#ASPChat Transcript
Healthcare social media transcript of the #ASPChat hashtag.
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See #ASPChat Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | #ASPchat @ASP_Chat Q1. π€ What is the most common infection where antibiotics are inappropriately prescribed in outpatient settings + why? #ASPchat |
 | Jeff S @DrSkiPharmD @ASP_Chat Most are viral vs bacterial #ASPchat |
 | Bug Pharmacist π𧫠Tim Gauthier @IDstewardship RT @ASP_Chat: πWelcome to the #ASPchat on #AntimicrobialStewardship in the community! Use #ASPchat in your tweets so people can follow along. T-5 minutes! |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship RT @ASP_Chat: Q1. π€ What is the most common infection where antibiotics are inappropriately prescribed in outpatient settings + why? #ASPchat |
 | Brad Langford @BRxAD Recent study found 50% of abx prescriptions for pts w/ acute respiratory infections inappropriate #ASPchat https://t.co/on6e3Cic70 #ASPchat https://t.co/FJ0we890eO |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship @ASP_Chat Picking to treat based off positive urine cx rather than s/sx illness... need to reach GPs and improve systems, give incentives #ASPchat |
 | Jamie Kisgen @KisgenUF @ASP_Chat A1. Many factors, but patient demand for ABX is a big one. Takes less time to write for Zpak than explain why no ABX needed. #ASPChat |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship RT @DrSkiPharmD: @ASP_Chat Most are viral vs bacterial #ASPchat |
| Brad Langford @BRxAD RT @ASP_Chat: πWelcome to the #ASPchat on #AntimicrobialStewardship in the community! Use #ASPchat in your tweets so people can follow along. T-5 minutes! |
 | Kevin Schwartz @DrKevinSchwartz @ASP_Chat #ASPChat https://t.co/DawC69SzIV |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship @ASP_Chat Will be variable by practice setting / patient population as well. Ex: work next to a college versus in a mostly elderly community #ASPchat |
| Kevin Schwartz @DrKevinSchwartz @ASP_Chat Often perceived patient demand, not actual patient demand https://t.co/H4E802Hcnj Communication is key! #ASPChat |
 | Monica Mahoney @mmPharmD A1. Resp Patient demand and satisfaction scores big players. https://t.co/gkqi1E3pPL |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship @KisgenUF @ASP_Chat Changing culture of demanding abx will take time... any suggestions on how to speed up that change? #ASPchat |
| #ASPchat @ASP_Chat Q2. What is the biggest π driver of #antibiotic misuse in the community? #ASPchat |
 | Rodney E. Rohde, PhD "Doc R" @RodneyRohde RT @ASP_Chat: πWelcome to the #ASPchat on #AntimicrobialStewardship in the community! Use #ASPchat in your tweets so people can follow along. T-5 minutes! |
 | Mahdee Sobhanie @mdbugkicker RT @IDPharmacist: How can we get the word out about #antibioticresistance and reduce unnecessary overuse of #antibiotics in gen practice? #MedTweetMY #ASPchat https://t.co/WAd3v8reC2 |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship @kevin_kls @ASP_Chat Interesting that a mid- or late-career physician would be more likely to prescribe an antibiotic for a URI #ASPchat in link from @kevin_kls |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship RT @kevin_kls: @ASP_Chat Often perceived patient demand, not actual patient demand https://t.co/H4E802Hcnj Communication is key! #ASPChat |
 | Jacob Morton @JMIDPharmD @ASP_Chat In outpt setting, symptoms drive patient desire for abx. Providers consider pt satisfaction, also give abx "just in case". #ASPChat |
| Brad Langford @BRxAD Agree, prescribers may overestimate patient demand for abx - what's important to patients is that concerns acknowledged + addressed #ASPchat https://t.co/KC9FS7XKHr |
