#ASPChat Transcript
Healthcare social media transcript of the #ASPChat hashtag.
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See #ASPChat Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | #ASPchat @ASP_Chat Q1. 💊🤦♂️ What factors drive inappropriate antimicrobial use in primary care and what can be done to augment it? #ASPchat https://t.co/dGxOCiFYHA |
 | Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship RT @ASP_Chat: Q1. 💊🤦♂️ What factors drive inappropriate antimicrobial use in primary care and what can be done to augment it? #ASPchat https://t.co/dGxOCiFYHA |
 | Brad Langford @BRxAD RT @ASP_Chat: Q1. 💊🤦♂️ What factors drive inappropriate antimicrobial use in primary care and what can be done to augment it? #ASPchat https://t.co/dGxOCiFYHA |
| Brad Langford @BRxAD @ASP_Chat Nice summary by @pewtrusts on the drivers of inappropriate antibiotic use in outpatient settings from the physician's perspective: 1. Patient pressure 2. Time constraints 3. Diagnostic uncertainty 4. Externalized responsibility #ASPChat https://t.co/6oboHDyVsk |
 | Brian McCullough, PharmD, BCPS, BCIDP @Freestylepharm1 @ASP_Chat Excited to participate in my first #ASPchat! |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship @ASP_Chat A1. Misunderstanding the dangers of antibiotics is a major driving force for inappropriate antibiotic use in the community IMO. To augment it we need a multi-pronged approach and can perhaps learn from our infection control colleagues w/ their bundled interventions. #ASPchat |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship RT @BRxAD: @ASP_Chat Nice summary by @pewtrusts on the drivers of inappropriate antibiotic use in outpatient settings from the physician's perspective: 1. Patient pressure 2. Time constraints 3. Diagnostic uncertainty 4. Externalized responsibility #ASPChat https://t.co/6oboHDyVsk |
| Brad Langford @BRxAD @ASP_Chat @pewtrusts Really cool overview of the patient's perspective on #AMR from @Wellcome_AMR https://t.co/QM7VrwXjqg #ASPChat |
| Brian McCullough, PharmD, BCPS, BCIDP @Freestylepharm1 @ASP_Chat To add to the discussion, too many time constraints on primary care physicians, with too short of a clinic visit to fully discuss reasoning behind withholding abx. #ASPchat |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship @ASP_Chat A1. Antibiotic restrictions can help inpatient and I think they can play a major role outpatient if you can work out the logistics / avoid having people who really need tx going without for too long. #ASPchat |
 | Infectious Diseases @InfectiousDz RT @IDstewardship: @ASP_Chat A1. Misunderstanding the dangers of antibiotics is a major driving force for inappropriate antibiotic use in the community IMO. To augment it we need a multi-pronged approach and can perhaps learn from our infection control colleagues w/ their bundled interventions. #ASPchat |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship @ASP_Chat A1. Language + cultural challenges also drive some inappropriate abx use... Ex: positive urine culture report should never be referred to as a “UTI” as many people tend to call it... Ex2: What we expect our patients expect and what we fear drives prescribing behavior #ASPchat |
| #ASPchat @ASP_Chat Q2. What are some good strategies for 🤝 engaging prescribers in family medicine about improving antimicrobial use? #ASPchat Related and importantly, which brand of 🍩 doughnut is best? ...anything besides doughnuts you recommend? |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship RT @ASP_Chat: Q2. What are some good strategies for 🤝 engaging prescribers in family medicine about improving antimicrobial use? #ASPchat Related and importantly, which brand of 🍩 doughnut is best? ...anything besides doughnuts you recommend? |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship RT @Freestylepharm1: @ASP_Chat To add to the discussion, too many time constraints on primary care physicians, with too short of a clinic visit to fully discuss reasoning behind withholding abx. #ASPchat |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship RT @BRxAD: @ASP_Chat @pewtrusts Really cool overview of the patient's perspective on #AMR from @Wellcome_AMR https://t.co/QM7VrwXjqg #ASPChat |
