#ASPChat Transcript
Healthcare social media transcript of the #ASPChat hashtag.
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See #ASPChat Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Melissa Johnson @IDPharmacist @ASP_Chat Happy Thursday Night! #ASPchat |
| @Dr_Mike_Stevens @ASP_Chat [REDACTED USER] @accpinfdprn [REDACTED USER] @SIDPharm @CRE_REDUCE [REDACTED USER] [REDACTED USER] @PaulSaxMD @JGPharmD .A1 = what interventions/ strategies are best linked with decreases in GN antibiotic resistance #ASPChat | |
 | Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship @ASP_Chat [REDACTED USER] @accpinfdprn [REDACTED USER] @Dr_Mike_Stevens @SIDPharm @CRE_REDUCE [REDACTED USER] [REDACTED USER] @PaulSaxMD @JGPharmD RE: Q1. I have been thinking about this all week. No one answer. Best so far is: What one intervention is most vital to preserving antibiotics for our children and the future? #ASPchat |
 | CDC Emerging Infections @CDC_NCEZID NEW from CDC's Be Antibiotics Aware: Materials for patients and healthcare professionals now available in a variety of languages! https://t.co/4NcSBetUtv #BeAntibioticsAware #ASPChat |
 | Brandon Dionne @BWDionne @ASP_Chat [REDACTED USER] @accpinfdprn [REDACTED USER] @Dr_Mike_Stevens @SIDPharm @CRE_REDUCE [REDACTED USER] [REDACTED USER] @PaulSaxMD @JGPharmD What is the most efficient antimicrobial stewardship strategy when resources are limited? Review all antibiotics (time intensive), targeted review (may miss opportunities), improve use of order sets/pathways (not always applicable). #ASPChat |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship RT @CDC_NCEZID: NEW from CDC's Be Antibiotics Aware: Materials for patients and healthcare professionals now available in a variety of langโฆ |
 | Jamie Kisgen @KisgenUF @ASP_Chat [REDACTED USER] @accpinfdprn [REDACTED USER] @Dr_Mike_Stevens @SIDPharm @CRE_REDUCE [REDACTED USER] [REDACTED USER] @PaulSaxMD @JGPharmD A1. Wow, tough questions. First thing that comes to mind is a large multicenter outcome study looking at different durations of therapy for gram-negative bacteremia. ๐ค #ASPChat |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship @Dr_Mike_Stevens @ASP_Chat [REDACTED USER] @accpinfdprn [REDACTED USER] @SIDPharm @CRE_REDUCE [REDACTED USER] [REDACTED USER] @PaulSaxMD @JGPharmD So much overlap within this realm, is it a good thing or a bad thing? Probably a little of both and it all depends on the specific scenario, like everything in ID, lol! #ASPchat |
| Melissa Johnson @IDPharmacist @ASP_Chat [REDACTED USER] @accpinfdprn [REDACTED USER] @Dr_Mike_Stevens @SIDPharm @CRE_REDUCE [REDACTED USER] [REDACTED USER] @PaulSaxMD @JGPharmD Which strategies are associated with the best real world outcomes? Ie ๐ฝ LOS, mortality, readmission rate, resistance, etc. #ASPChat |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship RT @BWDionne: @ASP_Chat [REDACTED USER] @accpinfdprn [REDACTED USER] @Dr_Mike_Stevens @SIDPharm @CRE_REDUCE [REDACTED USER] [REDACTED USER] @PaulSaxMD @JGPhโฆ |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship @BWDionne @ASP_Chat [REDACTED USER] @accpinfdprn [REDACTED USER] @Dr_Mike_Stevens @SIDPharm @CRE_REDUCE [REDACTED USER] [REDACTED USER] @PaulSaxMD @JGPharmD Retrospective chart review... ๐คฎ #ASPchat |
 | Julie Ann Justo @julie_justo @ASP_Chat [REDACTED USER] @accpinfdprn [REDACTED USER] @Dr_Mike_Stevens @SIDPharm @CRE_REDUCE [REDACTED USER] [REDACTED USER] @PaulSaxMD @JGPharmD A1. What risk factors best predict antimicrobial resistance such that we can avoid broad-spectrum abx with confidence? #ASPchat #clinicaldecisionsupport |
 | #ASPchat @ASP_Chat Q2. What metric would you first ๐ look to for prioritizing antimicrobial stewardship research? Why? #ASPchat Note: This does not have to be your priority metric, rather is your starting point. |