| Jamie Kisgen @KisgenUF @IDstewardship @ASP_Chat More passive and active education. Flyers in the waiting rooms, wall posters, live education (news, newspapers, community centers) #ASPChat |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship @kevin_kls @ASP_Chat Great point! When your perception is your reality, important to challenge the accuracy of your perception. #ASPchat |
| Rodney E. Rohde, PhD "Doc R" @RodneyRohde Unless they've had serious clin micro edu & experience, then they shouldn't be interpreting antibiograms #ASPchat #AMRchat https://t.co/824PuGk4QE |
 | Melissa Johnson @IDPharmacist @ASP_Chat A1. According to @JAMA_current, overall seems to be upper resp infxn- esp sinusitis; depends on age. doi:10.1001/jama.2016.4151 #ASPchat https://t.co/pb8BwcjLaK |
| Mahdee Sobhanie @mdbugkicker RT @kevin_kls: @ASP_Chat Often perceived patient demand, not actual patient demand https://t.co/H4E802Hcnj Communication is key! #ASPChat |
| Jamie Kisgen @KisgenUF RT @IDPharmacist: @ASP_Chat A1. According to @JAMA_current, overall seems to be upper resp infxn- esp sinusitis; depends on age. doi:10.1001/jama.2016.4151 #ASPchat https://t.co/pb8BwcjLaK |
 | Sam Horwich @samhorwich RT @BRxAD: Recent study found 50% of abx prescriptions for pts w/ acute respiratory infections inappropriate #ASPchat https://t.co/on6e3Cic70 #ASPchat https://t.co/FJ0we890eO |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship RT @JMIDPharmD: @ASP_Chat In outpt setting, symptoms drive patient desire for abx. Providers consider pt satisfaction, also give abx "just in case". #ASPChat |
| Rodney E. Rohde, PhD "Doc R" @RodneyRohde Great Q! I would add #HealthLiteracy as well https://t.co/L4oJq1a1Vk |
| Kevin Schwartz @DrKevinSchwartz @IDstewardship @ASP_Chat 1. Busier clinicians 2. Set in ways 3. Less reliance on diagnostic tests are probably some of the reasons for overRx for URIs #ASPchat |
| Monica Mahoney @mmPharmD A2. Lots of interesting choices. I'd say a combination of all. Any studies look at this? #ASPchat https://t.co/4qyuSJje1Z |
| Melissa Johnson @IDPharmacist @BWDionne @ASP_Chat π I feel that many can benefit from optimzing drug selection for these. FQ susc is horrible for E. coli, so avoid in UTIs, etc. #ASPchat |
| Rodney E. Rohde, PhD "Doc R" @RodneyRohde Agree....but we've been hammering away at that for years! Keep it up WITH added mandates from AMA, legislation, etc need to happen! https://t.co/OgOPIyNVyu |
| Brad Langford @BRxAD Also interesting that high volume prescribers more likely to Rx antibiotic... b/c takes more time to explain why abx not needed? #ASPchat https://t.co/zwQfk9LYO7 |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship RT @BRxAD: Agree, prescribers may overestimate patient demand for abx - what's important to patients is that concerns acknowledged + addressed #ASPchat https://t.co/KC9FS7XKHr |
| Monica Mahoney @mmPharmD @IDPharmacist @BWDionne @ASP_Chat Fellows and residents are SHOCKED when I tell them FQs or bactrim bad idea for empiric UTI. #antibiogram #ASPchat |
| Brad Langford @BRxAD A nice review here on the drivers of inappropriate antibiotic use #ASPchat https://t.co/GYXKhaQfJ3 https://t.co/41H9BUjpUh |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship @KisgenUF @ASP_Chat A lot of people to compete w/ for wall space + costs money... and in the end will it really make much of a difference?... #ASPchat |
| #ASPchat @ASP_Chat Q3. What is the most effective intervention that can be implemented to improve #antibiotic use in the community? π #ASPchat |
 | Brandon Dionne @BWDionne @mmPharmD @IDPharmacist @ASP_Chat If they are coming from NEU, they better not be shocked! @EB_Hirsch would be sad to hear that! #ASPchat |
 | Fight superbugs @Fightsuperbug RT @ASP_Chat: Q2. What is the biggest π driver of #antibiotic misuse in the community? #ASPchat |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship @IDPharmacist @BWDionne @ASP_Chat Every time i think about FQs + E. coli I start day dreaming about how bad I want a new novel oral safe antibiotic... can dream... #ASPchat |
