Fikree @fikreeahmad
Pharmacist • Interests: ID, AMS, HIV, Clin Pharm Universiti Malaya, KL, MY Joined May 2014-
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You've been called to evaluate someone with a new diagnosis of epilepsy. Now you need to decide what kind of antiseizure drug (ASD) to recommend. Start Keppra and be done with it? We can put a little more thought into it than that!…
🆕️🔥 in #IJAA Treatment of infections caused by multidrug-resistant Gram-negative bacilli: a practical approach by the Italian (SIMIT) and French (@SPILF_) Societies of Infectious Diseases #IDXposts Cc #ESCMIDGLOBAL2024 folks ICYMI Thanks @Inox94 sciencedirect.com/science/articl…
🗣️ Discussing vanco AUC dosing at #ESCMIDGlobal2024… I have 3 major concerns… 1. 😬Publication bias - who is going to publish negative results after investing tremendous resources and political will into this? 2. 🤔Should many sites first focus resources on reducing…
Antifungal dosing in the spotlight: @jasonroberts_pk and @PattyMitre_ present findings from the SAFE-ICU study at #ESCMIDGlobal2024 #ESCMIDGlobal @CRE_RESPOND @UQMedicine @UQ_News💯
Is Ceftolozane-tazobactam a good option for infections caused by ESBL-producing Enterobacterales? And will it be tested in a clinical trial against meropenem (e.g. MERINO-3 trial)? @padstamundo A great talk by Pranitha Tamma at #ESCMIDGlobal2024
For CAP therapy, which of this added to a beta-lactam antibiotic therapy leads to lower rates of CDI?
Aztreonam-avibactam approved in Europe. Will be a welcome addition to our armamentarium against MBLs. investors.pfizer.com/Investors/News…
1/18 🤔Why does heart failure with preserved ejection fraction (HFpEF) lead to sodium retention? With reduced ejection fraction (HFrEF), decreased cardiac output (CO) leads to neurohormonal activation and sodium avidity. If CO is preserved in HFpEF, what's the inciting event?
ONE ANTIBIOTIC PK TABLE TO RULE THEM ALL Absorption takes drug into blood from GI, Vd spreads drug out to where bug calls home. And after bacteria are doomed to die, They’re mostly eliminated on the porcelain throne In the Land of Notion where this table doth lie. 1/2
Getting my own talk from yesterday up late. Also presented at the Big Beasts session on Community-Acquired Pneumonia. Focused at stewardship folks but something in here for everyone 👇 #SHEASpring2024 #IDTwitter #MedTwitter 1/
🔴 How do we maximize diuresis in acute decompensated heart failure? #openaccess #2023review ccjm.org/content/89/10/… #cardiology #cardiotwitter #FOAMed #meded #meded #MedX #cardiovascular #medtwitter #cardiotwitter #medtwitter #cardiotwiteros #CardioEd #paramedic #cardiology
#IDTwitter #IDXposts What is the maximum dose of pyrazinamide you prescribe? 2 or 3 grams? Please provide some references. @dralicehan @ABStewardess @BotaIntensiv @BradSpellberg @DrToddLee @TomBoylesID @tomayates @IdVilchez @JosGilbertoMon1 @CosEpiID @IDiots_pod @IDstewardship
🆕️🔥Fantastic review 🌟 by 🌟s @Russlewis_BO @ProfMBassetti @dwdenning Triazole antifungal drug interactions—practical considerations for excellent prescribing #IDXposts academic.oup.com/jac/article-ab…
To get my thumbs warmed up for #SHEASpring2024, figured I'd share this talk I forgot to share last month. Was asked to talk about antibiotic prophylaxis in primary care. Here's what I came up with: 🧵 #IDTwitter #MedTwitter 1/
Reduced mortality with late dose adjustment of ß-lactams in septic patients with AKI! A session by @emilylheil titled: "Treatment and Antimicrobial Stewardship with New Agents in HAP/VAP" academic.oup.com/ofid/article/1… @fikreeahmad @ambaras_khan
Excellent narrative review🌟 The clinical challenge of diagnosing Non-Ventilator Hospital Acquired Pneumonia and identifying causative pathogens #IDXposts #HAP sciencedirect.com/science/articl…
DAPT trials Review - thanks for the feedback, Grady buddy! @Oga_DoctorBlue #NeuroTwitter #Neurology #stroke @caseyalbin @EricLawson90 @EmoryNeuroCrit @EmoryNeurology
Updated chart on Inhaler Delivery System & Compatible Meds!