| Brad Langford @BRxAD @Freestylepharm1 @ASP_Chat 👍 There is a link between greater patient volumes and likelihood of antibiotic inappropriateness. So solutions need to take into account time pressures in this setting. https://t.co/hHuZw3NSAf #ASPChat |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship @ASP_Chat A2. I like the idea of: meeting people through trusted colleagues, build relationships by being a trusted resource, then give feedback with data plus compare to peers. This is probably unrealistic in many instances, I know. #ASPchat I find people don’t care for 🍩 TBH 😳🤷♂️ |
| Brian McCullough, PharmD, BCPS, BCIDP @Freestylepharm1 @ASP_Chat Sorry, the above is in regards to AMS guidelines, and of course I forgot to include #ASPchat #noob |
| Brad Langford @BRxAD @ASP_Chat Engaging prescribers requires addressing the known drivers of antibiotic misuse. It means more than education and addressing behavioral factors associated with overuse. Peer comparison, delayed prescriptions, communications training are some known effective approaches. #ASPChat |
 | Jan Hughes @JHBio1 RT @IDstewardship: @ASP_Chat A1. Misunderstanding the dangers of antibiotics is a major driving force for inappropriate antibiotic use in the community IMO. To augment it we need a multi-pronged approach and can perhaps learn from our infection control colleagues w/ their bundled interventions. #ASPchat |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship @Freestylepharm1 @ASP_Chat Non-physicians (eg, nurses, pharmacists) maybe can help share the burden of talking patients back from “the must have antibiotics ledge” #ASPchat ...Again and again collaboration is needed for good stewardship. |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship RT @BRxAD: @Freestylepharm1 @ASP_Chat 👍 There is a link between greater patient volumes and likelihood of antibiotic inappropriateness. So solutions need to take into account time pressures in this setting. https://t.co/hHuZw3NSAf #ASPChat |
 | Brandon Dionne @BWDionne @BRxAD @ASP_Chat @pewtrusts These seem to sum up well the unnecessary antibiotics, but another major problem is there is still some disbelief in "shorter is better". We will be publishing some data soon showing cystitis is generally treated for too long in community health centers. #ASPChat |
| Brian McCullough, PharmD, BCPS, BCIDP @Freestylepharm1 @BRxAD @IDstewardship @ASP_Chat @BrXad with the assist! You've inspired me. I need to start citing sources instead of "The Brain of Brian" #ASPChat |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship @Freestylepharm1 @ASP_Chat Preach! Pharmacists should be doing more driving and less behind the scenes work now and in the future. That will require some culture changes. #ASPchat |
| #ASPchat @ASP_Chat Q3. Have you used or seen the “nudge” approach used in ambulatory care? What do you think about it? Any challenges to beware? #ASPchat Reference: https://t.co/NryYmyiSGS https://t.co/vyVYWY3SGs |
| Brad Langford @BRxAD @BWDionne @ASP_Chat @pewtrusts We did some qualitative interviews and found that there's still work to do with "shorter is better". Most common was the pervasive misconception that not finishing a "complete" antibiotic course could lead to resistance. #ASPChat |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship RT @ASP_Chat: Q3. Have you used or seen the “nudge” approach used in ambulatory care? What do you think about it? Any challenges to beware? #ASPchat Reference: https://t.co/NryYmyiSGS https://t.co/vyVYWY3SGs |
