional Education (IPE) in Infection Prevention and Control (IPC): a helpful way to increase learner's confidence in IPC skills and acknowledge that teamwork does make the dream work
#IDSky
📃: doi.org/10.1017/ice....
Interprofessional Education (IPE) in Infection Prevention and Control (IPC): a helpful way to increase learner's confidence in IPC skills and acknowledge that teamwork does make the dream work
#IDSky
📃: doi.org/10.1017/ice....
🧬 WGS of 436 healthcare-associated respiratory virus infections:
• 14 clusters ▶️ 36 patients
• Clusters often in a single unit
• Avg cluster duration 16 days (range 0-55)
#IDSky
📄: doi.org/10.1017/ice....
🧬 WGS of 436 healthcare-associated respiratory virus infections:
• 14 clusters ▶️ 36 patients
• Clusters often in a single unit
• Avg cluster duration 16 days (range 0-55)
#IDSky
📄: doi.org/10.1017/ice....
Read in ICHE: bit.ly/47vOSCV
Read in ICHE: bit.ly/47vOSCV