| Kevin Schwartz @DrKevinSchwartz What Drives Inappropriate Antibiotic Use in Outpatient Care? Multiple contributing factors for overRx #ASPchat https://t.co/muPRYfG2kZ |
| Melissa Johnson @IDPharmacist yes- #decision fatigue is real... more volume, more decisions, too little time all contribute. #ASPchat https://t.co/0OFyroWtnn |
| Monica Mahoney @mmPharmD A3. Would Love to implement peer scoring at my institution. Need time, energy, data, and Csuite support. #ASPChat https://t.co/hqk5DMFBzq |
| Jamie Kisgen @KisgenUF @IDstewardship @ASP_Chat Displaying poster-sized commitment letters in exam rooms decreased inappropriate ABX prescribing for ARIs. #ASPChat https://t.co/pfeXUI2TfL |
| Brad Langford @BRxAD Two examples of successful peer comparison for #antimicrobialstewardship 1. https://t.co/t9MANqHgQj 2. https://t.co/6qavDBkutk #ASPchat https://t.co/TYrisSaGNc |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship RT @IDPharmacist: @ASP_Chat A1. According to @JAMA_current, overall seems to be upper resp infxn- esp sinusitis; depends on age. doi:10.1001/jama.2016.4151 #ASPchat https://t.co/pb8BwcjLaK |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship RT @mmPharmD: @IDPharmacist @BWDionne @ASP_Chat Fellows and residents are SHOCKED when I tell them FQs or bactrim bad idea for empiric UTI. #antibiogram #ASPchat |
| Melissa Johnson @IDPharmacist A3. It's amazing what you can do with data! Just saw this in action yesterday w/@DASON_duke hospital prescribers... #ASPchat https://t.co/nyUj6UOylI |
| Brad Langford @BRxAD RT @KisgenUF: @IDstewardship @ASP_Chat Displaying poster-sized commitment letters in exam rooms decreased inappropriate ABX prescribing for ARIs. #ASPChat https://t.co/pfeXUI2TfL |
| Jacob Morton @JMIDPharmD @kevin_kls @IDstewardship @ASP_Chat Unfortunately even RDT not enough to sway providers. Some untrusting of results; worry about concomitant bacterial infxn also #ASPChat |
| Monica Mahoney @mmPharmD @BWDionne @IDPharmacist @ASP_Chat @EB_Hirsch Used our antibiogram in the pcol course I lectured in. π #ASPchat |
| Jamie Kisgen @KisgenUF RT @BRxAD: Two examples of successful peer comparison for #antimicrobialstewardship 1. https://t.co/t9MANqHgQj 2. https://t.co/6qavDBkutk #ASPchat https://t.co/TYrisSaGNc |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship RT @BRxAD: A nice review here on the drivers of inappropriate antibiotic use #ASPchat https://t.co/GYXKhaQfJ3 https://t.co/41H9BUjpUh |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship RT @ASP_Chat: Q3. What is the most effective intervention that can be implemented to improve #antibiotic use in the community? π #ASPchat |
| Melissa Johnson @IDPharmacist A3. I'm doing peer comparisons w/education for prescribers in many of our @DASON_duke sites and it's had an impressive impact. #ASPchat https://t.co/ElCUz29DJu |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship RT @KisgenUF: @IDstewardship @ASP_Chat Displaying poster-sized commitment letters in exam rooms decreased inappropriate ABX prescribing for ARIs. #ASPChat https://t.co/pfeXUI2TfL |
| Brad Langford @BRxAD RT @ASP_Chat: Q3. What is the most effective intervention that can be implemented to improve #antibiotic use in the community? π #ASPchat |
| Kevin Schwartz @DrKevinSchwartz @ASP_Chat Behavioural science approach essential for large scale interventions. Peer comparison best with education/guidelines/diagnostics #ASPChat |
| Jamie Kisgen @KisgenUF RT @IDPharmacist: A3. I'm doing peer comparisons w/education for prescribers in many of our @DASON_duke sites and it's had an impressive impact. #ASPchat https://t.co/ElCUz29DJu |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship @ASP_Chat Most effective intervention to reduce inappropriate prescribing? Tie it to reimbursement! #ASPchat ...or public shaming... ;-) |
