#ASPChat Transcript

Healthcare social media transcript of the #ASPChat hashtag.
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See #ASPChat Influencers/Analytics.

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Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
RT @ASP_Chat: Q1. What are some 🍎🍊🍐 low-hanging fruit opportunities that come to mind for pediatric stewardship? #ASPchat https://t.co/9f0YUYyLtO
Jamie Kisgen @KisgenUF
RT @ASP_Chat: πŸ‘‹ Welcome to the #ASPchat on antimicrobial stewardship and pediatrics! Starting now!!! https://t.co/lNgq4X22Em
Brad Langford @BRxAD
RT @ASP_Chat: Q1. What are some 🍎🍊🍐 low-hanging fruit opportunities that come to mind for pediatric stewardship? #ASPchat https://t.co/9f0YUYyLtO
Brad Langford @BRxAD
@ASP_Chat As in adults, respiratory tract infections in outpatient children is an important target for stewardship. There is wide variability in #antibiotic prescribing for these patients, even after accounting for patient, physician and regional factors #ASPChat https://t.co/TQYokUW9E7
Jamie Kisgen @KisgenUF
A1. One of the most impactful interventions to decrease antibiotic use in pediatric patients is support routine vaccinations. Need to address mis-information on vaccines early and often. #ASPchat
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
@ASP_Chat A1. Dosing charts for mg/kg reference would seem useful... Local criteria for use or disease state-specific guidelines... Basic restrictions for infrequently used drugs also perhaps? #ASPchat
Tracy Zembles @TracyZembles
@ASP_Chat Many of the same as in adults - IV to PO, guideline development, optimizing dosing. Vaccines important, too. #aspchat
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
RT @KisgenUF: A1. One of the most impactful interventions to decrease antibiotic use in pediatric patients is support routine vaccinations. Need to address mis-information on vaccines early and often. #ASPchat
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
RT @BRxAD: @ASP_Chat As in adults, respiratory tract infections in outpatient children is an important target for stewardship. There is wide variability in #antibiotic prescribing for these patients, even after accounting for patient, physician and regional factors #ASPChat https://t.co/TQYokUW9E7
Jamie Kisgen @KisgenUF
@ASP_Chat A1. For inpatients, make sure you stock appropriate antibiotics and formulations to meet your local population. Build order sets that make it easier to provide appropriate dosing based on age, weight, and indication. #ASPchat
Tracy Zembles @TracyZembles
@IDstewardship @ASP_Chat yes but also including the usual max dose. i've seen providers dose mg/kg for a 15 yo 80 kg football player and then the dose is too high when using mg/kg #aspchat
Brad Langford @BRxAD
@ASP_Chat OK.. maybe this is "high-hanging fruit"... but they are BIG fruit πŸ‰#ASPChat
Chris Bland @blandman19
RT @ASP_Chat: πŸ‘‹ Welcome to the #ASPchat on antimicrobial stewardship and pediatrics! Starting now!!! https://t.co/lNgq4X22Em
#ASPchat @ASP_Chat
Q2. For people not practicing in pediatrics, πŸ€·β€β™‚οΈ what do you wish you knew more about pediatric abx stewardship? For people who do practice in pediatrics, πŸ€” what do you wish other people knew more about pediatric abx stewardship? #ASPchat https://t.co/jsOvvScDam
Tracy Zembles @TracyZembles
@ASP_Chat https://t.co/tZaPdy7cpZ evaluating penicillin allergies #aspchat
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
RT @ASP_Chat: Q2. For people not practicing in pediatrics, πŸ€·β€β™‚οΈ what do you wish you knew more about pediatric abx stewardship? For people who do practice in pediatrics, πŸ€” what do you wish other people knew more about pediatric abx stewardship? #ASPchat https://t.co/jsOvvScDam
Antibiotic Steward Bassam Ghanem πŸ…±οΈCπŸ†”πŸ…ΏοΈπŸŒŸ @ABsteward
RT @ASP_Chat: Q2. For people not practicing in pediatrics, πŸ€·β€β™‚οΈ what do you wish you knew more about pediatric abx stewardship? For people who do practice in pediatrics, πŸ€” what do you wish other people knew more about pediatric abx stewardship? #ASPchat https://t.co/jsOvvScDam
Brad Langford @BRxAD
@ASP_Chat As an adult ID/ASP person - there's a lot I don't know about pediatric ASP. I'd like to learn more about differences in PK/PD and dosing regimens for antibiotics in children. #ASPChat
Tracy Zembles @TracyZembles
