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Erin McCreary Profile
Erin McCreary

@ErinMcCreary

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Director of Infectious Diseases Improvement & Clinical Research Innovation @UPMC @PittDeptofMed . Host, Breakpoints @SIDPharm . Passionate about patients.

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@ErinMcCreary
Erin McCreary
5 years
my grandpa has been in the hospital for the past week w/ Acinetobacter baumannii bacteremia. I keep deleting this, but I think I need to share what I learned about antibiotics and fear, and reinforce the life-saving nature of stewardship [thread] 1/
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@ErinMcCreary
Erin McCreary
1 year
I wish I could watch tv like a normal human but instead I’m in shambles
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@ErinMcCreary
Erin McCreary
2 years
another day, another doctor asking me, the pharmacist, questions about prescribing Paxlovid @AmerMedicalAssn
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@ErinMcCreary
Erin McCreary
2 years
Started from a basement (literally), never DREAMED of a window office! Excited to announce my new role as Director of Infectious Diseases Improvement & Clinical Research Innovation @UPMC . Yay for continuing our systemness from Covid into everywhere else we use antimicrobials!🦠
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@ErinMcCreary
Erin McCreary
4 years
I never want to hear another word EVER about the cost of new antibiotics, ESPECIALLY those with mortality benefit and/or improved safety compared to less expensive alternatives, if we are giving remdesivir to all hospitalized patients with COVID-19. Ever. #IDWeek2020
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@ErinMcCreary
Erin McCreary
1 year
medical tv that has me in shambles, part 3
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@ErinMcCreary
Erin McCreary
1 year
sometimes reviewers comments are so kind they lift you through the whole week and reinvigorate a bunch of projects on your list that you were losing steam to tackle 🤍 thank you, kind kind reviewer.
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@ErinMcCreary
Erin McCreary
4 years
My uncle was Covid+ 11/15, died 12/1. Planning a limited capacity, distanced funeral is painful. Being scared of people bringing food or doing any usually-comforting-but-now-risky act is an absolute mental disaster. Knowing millions have experienced this or worse... no words.
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@ErinMcCreary
Erin McCreary
3 years
My parents got vaccinated today 😭🥳😭🥳😭🥳😭🥳😭🥳
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@ErinMcCreary
Erin McCreary
3 years
Never thought in a million years as a pharmacy student that one day I'd write a chapter in DiPiro (one of the main textbooks). Thank you @jpogue1 for the sponsorship &sharing your endless knowledge and @julie_justo for being an amazing coauthor! Covid is awful but yall are great.
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@ErinMcCreary
Erin McCreary
1 year
medical tv that has me in shambles, part 2
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@ErinMcCreary
Erin McCreary
2 years
this is... extremely cool and i am so honored. i love you @AuburnU .
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@ErinMcCreary
Erin McCreary
2 years
I developed Covid symptoms and tested positive Wed By Sat, I felt fantastic Today, I feel like death. If I were eligible for Paxlovid, would have finished yesterday. Be cautious of rebound symptom data— reporting bias is strong, my N=1 tells me it happens w/o treatment too :)
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@ErinMcCreary
Erin McCreary
3 years
just got a manuscript rejection and the reviewer included a nice explanation of a key point we missed plus an interesting and helpful reference we didn't know about. it is really great when peer review works as it should. thank you, reviewer #2 (yes, 2!) for your time.
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@ErinMcCreary
Erin McCreary
4 years
Our patient, the real mvp @baileymcolvin
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@ErinMcCreary
Erin McCreary
2 years
no more waiting period from SARS-CoV-2 mAb to vaccine WOOOOOOOO a Friday 5p announcement I am here for
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@ErinMcCreary
Erin McCreary
5 years
@JulieSzymczak As for my grandpa—slow but steady improvement, rocking along on unasyn, prayers still appreciated 😊 /end
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@ErinMcCreary
Erin McCreary
1 year
my dad is so pure @CIDJournal @PaulSaxMD
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@ErinMcCreary
Erin McCreary
2 years
To all the future PharmDs—happy #MatchDay2022 Eve from someone who matched to her 3️⃣rd choice & spent the day helping one of her best friends who didnt match scramble. Match Day for me was long, painful. I promise you, things will be okay no matter what happens tomorrow. Promise.
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@ErinMcCreary
Erin McCreary
1 year
hello @NBCNewAmsterdam I volunteer as tribute to be your pharmacy consultant
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@ErinMcCreary
Erin McCreary
3 years
bought Nora a yard 🥰
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@ErinMcCreary
Erin McCreary
2 years
nobody: absolutely fucking nobody: 🇺🇸: let’s force women to give birth despite our abysmal maternal mortality rate (for which we have done no major health reform) and then do nothing to keep the kids alive either (because 2A ✌🏻)
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@ErinMcCreary
Erin McCreary
4 years
Thank you @JAMA_current & Dr. Angus for the opportunity to write this. And THANK YOU to the 100s of @UPMC clinicians/scientists for all you do to take care of our current & future #COVID19 pts and for constantly reading my remdesivir emails. You’re heroes.