| Jacob Morton @JMIDPharmD @ASP_Chat Until abx stop being seen as benign drugs by both providers and patients, overuse can only be improved so much. #ASPChat |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship RT @kevin_kls: What Drives Inappropriate Antibiotic Use in Outpatient Care? Multiple contributing factors for overRx #ASPchat https://t.co/muPRYfG2kZ |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship @mmPharmD We need to develop autonomous stewardship robots #ASPchat |
| Melissa Johnson @IDPharmacist RT @JMIDPharmD: @ASP_Chat Until abx stop being seen as benign drugs by both providers and patients, overuse can only be improved so much. #ASPChat |
| #ASPchat @ASP_Chat Q4.β How can we empower and motivate clinicians practicing in community to apply #antimicrobialstewardship in their daily practice? #ASPchat |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship @KisgenUF @ASP_Chat Was a small study and not exactly blinded. We need a more effective way of reaching patients and having them understand abx risks. #ASPchat |
| Kevin Schwartz @DrKevinSchwartz @IDstewardship @IDPharmacist @BWDionne @ASP_Chat Spoiler alert. That antibiotic will also induce resistance #ASPchat https://t.co/IwXl0XiMcN |
| Monica Mahoney @mmPharmD @JMIDPharmD @ASP_Chat True. Most powerful ally to curb use is personal negative experience. #NotBenign #NotATumor #ASPchat |
| Jamie Kisgen @KisgenUF @IDPharmacist @DASON_duke We need more provider level comparison data for inpatient and outpatient settings. Need to leverage EMR more! #ASPChat |
 | Helen Newland @helennewland @IDstewardship @ASP_Chat I was going to say reimbursement too. "Either make me or pay me" #ASPchat |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship RT @kevin_kls: @IDstewardship @IDPharmacist @BWDionne @ASP_Chat Spoiler alert. That antibiotic will also induce resistance #ASPchat https://t.co/IwXl0XiMcN |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship RT @helennewland: @IDstewardship @ASP_Chat I was going to say reimbursement too. "Either make me or pay me" #ASPchat |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship RT @BRxAD: Two examples of successful peer comparison for #antimicrobialstewardship 1. https://t.co/t9MANqHgQj 2. https://t.co/6qavDBkutk #ASPchat https://t.co/TYrisSaGNc |
| Monica Mahoney @mmPharmD @kevin_kls @IDstewardship @IDPharmacist @BWDionne @ASP_Chat Impressive run for vanco, though! #ASPChat |
 | Riza @RizaRidho ππΏ https://t.co/fEKQ2PySsd |
| Brad Langford @BRxAD Yes, risks often underestimated, benefits overestimated. We need to help tip the scales to better appreciate harms of antibiotics #ASPchat https://t.co/pGOOorxzcm |
| Kevin Schwartz @DrKevinSchwartz @mmPharmD @IDstewardship @IDPharmacist @BWDionne @ASP_Chat Yes. As long as we don't use them may last forever π #ASPchat |
| Brandon Dionne @BWDionne @ASP_Chat I thought that this was a pretty interesting approach to tackling inappropriate URI abx by @Aetna #ASPchat https://t.co/eoAYr0lgUB |
| Brad Langford @BRxAD RT @kevin_kls: @IDstewardship @IDPharmacist @BWDionne @ASP_Chat Spoiler alert. That antibiotic will also induce resistance #ASPchat https://t.co/IwXl0XiMcN |
| Helen Newland @helennewland @ASP_Chat I tell my students going into community-can educate and help with OTC sx relief for URI to keep from going to MD in first place. #ASPchat |
| Brad Langford @BRxAD RT @BWDionne: @ASP_Chat I thought that this was a pretty interesting approach to tackling inappropriate URI abx by @Aetna #ASPchat https://t.co/eoAYr0lgUB |
| Melissa Johnson @IDPharmacist A4. The million dollar question! πΈπ΅π° #ASPchat No one wakes up every day to intentionally misuse antibiotics- make doing the right thing easy https://t.co/IHrAEIKKvQ |
 | Maureen Taylor @maureentaylor31 RT @kevin_kls: @IDstewardship @IDPharmacist @BWDionne @ASP_Chat Spoiler alert. That antibiotic will also induce resistance #ASPchat https://t.co/IwXl0XiMcN |
