Patrick Harris @padstamundo
Infectious Diseases Physician, Microbiologist and Research Fellow @UQMedicine. Views all my own. researchers.uq.edu.au/researcher/199… Brisbane, QLD, Australia Joined September 2011-
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Carbapenemases: epidemiology, detection and management in a changing global landscape #AMR @jac_amr @InfectiousMoYin doi.org/10.1093/jacamr…
Pseudomonas sparing’ antibiotics, is it time to rethink this notion? 🆕💥🟢Study Prolonged in vitro exposure of P. aeruginosa to subinhibitory concentrations of antibiotics lacking intrinsic antipseudomonal activity (Ceftriaxone,moxi,Erta) selects for stable,heritable resistance to antipseudomonal agents #idxposts academic.oup.com/jac/article/81…
Damn that MexAB-OprM 😢 pubmed.ncbi.nlm.nih.gov/41251222/ @LondonUmejiaku
2026 International AMR Symposium: Seoul, S Korea, 25-27 Aug. Bringing together leading researchers and industry experts, with a focus on epidemiology, therapeutics, molecular mechanisms and novel targets for #AMR pathogens symposium2026.imweb.me
Implementation of the BIOFIRE Meningitis/Encephalitis Panel: A Mixed-Methods Implementation Study in a Nonmetropolitan Tertiary Hospital academic.oup.com/ofid/article/1… @davidantibiotic
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Implementation of pathogen genomics in clinical microbiology laboratories journals.asm.org/doi/10.1128/cm…
Super interesting: Ceftriaxone-R E.coli / K.pneumoniae BSI(n=163) 2022-24 🧬blaCTX-M+:85.3% 🧬 No-blaCTX-M:14.7% ⚠️🔼 No-blaCTX-M ceftriaxone R ⏱ CTX-M+:faster optimal therapy 💡 Molecular testing still useful for ESBL detection→always confirm with AST academic.oup.com/ofid/article/1…
Super interesting cUTI case with Klebsiella pneumoniae treated with pip tazo. Day 1:S to pip tazo Day 7:R to pip tazo 👉 Classic reminder: heteroresistance can hide in plain sight Even BMD may fail to detect it reliably 👉 Clinically linked to treatment failure in reported cases thelancet.com/journals/lanmi…
Researchers paid $1.06 billion to five academic publishers from 2015-2018 to publish their papers. Academic publishers sold the same papers back to researchers for $2 billion.
Empirical Antibiotic Activity and Outcomes in Pediatric Gram-Negative Bloodstream Infections: A Rank-based Composite Outcome Analysis ✅ Just Accepted ✍️ @DrSophCHWen 🔗 bit.ly/4ejsUYV
Differences in clinical outcomes among patients with mold fungemia 🔁 Repost ✍️ @adm_stewart 🔗 bit.ly/4sryNrv
@BradSpellberg @ABsteward Couldn’t agree more - we should all be more accepting of how much we don’t know for sure and encourage enrolment into clinical trials where evidence is lacking
@ABsteward @DrToddLee @ESCMID Steve summed up the current state of things well; MERINO was underpowered but the alarming mortality signal at interim analysis was a whisker off our stopping boundary - so we couldn’t in conscience continue to enrol with equipoise; AST errors with PTZ compounded our concerns
@JohnGolf_CA @ABsteward @jesusrbano 💯 agree
@padstamundo @ABsteward @jesusrbano CEFMEC deserved better than poster hall. 2% vs 5.2% mortality is massive - finally have real carbapenem-sparing options alongside ASTARTÉ.
@davidantibiotic Other important differences - MERINO included patients with septic shock, PETERPEN used 3h infusions - may have made a difference? PETERPEN also had an overall much higher mortality (14%) ...
@davidantibiotic discusses the implications from PETERPEN and MERINO.. how do we make sense of the differences? outlines the important of OXA-1 on PTZ MICs... were there differences in the organisms in each trial? pubmed.ncbi.nlm.nih.gov/33106863/
Looking forward to the ESBL RCT session #ESCMIDGlobal2026 - PETERPEN, @MerinoTrial and ASTARTE in a tussle to determine how we should treat ESBL bloodstream infections... great to see more trials tackling this important question and seeking alternatives to carbapenems
@davidantibiotic We have also analysed MERINO with a win-ratio to explore outcomes beyond mortality alone - still seemed to suggest improved outcomes with meropenem pubmed.ncbi.nlm.nih.gov/38306577/
#ESCMIDGlobal2026 ASTARTE RCT, temocillin vs carbapenem - was presented last year, now post hoc analysis comparing ertapenem vs meropenem-> prim. endpoint of clinical success; NI shown in overall study; no obvious differences if erta vs mero used, some imbalances however..
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