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@ErinMcCreary
Erin McCreary
1 year
I wish I could watch tv like a normal human but instead I’m in shambles, part 4
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@ErinMcCreary
Erin McCreary
1 year
@gbosslet captions forever, I will die on this hill. so much better. go back and rewatch game of thrones with the captions on.
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@ErinMcCreary
Erin McCreary
4 years
#COVID19 "can those not speaking on the call please mute your line" count for today: 34
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@ErinMcCreary
Erin McCreary
3 years
recently having episodes of tachycardia followed by passing out (I am okay). wearing Holter monitor. almost every HCW (literally double digit amounts of humans) I’ve told about this has responded something to the effect of “been there done that” why is this normal?
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@ErinMcCreary
Erin McCreary
3 years
this one’s for the girls 🦦
@accpinfdprn
ACCP INFD PRN
3 years
Congratulations to @ACCP members Lucas Hill, Kirk Evoy, and @ErinMcCreary who were selected by the 2021 ACCP Awards Committee to receive the College’s prestigious 2021 New Educator, New Investigator, and New Clinical Practitioner awards, respectively. 👏👏👏
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@ErinMcCreary
Erin McCreary
1 year
aspiring pharmacists— I will read and provide feedback on your cover letters and CVs for free. the journey is hard and expensive enough as is, please don’t buy in to things like this. especially when they’re dragging you.
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@ErinMcCreary
Erin McCreary
2 years
I think every unit should have a decentralized pharmacist— but— I feel most passionately that every Emergency Department should have a pharmacist present 24/7. I staffed as an ED pharmacist for 2 years and the decisions made around antibiotics and fluids alone… 🤯
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@ErinMcCreary
Erin McCreary
2 years
googling ��student loan pause” every 20 minutes how’s your Saturday?
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@ErinMcCreary
Erin McCreary
4 years
Our reviewers are absolute rock⭐️s who strengthened this. We’re all in this together. Theres no treatment yet. We hope our take on these #COVID19 data help,until tmrws pubs of course :) @jpogue1 @julie_justo @JGPharmD @ryankshields @LVaezi #Jovan @SIDPharm
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@ErinMcCreary
Erin McCreary
2 years
~13000 high priority pts(CLL,ritux,etc) 456 Evusheld doses(ps-why no i?) 29% of pts receiving drug are from a disadvantaged neighborhood (lottery to allocate) 5 regional clinics (stood up over a holiday) 100s of ppl who make this happen @UPMCnews 1 very happy (&tired) pharmacist
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@ErinMcCreary
Erin McCreary
2 years
the greatest slide from all of #MADID2022
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@ErinMcCreary
Erin McCreary
1 year
bursting with pride for Josh, stellar pharmacy resident, & Viv + Peyton, 2 amazing students (now pharmacists!) who collaborated on implementing this change + collecting the data over 3+ years. Clinda/Vanc vs Linezolid for NSTI in @OFIDJournal
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@ErinMcCreary
Erin McCreary
3 years
patients who refuse a vaccine b/c theyre “only” EUA & then get Covid and THEN yell @ my team of incredible, dedicated people who literally work ~16 hrs/day every single day to procsss mAb referrals that we dont get them an *EUA* mAb fast enough are crushing our healthcare souls
@pronounced_ing
Celeste Ng
3 years
I feel closer to an actual nervous breakdown right now re: COVID stuff than I did in April last year. Maybe it’s because we have tools to fight it and we just aren’t using them? It’s one thing to watch the world burn. It’s another to watch it burn holding a turned-off hose.
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@ErinMcCreary
Erin McCreary
8 months
✅ RCT data shows no difference in AKI btwn TZP+ VAN vs FEP+VAN ✅ “authors provide a roadmap for such embedded randomised clinical trials” the coolest thing about ACORN is the fact that they did it. learning while doing!! @syctong @JAMA_current
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@ErinMcCreary
Erin McCreary
4 years
Man, a lot changes in 6 days. Update on #COVID19 treatment March 19-24: Pre-Mar 19: Thanks @jpogue1 for your brilliant insight & @m_fleming96 @allie_ward @JGPharmD @PaulSaxMD for helping us share these. We’re all in this together.
