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Sara DiTursi

@saraditursi

πŸ’Š 🦠 ID / HCV pharmacist πŸ₯ community hospital 🏈 bills mafia 🦬 Buffalo, NY #IDSky #RxSky #MedSky

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11.11.2024
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Latest posts by Sara DiTursi @saraditursi

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Microbiota-Based Therapies Show Superior Outcomes for Recurrent C difficile Infection Systematic review finds FMT and standardized microbiome products outperform antibiotics in efficacy and safety.

Systematic review of 1,030 patients: FMT cured 70–91% of recurrent C. difficile cases vs 23–62% with antibiotics; microbiome products cut recurrence risk by up to 68% with favorable safety. #IDsky #MEDsky

Read more: www.contagionlive.com/view/microbi...

25.08.2025 17:24 πŸ‘ 2 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
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Estimation of Over 73,000 Children Born With Hepatitis C Annually Global modeling identifies vertical transmission burden and underscores need for maternal screening policies.

New global research estimates over 73,000 children are born each year with hepatitis C, with more than 23,000 still infected by age five. Most are never diagnosed. #IDsky #MEDsky

Read more: www.contagionlive.com/view/study-e...

28.07.2025 18:01 πŸ‘ 0 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
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🧡 Dengue is no longer just a tropical disease - it's showing up in Europe.

This season, France, Italy, and Portugal (Madeira) have already reported locally acquired dengue cases.

Check the latest #CDTR on #dengue here: bit.ly/3TQpDVu

#IdSky #EpiSky #MosquitoBorne #Prevention #PublicHealth

21.07.2025 14:33 πŸ‘ 71 πŸ” 48 πŸ’¬ 2 πŸ“Œ 6
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Measles cases surge to record high since disease was declared eliminated in the US | CNN There have been more measles cases in the US this year than any other since the disease was declared eliminated a quarter-century ago.

Falling childhood vaccine coverage and a large outbreak that was kindled in an undervaccinated pocket of West Texas have driven the US to a troubling milestone: There have been more measles cases in the US this year than any other since the the disease was declared eliminated a quarter-century ago

05.07.2025 16:16 πŸ‘ 882 πŸ” 434 πŸ’¬ 114 πŸ“Œ 57

🌟 ABX Pearl of the Day: ertapenem hypoalbuminemia

❓ Q: My ICU patient with hypoalbuminemia has ESBL E. coli pyelonephritis, resistant to PO abx. He improved (afeb, WBC WNL, off pressors) after 3d of meropenem. Should I avoid narrowing to ertapenem?

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky

02.07.2025 15:23 πŸ‘ 19 πŸ” 3 πŸ’¬ 3 πŸ“Œ 1
Simplified and integrated HCV testing and treatment algorithm for unhoused people who inject drugs Hepatitis C virus (HCV) infection disproportionately affects people who inject drugs (PWID), particularly people experiencing homelessness, who face significant barriers to testing and treatment. Simplified testing and treatment algorithms, including the use of mobile medical units (MMUs), may improve access to care for this population. This study evaluated the effectiveness of a simplified HCV testing and treatment algorithm with integrated care delivered via MMU to unhoused PWID in an urban US setting.MethodsThis pragmatic, randomized controlled trial compared a simplified MMU care model with usual care among 201 PWID who tested positive for HCV antibodies. Patients were randomized into simplified MMU or usual care. The primary outcome was treatment initiation within six months. Secondary outcomes included treatment completion, sustained virologic response (SVR12), and initiation of medication-assisted treatment (MAT) for opioid use disorder.ResultsOf 98 patients with confirmed HCV RNA, 33% in the MMU group initiated treatment compared to 24% in the usual care group (P = 0.4). Treatment completion and SVR12 rates were higher in the usual care group (16% vs. 10% and 12% vs. 4%, respectively), but differences were not statistically significant. MMUs facilitated faster treatment initiation but encountered challenges with patient retention and follow-up.ConclusionsWhile the MMU model demonstrated potential for improving rapid access to HCV treatment, overall treatment initiation, retention, and cure rates remained low. A critical need remains to develop approaches that more closely approximate a test and treat model to increase treatment initiation and completion and achieve elimination in unhoused PWID.

In a study of 201 PWID, 33% in the MMU group initiated HCV treatment vs. 24% in usual care. Treatment completion: 16% (usual) vs. 10% (MMU); SVR12: 12% (usual) vs. 4% (MMU). Low retention noted.