| Jamie Kisgen @KisgenUF @IDPharmacist @ASP_Chat [REDACTED USER] @accpinfdprn [REDACTED USER] @Dr_Mike_Stevens @SIDPharm @CRE_REDUCE [REDACTED USER] [REDACTED USER] @PaulSaxMD @JGPharmD I would tag on to that, what are the differences in those same metrics between hospitals with and without robust stewardship programs in place. Could also stratify by hospital size, type (teaching/community), and region. #ASPchat |
 | Todd McCarty ๐๐๐จโโ๏ธ @TMcCarty2010 @ASP_Chat Time to change from empiric to targeted therapy (or none, if no infection found). #ASPchat |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship RT @ASP_Chat: Q2. What metric would you first ๐ look to for prioritizing antimicrobial stewardship research? Why? #ASPchat Note: This doeโฆ |
 | Nick Bennett @nbennett04 Great point. How can we automate our EMR to help providers make informed decisions in situations that antibiotics have little utility-without alert fatigue? Has to be a home run ๐จ/intervention. #ASPchat https://t.co/7yh4ERadZo |
| @Dr_Mike_Stevens #ASPChat going for the gold with question #1! At this point it would be great if we could meaningfully collect real-time, (optimally) risk-adjusted, cross-compared Abx use data!! We are a long way from gold as a community | |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship @ASP_Chat A2. When it comes down to it the thing that really matters is patient outcomes. I would start there. Unfortunately this is one of the harder metrics to accurately measure. #ASPchat |
| Nick Bennett @nbennett04 @ASP_Chat [REDACTED USER] @accpinfdprn [REDACTED USER] @Dr_Mike_Stevens @SIDPharm @CRE_REDUCE [REDACTED USER] [REDACTED USER] @PaulSaxMD @JGPharmD A1: can it identify patients who can have their antibiotics stopped based on low risk profiles? #ASPChat |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship RT @IDPharmacist: @ASP_Chat [REDACTED USER] @accpinfdprn [REDACTED USER] @Dr_Mike_Stevens @SIDPharm @CRE_REDUCE [REDACTED USER] [REDACTED USER] @PaulSaxMD @โฆ |
| CDC Emerging Infections @CDC_NCEZID CDC released data in its AR Investment Map, which shows early progress by states to combat #AntibioticResistance โwhen germs no longer respond to the drugs designed to kill them. https://t.co/vd6BFP3iaf #CDCfightsAR #ASPChat |
| Jamie Kisgen @KisgenUF [REDACTED USER] @ASP_Chat @accpinfdprn [REDACTED USER] @Dr_Mike_Stevens @SIDPharm @CRE_REDUCE [REDACTED USER] [REDACTED USER] @PaulSaxMD @JGPharmD That is awesome. Canโt wait to see the results! #ASPChat https://t.co/U1ix5hxItU |
| Melissa Johnson @IDPharmacist @CDC_NCEZID This can be a valuable resource for stewards! #antimicrobialstewadship #ASPchat |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship @julie_justo @ASP_Chat [REDACTED USER] @accpinfdprn [REDACTED USER] @Dr_Mike_Stevens @SIDPharm @CRE_REDUCE [REDACTED USER] [REDACTED USER] @PaulSaxMD @JGPharmD We need one of these things from #StarTrek to help us detect MDROs at POC! #ASPchat https://t.co/4PlQeNUv8A |
| Melissa Johnson @IDPharmacist [REDACTED USER] @BWDionne @ASP_Chat @accpinfdprn [REDACTED USER] @Dr_Mike_Stevens @SIDPharm @CRE_REDUCE [REDACTED USER] [REDACTED USER] @PaulSaxMD @JGPharmD Very Cool! Looking forward to seeing that. #ASPchat https://t.co/ecON1Vf8mq |
| Jamie Kisgen @KisgenUF RT @IDstewardship: @ASP_Chat A2. When it comes down to it the thing that really matters is patient outcomes. I would start there. Unfortunaโฆ |
 | Dr. Chris Braden @DrBraden_NCEZID Healthcare Professionals: Register now for CDCโs free #CE course on #antibiotic stewardship: https://t.co/HQg1LiCmdr #ASPChat https://t.co/nLc1YpRzfj |
