Antimicrobial Stewardship, Pediatric Infectious Disease Pharmacist at Stanford Children’s Hospital. My views are my own.
Mountain View, CA
Joined March 2021
- Tweets105
- Following138
- Followers112
- Likes981
Lauren Puckett retweeted
Join Dr. @LPthePharmD & team @StanfordPedsASP today at 315pm as they share their findings on ASP review at hospital discharge as a key initiative for promoting optimized therapy
Lauren Puckett retweeted
📣Excited to see this in @ASHE_Journal! No difference in patient outcomes using PO Amox or Cephalexin 1g TID compared to FQ & TMP/SMX for definitive bacteremia treatment from urinary source.
Congrats @geyer_abby & team @DrJaymoGR @THGRPharmRes
Thank you @ABsteward for posting!
🆕️⚡️🔥Retrospective, multicenter, observational cohort
High-dose oral beta-lactams were as safe and effective as oral FQ or TMP/SMX for the treatment of bacteremia from a urinary source. Most patients received 8–10 days of therapy in both groups
cambridge.org/core/journals/…
Lauren Puckett retweeted
With the latest CLSI breakpoints, tobramycin is the only reliable aminoglycoside for Pseudomonas if you ever need one (Susceptible: MIC ≤1)
Amikacin: can still be used for UTI (Susceptible: MIC ≤ 16)
Gentamicin: RIP ☠️
Lauren Puckett retweeted
New in @CIDJournal:
"approximately 40% of patients undergoing a major elective surgery did not receive guideline-adherent antimicrobial prophylaxis, largely due to unnecessary use of vancomycin..."
Any ideas to⬆️guideline adherence? #IDTwitter #TwitteRx
academic.oup.com/cid/advance…
Lauren Puckett retweeted
From @bpwhite et al: A pharmacist managed OPAT program showed decreased 30 day readmissions for patients on vancomycin as compared to patients not followed by the service.
bit.ly/3X9xWeZ
Lauren Puckett retweeted
🔥APPIC study🔥
2 days of IV antibiotics for pts with complex appendicitis post laparoscopic appendicectomy is non-inferior to 5 days in terms of infectious complications & mortality within 90d, based on a non-inferiority margin of 7·5%
#shorterisbetter
thelancet.com/journals/lance…
Lauren Puckett retweeted
We are recruiting for a pediatric ASP pharmacy fellow. Info: pharmacy.uconn.edu/admission… Apply: jobs.hr.uconn.edu/en-us/job/…
Lauren Puckett retweeted
Wow, can these vaccines look any more similar? @ismp_org What a difference a word makes! @pfizer
Lauren Puckett retweeted
First official time I got to teach “HECK Yes.” 🙌🏻 @OncIDPharmd just had to make an appearance…😂
Lauren Puckett retweeted
Today, we revised the EUA for Paxlovid (nirmatrelvir and ritonavir), to authorize state-licensed pharmacists to prescribe Paxlovid to eligible patients, with certain limitations to ensure appropriate patient assessment and prescribing of Paxlovid. fda.gov/news-events/press-an…
Lauren Puckett retweeted
I used to drink tons of Diet Coke but it’s been one month since I’ve had a drop.
I want to share some of the changes I’ve observed in myself over that time:
- My health is unchanged
- I’m less happy
- My one source of joy is gone
Thanks for encouraging me on this journey!
Lauren Puckett retweeted
Had a string of these VanC guys back in the wintertime and made a lil cheat sheet for my teams 😌 Vanco more like vancNO 🙅🏻♀️
#IDTwitter #MicroRounds #MedTwitter
Another episode of @wfwrighID resistance rounds.
You get a call from micro w/ +BCx: ENTC casseliflavus. The team plans to start empiric ABX. Which ABX is this isolate intrinsically R to? What’s the other ENTC species that intrinsically R?
Lauren Puckett retweeted
🚨 Our very own 🔥 @LexRX 🔥won the @MnMshp PGY-2 Resident Research Award 🏆 for her preliminary results on the impact of the @sanfordguide Stewardship Assist mobile app at @AllinaHealth! 🥳👏🙌 #proudmom #IDTwitter #TwitteRx @SIDPharm
Lauren Puckett retweeted
Updated Shorter Is Better Tables, thanks to @ABsteward for finding the new RCT of 6 mo all oral Tx for MDR TB, non inferior to > 9 months with an injectable regimen!
bradspellberg.com/shorter-is…
Lauren Puckett retweeted
Super interesting💥
🆕💥Case report @CIDJournal @IDSAInfo
Emergence of dalbavancin, vancomycin, and daptomycin non-susceptible Staphylococcus aureus in a patient treated with dalbavancin #IDTwitter #MedEd #TwitteRx
Wow first time ever to use @CIDJournal academic.oup.com/cid/advance…
Lauren Puckett retweeted
Updated Shorter Is Better tables with new RCT for pediatric CAP. There are now 15 RCTs for CAP having randomized almost 9,000 patients, both kids and adults. It really feels almost like we're just piling on to run up the score at this point!
bradspellberg.com/shorter-is…
Lauren Puckett retweeted
Here’s the Evusheld data - risk of symptomatic disease went from 1% to 0.2%. Excellent safety profile. Intramuscular AZD7442 (Tixagevimab–Cilgavimab) for Prevention of Covid-19 | NEJM nejm.org/doi/full/10.1056/NE…
Lauren Puckett retweeted
What works?
Behavioral interventions work.
Great work here from @jeffreylinder and colleagues with the power of the nudge, and showing how powerful peer comparison can be.
Lauren Puckett retweeted
Updated Shorter Is Better tables with the 2 new RCTs @ABsteward found! 1 new post op prophylaxis, shorter was better. 1 new exception, chronic pulmonary aspergillosis (very long was inferior to very very long).
bradspellberg.com/shorter-is…