| Helen Newland @helennewland RT @IDPharmacist: A4. The million dollar question! πΈπ΅π° #ASPchat No one wakes up every day to intentionally misuse antibiotics- make doing the right thing easy https://t.co/IHrAEIKKvQ |
| Kevin Schwartz @DrKevinSchwartz @ASP_Chat Local champions Clinically relevant guidelines and advice Most importantly local data to monitor and compare #ASPchat |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship RT @IDPharmacist: A3. I'm doing peer comparisons w/education for prescribers in many of our @DASON_duke sites and it's had an impressive impact. #ASPchat https://t.co/ElCUz29DJu |
| Monica Mahoney @mmPharmD @ASP_Chat Been thinking about this x days. You think international attitude w Abx being OTC translates to lax Rx by foreign MDs in the US? #ASPchat |
| Helen Newland @helennewland RT @BWDionne: @ASP_Chat I thought that this was a pretty interesting approach to tackling inappropriate URI abx by @Aetna #ASPchat https://t.co/eoAYr0lgUB |
| Brad Langford @BRxAD @ASP_Chat Look for quick wins that can be integrated into daily practice, account for workload and demands of running a business #ASPchat |
| Jamie Kisgen @KisgenUF RT @IDPharmacist: A4. The million dollar question! πΈπ΅π° #ASPchat No one wakes up every day to intentionally misuse antibiotics- make doing the right thing easy https://t.co/IHrAEIKKvQ |
| Brad Langford @BRxAD RT @kevin_kls: @ASP_Chat Local champions Clinically relevant guidelines and advice Most importantly local data to monitor and compare #ASPchat |
| Brad Langford @BRxAD RT @IDPharmacist: A4. The million dollar question! πΈπ΅π° #ASPchat No one wakes up every day to intentionally misuse antibiotics- make doing the right thing easy https://t.co/IHrAEIKKvQ |
 | Lesley Barron MD, MPhil, FRACS @drlesleybarron RT @kevin_kls: @IDstewardship @IDPharmacist @BWDionne @ASP_Chat Spoiler alert. That antibiotic will also induce resistance #ASPchat https://t.co/IwXl0XiMcN |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship RT @BWDionne: @ASP_Chat I thought that this was a pretty interesting approach to tackling inappropriate URI abx by @Aetna #ASPchat https://t.co/eoAYr0lgUB |
| Helen Newland @helennewland @JMIDPharmD @ASP_Chat I am waiting for the TV commercial "Did you or a loved one get C diff from antibiotics? If so call the law offices of...". #ASPchat |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship RT @ASP_Chat: Q4.β How can we empower and motivate clinicians practicing in community to apply #antimicrobialstewardship in their daily practice? #ASPchat |
| Jacob Morton @JMIDPharmD @helennewland @ASP_Chat "If so, you may be entitled to a free FMT. Call now!" #ASPChat |
| #ASPchat @ASP_Chat Q5. How can community pharmacists develop partnerships with other sectors to support outpatient #antimicrobialstewardship? π¨π€πͺ #ASPchat |
| Monica Mahoney @mmPharmD ID clinicians: WE NEED NEW ABX! (Get new Abx) ID clinicians: DON'T YOU DARE THINK ABOUT USING NEW ABX! #ASPChat https://t.co/Np2dbp8Aiz |
| Jamie Kisgen @KisgenUF Agreed! I would add that the public doesn't see the value of antibiotics. You can get Cipro for FREE at some pharmacies.π #ASPChat https://t.co/pWegVCMqLx |
| Brad Langford @BRxAD Example here of parents' overoptimistic expectations of antibiotics for respiratory infections #ASPchat https://t.co/c72JhJtsX9 https://t.co/Q7rqSuEbAd |
| Brad Langford @BRxAD RT @mmPharmD: ID clinicians: ID clinicians: WE NEED NEW ABX! (Get new Abx) ID clinicians: DON'T YOU DARE THINK ABOUT USING NEW ABX! #ASPChat https://t.co/Np2dbp8Aiz |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship @ASP_Chat Bring community clinicians onto your committee and work together to spread the word. #ASPchat + Re-teach principles of abx. |