@ASP_Chat kids are not little adults :) many factors change with age, including renal function, liver function, etc. in pediatrics, need to be able to dose 500 gram premature babies as well as the 15 yo football player #aspchat
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
@ASP_Chat A2. I wish I knew more about strategies to ⏬ reduce micafungin or meropenem use in pediatrics. I know about it in adults, but know too there are pediatric nuances unknown to me. #ASPchat
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
RT @TracyZembles: @ASP_Chat kids are not little adults :) many factors change with age, including renal function, liver function, etc. in pediatrics, need to be able to dose 500 gram premature babies as well as the 15 yo football player #aspchat
Jamie Kisgen @KisgenUF
@BRxAD @ASP_Chat Couldn’t agree more. We need more data on optimizing PK for MDR infections as they become more common. Is there a role for TDM in this population? πŸ€” #ASPchat
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
@KatTPharmD @ASP_Chat ⭐️ Great point here. β€œPediatrics” is a general term. Need to respect the clinical differences from πŸ‘Ά premies to πŸ§‘ adolescents if we want to do great #abxstewardship. #ASPchat
Tracy Zembles @TracyZembles
@IDstewardship @ASP_Chat many of the same issues & concerns exist, just less data to prove your point. working with local champions is key. get buy in for dosing guidelines and treatment algorithms to escalate & de-escalate antibiotics. #aspchat
Brad Langford @BRxAD
@KatTPharmD @ASP_Chat #ASPchat ☝️
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
@peds_id_doc I feel pediatrics is like oncology: a place to check things 3-4 times for extra reassurance (and for peace of mind when it’s time to go to bed at night!) #ASPchat
Brad Langford @BRxAD
Lots of great info being shared! Don't forget to use #aspchat hashtag in your tweets so they don't get missed πŸ˜€
Tracy Zembles @TracyZembles
@IDstewardship @peds_id_doc yes - having dosing charts to check is handy :) #aspchat
#ASPchat @ASP_Chat
Q3. What are areas of βœ…βœ… common ground or βŒβœ… difference areas when comparing abx stewardship in adults versus pediatrics? #ASPchat ...besides PK/PD πŸ˜‰ https://t.co/ta3eB5JnMZ
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
RT @ASP_Chat: Q3. What are areas of βœ…βœ… common ground or βŒβœ… difference areas when comparing abx stewardship in adults versus pediatrics? #ASPchat ...besides PK/PD πŸ˜‰ https://t.co/ta3eB5JnMZ
TeohCYun @TeohCYun1
RT @ASP_Chat: Q1. What are some 🍎🍊🍐 low-hanging fruit opportunities that come to mind for pediatric stewardship? #ASPchat https://t.co/9f0YUYyLtO
Jamie Kisgen @KisgenUF
A3. Diagnostic stewardship is challenging in both adults and peds. Stewardship programs need to partner with lab and pediatric clinicians to ensure the right test is available and ordered for the right patient. #ASPchat @RodneyRohde
Brad Langford @BRxAD
@peds_id_doc One area of common ground b/w adult and peds ASP is the types of strategies that seem to be effective. Handshake stewardship or high-intensity prospective audit and feedback are prudent approaches in both populations. #ASPChat 1. https://t.co/mZBJtDyiqA 2. https://t.co/kI2MCWIlhb
Antibiotic Steward Bassam Ghanem πŸ…±οΈCπŸ†”πŸ…ΏοΈπŸŒŸ @ABsteward
RT @ASP_Chat: Q3. What are areas of βœ…βœ… common ground or βŒβœ… difference areas when comparing abx stewardship in adults versus pediatrics? #ASPchat ...besides PK/PD πŸ˜‰ https://t.co/ta3eB5JnMZ
Tracy Zembles @TracyZembles
@ASP_Chat @accpinfdprn @SIDPharm @RodneyRohde @Dr_Mike_Stevens @ClareRock1 @JasonPBurnhamMD @PIDSociety @AlastairMcA30 @EMpharmgirl @ErinMcCreary Lot's of movement towards shorter durations of therapy in adults. This data doesn't exist yet for pediatrics. #aspchat
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
@ASP_Chat @accpinfdprn @SIDPharm @RodneyRohde @Dr_Mike_Stevens @ClareRock1 @JasonPBurnhamMD @PIDSociety @AlastairMcA30 @EMpharmgirl @ErinMcCreary A3. Seems like metrics can be a good area for common ground for adult and peds ASP... 😐DDD, 😁DOT, πŸ™ˆexpenditures, πŸ€“microbiology data. #ASPchat
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
RT @TracyZembles: @ASP_Chat @accpinfdprn @SIDPharm @RodneyRohde @Dr_Mike_Stevens @ClareRock1 @JasonPBurnhamMD @PIDSociety @AlastairMcA30 @EMpharmgirl @ErinMcCreary Lot's of movement towards shorter durations of therapy in adults. This data doesn't exist yet for pediatrics. #aspchat