| Brad Langford @BRxAD RT @ASP_Chat: Q3. Have you used or seen the “nudge” approach used in ambulatory care? What do you think about it? Any challenges to beware? #ASPchat Reference: https://t.co/NryYmyiSGS https://t.co/vyVYWY3SGs |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship @ASP_Chat A3. Beware logistically putting up posters may be more challenging in practice than at face value, may require many approvals / endorsements. Start with leadership and use your committees PRN. #ASPchat #Nudging |
| Brandon Dionne @BWDionne @IDstewardship @Freestylepharm1 @ASP_Chat There is some data that providing an alternative treatment (e.g., symptomatic relief or wellness kits) may help as well. Sometimes patients just want to have their concerns acknowledged in some way. #ASPChat |
| Brad Langford @BRxAD @ASP_Chat Nudging aims to change "choice architecture" and maintain prescriber autonomy. It is best in circumstances where more assertive approaches are not needed. It falls right in the middle of the Nuffeild ladder where greater degrees of intensiveness are higher on the ladder. #ASPChat https://t.co/KLv9uOBLg6 |
| Brad Langford @BRxAD @ASP_Chat Where nudging appears to be particularly promising is guiding decision making in microbiology reporting through either changing the default choice, changing the order of options, or adding "framing" with comments to help guide decision making. https://t.co/9H3BjL6MM5 #ASPChat |
| Brandon Dionne @BWDionne @BRxAD @ASP_Chat @pewtrusts Give them a shorter course and they're more likely to finish it. #ASPChat https://t.co/8mXt892zVp |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship @BWDionne @Freestylepharm1 @ASP_Chat Concur. This is where shared decision making and focusing on the primary complaint can curb the conversation away from the request for a Zpak, which some folks legitimately think is a MVI 🤦♂️. #ASPchat I like the idea of wellness kits, esp if u can taylor a bit by patient case. |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship @BWDionne @BRxAD @ASP_Chat @pewtrusts But then if we give short courses (and they stop early anyways) there will be no expired 💊 leftovers to share with their family members 8 years later!! 😳🤣😢 #ASPchat |
| Brandon Dionne @BWDionne @BRxAD @ASP_Chat Would you consider disease state-specific outpatient order sets to be on the "guide choice by changing the default policy"? #ASPChat |
| #ASPchat @ASP_Chat Q4. What resources (pubs/other) have you found to be helpful for abx stewarship in ambcare? #ASPchat ASP team | New resource | | | | 🔽 🔽 https://t.co/9tDnPF3mA1 |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship RT @ASP_Chat: Q4. What resources (pubs/other) have you found to be helpful for abx stewarship in ambcare? #ASPchat ASP team | New resource | | | | 🔽 🔽 https://t.co/9tDnPF3mA1 |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship @ASP_Chat A4. CDC patient handouts, posters, and guides are frequent go-to resources for ambulatory care stewardship for me. #ASPchat Example: https://t.co/pNZTEruz2O #Bronchitis |
| Brad Langford @BRxAD @BWDionne @ASP_Chat If the order set was the only way to order the antibiotic, then yes! 😀😝Otherwise the nudging happens within the order set #ASPchat |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship RT @BRxAD: @ASP_Chat Nudging aims to change "choice architecture" and maintain prescriber autonomy. It is best in circumstances where more assertive approaches are not needed. It falls right in the middle of the Nuffeild ladder where greater degrees of intensiveness are higher on the ladder. #ASPChat https://t.co/KLv9uOBLg6 |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship RT @BWDionne: @BRxAD @ASP_Chat Would you consider disease state-specific outpatient order sets to be on the "guide choice by changing the default policy"? #ASPChat |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship RT @BRxAD: @BWDionne @ASP_Chat If the order set was the only way to order the antibiotic, then yes! 😀😝Otherwise the nudging happens within the order set #ASPchat |
