In Case You Missed It: Hot ID/stewardship Journal Articles Trending On Twitter From December 2018

This article identifies some of the hot new publications in the infectious diseases and antimicrobial stewardship literature released in December 2018. This list is derived from content circulating on Twitter.

Written By: Bassam Ghanem, Pharm.D., MS, BCPS

Edited By: Timothy P. Gauthier, Pharm.D., BCPS-AQ ID

[Last updated: 1 January 2019]

In this monthly column two pharmacists that utilize Twitter to stay current on literature (@ABsteward [B.G.] & @IDstewardship [T.G.]) identify some of the hot new articles in the fields of antimicrobial stewardship & infectious diseases.

The following are some of the new publications we found most interesting or noteworthy in December of 2018…

1. Seven versus fourteen Days of Antibiotic Therapy for uncomplicated Gram-negative Bacteremia: a Non-inferiority Randomized Controlled Trial | CID

https://academic.oup.com/cid/advance-article-abstract/doi/10.1093/cid/ciy1054/5237874?redirectedFrom=fulltext

This RCT showed that an antibiotic course of 7 days was non-inferior to 14 days in patients with Gram-negative bacteremia achieving clinical stability before day 7.

2. Dalbavancin for the Treatment of Osteomyelitis in Adult Patients: A Randomized Clinical Trial of Efficacy and Safety | OFID

https://academic.oup.com/ofid/advance-article/doi/10.1093/ofid/ofy331/5235615

This RCT showed that 2-doses regimen of weekly dalbavancin can be effective and well-tolerated for the treatment of osteomyelitis in adults.

3. IGNITE4: Results of a Phase 3, Randomized, Multicenter, Prospective Trial of Eravacycline vs. Meropenem in the Treatment of Complicated Intra-Abdominal Infections | CID

https://academic.oup.com/cid/advance-article/doi/10.1093/cid/ciy1029/5250914

This RCT showed that eravacycline was noninferior to meropenem in adult patients with cIAI, including infections caused by drug-resistant pathogens.

4. Duration of Exposure to Antipseudomonal Beta-lactam Antibiotics in the Critically Ill and Development of New Resistance | Pharmacotherapy

https://accpjournals.onlinelibrary.wiley.com/doi/abs/10.1002/phar.2201

This retrospective study showed that each additional day of exposure to antipseudomonal beta-lactam antibiotics in critically ill patients increases the risk for the development of new antibiotic resistance.

5. Impact of de-escalation on prognosis of patients with bacteraemia due to Enterobacteriaceae: a post-hoc analysis from a multicenter prospective cohort | CID

https://academic.oup.com/cid/advance-article-abstract/doi/10.1093/cid/ciy1032/5236616?redirectedFrom=fulltext

A post-hoc analysis from a multicenter prospective cohort study showed that de-escalation in patients with monomicrobial bacteraemia due to Enterobacteriaceae was not associated with a detrimental impact on clinical outcome.

6. Impact of a Prescriber-driven Antibiotic Time-out on Antibiotic Use in Hospitalized Patients | CID

https://academic.oup.com/cid/advance-article-abstract/doi/10.1093/cid/ciy852/5230122?redirectedFrom=fulltext

This multicenter quasi-experimental study of a provider-driven antibiotic time-out showed that single time-outs without input from antibiotic stewardship teams are insufficient to optimize antibiotic prescribing in hospitalized Patients.