Nathaly Brito @dranathalybm
RT @ASP_Chat: Q3. What are areas of βœ…βœ… common ground or βŒβœ… difference areas when comparing abx stewardship in adults versus pediatrics? #ASPchat ...besides PK/PD πŸ˜‰ https://t.co/ta3eB5JnMZ
Tracy Zembles @TracyZembles
@ASP_Chat @accpinfdprn @SIDPharm @RodneyRohde @Dr_Mike_Stevens @ClareRock1 @JasonPBurnhamMD @PIDSociety @AlastairMcA30 @EMpharmgirl @ErinMcCreary although worsening over time, resistance isn't as much of an issue in pediatrics, especially the very young patients or those who haven't had exposure to the health system yet #aspchat
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
@peds_id_doc How does triple checking your work lead to just in case abx? Sorry not following πŸ€·β€β™‚οΈ #ASPchat
Tracy Zembles @TracyZembles
@ASP_Chat @accpinfdprn @SIDPharm @RodneyRohde @Dr_Mike_Stevens @ClareRock1 @JasonPBurnhamMD @PIDSociety @AlastairMcA30 @EMpharmgirl @ErinMcCreary one similarity is that we hate vancomycin, too :) #aspchat
Jamie Kisgen @KisgenUF
@ASP_Chat @accpinfdprn @SIDPharm @RodneyRohde @Dr_Mike_Stevens @ClareRock1 @JasonPBurnhamMD @PIDSociety @AlastairMcA30 @EMpharmgirl @ErinMcCreary A3. One big difference, ampicillin and gentamicin are never used β€œempirically” as first line for adults. #ASPchat
Tracy Zembles @TracyZembles
@KatTPharmD @ASP_Chat @accpinfdprn @SIDPharm @RodneyRohde @Dr_Mike_Stevens @ClareRock1 @JasonPBurnhamMD @PIDSociety @AlastairMcA30 @EMpharmgirl @ErinMcCreary exactly. there seems to be a fear of aminoglycosides in adults. that same fear doesn't exist in pediatrics. #aspchat
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
RT @KisgenUF: @ASP_Chat @accpinfdprn @SIDPharm @RodneyRohde @Dr_Mike_Stevens @ClareRock1 @JasonPBurnhamMD @PIDSociety @AlastairMcA30 @EMpharmgirl @ErinMcCreary A3. One big difference, ampicillin and gentamicin are never used β€œempirically” as first line for adults. #ASPchat
Tracy Zembles @TracyZembles
@KatTPharmD @ASP_Chat @accpinfdprn @SIDPharm @RodneyRohde @Dr_Mike_Stevens @ClareRock1 @JasonPBurnhamMD @PIDSociety @AlastairMcA30 @EMpharmgirl @ErinMcCreary yes! and pediatrics has been using PO antibiotics for osteomyelitis long before OVIVA! #aspchat
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
Lol. #commonground #ASPchat
Jamie Kisgen @KisgenUF
RT @TracyZembles: @ASP_Chat @accpinfdprn @SIDPharm @RodneyRohde @Dr_Mike_Stevens @ClareRock1 @JasonPBurnhamMD @PIDSociety @AlastairMcA30 @EMpharmgirl @ErinMcCreary one similarity is that we hate vancomycin, too :) #aspchat
Antibiotic Steward Bassam Ghanem πŸ…±οΈCπŸ†”πŸ…ΏοΈπŸŒŸ @ABsteward
@TracyZembles @ASP_Chat @accpinfdprn @SIDPharm @RodneyRohde @Dr_Mike_Stevens @ClareRock1 @JasonPBurnhamMD @PIDSociety @AlastairMcA30 @EMpharmgirl @ErinMcCreary And in adults we hate fluoroquinolones too. #ASPchat #IDTwitter
Tracy Zembles @TracyZembles
@IDstewardship @ASP_Chat @accpinfdprn @SIDPharm @RodneyRohde @Dr_Mike_Stevens @ClareRock1 @JasonPBurnhamMD @PIDSociety @AlastairMcA30 @EMpharmgirl @ErinMcCreary true, but can't use DDD in pediatrics, must use DOT #aspchat
Antibiotic Steward Bassam Ghanem πŸ…±οΈCπŸ†”πŸ…ΏοΈπŸŒŸ @ABsteward
@peds_id_doc πŸ™‹β€β™‚οΈ #ASPchat
#ASPchat @ASP_Chat
Q4. What can be done to help parents of πŸ€’πŸ‘ΆπŸ‘§πŸ§’ sick children learn more about safe and appropriate antibiotic use? #ASPchat https://t.co/dpOTv9p6LG
Brad Langford @BRxAD
@IDstewardship @peds_id_doc For "peace of mind" there seems to be a misconception that more >>> less or that doing something is better than doing nothing aka "commission bias" #ASPChat
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
RT @ASP_Chat: Q4. What can be done to help parents of πŸ€’πŸ‘ΆπŸ‘§πŸ§’ sick children learn more about safe and appropriate antibiotic use? #ASPchat https://t.co/dpOTv9p6LG
Mike Stevens @Dr_Mike_Stevens
@ASP_Chat @accpinfdprn @SIDPharm @RodneyRohde @ClareRock1 @JasonPBurnhamMD @PIDSociety @AlastairMcA30 @EMpharmgirl @ErinMcCreary Same key strategies and process/outcome metrics. Often the population is smaller (pun intended) & handshake stewardship is a great strategy. Dr. Godbout w/ our team reviewed the literature on peds AS a few years back (she’s not on twitter); https://t.co/2fysV7z99Z #ASPchat https://t.co/1W4Mgx6Wfy
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
