Guía PRIOAM
banner
guiaprioam.bsky.social
Guía PRIOAM
@guiaprioam.bsky.social
790 followers 440 following 7 posts
Una guía para mejorar el uso de los antibióticos • Si prescribes, eres parte de la solución • Equipo #PROA en @hospitaluvrocio.bsky.social • #FOAMed ⏩️ www.guiaprioam.com
Posts Media Videos Starter Packs
Pinned
Is antimicrobial stewardship possible in transplant units?

In our latest systematic review in @eclinicalmed.bsky.social, we discuss which interventions work, evidence gaps and future research priorities for SOT.

🔓 www.sciencedirect.com/science/arti...
#IDSky #AMSsky #TxID

Thread below! 🧵(1/6) 👇🏻
Reposted by Guía PRIOAM
Recruitment for SHORTEN-2 is officially complete!
Our team is now wrapping up follow-up and polishing databases. Hope to have results ready in the first half of 2026!

Hats off to this awesome research team! 🥳
#AMSsky #IDsky @seimc.bsky.social @ciberisciii.bsky.social @ibis-investigacion.bsky.social
Reposted by Guía PRIOAM
Is antimicrobial stewardship possible in transplant units?

In our latest systematic review in @eclinicalmed.bsky.social, we discuss which interventions work, evidence gaps and future research priorities for SOT.

🔓 www.sciencedirect.com/science/arti...
#IDSky #AMSsky #TxID

Thread below! 🧵(1/6) 👇🏻
Reposted by Guía PRIOAM
The outpatient Global-PPS is a new, simple tool to measure antimicrobial prescribing in global outpatient settings
doi.org/10.1093/jaca...
#JACAMRNews #IDSky
Reposted by Guía PRIOAM
As ID physicians, when asked about the importance of ASP, many of us may share the same answers
How do we know that today's carbapenem use will lead to a superbug tomorrow?
Why worry about resistance decades later, when I have a patient to worry about now. #IDSky
academic.oup.com/cid/article/...
We Are Guardians
As Infectious Diseases physicians, when asked about the importance of antimicrobial stewardship, many of us may share the same answers. For one, if we cont
academic.oup.com
Congratulations for a fantastic work by María Paniagua, Belén Guisado, @josemolinagb.bsky.social, Germán Peñalva, Rocío Álvarez, Mª Eugenia Pachón & @jmcisneros.bsky.social from @hospitaluvrocio.bsky.social & @ibis-investigacion.bsky.social on behalf of @guiaprioam.bsky.social team! 🔝
There’s still a lot to do for stewies in transplant units!

In this table, we propose some future research priorities to optimize antibiotic use in SOT patients.

🔓 www.sciencedirect.com/science/arti...
#IDSky #AMSsky #TxID
🧵(5/6)
Implementing an #ASP in a SOT unit may allow to:
✅ Reduce antibiotic pressure in the unit
🛟 Without compromising infection outcomes
✋🏻 Help control nosocomial infections

🔓 www.sciencedirect.com/science/arti...
#IDSky #AMSsky #TxID
🧵(4/6)
Several studies suggest that uncomplicated graft infections could be treated for 7 days.

Still, transplant patients have been excluded from most duration trials.

Time to bring them into the #ShorterIsBetter movement! 😉

🔓 www.sciencedirect.com/science/arti...
#IDSky #AMSsky #TxID
🧵(3/6)
Prolonging antibiotic prophylaxis in kidney and liver transplant surgery does not reduce the rate of postoperative infections, but may increase side effects associated with antibiotic therapy.

🔓 www.sciencedirect.com/science/arti...
#IDSky #AMSsky #TxID
🧵(2/6)
Is antimicrobial stewardship possible in transplant units?

In our latest systematic review in @eclinicalmed.bsky.social, we discuss which interventions work, evidence gaps and future research priorities for SOT.

🔓 www.sciencedirect.com/science/arti...
#IDSky #AMSsky #TxID

Thread below! 🧵(1/6) 👇🏻
Reposted by Guía PRIOAM
Today we celebrated our 3rd Annual Researchers’ Meeting at the XXVIII Congress of @seimc.bsky.social!