| Brad Langford @BRxAD RT @ASP_Chat: Q5. How can community pharmacists develop partnerships with other sectors to support outpatient #antimicrobialstewardship? π¨π€πͺ #ASPchat |
| Helen Newland @helennewland RT @IDstewardship: @ASP_Chat Bring community clinicians onto your committee and work together to spread the word. #ASPchat + Re-teach principles of abx. |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship RT @helennewland: @JMIDPharmD @ASP_Chat I am waiting for the TV commercial "Did you or a loved one get C diff from antibiotics? If so call the law offices of...". #ASPchat |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship RT @ASP_Chat: Q5. How can community pharmacists develop partnerships with other sectors to support outpatient #antimicrobialstewardship? π¨π€πͺ #ASPchat |
| Monica Mahoney @mmPharmD A5. Empower to use personal connection with high use prescribers to re-educate. More effective if coming from established relation #ASPchat https://t.co/Fx3l7BFFpu |
| Brad Langford @BRxAD @ASP_Chat .@CDCgov provides some examples of partnerships in Core Elements of Outpatient #antimicrobialstewardship https://t.co/J3EYh8QLgb #ASPchat |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship RT @mmPharmD: ID clinicians: ID clinicians: WE NEED NEW ABX! (Get new Abx) ID clinicians: DON'T YOU DARE THINK ABOUT USING NEW ABX! #ASPChat https://t.co/Np2dbp8Aiz |
| Melissa Johnson @IDPharmacist Stewards in community #pharmacies w/local provider champions, payors all on board. Sounds dreamy! #ASPchat https://t.co/siLm35BauX |
| Kevin Schwartz @DrKevinSchwartz @ASP_Chat π€ Challenges: limited face-to-face with prescriber, no cultures, limited follow-up. RDT in pharmacies? Collect/share data? #ASPchat |
| Melissa Johnson @IDPharmacist RT @BRxAD: @ASP_Chat .@CDCgov provides some examples of partnerships in Core Elements of Outpatient #antimicrobialstewardship https://t.co/J3EYh8QLgb #ASPchat |
 | Mana @manasigh RT @kevin_kls: @IDstewardship @IDPharmacist @BWDionne @ASP_Chat Spoiler alert. That antibiotic will also induce resistance #ASPchat https://t.co/IwXl0XiMcN |
| Brad Langford @BRxAD RT @e_charani: |
| Maureen Taylor @maureentaylor31 RT @mmPharmD: ID clinicians: ID clinicians: WE NEED NEW ABX! (Get new Abx) ID clinicians: DON'T YOU DARE THINK ABOUT USING NEW ABX! #ASPChat https://t.co/Np2dbp8Aiz |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship Here in Miami, all of those pharmacy are @Publix #ASPchat https://t.co/SQetvVPIkM https://t.co/vDpeB8d6lz |
| Brandon Dionne @BWDionne Good luck. Only 31% of physicians on board with that. Increase to 41% if framed as decreasing patient harm. #ASPchat https://t.co/tBuFcGSipp https://t.co/fbczEIyL4b |
| #ASPchat @ASP_Chat Q6. π©βπ« πWhat are some key messages to educate patients about #antibiotic use in the community? #ASPchat |
 | Meghanism of Action @EMpharmgirl RT @kevin_kls: @IDstewardship @IDPharmacist @BWDionne @ASP_Chat Spoiler alert. That antibiotic will also induce resistance #ASPchat https://t.co/IwXl0XiMcN |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship RT @BRxAD: Example here of parents' overoptimistic expectations of antibiotics for respiratory infections #ASPchat https://t.co/c72JhJtsX9 https://t.co/Q7rqSuEbAd |
| Melissa Johnson @IDPharmacist @IDstewardship @Publix ugh- why no free #vaccines but free #antibiotics (in mostly wealthy areas btw)? we need a paradigm shift there... #ASPchat |
| Brad Langford @BRxAD Glad you can join us from across the pond! #ASPchat https://t.co/se7ThlYzct |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship RT @ASP_Chat: Q6. π©βπ« πWhat are some key messages to educate patients about #antibiotic use in the community? #ASPchat |
 | La Belle @nehmirabelle RT @kevin_kls: What Drives Inappropriate Antibiotic Use in Outpatient Care? Multiple contributing factors for overRx #ASPchat https://t.co/muPRYfG2kZ |
