@IDiots_pod

Now on BlueSky! https://xitter.cf/t.co/FykdlCepsQ. The UK’s Prémièrẽ Infectious Disease Podcast

 NaeDosh Royal Infirmary
idiotspodcasting.buzzsprout.com/
Joined June 2022
  • Tweets2.7K
  • Following513
  • Followers4.3K
163Media
We have moved to BlueSky. Got a question, want to get in touch? Find us there! bsky.app/profile/idiots-pod.…
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Agree, of we’re not all moving to Bluesky or Roon, we might as well ask me on here and intermittently clean our feeds to keep it all the politics/racism #IDtwitter forever!
Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟
@ABstewardOct 22
An unpopular opinion: The Bluesky experiment for the ID community has officially failed, IMHO. Remember when so many ID folks migrated? Did we build a stronger community—or just split it across platforms? #IDWeek2026 #IDXposts @BradSpellberg @PaulSaxMD @PulmCrit @IDstewardship
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I want you to know ‘tis no crime To not know that much about Lyme It's fastidious, hard to grow There will be many things you don’t know #idsky podcasts.apple.com/gb/podcas…

149. Tyme for Lyme part 1: History, Epidemiology, Clinical Syndromes

Podcast Episode · ID:IOTS - Infectious Disease Insight Of Two Specialists · 12 October · 37min

podcasts.apple.com
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So listen on with bowl o porridge Or similar breakfast, scoff up some knowledge To not listen to part 2 would be a crime Upgrade your practice: it’s Tyme for Lyme
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A 6m course of Terbinafine, including drug monitoring: ~£50. 3d inpatient stay for cellulitis (in UK): ~£2700 This gives a NNP (Number Needed to Prevent) of ~54. Maybe you don’t want to Rx everyone with onychomycosis; but if you’ve already had cellulitis? Worth it I think
Dr Goblin@DrGoblin3Oct 12
We shouldn’t be doing fungal nails on the NHS. Fight me.
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This is my best performing post in years, I’ve no idea why!
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But which is @BradSpellberg ? The Expert or the Tyrant? STUFF CAN BE TWO THINGS Anyway the evidence base is the ultimate Expert Tyrant SHORTER IS BETTER SHILL FOR THOSE PILLS etc etc
Ash Paul
@pash22Oct 11
Opinion-Based Recommendations: Beware the Tyranny of Experts academic.oup.com/ofid/articl… via @BradSpellberg et al
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Top level procrastination. Well done @PaulSaxMD Our first ‘series’ on bacteria was planned to last 2 years total, that deadline whooshed by 3 years ago.
Paul Sax@PaulSaxMDOct 10
PowerPoint deadline season in academic medicine, w/ an inbox overflowing with "friendly reminders" to submit slides and other stuff weeks before my talks! Naturally, instead of finishing those slides, I wrote this to complain about it. Free link in replies. @NEJM
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ID:IOTS podcasting / idiots-pod.bsky.social retweeted
Paul Sax@PaulSaxMDOct 10
PowerPoint deadline season in academic medicine, w/ an inbox overflowing with "friendly reminders" to submit slides and other stuff weeks before my talks! Naturally, instead of finishing those slides, I wrote this to complain about it. Free link in replies. @NEJM
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I answered this, but I answered that I’d definitely oral switch for every eventuality so I think I’ve skewed your poll a bit. Sorry @DrToddLee
Todd C. Lee@DrToddLeeOct 8
Looking for people who treat S aureus bactermia to weigh in on some questions about oral switch and what type of data is required to permanently move the needle. Please answer honestly if you treat these patients shorturl.at/ShTWQ @ABsteward pls amplify :)@DrEmilyMcD
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‘Fun’ fact (it’s not that fun): they did. Treponemal disease is native to the Americas, that’s why the non-syphilis treponemes are all in South America. Syphilis was brought back into Europe and then the rest of the old world as a result of -ahem- *contact* with American peoples
Reliona@relionwastakenOct 2
you know how native americans were utterly anhiliated by european diseases they have no immune response to? how come the europeans didnt catch native american diseases in the same way
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PROPOSAL. OutPatient Antibiotic Therapy. No COPAT. no ‘Parenteral’. Only OPAT. No difference between oral and their inferior IV counterparts. That is all.
Infected Terran, MD@Infected_TerranOct 1
Replying to @apsmunro
Oof how was that received? I don't even remember what OPAT stands for lol
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Gotta share this: In the MDT we’re discussing ABx therapy in a 93yo, enterococcus IE. Final recommendation: “Start on the therapy most associated with good outcomes (Linezolid in this case): when side effects limit use, StepDOWN to the less effective IV option(Dalbavancin)”
Snacks, PharmD, MPH@zacroBIDAug 12
Replying to @TheLancet
Stop using step down! 📢📢
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Yeah great why not use AI to design new viruses WHAT COULD POSSIBLY GO WRONG??!! Artificial Intelligence used to design brand new viruses bbc.co.uk/news/articles/c5y3…