Only 2️⃣4️⃣ patients left to complete the trial!

An amazing team doing an amazing work! 🤩🔝

#IDSky #AMSsky #TeamPride
Reposted by Guía PRIOAM
Thanks to @josemolinagb.bsky.social from Seville, Spain, for finding a great Shorter Is Better study from 2021 for bronchiectasis exacerbations! Updated tables attached, with link to website with citations. Had to shrink the font to fit so many RCTs in table!
www.bradspellberg.com/shorter-is-b...
Reposted by Guía PRIOAM
Caring for patients with bronchiectasis poses a challenge for both pulmonologists and #AMSky teams.

Standard 14d treatments for exacerbations lack good evidence support.

This small RCT favors shorter durations such as 8d 👉🏻 publications.ersnet.org/content/erj/... #IDsky @bradspellberg.bsky.social
Reposted by Guía PRIOAM
Pediatric antimicrobial stewardship is catching up fast. Tailored strategies, rising implementation, and tools like "handshake stewardship" are key to optimizing antibiotic use and tackling #AMR in our tiniest patients. #PedsID #Stewardship

karger.com/neo/article/...

www.idse.net/Review-Artic...
Pediatric Antimicrobial Stewardship Challenges
Antimicrobial resistance is a growing health crisis, contributing significantly to morbidity and mortality in adults and children.
www.idse.net
Reposted by Guía PRIOAM
SOT patients have been systematically excluded from most RCTs on treatment duration, leading to prolonged courses still being the standard of care in many centers, even for non-complicated infections.
(🧵1/3) #AMSky #IDsky #TxID
🆕💫Large Multicentre cohort study
Epidemiology, Treatment, and Outcomes of Gram-Negative Bacteremia in Solid Organ Transplant Recipients #IDsky
onlinelibrary.wiley.com/doi/full/10....
Reposted by Guía PRIOAM
Just 23% of patients received AMS support in transplant units.
A lot to do for stewies in this field yet!
Let’s get to work #AMSky & #TxID! 💪🏼
🆕💫Large Multicentre cohort study
Epidemiology, Treatment, and Outcomes of Gram-Negative Bacteremia in Solid Organ Transplant Recipients #IDsky
onlinelibrary.wiley.com/doi/full/10....
Reposted by Guía PRIOAM
Not all aspirations need Abx ☺️

aspiration pneumonitis resolves in 24-48h; if symptoms persist >48h, treat aspiration pneumonia with CTX

CTX covers key oral anaerobes (eg Peptostreptococcus) so extended anaerobe coverage is usually unnecessary

avoid piptaz first-line & reserve for resistant cases
two men in suits and ties are drinking water from a bottle .
ALT: two men in suits and ties are drinking water from a bottle .
media.tenor.com
Reposted by Guía PRIOAM
🎙️💊 Sensible y Resistente - Episodio 1
@micromunidad.bsky.social

¿Hasta qué punto importa la duración del tratamiento antibiótico? 🧐

open.spotify.com/episode/4yak31…

Hilo con claves y artículos 📚👇#AMSskyk#IDskyky
https://open.spotify.com/episode/4yak31…
Reposted by Guía PRIOAM
Systematic review of antibiotic durations in @jac-amr.bsky.social

n=315 RCTs

85% demonstrated equivalence or non-inferiority of shorter therapy

Only 7% in ICU, 14% in LMIC, and 15% low risk of bias

academic.oup.com/jacamr/artic...
Reposted by Guía PRIOAM
Post-discharge prescriptions should be a key focus for #AMSsky!

In her fantastic talk at #ESCMIDglobal, @valerievaughnmd.bsky.social showed how >90% of antibiotic duration excess occurs post-discharge!

The ROADhome framework can be helpful for this task 👉🏻 academic.oup.com/cid/article/... #IDSky
Reposted by Guía PRIOAM
Already listed in Antibiotic Stewards' Starterpack vol.2! 😉
#AMSsky #IDSky
Vol. 1: go.bsky.app/7KcDc2n
Vol. 2: go.bsky.app/2qsEveQ