| #ASPchat @ASP_Chat Q3. Focusing on the ๐ outpatient setting, what are your priority research areas for #antibiotic stewardship? #ASPchat https://t.co/vkeDn1jmXM |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship @nbennett04 Agree. The future is clearly going to be heavily dependent upon technology. Alert fatigue is such an important issue too. Will be a major challenge to balance clinical skills of a doctor with the capacity of a system. Value of provider autonomy cannot be overshadowed. #ASPchat |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship RT @ASP_Chat: Q3. Focusing on the ๐ outpatient setting, what are your priority research areas for #antibiotic stewardship? #ASPchat httpsโฆ |
| @Dr_Mike_Stevens [REDACTED USER] .Definitely! We have been working on this in the hospital epidemiology community for decades and still there is room for improvement! Need to apply lessons learned on metrics from the infection prevention community to #AntimicrobialStewardship #ASPChat | |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship An excellent resource indeed!!!! Especially for prepping future researchers ๐ย #ASPchat https://t.co/ZGl06n6aJU |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship RT @Dr_Mike_Stevens: #ASPChat going for the gold with question #1! At this point it would be great if we could meaningfully collect real-tiโฆ |
| Brandon Dionne @BWDionne @ASP_Chat @theEDpharmacist @accpambuprn @Amb_Care_Mgmt [REDACTED USER] @krutu8 @TheFebrileMuse @Commpharmacy @cvspharmacy @Walgreens @mmPharmD Where do I even begin?...No, seriously, someone please tell me where we even begin with outpatient stewardship. #ASPChat https://t.co/BomR6lEXo5 |
| Melissa Johnson @IDPharmacist @ASP_Chat @theEDpharmacist @accpambuprn @Amb_Care_Mgmt [REDACTED USER] @krutu8 @TheFebrileMuse @Commpharmacy @cvspharmacy @Walgreens @mmPharmD A3. How can we do a better job of optimizing durations & appropriate prescribing of outpatient #antibiotic use given the large number of providers in play? #ASPchat |
| @Dr_Mike_Stevens @BWDionne @ASP_Chat @theEDpharmacist @accpambuprn @Amb_Care_Mgmt [REDACTED USER] @krutu8 @TheFebrileMuse @Commpharmacy @cvspharmacy @Walgreens @mmPharmD .Data! #ASPChat | |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship @nbennett04 @ASP_Chat [REDACTED USER] @accpinfdprn [REDACTED USER] @Dr_Mike_Stevens @SIDPharm @CRE_REDUCE [REDACTED USER] [REDACTED USER] @PaulSaxMD @JGPharmD That sounds really cool. I would totally invest in a "d/c antibiotics identifier" machine... it would also need to serve a dual purpose of treating prescriber anxiety ๐ [REDACTED USER] #ASPchat |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship RT @CDC_NCEZID: CDC released data in its AR Investment Map, which shows early progress by states to combat #AntibioticResistance โwhen gerโฆ |
| @Dr_Mike_Stevens @ASP_Chat @theEDpharmacist @accpambuprn @Amb_Care_Mgmt [REDACTED USER] @krutu8 @TheFebrileMuse @Commpharmacy @cvspharmacy @Walgreens @mmPharmD .Need to start with meaningful, normalized antibiotic data capture. Bonus points for risk adjustment and inter-facility cross comparison! If we can't measure it, we can't improve it #ASPChat | |
| Jamie Kisgen @KisgenUF @ASP_Chat @theEDpharmacist @accpambuprn @Amb_Care_Mgmt [REDACTED USER] @krutu8 @TheFebrileMuse @Commpharmacy @cvspharmacy @Walgreens @mmPharmD A3. Data, Data, Data...we need a better understanding of the problem and identify real world, high impact interventions to move the needle. How do we give real time feedback to providers, peer to peer comparisons, and what are the best methods for educating the public? #ASPchat |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship @ASP_Chat @theEDpharmacist @accpambuprn @Amb_Care_Mgmt [REDACTED USER] @krutu8 @TheFebrileMuse @Commpharmacy @cvspharmacy @Walgreens @mmPharmD Q3. How can we change patient perceptions so that they put less pressure on prescribers and can leave satisfied without an antibiotic when it is not indicated (and can actually hurt them!). #ASPchat #LetYourDoctorDecide |
