Totally agree with your points and I don't think anyone has actually designed good veterinary practice software yet? Seems like every system I have used is infuriating in one way or another. Especially if you want data out for research.
Was going to say this. That tick box for bloods is now there because someone probably complained bloods weren't done after a rare unfortunate adverse event. Defensive medicine at its finest making the system worse for everyone.
The group rightly pointed out that common terminology and data sharing would facilitate One Health AMR Surveillance. Should be doing some work on this soon so keep an eye out!
If you ever want to feel like you're going insane, I highly recommend reading the methods for the UKs #AMR surveillance reports for the various monitoring programmes and trying to figure out what they're actually doing and if resistance in one even means the same thing in another 🤦
World Antimicrobial Awareness Week is nearly over, so I've been collecting resources to help vets with #AntimicrobialStewardship!
#VetMed #AMR #WAAW
open.substack.com/pub/resistan...
E. coli can spread as quickly as swine flu, new research reveals. 🦠
For the first time, scientists can predict the rate at which gut bacteria pass between people — a major step towards tackling antibiotic-resistant infections.
Read here ⤵️
sanger.ac.uk/news_item/ad...
One for the surgeons today. Many vets perform surgery on a regular basis, so understanding infection prevention and antimicrobial prophylaxis is key in prevent surgical site infections and promoting responsible antimicrobial use!
open.substack.com/pub/resistan...
Two investigations reveal how resistant bacteria may have spread from pets to people
Molecular analysis and epidemiologic detective work helped uncover a hidden One Health link between human and pet clusters of multidrug-resistant bacterial infections.
www.cidrap.umn.edu/a...
Sometimes you meet absolutely incredible bioinfo-magicians.
It was a huge privilege when @shenwei356.bsky.social
joined our group for a year on an @embl.org sabbatical.
While here, he developed a new way of aligning to
millions of bacteria, called LexicMap 1/n
www.nature.com/articles/s41...
Enough is enough. The health of the country is in danger. Read our resignation letters: insidemedicine.substack.com/p/breaking-n...
Also works for Bordatella bronchiseptica in our patients!🐕 Although I can't see it's been tested on B. pertussis in humans but other tetracyclines seem to do some good so maybe... 🤷
As someone currently writing a PhD literature review on AMR surveillance and gradually beginning to understand the wall of AMR genes in every paper I read, I wish I had a paper like this 6 months ago. Not sure I would be much help though... Yet.
"Closure of the Fleming Fund risks undermining UK leadership on AMR." BSAC is seeking urgent clarification from the Government regarding the UK’s future leadership on antimicrobial resistance (#AMR), following reports that the Fleming Fund – the UK’s flagship global AMR programme – is set to close.
‘MMR vaccination uptake rate for children by the age of five in Liverpool is just 73% ... The World Health Organisation says a threshold of 95% is needed to achieve herd immunity’
Please protect child by allowing them to be vaccinated. If you are worried, talk to your doctor. Misinformation kills.
A couple of years ago, I bought the book Why I'm No Longer Talking to White People About Race by Reno Eddo-Lodge. I'm ashamed to say I haven't read it until now. If you haven't, I recommend you do. Today, I'm committing to monthly donations to the British Veterinary Ethnicity and Diversity Society.
Springer-Nature launched a series of "Discover" journals that closely mimic MDPI titles -- sharing *identical* journal names, and likely similar business model.
What is going on, and why researcher will - as always - fall for it?
A 🧵
the-strain-on-scientific-publishing.github.io/website/post...
#OneHealthEvent
One Health Investigations of Outbreaks and Spillover Events - on Coursera is a course of 10 content modules and didactic lectures.
Find more:
www.coursera.org/learn/one-he...
#OneHealth #OneHealthResources
Excited to share the first beta release of AMRrules at #ABPHM! (Poster 42 tonight)
interpretamr.github.io/AMRrules
The new version of R for AMR is ready!
🧫 Automated antibiograms
💻 Integration to WHONET
🧪 Updated CLSI and EUCAST breakpoints
💡 Free
amr-for-r.org
#biostatistics #episky #Statistics #AMR
Absolutely thrilled to present our latest review, where we discuss how host microenvironment and bacterial subversion strategies can undermine traditional antimicrobial sensitivity testing, and whether better models may one day get us "beyond the MIC" #IDSKy
rdcu.be/emYoh
Just got back from my own Stag Do, on a beautiful bank holiday weekend, to find out that I am now officially a resident of the European College of Veterinary Microbiology!
🐶🐱 Companion animals need #AntimicrobialStewardship too! In our new SR/MA (led by Dr. Fiona Emdin), we examined short vs. long antibiotic durations for UTIs in dogs & cats.📉 Pooled RR for cure = 0.55 (95% CI: 0.23–1.27), very low certainty.
🔓 doi.org/10.1186/s129...
More high-quality data needed!
Sharing our new @thelancet.bsky.social piece on spillover prevention & #OneHealth in the WHO #PandemicAgreement. We call on states to adopt the agreement next month. Huge thanks to @alexandrafinch.bsky.social for leading this. Let's get this done and make the world a safer place! bit.ly/3E7RKeu
Thanks for clarifying! Silly question to follow, do you use the uncomplicated UTI breakpoint for other abx for pyelo or prefer non-uti if possible? Just thinking that NICE recommendation of cefuroxime IV/co-amox PO suffers similar issues for non-uti breakpoints
This is kinda where I'm coming from too. Quinolines are favoured in VetMed and I was looking for an alternative to reduce HPCIA use. Wondered if the quinoline thing was dogma after seeing the NICE guideline but the evidence for cephs isn't helping my argument as much as I thought it would 😕
Yeah I do wonder if that's the case sometimes. What's your IV drug of choice? Cefuroxime seems to suffer the same problems but NICE has several other options
Ah my favourite podcast duo to learn AMS from the other side! I must confess, looking through that thread I realised I saw it the first time... And forgot about it 🤦 Does mean the second read was just as interesting though 😂
Sounds interesting! What dose and MIC are you using out of curiosity? This PKPD study suggests NICE doses may hit MICs anywhere from <2 to <16 (link.springer.com/article/10.1...). I will hold my hands up and say my pharmacology needs dusting off though so willing to be told otherwise 🙌
Was thinking of a comparative article on beta-lactams use for pyelonephritis as NICE recommends PO cefalexin but upon reading the literature, I can't make it make sense 🤷 EUCAST only has a UTI breakpoint, PKPD suggests poor empirical choice, but clinical studies seem ok. Can #IDSky help me out here?
A month ago I started a fortnightly newsletter on veterinary infections disease, clinical microbiology and antimicrobial stewardship🦠This week covered some latest updates in small animal viral diseases, check it out here: open.substack.com/pub/resistan...
#VetSky