Andrew Haynes
@andrewhaynes
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Peds ID. Research in oral antibiotic PK/PD (esp B-lactams). 6'3", but #ShorterIsBetter advocate. Father of three. Catholic.
Colorado
Joined January 2009
...and we're off! Dr. Edwin Asturias kicking off the start of #VailPedsID2025 with updates from ACIP, followed by a debate between @HandshakeASP & @andrewhaynes on controversies in common bacterial infections #strep #UTI #ASP
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REGISTRATION IS OPEN: The 42nd Annual Conference on Pediatric Infectious Diseases in Vail, CO #VailPedsID2025 July 27-Aug 1 featuring @COpedsID faculty and guest speaker @PeterHotez. In-person and virtual options for CME/MOC available: https://t.co/aUMeM944Xi
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CID: @COpedsID 3rd yr fellow, Dr. Erin Ho, shows the clinical impact of Strep pneumo PCR testing of pleural fluid in children with complicated pneumonia: 3X⬆️pathogen detection 25%⬇️pts on MRSA tx 5 days faster time to optimal abx #diagnosticstewardship
https://t.co/552vknK0iV
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Check out our newest review by Dr. Dimo on short durations of abx for AOM - less is more! #IDtwitter #Pediatric #ASP #tweetitrician @COPedsHandshake @COpedsID
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Day 4 of #COpedsID2024 kicks off with our @COpedsID section head, Dr. Betsy McFarland, talking to us about evidence behind probiotics in pediatrics
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Next we have a talk from one of our great 2nd year Peds ID fellows Priya Vyas. She's presenting an interesting case of an infant with thigh swelling. #VailPedsID2024
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Now @HandshakeASP is going to tell us what the heck to do about Mycoplasma pneumoniae. #VailPedsID2024 Summary of my current knowledge-
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To close our afternoon, Mark Abzug will review something that is actually kind of neglected in currently published guidelines for newcomer screening: Chagas! #VailPedsID2024
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Welcome to Vaccine Day at #VailPedsID2024 featuring talks by @jesscataldi on vaccine-preventable ds, @SuchitraRao3 on influenza, Dr. Eric Simoes on RSV prevention strategies, and Dr. Myron Levin on COVID vaccine updates. Follow here for live tweets from @andrewhaynes.
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And that's it! Thanks @jesscataldi! Great summary of these VPDs.
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Last thing! Don't forget that invasive meningococcal disease, varicella, pertussis are each nationally notifiable. Lab will generally report cases with positive tests. But cases with clinical diagnosis (w/o lab testing) should also be reported to your local health department.
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@jesscataldi Post-exposure prophylaxis (PEP) can get confusing! Should give PEP, but lots of nuances. Generally NOT recommended for the whole class/school. And don't forget about vaccination in the un/under-immunized contacts, and not just azithro.
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@jesscataldi Infection prevention • In clinic/hospital: droplet precautions for at least 5 days after initiation of effective treatment (or 21 days after symptom onset if not treated) • School / child care: exclude until 5 days after initiation of treatment
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@jesscataldi Epidemiology. Wow...>80% attack rate among susceptible contacts! But unfortunately neither prior infection nor immunization given lifelong immunity.
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@jesscataldi Treatment: azithromycin x5d is generally recommended. • Early treatment in catarrhal phase may decrease severity and duration of disease • Late treatment may limit contagion, but less impact on symptoms
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@jesscataldi Testing: Bordetella pertussis PCR/NAAT from respiratory, nasopharyngeal specimen (it's included in some multiplex respiratory pathogen panels, but not all) • Testing most sensitive in first 3 weeks of cough • Less sensitive after antibiotic treatment
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@jesscataldi Remember the stages and complications. Presentation can be different at diff ages. Classic "whoop" doesn't occur in young infants or many older patients, so just in a narrow (but commonly seen) age group. Also, pregnant women can have more severe disease, especially pneumonia!
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