Artificial Intelligence used to design brand new viruses

Scientists made 16 successful viruses that had their genetic code designed by artificial intelligence.

bbc.co.uk
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Well, it only took ‘em 2 years to get past Reviewer 2, but they did it & as we say in Scotland, ‘it’s Oot’! @snap_trial paper 1, available now. Congrats 2 @DrToddLee, Steve Tong, Josh Davis & the rest. First dram of this bottle is in your honour! Slàinte!! #IDxPosts #SNAP
Todd C. Lee@DrToddLeeJun 17
Today in @NEJM we show that cefazolin should be the preferred agent for MSSA bacteremia nejm.org/doi/full/10.1056/NE… We also show in @TheLancet that penicillin should be preferred to anti-staphyloccal penicilins for PSSA thelancet.com/journals/lance… @snap_trial @RIMUHC1

Cefazolin for Methicillin-Susceptible Staphylococcus aureus Bacteremia | NEJM

Staphylococcus aureus bacteremia is associated with high mortality. Whether cefazolin or an antistaphylococcal penicillin should be preferred for the treatment of methicillin-susceptible S. aureus ...

nejm.org
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Addled by Ambisome? Not sure about Nystatin Never heard of Natamycin? Worry not; Jame and Alyssa are here to clear it all up Details here: podcasts.apple.com/gb/podcas… #idxposts #micro #infection #podcast

139. Polyenes

Podcast Episode · ID:IOTS - Infectious Disease Insight Of Two Specialists · 26 May · 22min

podcasts.apple.com
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Not often that #IDXposts traces me something I had no idea about but this was really a revelation: Quinolone cross-reactivity traditionally low. Thanks @KASIC_MDRO ! Still hate quinolones though
KASIC.MDRO@KASIC_MDROMay 7
A 44-year-old female is on day 3 pip-tazo for a complicated UTI. Her urine culture grows P. aeruginosa and she is ready to go home. She has a history of rash to ciprofloxacin. Can she be discharged on levofloxacin?
78%Yes
22%No
69 votes • Final results
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I’m doing a thing. It’s on antibiotic use in Hospital @ Home in the UK. but will apply in other countries. MOUTH BEFORE VEIN that’ll make sense of you attend the lecture SEE YOU THERE
Sophie McGlen@SophieMcGlenMay 5
Super excited to be chairing this session delivered by Jame MCcrae. Not only does he k ow his stuff about delivering antibiotics In a #hospitalathe setting he has a great podcast @IDiots_pod which is an essential listen!
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ID:IOTS podcasting / idiots-pod.bsky.social retweeted
UK Hospital at Home Society@UKHaHSocMay 5
📢 #NewWebinar #HospitalAtHome “Death to Cef: How to use antibiotics in hospital @ home without causing an antibiotic apocalypse” Tue 19 May at 13:00 (GMT) Chaired by: Sophie Glen Speakers: Dr Jame McCrae Open to all 👉 Joining details: buff.ly/WhfjAH3 #MemberBenefit
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Wish there was a video link for this, it looks amazing!
MAD-ID The Antimicrobial Stewardship Meeting®️@MAD_ID_ASPApr 30
Does that drug even get there? Find out at Plenary Session 9 of the MAD-ID & SIDP 2026 Annual Meeting! Join us in Orlando, May 14–17. Register in the link in our bio!
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ID:IOTS podcasting / idiots-pod.bsky.social retweeted
Pharmageddon: Bugs vs Drugs@PharmageddonGMay 1
Wish Empiric the card game and Sanford the antibiotic guide had a baby? Well they finally did! Check out the new & improved Empiric! Easy to learn & fast to play. I actually really like how you can create your own mini-Sanford by fanning out individual cards. ☺️
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