@peds_id_doc Ah I see. How do you combat that β€œwhat if” in peds? How can we reassure people to change when they that use the β€œbut it’s pediatrics” line? #ASPchat
Kat Timberlake, PharmD, FCSHP @KatTPharmD
RT @ASP_Chat: Q4. What can be done to help parents of πŸ€’πŸ‘ΆπŸ‘§πŸ§’ sick children learn more about safe and appropriate antibiotic use? #ASPchat https://t.co/dpOTv9p6LG
Brad Langford @BRxAD
RT @Dr_Mike_Stevens: @ASP_Chat @accpinfdprn @SIDPharm @RodneyRohde @ClareRock1 @JasonPBurnhamMD @PIDSociety @AlastairMcA30 @EMpharmgirl @ErinMcCreary Same key strategies and process/outcome metrics. Often the population is smaller (pun intended) & handshake stewardship is a great strategy. Dr. Godbout w/ our team reviewed the literature on peds AS a few years back (she’s not on twitter); https://t.co/2fysV7z99Z #ASPchat https://t.co/1W4Mgx6Wfy
Brad Langford @BRxAD
RT @ASP_Chat: Q4. What can be done to help parents of πŸ€’πŸ‘ΆπŸ‘§πŸ§’ sick children learn more about safe and appropriate antibiotic use? #ASPchat https://t.co/dpOTv9p6LG
Tracy Zembles @TracyZembles
@ASP_Chat https://t.co/N3baVf4NmP this is great work by Rita Mangione-Smith describes prescribing relative to parenteral perceptions #aspchat
Antibiotic Steward Bassam Ghanem πŸ…±οΈCπŸ†”πŸ…ΏοΈπŸŒŸ @ABsteward
@ASP_Chat @accpinfdprn @SIDPharm @RodneyRohde @Dr_Mike_Stevens @ClareRock1 @JasonPBurnhamMD @PIDSociety @AlastairMcA30 @EMpharmgirl @ErinMcCreary Cc @christinakouts3 @StanfordPedsASP @ChristineMacBr1 @apsmunro #ASPchat #IDTwitter
Kat Timberlake, PharmD, FCSHP @KatTPharmD
@ASP_Chat #ASPChat @AboutKidsHealth Has some great tips. We are working with @ChooseWiselyCA to develop parent facing information as well
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
Antibiotics (for patients) as anxiolytics (for prescribers)! πŸ€¦β€β™‚οΈ cc: @BradSpellberg @peds_id_doc #ASPchat
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
RT @KatTPharmD: @ASP_Chat #ASPChat @AboutKidsHealth Has some great tips. We are working with @ChooseWiselyCA to develop parent facing information as well
Brad Langford @BRxAD
@ASP_Chat Shared decision making seems to be an underutilized approach to engaging the patient and family in using antibiotics more appropriately. Patient/family =expert in values/goals Clinician=expert in disease/drug --> optimal decision. #ASPChat https://t.co/MEK8p0OWr7
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
RT @TracyZembles: @ASP_Chat https://t.co/N3baVf4NmP this is great work by Rita Mangione-Smith describes prescribing relative to parenteral perceptions #aspchat
Jamie Kisgen @KisgenUF
@ASP_Chat A4. We need more public outreach and education. Great resources are available on CDC website. https://t.co/boNDNMQ7ov #aspchat https://t.co/W64BLunBYh
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
RT @Dr_Mike_Stevens: @ASP_Chat @accpinfdprn @SIDPharm @RodneyRohde @ClareRock1 @JasonPBurnhamMD @PIDSociety @AlastairMcA30 @EMpharmgirl @ErinMcCreary Same key strategies and process/outcome metrics. Often the population is smaller (pun intended) & handshake stewardship is a great strategy. Dr. Godbout w/ our team reviewed the literature on peds AS a few years back (she’s not on twitter); https://t.co/2fysV7z99Z #ASPchat https://t.co/1W4Mgx6Wfy
Dr. Cheyenne Matinnia, PharmD, ACPR @cmatinnia
@ASP_Chat Don’t underestimate the importance of having a face-to-face conversation with the parent/caregiver about their kiddo’s antibiotics. Gives you the opportunity to clarify questions, and also to make sure the antibiotic is most appropriate for the kiddo! * #ASPchat
Jamie Kisgen @KisgenUF
RT @BRxAD: @ASP_Chat Shared decision making seems to be an underutilized approach to engaging the patient and family in using antibiotics more appropriately. Patient/family =expert in values/goals Clinician=expert in disease/drug --> optimal decision. #ASPChat https://t.co/MEK8p0OWr7
Antibiotic Steward Bassam Ghanem πŸ…±οΈCπŸ†”πŸ…ΏοΈπŸŒŸ @ABsteward
@IDstewardship @BradSpellberg @peds_id_doc Anxiolytics for prescribers and parents πŸ˜‰ #ASPchat #IDTwitter
Dr. Cheyenne Matinnia, PharmD, ACPR @cmatinnia
@ASP_Chat * For example, if discharging a kiddo on an abx suspension, remember that taste plays a huge role in compliance! Some taste better than others (πŸ‘€ at you metronidazole), some are thinner/thicker, and its impo to discuss what would work best for the kiddo in front of you! #ASPchat
Kat Timberlake, PharmD, FCSHP @KatTPharmD