| Brad Langford @BRxAD @ASP_Chat Refer to the @ChooseWiselyCA resources regularly for key practice changes for upper respiratory tract infections #ASPChat https://t.co/S3yXwpLR4k https://t.co/9Omqi9tn1D |
| Brandon Dionne @BWDionne @ASP_Chat The CDC Core Elements of Outpatient Antibiotic Stewardship is a good place to start. #ASPChat https://t.co/OudJTuIKtM |
| #ASPchat @ASP_Chat Q5. What role should community pharmacists play to promote antimicrobial stewardship? #ASPchat cc: @accpambuprn @pharmacists https://t.co/D3FQVSz1XV |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship RT @ASP_Chat: Q5. What role should community pharmacists play to promote antimicrobial stewardship? #ASPchat cc: @accpambuprn @pharmacists https://t.co/D3FQVSz1XV |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship RT @BRxAD: @ASP_Chat Refer to the @ChooseWiselyCA resources regularly for key practice changes for upper respiratory tract infections #ASPChat https://t.co/S3yXwpLR4k https://t.co/9Omqi9tn1D |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship RT @BWDionne: @ASP_Chat The CDC Core Elements of Outpatient Antibiotic Stewardship is a good place to start. #ASPChat https://t.co/OudJTuIKtM |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship RT @BWDionne: @BRxAD @ASP_Chat @pewtrusts Give them a shorter course and they're more likely to finish it. #ASPChat https://t.co/8mXt892zVp |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship RT @BRxAD: @ASP_Chat Where nudging appears to be particularly promising is guiding decision making in microbiology reporting through either changing the default choice, changing the order of options, or adding "framing" with comments to help guide decision making. https://t.co/9H3BjL6MM5 #ASPChat |
| Brandon Dionne @BWDionne @ASP_Chat @accpambuprn @pharmacists @KisgenUF @mmPharmD @julie_justo @ABsteward @khalideljaaly @MK_IDpharm @BBookstaver_USC @CmdDasp @ASPphysician A great start would be to require that indication be placed on all prescriptions. If they had that, they may be able to help other clinicians choose appropriate agents and durations. #ASPChat |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship Wish I could retweet this 1,000 times! #ASPchat |
 | Rita Dhami @RitaDhami @ASP_Chat Who eats a full doughnut? It’s all about the Timbits #ASPchat |
| Brad Langford @BRxAD @ASP_Chat A shameless plug for @PublicHealthON resources on shared decision making...now available in English, French, Chinese and soon to be Spanish! #ASPChat https://t.co/G7LHwOjdDU |
| Brandon Dionne @BWDionne @ASP_Chat @accpambuprn @pharmacists @KisgenUF @mmPharmD @julie_justo @ABsteward @khalideljaaly @MK_IDpharm @BBookstaver_USC @CmdDasp @ASPphysician Also, pharmacists in states like Idaho are making strides in appropriate treatment of select infections. #ASPChat https://t.co/6R5vXeQjxW |
 | Steph Witek @StephWitek @ASP_Chat @accpambuprn @pharmacists @KisgenUF @mmPharmD @julie_justo @ABsteward @khalideljaaly @MK_IDpharm @BWDionne @BBookstaver_USC @CmdDasp @ASPphysician Rph I worked w/ had a great relationship w/ her pts. One time a pt had a script for abx, she asked what was wrong, found out the abx was not a great fit for the indication, and called prescriber to change it!! Community pharmacists are clinical practitioners too #ASPChat |
