okoch.bsky.social
Infectious Diseases Physician | Hon. Sr. Lecturer | TropMed, Travel & Global Health | Clinical Research | Lead, NHS Lothian Travel Clinics | Edinburgh | Runner & Cyclist | Views mine. #IDSky #MedSky #TravMedSky #traveldoctor
👤 Joined on 22 November 2024
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@okoch.bsky.socialTop tip... Remember to check for ticks after playing outside when you’ve been playing in gardens & parks around towns and cities too. These tiny, spider-like creatures attach to skin underneath clothing and can make little ones poorly. Visit: nhsinform.scot/lyme-disease
Show PostYes please… I’m persisting on here 🦋…but it’s slow to rekindle what we lost when that poor blue bird was poisoned.
Show PostNormal urine is not sterile! Urine microbiome being introduced by @nicoledenisco.bsky.social #ESCMIDGlobal2026 #UTISky
Show PostTo work, would need to be light touch, embeded in EHR, with consent waiver (I think) Without doing such trials, we are stuck with little robust data to imform antibiotic choice during most critical phase of illness E.g. is Scottish strategy, using narrow(er) spectrum BL plus aminoglycoside, okay?
Show Post🔥 Late Breakers SNAP platform RCT| Adjunctive Clindamycin in S.aureus bacteraemia ❌ No mortality benefit 90d mortality:16.9% vs 15.2% aOR 1.16 (CrI cross 1) 📊PPSup(~7%)→Futility threshold reached ⚠️ICU subgp:numerically worse with clinda ⚖️CDAD:no # (~2%)😯 #ESCMIDGlobal2026 #idsky
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