@ASP_Chat #ASPChat Ambulatory Stewardship is key, that’s where the parents are running the show. Viral infection β€œprescriptions” with acetaminophen and rest
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
@ASP_Chat A4. I like how @IDdocAdi uses analogies to explain complex medical problems. Could be a good tactic in peds for the parents. I wonder if @AlastairMcA30 uses that strategy? #ASPchat
Tracy Zembles @TracyZembles
@ASP_Chat https://t.co/SDoh8Qf6GH this is another good one by Rita Mangione-Smith. how you communicate is important: on the one hand, antibiotics won't help; on the other hand there are lots of things you can do to provide symptomatic relief. #aspchat
Brad Langford @BRxAD
@ASP_Chat Shared-decision making tools well suited for parents to discuss benefits and risks of antibiotics with their HCP: https://t.co/G7LHwO1CMm #ASPChat https://t.co/AWe7xobSar
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
@ABsteward @BradSpellberg @peds_id_doc Amen to that. Even my wife and I have argued over abx for the kids or not so I totally get it. It’s an endless battle everywhere every day. #ASPchat
Brad Langford @BRxAD
RT @KatTPharmD: @ASP_Chat #ASPChat @AboutKidsHealth Has some great tips. We are working with @ChooseWiselyCA to develop parent facing information as well
岩田ε₯ε€ͺιƒŽ K Iwata @georgebest1969
RT @ASP_Chat: Q3. What are areas of βœ…βœ… common ground or βŒβœ… difference areas when comparing abx stewardship in adults versus pediatrics? #ASPchat ...besides PK/PD πŸ˜‰ https://t.co/ta3eB5JnMZ
Jamie Kisgen @KisgenUF
Need to save this one for later...#ASPchat πŸ€”
岩田ε₯ε€ͺιƒŽ K Iwata @georgebest1969
RT @IDstewardship: @ASP_Chat @accpinfdprn @SIDPharm @RodneyRohde @Dr_Mike_Stevens @ClareRock1 @JasonPBurnhamMD @PIDSociety @AlastairMcA30 @EMpharmgirl @ErinMcCreary A3. Seems like metrics can be a good area for common ground for adult and peds ASP... 😐DDD, 😁DOT, πŸ™ˆexpenditures, πŸ€“microbiology data. #ASPchat
Brad Langford @BRxAD
RT @TracyZembles: @ASP_Chat https://t.co/SDoh8Qf6GH this is another good one by Rita Mangione-Smith. how you communicate is important: @ASP_Chat https://t.co/SDoh8Qf6GH this is another good one by Rita Mangione-Smith. how you communicate is important: on the one hand, antibiotics won't help; on the other hand there are lots of things you can do to provide symptomatic relief. #aspchat
#ASPchat @ASP_Chat
Q5. Where can we find good πŸ–₯πŸ“„πŸ“±resources for pediatric antimicrobial stewardship? For training, practice, or other. #ASPchat https://t.co/mPC7st2lZK
Antibiotic Steward Bassam Ghanem πŸ…±οΈCπŸ†”πŸ…ΏοΈπŸŒŸ @ABsteward
RT @IDstewardship: @ABsteward @BradSpellberg @peds_id_doc Amen to that. Even my wife and I have argued over abx for the kids or not so I totally get it. It’s an endless battle everywhere every day. #ASPchat
πŸ―πŸ…tigerπŸ₯‘@Don't stop thinking🐯 @takatsuki20392
RT @ASP_Chat: Q3. What are areas of βœ…βœ… common ground or βŒβœ… difference areas when comparing abx stewardship in adults versus pediatrics? #ASPchat ...besides PK/PD πŸ˜‰ https://t.co/ta3eB5JnMZ
Brad Langford @BRxAD
RT @ASP_Chat: Q5. Where can we find good πŸ–₯πŸ“„πŸ“±resources for pediatric antimicrobial stewardship? For training, practice, or other. #ASPchat https://t.co/mPC7st2lZK
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
RT @ASP_Chat: Q5. Where can we find good πŸ–₯πŸ“„πŸ“±resources for pediatric antimicrobial stewardship? For training, practice, or other. #ASPchat https://t.co/mPC7st2lZK
Antibiotic Steward Bassam Ghanem πŸ…±οΈCπŸ†”πŸ…ΏοΈπŸŒŸ @ABsteward
@peds_id_doc Pediatricians are leading the way, many studies have shown that pediatricians, prescribe fewer inappropriate antibiotics than other providers. #ASPchat #IDTwitter
Tracy Zembles @TracyZembles
@ASP_Chat @accpinfdprn @SIDPharm @emilylheil @julie_justo @JulieSzymczak @idpharmd @CIDRAP_ASP @accppediprn @AmerAcadPeds @PedNursing https://t.co/chMi8fYsNn has lots of resources, created by @PIDSociety #aspchat
Jamie Kisgen @KisgenUF
@ASP_Chat @accpinfdprn @SIDPharm @emilylheil @julie_justo @JulieSzymczak @idpharmd @CIDRAP_ASP @accppediprn @AmerAcadPeds @PedNursing A5. I came across this one recently from @PIDSociety. So much great info here to digest. #ASPChat https://t.co/CHtJU2nDER https://t.co/74GhCSFjKu
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
@KisgenUF I always get at least 3 new bookmarks from the #ASPchat sessions. Should get CE for this lol!!! Great stuff here!