| Brad Langford @BRxAD RT @ASP_Chat: Q6. π©βπ« πWhat are some key messages to educate patients about #antibiotic use in the community? #ASPchat |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship @BWDionne I believe in the concept but in practice not so sure it will actually work... #ASPchat |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship RT @BWDionne: Good luck. Only 31% of physicians on board with that. Increase to 41% if framed as decreasing patient harm. #ASPchat https://t.co/tBuFcGSipp https://t.co/fbczEIyL4b |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship RT @IDPharmacist: @IDstewardship @Publix ugh- why no free #vaccines but free #antibiotics (in mostly wealthy areas btw)? we need a paradigm shift there... #ASPchat |
| Monica Mahoney @mmPharmD A6. Don't stockpile abx for next time. #ASPChat https://t.co/4zDazdogd3 |
| Brad Langford @BRxAD @ASP_Chat Dispel the myth that the full course of antibiotics needs to be completed to prevent #AMR @BradSpellberg #ASPchat https://t.co/wqVVlQNaps |
| Melissa Johnson @IDPharmacist A6. I think the CDC #GetSmartAboutAntibiotics #AntibioticAwareness info is great- #antibiotics can do harm. https://t.co/c6Bq1VVxbT https://t.co/hpzZo96jdI |
| Brandon Dionne @BWDionne @ASP_Chat When is the @SIDPharm Antimicrobial Stewardship Certificate for Community Practice coming? #ASPchat |
| Monica Mahoney @mmPharmD @ASP_Chat A6. Also, need studies on whether really need to finish entire course of abx. Saw this is @JGPharmD 's bane of existence #ASPchat |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship RT @BRxAD: @ASP_Chat .@CDCgov provides some examples of partnerships in Core Elements of Outpatient #antimicrobialstewardship https://t.co/J3EYh8QLgb #ASPchat |
| Jamie Kisgen @KisgenUF RT @BRxAD: @ASP_Chat Dispel the myth that the full course of antibiotics needs to be completed to prevent #AMR @BradSpellberg #ASPchat https://t.co/wqVVlQNaps |
| Melissa Johnson @IDPharmacist @BWDionne @ASP_Chat @SIDPharm was just thinking that as well! @SIDPharm great idea! #ASPchat |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship @kevin_kls @ASP_Chat Ability to follow-up has major implications on decision making about antibiotics in both the community and the ED. #ASPchat |
 | Antibiotic Tweets @khalideljaaly @ASP_Chat #ASPchat Take Abxπ on time. It is better to counsel to take every 12hours than twice daily. Very different β |
| Kevin Schwartz @DrKevinSchwartz @BRxAD @ASP_Chat @BradSpellberg Most frustrating myth. Patient started antibiotic inappropriately but convinced needs to finish the course for #AMR. Ridiculous! #ASPchat |
| Brandon Dionne @BWDionne @ASP_Chat Discussion of potential risks of antibiotics would be important, but not always understood/easy to do with time constraints. #ASPchat #Cdiff |
| Monica Mahoney @mmPharmD @IDstewardship @kevin_kls @ASP_Chat Very true. Inpatient too! #ASPChat |
| Kevin Schwartz @DrKevinSchwartz @mmPharmD @ASP_Chat @JGPharmD Physicians mostly prescribe for too long. So the answer is no. If prescribed duration appropriate, then yes #ASPchat |
| Brad Langford @BRxAD @ASP_Chat Increase general pt understanding of #AMR, for example- it's the bacteria that become resistant to antibiotics, not the humans! #ASPchat |
| Antibiotic Tweets @khalideljaaly @ASP_Chat #ASPchat Remind selected pts to take vaccinesπ as this lead to less infection in the first place >>> less Abx >>> less resistance |
| Jamie Kisgen @KisgenUF Some states req law, med safety, opioids. Wish we could make 1hr of CE/CME on stewardship a requirement for license renewal. π€π΄ #ASPchat |
| #ASPchat @ASP_Chat π Thanks to all for participating in #ASPchat and to those who sent in questions! Hope to see you π next month!!! |
| Monica Mahoney @mmPharmD @kevin_kls @ASP_Chat @JGPharmD True. Important distinction. #ASPchat |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship @mmPharmD So... u don't have any abx in your cabinets??? #ASPchat ...I am slightly embarrassed we probably have 7 abx. But PA+PharmD so is ok, right? |