| Brian McCullough, PharmD, BCPS, BCIDP @Freestylepharm1 @BWDionne @ASP_Chat @accpambuprn @pharmacists @KisgenUF @mmPharmD @julie_justo @ABsteward @khalideljaaly @MK_IDpharm @BBookstaver_USC @CmdDasp @ASPphysician Idaho is crushing it with provider status! @ak_winterswyk helped with so much of that groundwork! #ASPchat |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship @ASP_Chat @accpambuprn @pharmacists @KisgenUF @mmPharmD @julie_justo @ABsteward @khalideljaaly @MK_IDpharm @BWDionne @BBookstaver_USC @CmdDasp @ASPphysician A5. I think the 🍎 low-hanging fruit community #pharmacists can pick for #abxstewardship is to engage patients and promote awareness about safe #antibiotic use. Can we perhaps nudge patients from the pharmacy to promote long-term cultural changes? #ASPchat #IDtwitter |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship RT @BWDionne: @ASP_Chat @accpambuprn @pharmacists @KisgenUF @mmPharmD @julie_justo @ABsteward @khalideljaaly @MK_IDpharm @BBookstaver_USC @CmdDasp @ASPphysician Also, pharmacists in states like Idaho are making strides in appropriate treatment of select infections. #ASPChat https://t.co/6R5vXeQjxW |
 | Alice Yang @G_loves_Pacman @ASP_Chat @accpambuprn @pharmacists @KisgenUF @mmPharmD @julie_justo @ABsteward @khalideljaaly @MK_IDpharm @BWDionne @BBookstaver_USC @CmdDasp @ASPphysician Community pharmacists can ensure that their patients are taking their antibiotics appropriately and for the intended duration. They can also help prevent antibiotics being requested for viral illnesses, and recommend symptomatic therapy for low-risk patients. #ASPchat |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship RT @StephWitek: @ASP_Chat @accpambuprn @pharmacists @KisgenUF @mmPharmD @julie_justo @ABsteward @khalideljaaly @MK_IDpharm @BWDionne @BBookstaver_USC @CmdDasp @ASPphysician Rph I worked w/ had a great relationship w/ her pts. One time a pt had a script for abx, she asked what was wrong, found out the abx was not a great fit for the indication, and called prescriber to change it!! Community pharmacists are clinical practitioners too #ASPChat |
| Steph Witek @StephWitek @ASP_Chat @accpambuprn @pharmacists @KisgenUF @mmPharmD @julie_justo @ABsteward @khalideljaaly @MK_IDpharm @BWDionne @BBookstaver_USC @CmdDasp @ASPphysician Also, verifying allergies. Many times have encouraged pts to follow up w/ their provider if they have a PCN allergy listed (you guessed it, from childhood) but have tolerated Keflex. Get it off the list if you can. #ASPChat |
| #ASPchat @ASP_Chat Q6. What is on your 📝 wishlist for areas of research or data you want regarding antimicrobial stewardship in family medicine? #ASPchat https://t.co/0IITodJzS2 |
| Brad Langford @BRxAD @BWDionne @ASP_Chat @accpambuprn @pharmacists @KisgenUF @mmPharmD @julie_justo @ABsteward @khalideljaaly @MK_IDpharm @BBookstaver_USC @CmdDasp @ASPphysician Cool! Ontario just announced pharmacists will have prescribing privileges for selected indications. Would be great to hear about more success stories for pharmacist prescribing of #antibiotics! #ASPchat |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship RT @ASP_Chat: Q6. What is on your 📝 wishlist for areas of research or data you want regarding antimicrobial stewardship in family medicine? #ASPchat https://t.co/0IITodJzS2 |
| Brad Langford @BRxAD @ASP_Chat @accpambuprn @pharmacists @KisgenUF @mmPharmD @julie_justo @ABsteward @khalideljaaly @MK_IDpharm @BWDionne @BBookstaver_USC @CmdDasp @ASPphysician Lots of opportunity for involvement, which could be facilitated by having an indication written on the script! Community pharmacists could play a huge role in duration of antibiotic therapy. #ASPChat |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship @ASP_Chat I would like a simple calculator to estimate the risk of harm from an antibiotic if it is given unnecessarily. Can someone make that and send it over? Thanks in advance!! #ASPchat |
| Brad Langford @BRxAD RT @ASP_Chat: Q6. What is on your 📝 wishlist for areas of research or data you want regarding antimicrobial stewardship in family medicine? #ASPchat https://t.co/0IITodJzS2 |