Brad Langford @BRxAD
RT @KisgenUF: @ASP_Chat @accpinfdprn @SIDPharm @emilylheil @julie_justo @JulieSzymczak @idpharmd @CIDRAP_ASP @accppediprn @AmerAcadPeds @PedNursing A5. I came across this one recently from @PIDSociety. So much great info here to digest. #ASPChat https://t.co/CHtJU2nDER https://t.co/74GhCSFjKu
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
RT @BRxAD: @ASP_Chat Shared-decision making tools well suited for parents to discuss benefits and risks of antibiotics with their HCP: https://t.co/G7LHwO1CMm #ASPChat https://t.co/AWe7xobSar
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
RT @TracyZembles: @ASP_Chat https://t.co/SDoh8Qf6GH this is another good one by Rita Mangione-Smith. how you communicate is important: @ASP_Chat https://t.co/SDoh8Qf6GH this is another good one by Rita Mangione-Smith. how you communicate is important: on the one hand, antibiotics won't help; on the other hand there are lots of things you can do to provide symptomatic relief. #aspchat
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
RT @cmatinnia: @ASP_Chat * For example, if discharging a kiddo on an abx suspension, remember that taste plays a huge role in compliance! Some taste better than others (πŸ‘€ at you metronidazole), some are thinner/thicker, and its impo to discuss what would work best for the kiddo in front of you! #ASPchat
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
RT @KisgenUF: @ASP_Chat A4. We need more public outreach and education. Great resources are available on CDC website. https://t.co/boNDNMQ7ov #aspchat https://t.co/W64BLunBYh
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
RT @BRxAD: @ASP_Chat Shared decision making seems to be an underutilized approach to engaging the patient and family in using antibiotics more appropriately. Patient/family =expert in values/goals Clinician=expert in disease/drug --> optimal decision. #ASPChat https://t.co/MEK8p0OWr7
Mike Stevens @Dr_Mike_Stevens
RT @KisgenUF: @ASP_Chat @accpinfdprn @SIDPharm @emilylheil @julie_justo @JulieSzymczak @idpharmd @CIDRAP_ASP @accppediprn @AmerAcadPeds @PedNursing A5. I came across this one recently from @PIDSociety. So much great info here to digest. #ASPChat https://t.co/CHtJU2nDER https://t.co/74GhCSFjKu
Tracy Zembles @TracyZembles
@ASP_Chat @accpinfdprn @SIDPharm @emilylheil @julie_justo @JulieSzymczak @idpharmd @CIDRAP_ASP @accppediprn @AmerAcadPeds @PedNursing this is my go to for dosing in peds #aspchat https://t.co/w54A2Qy1QH
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
RT @KisgenUF: @ASP_Chat @accpinfdprn @SIDPharm @emilylheil @julie_justo @JulieSzymczak @idpharmd @CIDRAP_ASP @accppediprn @AmerAcadPeds @PedNursing A5. I came across this one recently from @PIDSociety. So much great info here to digest. #ASPChat https://t.co/CHtJU2nDER https://t.co/74GhCSFjKu
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
@ASP_Chat @accpinfdprn @SIDPharm @emilylheil @julie_justo @JulieSzymczak @idpharmd @CIDRAP_ASP @accppediprn @AmerAcadPeds @PedNursing To everyone answering q5 here on the #ASPchat: https://t.co/A0lU9w3tGc
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
RT @TracyZembles: @ASP_Chat @accpinfdprn @SIDPharm @emilylheil @julie_justo @JulieSzymczak @idpharmd @CIDRAP_ASP @accppediprn @AmerAcadPeds @PedNursing this is my go to for dosing in peds #aspchat https://t.co/w54A2Qy1QH
Brad Langford @BRxAD
@ASP_Chat @accpinfdprn @SIDPharm @emilylheil @julie_justo @JulieSzymczak @idpharmd @CIDRAP_ASP @accppediprn @AmerAcadPeds @PedNursing Came across the #antibioticsandyou resources from a @CIDRAP_ASP newsletter. Nice simple family-focused messaging. https://t.co/1kPJeH1rB8 #ASPChat
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
@KatTPharmD @ASP_Chat @accpinfdprn @SIDPharm @emilylheil @julie_justo @JulieSzymczak @idpharmd @CIDRAP_ASP @accppediprn @AmerAcadPeds @PedNursing @CanPaedSociety I wonder if @accpinfdprn @SIDPharm or @MAD_ID_ASP offer pediatrics content for learning more about pediatric ID? #ASPchat
Jamie Kisgen @KisgenUF
RT @TracyZembles: @ASP_Chat @accpinfdprn @SIDPharm @emilylheil @julie_justo @JulieSzymczak @idpharmd @CIDRAP_ASP @accppediprn @AmerAcadPeds @PedNursing this is my go to for dosing in peds #aspchat https://t.co/w54A2Qy1QH
Tracy Zembles @TracyZembles