Updated chart on Inhaler Delivery System & Compatible Meds! https://t.co/hCt9UQ24vP
Clinical pharmacist in infectious diseases and antimicrobial stewardship, Amy Legg, now presenting on Dosing in Acute Kidney Injury @legg_wamy, join us on Zoom bit.ly/3UdvcOB @jasonroberts_pk @legg_wamy #UQCCR #kidney #AMR
Clinical pharmacist in infectious diseases and antimicrobial stewardship, Amy Legg, now presenting on Dosing in Acute Kidney Injury @legg_wamy, join us on Zoom bit.ly/3UdvcOB @jasonroberts_pk @legg_wamy #UQCCR #kidney #AMR https://t.co/BWXJmEXxhe
Perodua Nexis. Kalau ini final looks dia, kira lawa jugak lah. Harga taktau lawa ke tak.
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Dr. Zulkifli Mohamad .. @drzul_albakri
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Astro AWANI @501Awani
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KKMalaysia🇲🇾�.. @KKMPutrajaya
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Antibiotic Steward Ba.. @ABsteward
56K Followers 125 Following Stay up-to-date in Infectious Diseases, Clinical Pharmacist, Antibiotics #IDXposts AKA #IDTwitter T🌟P influencer,@Wiki_Guidelines ,#Interstellar,🌹❤️Misk
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Bug Pharmacist 💊�.. @IDstewardship
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62K Followers 548 Following zentensivist 😷 FOAMite 🌊 diuresis jedi 💦 leader of the rebel alliance ⚔️ resuscitationist 💉 humanist 😢 writer with aweful speling 😬 no COI 💰
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51K Followers 477 Following Supercharge your learning as these board-certified Internists interview the experts to bring you clinical pearls and practice changing knowledge #FOAMed #MedEdYou've been called to evaluate someone with a new diagnosis of epilepsy. Now you need to decide what kind of antiseizure drug (ASD) to recommend. Start Keppra and be done with it? We can put a little more thought into it than that!…
High-dose pip tazo(including loading dose* and continuous infusion), for complicated urinary tract infections (cUTIs) caused by ESBL-producing Enterobacterales with piperacillin-tazobactam MIC <8 mg/L #IDXposts
🆕️🔥 in #IJAA Treatment of infections caused by multidrug-resistant Gram-negative bacilli: a practical approach by the Italian (SIMIT) and French (@SPILF_) Societies of Infectious Diseases #IDXposts Cc #ESCMIDGLOBAL2024 folks ICYMI Thanks @Inox94 sciencedirect.com/science/articl…
Congrats @cllau888 on her work presented as poster at #ESCMIDGlobal2024 🇲🇾 @ukm_my Optimising antibiotic Tx via DST approach, coupled with AMS initiatives This is the same algorithm used in the INVEST trial; Rapid DST result ➡️ rapid action on the result ➡️ antibiotic Tx
SAB management updates by IDSA/ESCMID #ESCMIDGlobal2024 The term “complicated” SAB varies and does not always suggest longer treatment Solution: low vs. high-risk populations for SAB
Alright, how about treatment? Amp-sulbactam first line for us. Why not Ceftriaxone? Need Ceftriaxone for intra-ab infxns - when narrower spectrum, less ESBL/VRE selecting, and less C diff causing Amp-sulbactam works just as well for PNA bugs, use that. #SHEASpring2024 10/