 | Jenna Kabaci @JennaKabBWH @ASP_Chat @accpambuprn @pharmacists @KisgenUF @mmPharmD @julie_justo @ABsteward @khalideljaaly @MK_IDpharm @BWDionne @BBookstaver_USC @CmdDasp @ASPphysician Filling in the gaps of patient knowledge about their antibiotics. Patients are not often fully counseled/have residual questions about how to take their antibiotics, and the community pharmacist is the last person they’ll see before taking the med #ASPChat |
 | Joshua Torrance @JoshuaRTorrance @ASP_Chat @accpambuprn @pharmacists @KisgenUF @mmPharmD @julie_justo @ABsteward @khalideljaaly @MK_IDpharm @BWDionne @BBookstaver_USC @CmdDasp @ASPphysician A5: short answer = the same role they do with every other medication: confirm it is indicated, effective, safe, and the patient will take the medication. #ASPchat |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship RT @JennaKabBWH: @ASP_Chat @accpambuprn @pharmacists @KisgenUF @mmPharmD @julie_justo @ABsteward @khalideljaaly @MK_IDpharm @BWDionne @BBookstaver_USC @CmdDasp @ASPphysician Filling in the gaps of patient knowledge about their antibiotics. Patients are not often fully counseled/have residual questions about how to take their antibiotics, and the community pharmacist is the last person they’ll see before taking the med #ASPChat |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship RT @BRxAD: @BWDionne @ASP_Chat @accpambuprn @pharmacists @KisgenUF @mmPharmD @julie_justo @ABsteward @khalideljaaly @MK_IDpharm @BBookstaver_USC @CmdDasp @ASPphysician Cool! Ontario just announced pharmacists will have prescribing privileges for selected indications. Would be great to hear about more success stories for pharmacist prescribing of #antibiotics! #ASPchat |
| Jenna Kabaci @JennaKabBWH @ASP_Chat @accpambuprn @pharmacists @KisgenUF @mmPharmD @julie_justo @ABsteward @khalideljaaly @MK_IDpharm @BWDionne @BBookstaver_USC @CmdDasp @ASPphysician A common one I’ve seen is not understanding why they’re given an azithro Rx before traveling abroad, so the patient immediately takes the med as soon as they get it🤦♀️#ASPChat |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship @StephWitek @ASP_Chat @accpambuprn @pharmacists @KisgenUF @mmPharmD @julie_justo @ABsteward @khalideljaaly @MK_IDpharm @BWDionne @BBookstaver_USC @CmdDasp @ASPphysician Yessss!!! @PCN_Allergy I think is really helping engage pharmacists to 🎯 penicillin allergy labels. #ASPchat |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship RT @G_loves_Pacman: @ASP_Chat @accpambuprn @pharmacists @KisgenUF @mmPharmD @julie_justo @ABsteward @khalideljaaly @MK_IDpharm @BWDionne @BBookstaver_USC @CmdDasp @ASPphysician Community pharmacists can ensure that their patients are taking their antibiotics appropriately and for the intended duration. They can also help prevent antibiotics being requested for viral illnesses, and recommend symptomatic therapy for low-risk patients. #ASPchat |
| Joshua Torrance @JoshuaRTorrance @ASP_Chat @accpambuprn @pharmacists @KisgenUF @mmPharmD @julie_justo @ABsteward @khalideljaaly @MK_IDpharm @BWDionne @BBookstaver_USC @CmdDasp @ASPphysician Longer answer: huge role in educating on when antimicrobials are appropriate. Simple things like having a patient put an antibiotic on hold for bronchitis or sore throat for a few days before deciding to fill it can drastically reduce unnecessary use 1/2 #ASPchat |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship 😳 |
| Rita Dhami @RitaDhami @ASP_Chat @accpambuprn @pharmacists @KisgenUF @mmPharmD @julie_justo @ABsteward @khalideljaaly @MK_IDpharm @BWDionne @BBookstaver_USC @CmdDasp @ASPphysician 🤔 1. Clarify Pen allergies!! 2. Promote less abx use during cold/flu season 3. When using expanded scopes for UTI prescribing, be discerning! #ASPchat |