@ASP_Chat @accpinfdprn @SIDPharm @emilylheil @julie_justo @JulieSzymczak @idpharmd @CIDRAP_ASP @accppediprn @AmerAcadPeds @PedNursing if you're going to @MAD_ID_ASP attend the Antimicrobial Stewardship in Special Populations: Pediatrics session #aspchat
#ASPchat @ASP_Chat
Q6. How can we πŸ‘©β€πŸ«πŸ‘¨β€πŸ« teach our πŸ‘§πŸ§’ pediatric patients about 🧼 infection control and πŸ’Š antimicrobial stewardship? #ASPchat #SaveABX https://t.co/RV3SlbFoVY
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
RT @ASP_Chat: Q6. How can we πŸ‘©β€πŸ«πŸ‘¨β€πŸ« teach our πŸ‘§πŸ§’ pediatric patients about 🧼 infection control and πŸ’Š antimicrobial stewardship? #ASPchat #SaveABX https://t.co/RV3SlbFoVY
Brad Langford @BRxAD
RT @ASP_Chat: Q6. How can we πŸ‘©β€πŸ«πŸ‘¨β€πŸ« teach our πŸ‘§πŸ§’ pediatric patients about 🧼 infection control and πŸ’Š antimicrobial stewardship? #ASPchat #SaveABX https://t.co/RV3SlbFoVY
Clare Rock MD MS @ClareRock1
RT @ASP_Chat: Q6. How can we πŸ‘©β€πŸ«πŸ‘¨β€πŸ« teach our πŸ‘§πŸ§’ pediatric patients about 🧼 infection control and πŸ’Š antimicrobial stewardship? #ASPchat #SaveABX https://t.co/RV3SlbFoVY
Clare Rock MD MS @ClareRock1
RT @TracyZembles: @ASP_Chat @accpinfdprn @SIDPharm @emilylheil @julie_justo @JulieSzymczak @idpharmd @CIDRAP_ASP @accppediprn @AmerAcadPeds @PedNursing if you're going to @MAD_ID_ASP attend the Antimicrobial Stewardship in Special Populations: Pediatrics session #aspchat
Brad Langford @BRxAD
@ASP_Chat Making appropriate antibiotic use fun is one approach. @DoBugsNeedDrugs has some games, coloring sheets, etc. that can help to engage kids in thinking about antibiotic stewardship #ASPChat https://t.co/5fs5ts34vc
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
@ASP_Chat A6. I put some resources in one place here, but I am willing to bet there are more out there. @eBug_UK = πŸ‘πŸΌπŸ‘πŸΌπŸ‘πŸΌ https://t.co/HSeLbAa5iv #ASPchat https://t.co/wn4dHNm9RS
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
RT @BRxAD: @ASP_Chat Making appropriate antibiotic use fun is one approach. @DoBugsNeedDrugs has some games, coloring sheets, etc. that can help to engage kids in thinking about antibiotic stewardship #ASPChat https://t.co/5fs5ts34vc
Tracy Zembles @TracyZembles
@ASP_Chat check out this resource (see page 13 for pediatric activity book) #aspchat https://t.co/ZGTLqToSaR @KYAbxAwareness
Kat Timberlake, PharmD, FCSHP @KatTPharmD
RT @BRxAD: @ASP_Chat Making appropriate antibiotic use fun is one approach. @DoBugsNeedDrugs has some games, coloring sheets, etc. that can help to engage kids in thinking about antibiotic stewardship #ASPChat https://t.co/5fs5ts34vc
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
Lol. My 4 yo does love hand sanitizer. #ASPchat
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
RT @TracyZembles: @ASP_Chat @accpinfdprn @SIDPharm @emilylheil @julie_justo @JulieSzymczak @idpharmd @CIDRAP_ASP @accppediprn @AmerAcadPeds @PedNursing if you're going to @MAD_ID_ASP attend the Antimicrobial Stewardship in Special Populations: Pediatrics session #aspchat
Jamie Kisgen @KisgenUF
@peds_id_doc A6. More memes, GIFs, and videos? #ASPchat https://t.co/UPdqtgT49n
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
RT @BRxAD: @ASP_Chat @accpinfdprn @SIDPharm @emilylheil @julie_justo @JulieSzymczak @idpharmd @CIDRAP_ASP @accppediprn @AmerAcadPeds @PedNursing Came across the #antibioticsandyou resources from a @CIDRAP_ASP newsletter. Nice simple family-focused messaging. https://t.co/1kPJeH1rB8 #ASPChat
Clare Rock MD MS @ClareRock1
@ASP_Chat @accpinfdprn @SIDPharm @RodneyRohde @Dr_Mike_Stevens @JasonPBurnhamMD @PIDSociety @AlastairMcA30 @EMpharmgirl @ErinMcCreary There is less C diff infection in kids compared with adults. In adults the real risk of CDI can influence prescribers to shorten durations. I don’t think so much w peds. #ASPchat
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
RT @TracyZembles: @ASP_Chat check out this resource (see page 13 for pediatric activity book) #aspchat https://t.co/ZGTLqToSaR @KYAbxAwareness
Johan Frans @Bilulu1
RT @KisgenUF: @ASP_Chat @accpinfdprn @SIDPharm @emilylheil @julie_justo @JulieSzymczak @idpharmd @CIDRAP_ASP @accppediprn @AmerAcadPeds @PedNursing A5. I came across this one recently from @PIDSociety. So much great info here to digest. #ASPChat https://t.co/CHtJU2nDER https://t.co/74GhCSFjKu
Clare Rock MD MS @ClareRock1
