An example of a commercially available system below.

Strikes me that locally we have all this data but due to different systems there is no way to view as overview and so need to spend time creating summaries.

Consequence of digitised systems rather than digital transformation of care?

Challenge of clinical decision support systems is the lag of legislation from technological change. Overarching challenge in many areas #escmidglobal

5. Update on enterococcal breakpoints. Including other species

Remember intrinsic vanc resistance ones! Cassesiflavus and gallinarum

Update on upcoming new anaerobic breakpoints - exciting but methodology difficult and so likely ref lab still

4. Answers to questions about dosing: Generally to use breakpoints table. But in IE breakpoints refer to ESC guidelines. Also rationale for no I category and assumption that highest dose always used

This seems less useful (to me) given issues in ESC dosing tables and clinical data on oral switch.

3. Breakpoints for cefepime-enmetazobactam (always a pleasure to try to spell) and aztreonam-avibactam

2. Stenotrophomonas updated breakpoints:
Updates CoT R breakpoint. ECOFFS for other agents. And a nice bonus on mechanisms of beta lactams resistance

EUCAST updates #ESCMIDglobal

1. Strep pneumonia updated algorithm:

Use oxacillin disk, if >20mm then report A to all beta lactams. If <20mm read benpen 1 unit disk. Great presentation showing data behind and how well differentiates S/I/R

We talk about inducible AmpC and derepression of AmpC inducible, but what are the mechanisms?

Well, it's complex, but depends on the species. AmpR and PBP4 key players. I might need to watch this talk again.... (and easily can because the conference platform is excellent)! #escmidglobal

Useful summary of inducible AmpC - strength of inducement and susceptibility to hydrolysis #escmidglobal

VERY excited to see these ESCMID-EAN infective encephalitis guidelines (and associated autoimmune guidelines) coming soon.

#escmidglobal

Using (sterile) infusion lines to measure CSF opening pressure in Cryptococcal meningitis when no manometers...

In UK required move to NRFit connectors means new manometers are plastic and not stackable (miss the glass). So maybe a useful alternative!

#escmidglobal

Wow wow wow!

#escmidglobal
@idiots-pod.bsky.social

#FISHIS24 what a fantastic 3 days in Liverpool! Thank you @hisinfection.bsky.social and fitwise for organising.

@idiots-pod.bsky.social Conference wrap up coming soon! #idsky

Useful visual on bacterial causes of petechial/purpuric rashes

Debbie Beer presenting on chronic meningococcal bacteraemia #fishis24 #idsky

The two hats of clinical microbiology and infectious diseases, combined?

#idsky #clinmicro