Cihan Papan
@CihanPapan
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pediatrician / infectious disease specialist / clinical microbiologist / interested in ped ID, novel diagnostics, antimicrobial stewardship & IPC
Joined March 2020
#IDTwitter How often are antimicrobials given in pediatric hematology/oncology, and how often is it appropriate? We conducted a multi-center point-prevalence study (PPS) in 🇩🇪 and 🇦🇹 What’s more, we checked EACH prescription for appropriateness  Here is what we found —> 1/11
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#ESPID2025 #IDtwitter
@ESPIDsociety New Vaccines in Town: Paratyphoid vaccine could become the first to be licensed on basis of controlled human infection model (CHIM) @AndrewPollard
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We are delighted to announce the publication of UTI WikiGuideline in JAMA Network Open. Thank you to the 54 experts from 12 countries for drafting. Special thanks to @zacroBID and @amenalor for leading the effort. https://t.co/XC2MgtjTdb
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A heartfelt thank you to the @PaulEhrlichGes for honouring our work with the Wolfgang Stille Award 🙏 here is the link to the paper: https://t.co/eAkz7nD7Xb
@LancetRH_Europe
thelancet.com
Our study revealed there to be high levels of antimicrobial usage at German and Austrian pediatric oncology and hematology centers with a significant higher number at academic centers. Incorrect...
Wolfgang Stille award of the @PaulEhrlichGes this year goes to 2 winners: congrats to the working group of @CihanPapan and Dr Tan for two excellent studies published in 2023/2024 https://t.co/WPTysVqMNO
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New Comment from Yael Lohse and colleagues: Migration background, skin colour, gender, and infectious disease presentation in clinical vignettes. Read it here:
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#ESCMIDGlobal2024 David Resnik on why #AI #LLM such as ChatGPT do not qualify as authors of a publications —> lack of accountability —> lack of moral responsibility Among other arguments @ESCMID
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#ESCMIDGlobal2024 Highly engaging talk and discussion on the potentials and perils of large language models #LLM in medicine @GermHunterMD Hall B @ESCMID #AI
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Observed even a Decreased infection rate Intriguing findings given the not-so-bad baseline compliance rates already #ESCMIDGlobal2024
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Multimodal intervention led to increased compliance in almost all hand hygiene moments
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There are up to 30 opportunities for hand hygiene in one cycle of hemodialysis —> a lot of chances to decrease infection rates
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Tobias Kramer from @ChariteBerlin reporting findings of their cluster-randomized trial on hand hygiene intervention in outpatient hemodialysis centers #ESCMIDGlobal2024 @ESCMID
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#ESCMIDGlobal2024 Nicholas Grassly on the potential of wastewater surveillance for other pandemic-risk viruses, e.g. #Zika #Lassa Hall I
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#ESCMIDGlobal2024 ESCMID Study Group for Antimicrobial Stewardship Business Meeting — the room is packed
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tl;dr: - Although BV score differentiates well between bacterial and viral RTI —> use with caution in “atypical” pathogens like Mp - Although imperfect in Mp —> microbiological testing remains important - These findings come in time as Mp resurges —>
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Finding #2: Combining clinical features (age, duration of fever, duration of resp. symptoms) with BV performed as well as combining them with PCT (AUC 0.86 vs. 0.87) in terms of discriminatory accuracy 6/n
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Findings: - BV score was significantly lower in Mp+ CAP than in MP- CAP (median 14 vs. 54), looking more like a “viral” pneumonia - In line with this, TRAIL levels were higher and CRP lower in Mp+CAP than in Mp-CAP 5/n
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Due to the “atypical” properties of Mp, we hypothesized that the score would yield a lower value in Mp+ community-acquired pneumonia (CAP) compared with Mp- CAP. 4/n
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The BV score yields a numeric value from 0 to 100 with the following ranges and their interpretations: 0-34: indicating viral 35-65: equivocal 66-100: indicating bacterial See our work on its diagnostic accuracy in a large pediatric cohort: https://t.co/rt9CcIlrdp 3/n
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First, some facts about Mp: - “Atypical” bacterium (e.g. lacks cell wall) - “Atypical” presentation - Hard to diagnose (serology is unreliable, PCR does not discriminate infection from carriage) - Almost disappeared during the Covid pandemic, but seems to be resurrecting! 2/n
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#IDTwitter 📢Just published🔥 The BV score (TRAIL + IP10 + CRP) discriminates quite well between bacterial and viral respiratory tract infections (RTI). But how does it perform in #pneumonia caused by Mycoplasma pneumoniae (Mp)? https://t.co/855FfcMnZm 1/n
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Automation as the future of surveillance in infection prevention and control - not a question "if" but rather "how" - splendidly showcased by @mo_abbas_ipc at #ECCMID2023 #ECCMID23
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