 | Julie Wolf @JulieMarieWolf RT @BRxAD: @Freestylepharm1 @ASP_Chat 👍 There is a link between greater patient volumes and likelihood of antibiotic inappropriateness. So solutions need to take into account time pressures in this setting. https://t.co/hHuZw3NSAf #ASPChat |
| Joshua Torrance @JoshuaRTorrance @ASP_Chat @accpambuprn @pharmacists @KisgenUF @mmPharmD @julie_justo @ABsteward @khalideljaaly @MK_IDpharm @BWDionne @BBookstaver_USC @CmdDasp @ASPphysician Also huge role in helping choose narrower spectrum agents or recommending shorter durations of therapy (collaboratively or as a prescriber where possible). 2/2 #ASPchat |
| Brad Langford @BRxAD @ASP_Chat Excited to see many behavioral interventions in primary care. @PublicHealthON's own @DrKevinSchwartz is leading an RCT looking at the impact of letter mail-out to high prescribers. Looking forward to these results! #ASPchat https://t.co/Te9i5IeUbB |
| Brandon Dionne @BWDionne @IDstewardship @StephWitek @ASP_Chat @accpambuprn @pharmacists @KisgenUF @mmPharmD @julie_justo @ABsteward @khalideljaaly @MK_IDpharm @BBookstaver_USC @CmdDasp @ASPphysician @PCN_Allergy Do you think we could reimburse community pharmacists for performing PCN skin testing in a similar way to how we have incentivized immunization? #ASPChat |
| Rita Dhami @RitaDhami @ASP_Chat I’m curious about the role that Family Health Team Pharmacists are playing to support Antimicrobial prescribing #ASPchat |
| #ASPchat @ASP_Chat 🙏Thank you so much for joining this #ASPchat and sharing your questions + thoughts + knowledge today! Feel free to keep the conversation going. Next month we will be 🗣 talking about antimicrobial stewardship + pearls for clinical practice. It’s going to be 😁🤩🤓🤯 awesome!!! |
| Brad Langford @BRxAD @IDstewardship @ASP_Chat Definitely would be a great tool to address the all-too-common optimism bias with antibiotics #aspchat https://t.co/5DDfwbAu3I |
| Brad Langford @BRxAD RT @ASP_Chat: 🙏Thank you so much for joining this #ASPchat and sharing your questions + thoughts + knowledge today! Feel free to keep the conversation going. Next month we will be 🗣 talking about antimicrobial stewardship + pearls for clinical practice. It’s going to be 😁🤩🤓🤯 awesome!!! |
| #ASPchat @ASP_Chat Did you like the thread format of this #ASPchat better than individual tweet format we usually use? |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship RT @ASP_Chat: Did you like the thread format of this #ASPchat better than individual tweet format we usually use? |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship RT @ASP_Chat: 🙏Thank you so much for joining this #ASPchat and sharing your questions + thoughts + knowledge today! Feel free to keep the conversation going. Next month we will be 🗣 talking about antimicrobial stewardship + pearls for clinical practice. It’s going to be 😁🤩🤓🤯 awesome!!! |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship RT @BRxAD: @IDstewardship @ASP_Chat Definitely would be a great tool to address the all-too-common optimism bias with antibiotics #aspchat https://t.co/5DDfwbAu3I |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship RT @RitaDhami: @ASP_Chat I’m curious about the role that Family Health Team Pharmacists are playing to support Antimicrobial prescribing #ASPchat |
| Jenna Kabaci @JennaKabBWH @BWDionne @ASP_Chat @accpambuprn @pharmacists @KisgenUF @mmPharmD @julie_justo @ABsteward @khalideljaaly @MK_IDpharm @BBookstaver_USC @CmdDasp @ASPphysician Do you think this increases the risk of insurance companies refusing to pay for a med if they consider it an “off-label indication”, even if it’s something we know is the best clinical option? #ASPChat |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship @RitaDhami @ASP_Chat I don’t know what that is, but it sounds interesting. #ASPchat |