| Helen Newland @helennewland @IDstewardship @BWDionne Not my favorite b/c I like everyone on board rather than forcing. And could lead to "alternative diagnoses." But worked w/SCIP #ASPchat |
| Monica Mahoney @mmPharmD @IDstewardship Nope! Tons of antifungal cream tho! Babies + boys + crevices = fungal skin infections! #IAmASteward! #ASPChat |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship My favorite paper in 2016. A must read. From #ASPchat https://t.co/grT7BAhfYA |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship RT @khalideljaaly: @ASP_Chat #ASPchat Take Abxπ on time. It is better to counsel to take every 12hours than twice daily. Very different β |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship RT @kevin_kls: @BRxAD @ASP_Chat @BradSpellberg Most frustrating myth. Patient started antibiotic inappropriately but convinced needs to finish the course for #AMR. Ridiculous! #ASPchat |
 | Don Branam @Branamycin You're good as long as they're all ZPaks. https://t.co/rWHOq1jB9D |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship A common misconception. "I'm resistant" is not a valid comment. Maybe we should take a moment to explain when this happens. #ASPchat https://t.co/2vRsXvqjWp |
| Brad Langford @BRxAD @ASP_Chat .@DoBugsNeedDrugs Program has some great educational resources https://t.co/9xjjeSrlto #ASPchat |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship All unfinished z-paks.... π #ASPchat https://t.co/R4AqlYJ6KH |
| Don Branam @Branamycin RT @IDstewardship: My favorite paper in 2016. A must read. From #ASPchat https://t.co/grT7BAhfYA |
| Maureen Taylor @maureentaylor31 RT @IDstewardship: My favorite paper in 2016. A must read. From #ASPchat https://t.co/grT7BAhfYA |
| Helen Newland @helennewland @KisgenUF One of our hospitals requires acknowledgement of criteria for use and other ASP initiatives for MD credentialing/renewal #ASPchat |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship This needs to be a major priority for community pharmacists: advocate vaccinations to prevent infections and their complications #ASPchat https://t.co/j7yhf5gIKK |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship RT @BRxAD: @ASP_Chat .@DoBugsNeedDrugs Program has some great educational resources https://t.co/9xjjeSrlto #ASPchat |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship This is a great idea. If we could require people to pass a test and prove competence... #ASPchat https://t.co/aUHgejCKAM |
| Antibiotic Tweets @khalideljaaly RT @IDstewardship: This needs to be a major priority for community pharmacists: This needs to be a major priority for community pharmacists: advocate vaccinations to prevent infections and their complications #ASPchat https://t.co/j7yhf5gIKK |
| Antibiotic Tweets @khalideljaaly RT @IDstewardship: A common misconception. "I'm resistant" is not a valid comment. Maybe we should take a moment to explain when this happens. #ASPchat https://t.co/2vRsXvqjWp |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship RT @ASP_Chat: Q2. What is the biggest π driver of #antibiotic misuse in the community? #ASPchat |
| Jacob Morton @JMIDPharmD @helennewland @KisgenUF Almost 1/2 of RPhs at my hospital signed up for AMS certificate voluntarily. Would love to see other HCPs complete training too #ASPChat |
| Brad Langford @BRxAD Great chatting #antimicrobialstewardship with everyone! #ASPchat https://t.co/U74oPUG68d |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship ππΌ Thank you @BRxAD for leading this #ASPchat!!!! https://t.co/htzlVoNB9l |
| Bug Pharmacist π𧫠Tim Gauthier @IDstewardship RT @BRxAD: Great chatting #antimicrobialstewardship with everyone! #ASPchat https://t.co/U74oPUG68d |
#ASPChat content from Twitter.