ONE ANTIBIOTIC PK TABLE TO RULE THEM ALL Absorption takes drug into blood from GI, Vd spreads drug out to where bug calls home. And after bacteria are doomed to die, They’re mostly eliminated on the porcelain throne In the Land of Notion where this table doth lie. 1/2
To get my thumbs warmed up for #SHEASpring2024, figured I'd share this talk I forgot to share last month. Was asked to talk about antibiotic prophylaxis in primary care. Here's what I came up with: 🧵 #IDTwitter #MedTwitter 1/
🆕️🔥 Review article #AAC @anacasbal @AnxoFF Updated antimicrobial dosing recommendations for obese patients 🟢Antibiotics 🟢Antifungals 🟢Antivirals 🟢Antituberculosis drugs #IDXposts Thanks @Inox94 journals.asm.org/doi/10.1128/aa…
Lets talk about Antibiotic PK. This week's 🧵: Distribution! This is where the drug goes after it's absorbed/injected. Where it goes = what target sites it can be used at. Main drug factors: Hydrophilic vs Lipophilic, plasma protein binding, and peripheral tissue binding 1/9
🫘🙄What causes diuretic resistance ajkd.org/article/S0272-… @AJKDonline
British Society of Hematology recent guidelines for anticoagulation management before procedures. #MedTwitter
Into my “bookmarks” list on X Let’s read this @adammashraff @fikreeahmad BLI PK/PD target I just listened to the breakpoints episode on MBL enzymes, and this would complement the talk nicely
Any PK PD article with 🌟 @jasonroberts_pk is a must-read 🆕️🔥Systematic review #JAC @mgetnet21 @b_fekade What are the optimal pharmacokinetic/pharmacodynamic targets for β-lactamase inhibitors? #IDXposts academic.oup.com/jac/article/do…
A new scoping review of risk-scoring tools to predict CRE BSI early by @AbdullahTarikA1 @davidantibiotic et al. Congrats Tarik on this new paper- let’s read the paper @SazaliBasri @HanzHc @PuiLi_Wong @Rasidah @GSRajahram @stevenlimcl @DrSyamhanin pubmed.ncbi.nlm.nih.gov/38414813/
اخيرا كتاب الثيرابي الرائع ديبرو لعام 2023 👇🥰True pdf DiPiro's Pharmacotherapy A Pathophysiologic Approach 12E 2023 رابط الكتاب تلقرام 👇 t.me/ALGrawany2024/…
1/18 🤔Why does Clostridioides difficile infection (CDI) so rarely cause bacteremia? Patients with CDI are some of the sickest I've cared for. And yet, the causative bacterium is rarely seen in the blood. This is rare among the severe infections I see. 👀Let's have a look.
🔥Recently published RCTs in Infectious Diseases 🔥 1️⃣SIMPLIFY @TheLancetInfDis 2️⃣ACCESS @LancetRespirMed 3️⃣Trep-AB @TheLancetInfDis 4️⃣SABATO RCT @TheLancetInfDis 5️⃣PROPHY-VAP RCT @LancetRespirMed 6️⃣REGARD-VAP RCT #yournextJC #IDXposts Thread 🧵.
Well done @UniversitiMalay medical centre pharmacy for the the successful inaugural UMMC AMS workshop @fikreeahmad @IcidMy
Alhamdulillah, managed to conduct the first AMS Workshop targeting our pharmacists in UMMC - to spark their interest and awareness for AMR and AMS. It was a great start and definitely not the last. We hope our audience has benefited a lot from the speakers and activities.
@fikreeahmad @sasheela2 @eeyorezee @edenhelmi Good job @fikreeahmad and UMMC AMS team!
Sebenarnya kita selalu kena tipu dgn kedai tayar. Diorang akan keluarkan tayar yang lama untuk clearkan stok dan jual pada harga baru sbb nak untung. So, kalau yg nak tukar tayar tu, berhati2lah supaya kita tak tertipu. Berikut ialah senarai kod yg patut korang tahu.
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