| @Dr_Mike_Stevens @ASP_Chat .A2: The holy grail of #AntimicrobialStewardship is reducing the emergence of antibiotic resistance! If we focused here many other things would follow along (decreased LOS, morbidity, mortality, et cetera) #ASPChat | |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship @Dr_Mike_Stevens [REDACTED USER] I am surprised we haven't seen more talk about "stewardship bundles", kind of taking ideas from infection control. #ASPchat |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship RT @BWDionne: @ASP_Chat @theEDpharmacist @accpambuprn @Amb_Care_Mgmt [REDACTED USER] @krutu8 @TheFebrileMuse @Commpharmacy @cvspharmacy @Walโฆ |
| @Dr_Mike_Stevens @IDstewardship @nbennett04 @ASP_Chat [REDACTED USER] @accpinfdprn [REDACTED USER] @SIDPharm @CRE_REDUCE [REDACTED USER] [REDACTED USER] @PaulSaxMD @JGPharmD .Replace antibiotics as the anxiolytics of choice... #ASPChat | |
| #ASPchat @ASP_Chat Q4. If you had the resources to adress any one question at your practice site / institution, what would it be? ๐คทโโ๏ธ๐คทโโ๏ธ #ASPchat https://t.co/AZmnoPBUdQ |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship RT @IDPharmacist: @ASP_Chat @theEDpharmacist @accpambuprn @Amb_Care_Mgmt [REDACTED USER] @krutu8 @TheFebrileMuse @Commpharmacy @cvspharmacyโฆ |
| @Dr_Mike_Stevens [REDACTED USER] @ASP_Chat @theEDpharmacist @accpambuprn @Amb_Care_Mgmt [REDACTED USER] @krutu8 @TheFebrileMuse @Commpharmacy @cvspharmacy @Walgreens @mmPharmD .Well stated! The holy grail of Abx consumption metrics would be normalized, risk-adjusted, and would measure appropriateness of therapy! That's a tough call in a field where 40-60% of best practice is dictated by C-III level evidence though! #ASPChat | |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship RT @ASP_Chat: Q4. If you had the resources to adress any one question at your practice site / institution, what would it be? ๐คทโโ๏ธ๐คทโโ๏ธ #ASPcโฆ |
 | Kristen Cincotta @kscincotta RT @CDC_NCEZID: NEW from CDC's Be Antibiotics Aware: Materials for patients and healthcare professionals now available in a variety of langโฆ |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship RT @Dr_Mike_Stevens: @ASP_Chat @theEDpharmacist @accpambuprn @Amb_Care_Mgmt [REDACTED USER] @krutu8 @TheFebrileMuse @Commpharmacy @cvspharmaโฆ |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship RT @KisgenUF: @ASP_Chat @theEDpharmacist @accpambuprn @Amb_Care_Mgmt [REDACTED USER] @krutu8 @TheFebrileMuse @Commpharmacy @cvspharmacy @Walโฆ |
 | Jasmine R Marcelin, MD, FACP, FIDSA ๐ฆ @DrJRMarcelin @ASP_Chat A4. How can I get outpatient antibiotic use data at institutional urgent care centers? #ASPchat |
| Brandon Dionne @BWDionne @ASP_Chat What is the appropriate duration of antibiotics in neutropenic fever? There is some emerging evidence that you don't need to wait for engraftment, but some patients are still on cefepime for weeks waiting for resolution of neutropenia. #ASPChat |
| Nick Bennett @nbennett04 [REDACTED USER] @ASP_Chat @theEDpharmacist @accpambuprn @Amb_Care_Mgmt [REDACTED USER] @krutu8 @TheFebrileMuse @Commpharmacy @cvspharmacy @Walgreens @mmPharmD A3: how can rapid diagnostics be incorporated into ambulatory practice? Are they effective here? #ASPChat |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship @Dr_Mike_Stevens @ASP_Chat We should do an #ASPchat on lab problems. Impact on reducing resistance only as good as your data... and the data ain't so good... especially outpatient... I [regretfully] think it's a lost cause 99% of the time... |
| @Dr_Mike_Stevens @IDstewardship [REDACTED USER] .Definitely! We explored this a few years back but realized it's harder w/ #AntimicrobialStewardship (CLABSI, CAUTI, VAP are natural targets for bundles, outcome metrics like 'abx resistance' are less so...). I think there is a paper in here somewhere! #ASPChat | |
| CDC Emerging Infections @CDC_NCEZID Be Antibiotics Aware print materials now available to order via CDC-INFO On Demand! Visit https://t.co/VKhs5lCqJF and select โantibiotic useโ from the drop-down menu. #antibiotics #ASPChat |