#idsky

23.05.2025 00:30 πŸ‘ 1 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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Happy ID Pharmacists day πŸ₯³πŸ₯³β€ΌοΈThis year's theme is Β "Innovation in ID: Pharmacists Leading the Way." Β Please join the discussion on Bluesky with SIDP between 12-1 PM EST today πŸ¦ πŸ§«πŸ’Š#IDPharmacistsDay, #SIDPAdvocacy, #FutureOfIDPharmacy, #PharmacistsLeadingChange, #IDXposts

22.05.2025 11:01 πŸ‘ 3 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
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πŸ“… Today is #IDPharmacistsDay! 🦠 This day recognizes the importance of ID pharmacists and the contributions they make to patient care. Thank you for all you do! πŸ‘ @sidpharm.bsky.social

sidp.org/IDPharmacist...

#SIDPAdvocacy, #FutureOfIDPharmacy, #PharmacistsLeadingChange

22.05.2025 13:02 πŸ‘ 22 πŸ” 10 πŸ’¬ 0 πŸ“Œ 1
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ID Pharmacists play an essential role in health systems. This #IDPharmacistsDay, learn five ways that pharmacists are being #AntibioticsAware via SIDP.

For more sharable resources, visit buff.ly/EbkVlbS.

22.05.2025 15:23 πŸ‘ 11 πŸ” 4 πŸ’¬ 1 πŸ“Œ 1

πŸ’‘ A: In stable FN patients with persistent fever of unknown origin, current NCCN and ECIL guidelines do not recommend changing empiric coverage for Gram-negative bacteria.

⏳ Time to defervescence may last 2-7 days (median of 5 days) for patients on appropriate initial antibiotic therapy. (3)

20.05.2025 16:37 πŸ‘ 2 πŸ” 2 πŸ’¬ 1 πŸ“Œ 0
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Nothing is better than seeing this study published just in time for ID Pharmacists Day! πŸ₯³ #IDSky

19.05.2025 23:45 πŸ‘ 22 πŸ” 4 πŸ’¬ 0 πŸ“Œ 0

#brucella #PEP 2 effective abx should be given: Doxycycline 100mg bid + Rifampin 600mg daily x 3 wks
-If cant use either doxy or rif: use tmp-smx
-Weekly sx check through 24 weeks post exposure
-serology at 0,6,12,18,24 weeks #idsky

20.05.2025 00:30 πŸ‘ 2 πŸ” 3 πŸ’¬ 1 πŸ“Œ 0
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To kick off a new series ID/AMS Reading Lists series, SIDP is here to help you "Hit 'Em with Your Best Nudge"! Check out this noticeable (and unnoticed) nudge comments in AMS! #IDSky #rxsky #pharmsky #AMSsky #medsky #SIDP #EvidenceBasedMedicine #IDPharmacy #Microbiology #Nudge #NudgeComments

20.05.2025 12:10 πŸ‘ 20 πŸ” 8 πŸ’¬ 0 πŸ“Œ 0

Check out our article!

17.05.2025 00:02 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

For herd immunity against measles, 92-95% of the population must be vaccinated.

As a live vaccine MMR can’t be given to pts who are immune suppressed (including pts receiving chemo/radiation or immunosuppression)

And it’s not effective in newborns.

So if you CAN get it, we REALLY need you to.

18.04.2025 19:05 πŸ‘ 521 πŸ” 162 πŸ’¬ 18 πŸ“Œ 16
Four Leading Science Organizations File Amicus Brief Supporting Funding Restoration ASM joined leading life science organizations in an amicus brief filed in support of a suit calling for immediate funding restoration.

Together with leading science organizations, ASM filed an amicus brief calling for immediate restoration of NIH grants supporting early-career scientists. Read the press release: asm.org/press-releas...

02.05.2025 20:41 πŸ‘ 148 πŸ” 57 πŸ’¬ 2 πŸ“Œ 2
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We’ve Got the Cure for Hepatitis C: Most Kids Never Get It Many children with hepatitis C do not receive treatment.

β€œFewer than 1 in 3 children with hepatitis C (HCV) see a clinician for care, and fewer than 1 in 8 receive treatment.”

www.medscape.com/viewarticle/...
#idsky #medsky

03.05.2025 17:41 πŸ‘ 0 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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Looking to level up your ID & HIV knowledge? πŸ“šπŸ€“
We've got you covered! Join us for this month's ACCP ID PRN Journal Club where we will discuss optimal mgmt for invasive Candida infections & DoxyPEP!