 | Infectious Diseases @WSPID It may depend on your country's health system but if you receive a presecription from the dr & need to go the pharmacy to pick up the medication, pharmasists could play a bigger role in promoting #AntimicrobialStewardship. #ASPchat #PedsID |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship PST can be an intervention that pays off for the rest of someone’s life. Seems like may be worth paying pharmacists to do it. #ASPchat |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship RT @BRxAD: @ASP_Chat Excited to see many behavioral interventions in primary care. @PublicHealthON's own @DrKevinSchwartz is leading an RCT looking at the impact of letter mail-out to high prescribers. Looking forward to these results! #ASPchat https://t.co/Te9i5IeUbB |
| Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship RT @RitaDhami: @ASP_Chat @accpambuprn @pharmacists @KisgenUF @mmPharmD @julie_justo @ABsteward @khalideljaaly @MK_IDpharm @BWDionne @BBookstaver_USC @CmdDasp @ASPphysician 🤔 1. Clarify Pen allergies!! 2. Promote less abx use during cold/flu season 3. When using expanded scopes for UTI prescribing, be discerning! #ASPchat |
| Infectious Diseases @WSPID Great initiative - would love to see those involved in #PedsID also contribute to this #ASPchat |
| Steph Witek @StephWitek @BWDionne @IDstewardship @ASP_Chat @accpambuprn @pharmacists @KisgenUF @mmPharmD @julie_justo @ABsteward @khalideljaaly @MK_IDpharm @BBookstaver_USC @CmdDasp @ASPphysician @PCN_Allergy I think this would be amazing, but I worry about working conditions and staffing issues for my colleagues working in community. Many wonderful potential interventions have been met with hesitancy 2/2 the issue of T I M E ⏱ #ASPChat |
| Brandon Dionne @BWDionne @StephWitek @IDstewardship @ASP_Chat @accpambuprn @pharmacists @KisgenUF @mmPharmD @julie_justo @ABsteward @khalideljaaly @MK_IDpharm @BBookstaver_USC @CmdDasp @ASPphysician @PCN_Allergy We will hopefully have a publication in the near future, and there is certainly some selection bias here, but a number of community pharmacists were willing to complete the training despite identifying time and reimbursement as a barrier. #ASPChat |
| Joshua Torrance @JoshuaRTorrance @Freestylepharm1 @ASP_Chat Awesome to hear! I have always felt that having a pharmacist physically present for at least part of the day is critical to change the pharmacist-physician relationship from "pen pals" to true collaborative interdisciplinary care #ASPchat |
| Rita Dhami @RitaDhami @ASP_Chat Hmm - we gave out our leftover “handle Antibiotic with care” buttons to a family practice clinic...and the wore them over the winter season. Didn’t realize it was a ‘nudge’... but anecdotally heard it helped support the conversation with patients #ASPchat |
| Brandon Dionne @BWDionne @JennaKabBWH @ASP_Chat @accpambuprn @pharmacists @KisgenUF @mmPharmD @julie_justo @ABsteward @khalideljaaly @MK_IDpharm @BBookstaver_USC @CmdDasp @ASPphysician Good question. I suppose PBMs gonna PBM and attempt their clawbacks. You could potentially write legislation preventing clawback based on indication on prescription. #ASPChat |
| Infectious Diseases @WSPID Do people feel that if they go to their primary physician they should be coming out with a drug prescription? Do physicians prescribe antibiotics 'just incase'? from a pediatric perspective, how do we also educate parents? #ASPchat #PedsID |
| Joshua Torrance @JoshuaRTorrance @ASP_Chat A4: shameless plug for https://t.co/GSMxuMCk6t. Combining ID best practices with good stewardship principles makes it much simpler to implement in practice. Even if they don't know why they are doing it, the end up with a good answer😬 #ASPchat |
| Infectious Diseases @WSPID Important question - will help with dissemination of information & other educational resources. #ASPchat #PedsID |
#ASPChat content from Twitter.