| @ What is the most (time) efficient way for pharmacists to identify individual patient misconceptions about abx when they pick up their Rx and then how can they clear the air on a case by case basis ? #ASPChat https://t.co/stbtrCffF6 | |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship @kevin_kls @BWDionne @ASP_Chat @theEDpharmacist @accpambuprn @Amb_Care_Mgmt [REDACTED USER] @krutu8 @TheFebrileMuse @Commpharmacy @cvspharmacy @Walgreens @mmPharmD Sustainability is something many studies completely fail to address. Great point that needs to be included if we are going to identify valuable interventions worth our investments. #ASPchat |
| @Dr_Mike_Stevens @IDstewardship @ASP_Chat This is a struggle! All #AntimicrobialStewardship work benefits from real-time, creative IT solutions/ lab integration. I definitely picked up some tricks/ tips from a prior #ASPChat on integrating with the lab so think this is a great forum for it! | |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship @TheFebrileMuse @KisgenUF @ASP_Chat @theEDpharmacist @accpambuprn @Amb_Care_Mgmt [REDACTED USER] @krutu8 @Commpharmacy @cvspharmacy @Walgreens @mmPharmD What do you think of posters? How is the feedback from providers and nurses? Do they seem to work? Any notes on what seems to help make them more effective? #ASPchat |
| @Dr_Mike_Stevens @IDstewardship @kevin_kls @BWDionne @ASP_Chat @theEDpharmacist @accpambuprn @Amb_Care_Mgmt [REDACTED USER] @krutu8 @TheFebrileMuse @Commpharmacy @cvspharmacy @Walgreens @mmPharmD .Good point! 'Taking the foot of the gas' leads to 'regression to the mean' for most #AntimicrobialStewardship interventions; I think sustainability takes resources and longitudinal commitment #ASPChat | |
| Jasmine R Marcelin, MD, FACP, FIDSA ๐ฆ @DrJRMarcelin @ASP_Chat @theEDpharmacist @accpambuprn @Amb_Care_Mgmt [REDACTED USER] @krutu8 @TheFebrileMuse @Commpharmacy @cvspharmacy @Walgreens @mmPharmD A3. Getting the data and measuring the impact of patient interventions would be my priority. But also would like to explore how to create patient interventions that result in doctors NOT getting bad patient reviews for avoiding antibiotics. #ASPchat |
| #ASPchat @ASP_Chat Q5. What do you perceive as priority research areas for helping ๐ต๏ธโโ๏ธ๐ต๏ธโโ๏ธ regulatory bodies fairly asses institutional antimicrobial stewardship efforts? #ASPchat https://t.co/WVfpf6eJAr |
 | David Ha @DHpharmd @ASP_Chat A4. Does #AntimicrobialStewardship reduce #AntibioticResistance? #ASPchat |
| Jasmine R Marcelin, MD, FACP, FIDSA ๐ฆ @DrJRMarcelin RT @IDstewardship: @ASP_Chat A2. When it comes down to it the thing that really matters is patient outcomes. I would start there. Unfortunaโฆ |
| Brandon Dionne @BWDionne @SoonToBePharmD Great point! How do we get community pharmacists (the biggest group of pharmacists) more involved in outpatient antimicrobial stewardship? Perhaps one of the biggest untapped resources? #ASPChat |
| Jasmine R Marcelin, MD, FACP, FIDSA ๐ฆ @DrJRMarcelin RT @Dr_Mike_Stevens: @IDstewardship @ASP_Chat This is a struggle! All #AntimicrobialStewardship work benefits from real-time, creative IT sโฆ |
| Brandon Dionne @BWDionne RT @Dr_Mike_Stevens: @IDstewardship @kevin_kls @BWDionne @ASP_Chat @theEDpharmacist @accpambuprn @Amb_Care_Mgmt [REDACTED USER] @krutu8 @Theโฆ |
| @Dr_Mike_Stevens @IDstewardship @TheFebrileMuse @KisgenUF @ASP_Chat @theEDpharmacist @accpambuprn @Amb_Care_Mgmt [REDACTED USER] @krutu8 @Commpharmacy @cvspharmacy @Walgreens @mmPharmD .Providing meaningful education to patients on the dangers of antibiotics (resistance, et cetera) probably more useful than general education (bacterial vs viral infxns, et cetera). TVs in waiting areas, posters, whatever format probably less important than the message #ASPChat | |