Happening on Fri May 9th at 12pm CT via Zoom. Check your πŸ“§ for login details! #IDSky

02.05.2025 19:43 πŸ‘ 3 πŸ” 2 πŸ’¬ 0 πŸ“Œ 2
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πŸ™β€β™€οΈ w/Staph aureus BSI have high rates of mortality & metastatic infx (Think ❀️,🫁,🦴, & πŸ”©!). Huge shout out to these authors for succinctly summarizing A LOT of complex data! Truly a huge πŸ‹οΈβ€β™‚οΈ

πŸ‘€ Figure 2 & Table 2

doi.org/10.1001/jama.2025.4288

#IDSky #rxsky #pharmsky #AMSsky #medsky #SIDP

26.04.2025 19:39 πŸ‘ 16 πŸ” 8 πŸ’¬ 0 πŸ“Œ 0
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New commentary in ICHE:

Infection prevention and control for measles in healthcare settings

Authors provide methods to ⏫ identification of measles cases, facilitate appropriate isolation, ⏬ exposures, & provide timely post-exposure prophylaxis

#IDSky

πŸ“„: www.cambridge.org/core/journal...

10.04.2025 13:45 πŸ‘ 4 πŸ” 4 πŸ’¬ 0 πŸ“Œ 1

Wow! 😱

05.04.2025 00:46 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
algorithm for post-hep c treatment follow up from the IDSA/AASLD guidelines att hcvguidelines.org

algorithm for post-hep c treatment follow up from the IDSA/AASLD guidelines att hcvguidelines.org

i know everything is awful and we may not even have access to these meds soon, but IDSA/AASLD have adopted an SVR4 for HCV tx!!
have been hoping for this for a while; will be SO much more likely to capture cures for my unhoused pts!!
#MedSky
#IDSky
#HCV

04.04.2025 13:59 πŸ‘ 1 πŸ” 1 πŸ’¬ 0 πŸ“Œ 1
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β€œGolden Hour” to Start Antibiotic in Suspected Sepsis Patients with suspected sepsis in the emergency department are twice as likely to survive at 28 days when antibiotics are started within 1 hour.

Patients with suspected sepsis in the emergency department are twice as likely to survive at 28 days when antibiotics are started within 1 hour. #IDsky #Medsky

04.04.2025 15:54 πŸ‘ 1 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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Providers' Perspectives on Implementation of Low-Threshold HCV Treatment in New York State: A Qualitative Study Global study data show injection drug use is driving upwards of 79% of all new HCV cases in high-income countries. Low-threshold models can engage vulnerable populations in treatment to achieve HCV elimination targets.

Providers' Perspectives on Implementation of Low-Threshold HCV Treatment in New York State: A Qualitative Study

βœ… Just Accepted
#IDSky

04.04.2025 21:11 πŸ‘ 1 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0

Check out this article we wrote!

02.04.2025 12:06 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
A visual representation of the uncertain treatment duration for patients with bloodstream infection

A visual representation of the uncertain treatment duration for patients with bloodstream infection

In patients with bloodstream infection, early, appropriate antibiotic therapy is important, but the duration of treatment is uncertain. Research findings on treatment duration in hospitalized patients are summarized in a new Quick Take video. youtu.be/V68RQ6XwiKQ

#MedSky #PulmSky #IDSky

22.03.2025 19:58 πŸ‘ 17 πŸ” 3 πŸ’¬ 0 πŸ“Œ 1
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Public Comment: Complicated Urinary Tract Infections Published , 2/19/2025

Big news #IDSky! The @idsainfo.bsky.social opened a public comment period for the upcoming 2025 Updated #cUTI guidelines. The IDSA wants feedback from #HCPs and non-HCPs.

Public comment will end on Mar 19, 2025 at 5pm so check it out here: buff.ly/TqCJnz5

#pharmsky #rxsky #medsky #AMSsky #ICUsky

06.03.2025 03:16 πŸ‘ 18 πŸ” 6 πŸ’¬ 2 πŸ“Œ 0

THIS IS INCREDIBLE! Cohen Children’s Medical Center has confirmed that it has successfully ELIMINATED sickle cell disease from Sebastien Beauzile, using the groundbreaking genetic treatment Lyfgenia. He has made HISTORY by becoming the FIRST in New York to be CURED of sickle cell anemia! πŸ§ͺπŸ§΅β¬‡οΈ

15.03.2025 16:00 πŸ‘ 8047 πŸ” 2388 πŸ’¬ 182 πŸ“Œ 181
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The World’s Deadliest Infectious Disease Is About to Get Worse By retracting foreign aid, President Trump could make tuberculosis untreatable again.

The sudden U.S. cuts left no time for other nations to react, creating an immediate crisis. TB programs are now at risk of collapse, threatening decades of progress. Drug resistance will surge, endangering millions. Urgent action is needed. #TB #GlobalHealth #AMR
www.theatlantic.com/health/archi...

15.03.2025 21:43 πŸ‘ 133 πŸ” 71 πŸ’¬ 2 πŸ“Œ 8

Wow!! 🀩

10.03.2025 00:09 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0