@ASP_Chat @accpinfdprn @SIDPharm @RodneyRohde @Dr_Mike_Stevens @JasonPBurnhamMD @PIDSociety @AlastairMcA30 @EMpharmgirl @ErinMcCreary Diagnostic stewardship different in kids- clinicians are maybe more thoughtful about making sure blood cultures appropriate as nobody wants to stick a kid unnecessary #ASPchat
Clare Rock MD MS @ClareRock1
RT @cmatinnia: @ASP_Chat * For example, if discharging a kiddo on an abx suspension, remember that taste plays a huge role in compliance! Some taste better than others (πŸ‘€ at you metronidazole), some are thinner/thicker, and its impo to discuss what would work best for the kiddo in front of you! #ASPchat
Jamie Kisgen @KisgenUF
RT @BRxAD: @ASP_Chat Making appropriate antibiotic use fun is one approach. @DoBugsNeedDrugs has some games, coloring sheets, etc. that can help to engage kids in thinking about antibiotic stewardship #ASPChat https://t.co/5fs5ts34vc
Antibiotic Steward Bassam Ghanem πŸ…±οΈCπŸ†”πŸ…ΏοΈπŸŒŸ @ABsteward
@TracyZembles @ASP_Chat @KYAbxAwareness 😍 Thanks for sharing! From activity book @KYAbxAwareness #ASPchat #IDTwitter https://t.co/fLOmobMjAQ
Adi @IDdocAdi
RT @IDstewardship: @ASP_Chat A4. I like how @IDdocAdi uses analogies to explain complex medical problems. Could be a good tactic in peds for the parents. I wonder if @AlastairMcA30 uses that strategy? #ASPchat
Jamie Kisgen @KisgenUF
RT @ABsteward: @TracyZembles @ASP_Chat @KYAbxAwareness 😍 Thanks for sharing! From activity book @KYAbxAwareness #ASPchat #IDTwitter https://t.co/fLOmobMjAQ
#ASPchat @ASP_Chat
πŸ“’πŸ€“ Thank you for joining the #ASPchat tonight! We had a lot of fun and learned a lot. Hope to see you back next month!! #SaveABX Lots of great stuff. Come back to our handle anytime to see the chat! https://t.co/e3yEwEDolZ
Clare Rock MD MS @ClareRock1
@ASP_Chat Kids like choices and autonomy- offer choice of wash with soap/water or alcohol hand gel - increased compliance. #aspchat
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
RT @ASP_Chat: πŸ“’πŸ€“ Thank you for joining the #ASPchat tonight! We had a lot of fun and learned a lot. Hope to see you back next month!! #SaveABX Lots of great stuff. Come back to our handle anytime to see the chat! https://t.co/e3yEwEDolZ
Betsy Hirsch, PharmD (TTPD) @EB_Hirsch
@peds_id_doc My first grader told me her teacher talked to them today about coronavirus and they watched a video with a song about washing their hands πŸ–πŸ»πŸ™ŒπŸ»πŸ™ŒπŸ» #aspchat Thanks Mrs. Z!!
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
RT @EB_Hirsch: @peds_id_doc My first grader told me her teacher talked to them today about coronavirus and they watched a video with a song about washing their hands πŸ–πŸ»πŸ™ŒπŸ»πŸ™ŒπŸ» #aspchat Thanks Mrs. Z!!
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
RT @ClareRock1: @ASP_Chat Kids like choices and autonomy- offer choice of wash with soap/water or alcohol hand gel - increased compliance. #aspchat
Bug Pharmacist πŸ’ŠπŸ§« Tim Gauthier @IDstewardship
RT @ABsteward: @TracyZembles @ASP_Chat @KYAbxAwareness 😍 Thanks for sharing! From activity book @KYAbxAwareness #ASPchat #IDTwitter https://t.co/fLOmobMjAQ
Jamie Kisgen @KisgenUF
RT @ASP_Chat: πŸ“’πŸ€“ Thank you for joining the #ASPchat tonight! We had a lot of fun and learned a lot. Hope to see you back next month!! #SaveABX Lots of great stuff. Come back to our handle anytime to see the chat! https://t.co/e3yEwEDolZ
yamacyan19651003 @yamacyan1003
RT @ASP_Chat: Q3. What are areas of βœ…βœ… common ground or βŒβœ… difference areas when comparing abx stewardship in adults versus pediatrics? #ASPchat ...besides PK/PD πŸ˜‰ https://t.co/ta3eB5JnMZ
Mike Stevens @Dr_Mike_Stevens
@ASP_Chat Terrific (and free!) resources here: https://t.co/s8jmB75Rpj #Aspchat
Rita Dhami @RitaDhami
@ASP_Chat Where to start ... I don’t have a good grasp of prescribing patterns, how to interpret the data and the PK/PD; #ASPCHAT
Rodrigo Nunes Cal @CalZole
RT @ASP_Chat: Q6. How can we πŸ‘©β€πŸ«πŸ‘¨β€πŸ« teach our πŸ‘§πŸ§’ pediatric patients about 🧼 infection control and πŸ’Š antimicrobial stewardship? #ASPchat #SaveABX https://t.co/RV3SlbFoVY
Rodrigo Nunes Cal @CalZole
RT @ASP_Chat: Q5. Where can we find good πŸ–₯πŸ“„πŸ“±resources for pediatric antimicrobial stewardship? For training, practice, or other. #ASPchat https://t.co/mPC7st2lZK
#ASPChat content from Twitter.