| @Dr_Mike_Stevens @kevin_kls @SoonToBePharmD .True; to help facilitate optimal initial prescribing though need better deployment (as well as novel) rapid diagnostic testing! Hard to ask a patient who has one day of antibiotics left to change to a narrower antibiotic when a cx returns, practically #ASPChat | |
| David Ha @DHpharmd @BWDionne @SoonToBePharmD Yes! First things first, get community pharmacists real time access to patient information: diagnoses, labs, medication history, etc. Difficult to intervene on something when you know nothing about it #ASPchat #KnowledgeIsPower |
| Todd McCarty ๐๐๐จโโ๏ธ @TMcCarty2010 @ASP_Chat Hopefully the recently developed SAR measurement from the @CDCgov proves helpful to fulfill this role and become widespread. #ASPchat |
| CDC Emerging Infections @CDC_NCEZID Healthcare Professionals: Register now for CDCโs free #CE course on #antibiotic stewardship: https://t.co/77W7PV9tHl #ASPChat https://t.co/bLf8uom5uF |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship @nbennett04 [REDACTED USER] @ASP_Chat @theEDpharmacist @accpambuprn @Amb_Care_Mgmt [REDACTED USER] @krutu8 @TheFebrileMuse @Commpharmacy @cvspharmacy @Walgreens @mmPharmD How to incorporate rapid diagnostics into operations so they can be optimally employed is a topic of interest. Turn around time is a big deal. #ASPchat |
| Jamie Kisgen @KisgenUF A5. We need more outcome data and benchmarks for setting goals. SAAR may be a start but we need more transparency on what best practice looks like. Its one thing to say a policy or protocol is in place, itโs another to say they are making a difference. #ASPChat https://t.co/4u6E3CNPvC |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship RT @CDC_NCEZID: Be Antibiotics Aware print materials now available to order via CDC-INFO On Demand! Visit https://t.co/VKhs5lCqJF and selecโฆ |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship RT @SoonToBePharmD: What is the most (time) efficient way for pharmacists to identify individual patient misconceptions about abx when theyโฆ |
| Jasmine R Marcelin, MD, FACP, FIDSA ๐ฆ @DrJRMarcelin @ASP_Chat Also would invest in ideas to make rapid diagnosis of syndromes where antibiotics are most misused. #ASPchat |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship RT @Dr_Mike_Stevens: @IDstewardship @ASP_Chat This is a struggle! All #AntimicrobialStewardship work benefits from real-time, creative IT sโฆ |
| @Dr_Mike_Stevens @ASP_Chat .A5: Going for the gold here (in the vein of tonight's #ASPChat!): Govt should put big $$$ into best possible multicenter trials focused on the big question in stewardship (what strategies lead to decreased antibiotic resistance? What resources are needed to optimize these?) | |
| Brandon Dionne @BWDionne @DHpharmd @SoonToBePharmD I'm still not sure why at the very least the diagnosis/indication isn't a standard part of the prescription. #ASPChat |
| David Ha @DHpharmd @DrJRMarcelin @ASP_Chat @theEDpharmacist @accpambuprn @Amb_Care_Mgmt [REDACTED USER] @krutu8 @TheFebrileMuse @Commpharmacy @cvspharmacy @Walgreens @mmPharmD A3. Same old song but our PCPs need more TIME with patients to manage expectations and explain rationale. More time to be doctors not box checkers. This is the #1 through #100 root cause of #AntimicrobialStewardship issues in our experience #ASPchat |
| @Dr_Mike_Stevens @IDstewardship @nbennett04 [REDACTED USER] @ASP_Chat @theEDpharmacist @accpambuprn @Amb_Care_Mgmt [REDACTED USER] @krutu8 @TheFebrileMuse @Commpharmacy @cvspharmacy @Walgreens @mmPharmD .Yes! Cost to the patient also an important consideration #ASPChat | |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship @ASP_Chat Where I trained the #1 question would be: How the heck are we supposed to dose this #colistin???? #ASPchat ...not sure if we will ever really know. Even describing a dose is a challenge!!! (IU, MG, CMS, CBA, ๐คข) |
