On the topic of infections after cat bites - check out this amazing cat-infection study aid. Proves what we all know to be true, Dogs >> Cats. Right Sigal Yawetz MD and Paul Sax ? h/t Olivia Kates, MD

Check out this practical approach for recurrent MRSA abscesses. Useful tools for a very challenging clinical syndrome: Jason Frangos anything else to add?

Quinolones - love 'em or hate 'em? SO useful (great spectrum of activity, only oral option for PsA, atypical coverage), BUT lots of side effects (tendinopathy, aortic rupture 😱). Well, we still use them -- so which to choose? h/t Paul Sax for this pocket guide

How to determine length of antibiotic therapy? ID trade secrets here😂😂😂 Opportunity to plug Brad Spellberg's tireless work to remind us that shorter is better! bradspellberg.com/shorter-is-bet…

Next up Jake Johnson on TB for the PCP. That positive PPD must be due to the history of BCG vaccine, right? Wrong! In 240,203 BCG-vaccinated infants, only 56/5639 (1%) were TST-positive if tested >=10 years after BCG. Classic study here: pubmed.ncbi.nlm.nih.gov/17131776/

How to interpret discordant PPD and IGRA? Bookmark this online calculator, and use it with your patients! tstin3d.com/en/calc.html (sharing another ID trade secret - we are notoriously terrible at monetizing our expertise)

What do you use to treat LTBI? In the absence of drug-drug interactions or contraindications, Jake Johnson (and all of his admirers) uses rifampin x4 months over INH in most cases of LTBI. See practice-changing study here: nejm.org/doi/full/10.10…

TEASER poll for upcoming talk on tropical infections (stay tuned for answer + additional pearls from master clinician, Jamie Maguire): What malaria prophylaxis do you recommend for 59-year-old who will spend 10 days traveling to Hanoi, Bangkok, and Singapore for business?

We are UNDERSCREENING for chronic infections in immigrants and long term ex-pats In asymptomatic immigrants from endemic areas, consider screening for: - TB - HIV - HBV - Chagas' disease - Strongy - Schisto

Thanks to Dr Sarah Hammond for reviewing infectious complications of non-HIV related immunosuppression, here highlighting the markedly elevated risk of zoster seen with JAK inhibitors such as tofacitinib. Speaking today in our course BWH ID in Primary Care

In October 2021, ACIP voted to recommend RZV in immunocompromised patients. Very impactful for this patient population. Stay tuned for immunization updates tomorrow!

Antibiotic allergy guru, Paige Wickner kicks off our session today. Your patient has a history of PCN allergy... Very important distinction: what is the difference between antibiotic "Challenge" and antibiotic "Desensitization"?

A patient comes in to discuss #PrEP for HIV. Do you feel prepared? This afternoon Sigal Yawetz MD makes the case for HIV #PrEP in primary care. How to chose a regimen?

This morning Dr. Jennifer Johnson on rare problems we never see: sore throats, common colds, and coughs that won't go away. She was about to tell us how we can tell which respiratory virus our patient have based on their symptoms, but.... turns out she can't.

Yesterday Sigal Yawetz MD on knowns / unknowns in management of mild-to-moderate #COVID19 & generalizing from study results: treating at risk patients, do vaccinated patients still benefit, the rebound problem, managing profoundly immunocompromised patients, long COVID, and more...