SHORTEN-2 trial
@shorten2trial.bsky.social
800 followers 1.1K following 22 posts
RCT 7 vs 14 days of treatment for P. aeruginosa BSI. Updated trial progress and #FOAMed on P. aeruginosa. #AMSSky #IDSky #PsWatch Powered by @guiaprioam.bsky.social 📚 Full protocol: https://shorturl.at/xN0wj 🌐 https://clinicaltrials.gov/study/NCT05210439
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Our @shorten2trial.bsky.social aims to confirm that 7-day treatments are superior to 14-day courses for uncomplicated P. aeruginosa BSI.
Check out our full protocol 👉🏻 journals.plos.org/plosone/arti...
#AMSsky #IDSky
Reposted by SHORTEN-2 trial
Fantastic - this will be an impactful study on treatment duration of blood stream Pseudomonas infection.

Our centre already mostly does 7 days (and my prediction is that this will be non-inferior) but it's RCT like these that will shift dial across the board with persuasive evidence.

#IDSky #AMR
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
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
This metaanalysis of observational studies in SOT suggests that non-complicated graft infections could be treated 7d, and yet transplant patients have been excluded from most RCT on duration.

Time for a #ShorterIsBetter RCT in #TxID!

kwnsfk27.r.eu-west-1.awstrack.me/L0/https:%2F... #IDsky #AMSsky
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Check out this cool collaboration with @hernando-amado.bsky.social, just out in @natcomms.nature.com!
We show that ciprofloxacin resistance rapidly declines in clinical P. aeruginosa strains under drug-free conditions, suggesting that ciprofloxacin restriction periods could help in clinics 🦠🧫
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
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Sociodemographic features have a strong influence on antibiotic use, and yet antimicrobial stewardship trials showed the lowest reporting rates of these data among RCTs in this systematic review.

Fantastic work @seanong.bsky.social! An important heads-up for #AMSsky #IDsky researchers 💪🏼
Our new paper in @cmijournal.bsky.social, a systematic review where we evaluated reporting of baseline sociodemographic characteristics across 1343 ID clinical trials over a 10-year period. A 🧵:

@steventong.bsky.social #IDSky

doi.org/10.1016/j.cm...
Redirecting
doi.org
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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
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Calling all statisticians: we need your help. We'll soon be running an RCT comparing ceftazidime + iv fosfomycin to ceftaz alone in septic patients. Our hospital's stats unit is small & overworked. If you're available to freelance, we have a budget for this! #IDSky #Clinmicro #EpiSky #MedSky (1/2)
In SHORTEN-2, immunocompromised hosts were not excluded if early clinical response and no unresolved source issues exist at randomization.
We hope to generate actionable data to guide the management of Pseudomonas BSI also in this population! 💪🏼
(🧵3/3) #AMSky #IDsky #TxID #IDOnc #ShorterIsBetter
We have evidence from several observational studies that show how, if adequately selected, uncomplicated infections may be safely treated with shorter courses, even in severely immunocompromised hosts like SOT or neutropenic patients.
(🧵2/3) #AMSky #IDsky #TxID #IDOnc

bsky.app/profile/jose...
#ShorterIsBetter in immunocompromised hosts?
Short treatments are feasible in early responders without source control issues.

A significant number of observational studies serve as proof-of-concept on the feasibility of short courses in selected patients (see ⚠️)

#AMSsky #IDOnc #TxID #IDsky
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 SHORTEN-2 trial
2025 Update of SPIRIT guidelines for RCT protocols: www.thelancet.com/action/showP... #IDSky #Medsky
Reposted by SHORTEN-2 trial
To change or not to change?

The necessity of replacing a catheter during a CAUTI remains a subject of ongoing debate. Please fill in this survey to help us assess potential global practice variation in catheter management!

Completion only takes <2 minutes: forms.office.com/e/MRCMwUb2UK
Reposted by SHORTEN-2 trial
6/ Además, hablamos de SHORTEN2, un estudio que dará mucho que hablar próximamente. 🔜📊

t.co/5whVazbnTo
https://pmc.ncbi.nlm.nih.gov/articles/PMC9778939/
t.co
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🎙️💊 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 SHORTEN-2 trial
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 SHORTEN-2 trial
Haven't posted about SNAP for a while:

But we've just hit 4000 participants. Almost at 3 years since opening.

And submitting two late breaker oral abstracts to ESCMID Global. @escmid.bsky.social

Amazing progress and more to come.

@gurujosh.bsky.social @drtoddlee.bsky.social
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Shorter is greener! 🍃♻️

Unnecessary antibiotics contribute to greenhouse gas emmissions. Want to know how much? 👉🏻 shorturl.at/52wOT

Fantastic point! #IDSky #AMSsky
Reposted by SHORTEN-2 trial
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
Reposted by SHORTEN-2 trial