| #ASPchat @ASP_Chat Q6. When you need to pick a new #antibioticstewardship research or MUE question locally, where/who do you look to for guidance? #ASPchat https://t.co/2yPznK08Ot |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship RT @Dr_Mike_Stevens: @IDstewardship @kevin_kls @BWDionne @ASP_Chat @theEDpharmacist @accpambuprn @Amb_Care_Mgmt [REDACTED USER] @krutu8 @Theโฆ |
| David Ha @DHpharmd @ASP_Chat A6. Twitter #ASPchat |
 | Cody L @CodyL44740165 @ASP_Chat A4. How much extra time are patients on sub/supratherapeutic doses of vancomycin due to improperly drawn trough levels? #ASPchat |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship RT @DHpharmd: @ASP_Chat A4. Does #AntimicrobialStewardship reduce #AntibioticResistance? #ASPchat |
| Brandon Dionne @BWDionne @DrJRMarcelin @ASP_Chat Also important that these tests are not cost-prohibitive. The one we have is restricted; by the time they get approval, they have often already ordered individual tests for half of the pathogens, so it is not cost-effective. #ASPChat |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship @BWDionne @SoonToBePharmD Ditto. Community pharmacists really care about safe antibiotic use. When I talk to them they want to be involved and help, but they aren't being empowered like they could be and need support/direction. #ASPchat cc: @Commpharmacy |
| @Dr_Mike_Stevens @ASP_Chat .It seems like great questions come up daily on the 'front lines' of #AntimicrobialStewardship! We keep a running list of possible projects and discuss monthly. Could also mine these #ASPChat sessions for great ideas, too!! | |
| Jasmine R Marcelin, MD, FACP, FIDSA ๐ฆ @DrJRMarcelin @BWDionne @ASP_Chat And also easy to use and interpret! Essential for application in urgent care settings #ASPchat |
| Jasmine R Marcelin, MD, FACP, FIDSA ๐ฆ @DrJRMarcelin RT @DHpharmd: @DrJRMarcelin @ASP_Chat @theEDpharmacist @accpambuprn @Amb_Care_Mgmt [REDACTED USER] @krutu8 @TheFebrileMuse @Commpharmacy @cvโฆ |
| Jasmine R Marcelin, MD, FACP, FIDSA ๐ฆ @DrJRMarcelin RT @TMcCarty2010: @ASP_Chat Hopefully the recently developed SAR measurement from the @CDCgov proves helpful to fulfill this role and becomโฆ |
| Jasmine R Marcelin, MD, FACP, FIDSA ๐ฆ @DrJRMarcelin RT @Dr_Mike_Stevens: @ASP_Chat .A5: Going for the gold here (in the vein of tonight's #ASPChat!): Govt should put big $$$ into best possiblโฆ |
| David Ha @DHpharmd @Dr_Mike_Stevens @ASP_Chat Agreed, honestly just asking "why is this happening", "how can we be better" in day to day practice reveal some of the most impactful research questions #ASPchat |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship RT @DHpharmd: @BWDionne @SoonToBePharmD Yes! First things first, get community pharmacists real time access to patient information: diagnosโฆ |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship RT @CDC_NCEZID: Healthcare Professionals: Register now for CDCโs free #CE course on #antibiotic stewardship: https://t.co/77W7PV9tHl #ASPChโฆ |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship RT @KisgenUF: A5. We need more outcome data and benchmarks for setting goals. SAAR may be a start but we need more transparency on what besโฆ |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship RT @Dr_Mike_Stevens: @ASP_Chat .A5: Going for the gold here (in the vein of tonight's #ASPChat!): Govt should put big $$$ into best possiblโฆ |
| #ASPchat @ASP_Chat ๐๐ผ Thanks for joining the #ASPchat today and keeping it alive!!! The next one will be June 21st. ๐ฃ Heads up! Mark down June 13th for a chat on #IDintheED via a ๐ช๐ฝ mega-collaboration between @accpinfdprn @SIDPharm @ASHP_EMPharm @accpemedprn @aaeminfo. More to come on that! |
| #ASPchat @ASP_Chat Final tweet ๐๐ผ here is some data and discussion from @IDstewardship and [REDACTED USER] about the #ASPchat activities ๐ฒ https://t.co/grQioYdn6x Hope you find it interesting!!! https://t.co/qDfNPqp6JB |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship RT @Dr_Mike_Stevens: @IDstewardship @nbennett04 [REDACTED USER] @ASP_Chat @theEDpharmacist @accpambuprn @Amb_Care_Mgmt [REDACTED USER] @krutu8 @TheFeโฆ |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship RT @ASP_Chat: ๐๐ผ Thanks for joining the #ASPchat today and keeping it alive!!! The next one will be June 21st. ๐ฃ Heads up! Mark down Juneโฆ |
| Jasmine R Marcelin, MD, FACP, FIDSA ๐ฆ @DrJRMarcelin @ASP_Chat A5. Agreed with both. SAAR is promising. Need funding commitment from govt to assist institutions in achieving regulatory requirements. Especially critical access hospitals and outpatient clinics. How else are we expected to reduce inappropriate use by 50% by 2020? #ASPchat |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship RT @ASP_Chat: Q6. When you need to pick a new #antibioticstewardship research or MUE question locally, where/who do you look to for guidancโฆ |
| Brandon Dionne @BWDionne RT @ASP_Chat: ๐๐ผ Thanks for joining the #ASPchat today and keeping it alive!!! The next one will be June 21st. ๐ฃ Heads up! Mark down Juneโฆ |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship RT @DHpharmd: @ASP_Chat A6. Twitter #ASPchat |
| Jasmine R Marcelin, MD, FACP, FIDSA ๐ฆ @DrJRMarcelin @ASP_Chat A6. Lots of great questions come up on rounds when I am the ID attending on hospital service #ASPchat |
| Jasmine R Marcelin, MD, FACP, FIDSA ๐ฆ @DrJRMarcelin RT @DHpharmd: @Dr_Mike_Stevens @ASP_Chat Agreed, honestly just asking "why is this happening", "how can we be better" in day to day practicโฆ |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship RT @BWDionne: @DrJRMarcelin @ASP_Chat Also important that these tests are not cost-prohibitive. The one we have is restricted; by the timeโฆ |
| David Ha @DHpharmd @KisgenUF Agree ๐ฏ% here. Simply having passive protocols and policies without any real outcomes to show for it just furthers the "checking the box" approach, which can add time and cost, achieves no outcome and increases doubt in the system #ASPchat |
| David Ha @DHpharmd RT @ASP_Chat: ๐๐ผ Thanks for joining the #ASPchat today and keeping it alive!!! The next one will be June 21st. ๐ฃ Heads up! Mark down Juneโฆ |
| Jasmine R Marcelin, MD, FACP, FIDSA ๐ฆ @DrJRMarcelin Agree ๐ฏ. We have to somehow convince patients that we are on the same team when it comes to appropriate antibiotic use #ASPchat https://t.co/xrsbbmz5Wj |
| David Ha @DHpharmd RT @ASP_Chat: Final tweet ๐๐ผ here is some data and discussion from @IDstewardship and [REDACTED USER] about the #ASPchat activities ๐ฒ https://t.co/gโฆ |
| Jasmine R Marcelin, MD, FACP, FIDSA ๐ฆ @DrJRMarcelin RT @ASP_Chat: Final tweet ๐๐ผ here is some data and discussion from @IDstewardship and [REDACTED USER] about the #ASPchat activities ๐ฒ https://t.co/gโฆ |
| David Ha @DHpharmd Yes, find that students' fresh, unadulterated, sometimes idealistic views of things can give them profound insights ๐ #ASPchat https://t.co/h9ziw4QsZd |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship RT @DrJRMarcelin: @ASP_Chat A6. Lots of great questions come up on rounds when I am the ID attending on hospital service #ASPchat |
| Bug Pharmacist ๐๐งซ Tim Gauthier @IDstewardship RT @DHpharmd: Yes, find that students' fresh, unadulterated, sometimes idealistic views of things can give them profound insights ๐ #ASPchaโฆ |
| David Ha @DHpharmd @DrJRMarcelin Public health and professional organizations can play a big role here changing public opinion around expectation of antibiotics. Our pharmacy students do this constantly through community outreach ๐ #ASPchat |
| Jasmine R Marcelin, MD, FACP, FIDSA ๐ฆ @DrJRMarcelin @DHpharmd #AntimicrobialStewardship town halls? #ASPchat |
#ASPChat content from Twitter.