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@ErinMcCreary
Erin McCreary
2 years
bump
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@ErinMcCreary
Erin McCreary
5 years
Dr. Pranita Tamma of @HopkinsMedicine reviews mechanisms of resistance of carbapenems and activity of new and pipeline agents for MDR GNR #ThreeRiversASP2019
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@ErinMcCreary
Erin McCreary
1 year
my mom and dad came to see a talk today 🥹 @MAD_ID_ASP
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@ErinMcCreary
Erin McCreary
5 years
starting #ACCPAM19 with the amazing @emilylheil presenting an update on the recently-published community-acquired pneumonia #CAP guidelines
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@ErinMcCreary
Erin McCreary
2 years
ATTACK Trial results #ECCMID2022 : efficacy & safety of sulbactam-durlobactam (SUL-DUR) vs colistin for Acinetobacter baumannii complex. Sulbactam has intrinsic activity against AB (PBP binding); durlobactam potent inhibition of class A, C,D beta-lactamases
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@ErinMcCreary
Erin McCreary
4 months
strep pneumo urine antigen rarely changes clinical management!!! and lacks sensitivity for S pneumoniae PNA!!!! 🛑 plz stop ordering them on every admitted patient with CAP!!!! sincerely, the tortured lab dept #thingswedofornoreason @MattDavis138
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@ErinMcCreary
Erin McCreary
3 years
kind of struggling to contribute meaningfully on here lately for many reasons. but since the #medtwitter fam is carrying a lot of heavy right now, here is a picture of my dog to break up the doom scrolling. #noratherapy
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@ErinMcCreary
Erin McCreary
2 years
500mg generic daptomycin is ~$30 a vial. Why are LTCF/SNF still rejecting patients because of the cost of dapto?
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@ErinMcCreary
Erin McCreary
2 years
it has taken me a few days to tweet this because I can’t think of a caption that does these women justice. the #Breakpoints podcast family is truly special. I’m so so thankful for these amazing hosts (and humans) and to share our nerdy souls with the #IDWeek2022 community
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@ErinMcCreary
Erin McCreary
1 year
bring your Nora to work day
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@ErinMcCreary
Erin McCreary
4 years
Anyone else noticed hydroxychloroquine going from like $0.03/tab to $3/tab? Woof.
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@ErinMcCreary
Erin McCreary
2 years
two years, 26,769 unique patients, and 27,108 infusions later the monoclonal antibody for treatment of COVID-19 program comes to an end today. it is so sad this safe, effective therapy is not an option for now thankful for where we've come and ready for the challenges ahead
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@ErinMcCreary
Erin McCreary
2 years
issues w/empirical ABX treatment 1️⃣up to 50% of febrile episodes in ICU aren’t infectious 2️⃣30-80% of pts w/sepsis are culture negative 3️⃣most pts w/community-onset sepsis dont have resistant pathogens yet broad abx are frequently administered #ECCMID2022
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@ErinMcCreary
Erin McCreary
2 years
the ID pharmacist at this hospital left in May
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@ErinMcCreary
Erin McCreary
2 years
I’m a big believer in finding the silver lining of drug shortages but this one is the holy grail: finally the date everyone realizes there is almost no role for clindamycin in the care of patients with infectious diseases (zosyn+linezolid for nec fasc don’t @ me)
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@ErinMcCreary
Erin McCreary
1 year
. @ryankshields demonstrating why relebactam restores imipenem activity against Pseudomonas aeruginosa whereas vaborbactam doesn’t help meropenem against this bug #GCCAMR23
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@ErinMcCreary
Erin McCreary
3 years
It’s a beautiful day to vaccinate! 💉🤗
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@ErinMcCreary
Erin McCreary
2 years
i have tonsillitis and am taking augmentin and as an ID pharmacist i just feel this warrants public confession
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@ErinMcCreary
Erin McCreary
1 year
this is correct
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@ErinMcCreary
Erin McCreary
4 years
Renal function should not alter your remdesivir prescribing, but the SOLIDARITY data should. #IDWeek2020
@OncIDPharmd
Sam Aitken
4 years
There is no evidence supporting the assertion that remdesivir (or cyclodextrin) is nephrotoxic at currently used doses / durations. There is good evidence from vori experience that it doesn’t matter at all. Renal function SHOULD NOT alter your remdesivir prescribing! #IDWeek2020
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@ErinMcCreary
Erin McCreary
3 years
y’all. I have never fangirled so hard. dr. robert bonomo making his #Breakpoints 🎧 debut to talk gram-negative efflux, porins, pbps, and beta lactamases 😍 @ryankshields is very smart too. new episodes from @SIDPharm dropping 10/22 and 10/29 🤩
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@ErinMcCreary
Erin McCreary
4 years
Crying happy tears for a lot of reasons, but the reality of a Black, Indian American, *woman* Vice President is sinking in and there aren’t words for that truth or for this moment.
@NPR
NPR
4 years
Kamala Harris has made history. She brings a legion of firsts to the vice presidency: She will be the first woman, the first Black person, the first Indian American and the first Asian American to hold the office.
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@ErinMcCreary
Erin McCreary
3 years
kids of America out here holding it together b/c *theyre consistently trained in active shooter drills* b/c they get shot at in schools. meanwhile, they aren’t even IN school b/c govt failed them & 350K+ Americans so tremendously. but don’t worry, they arrested 15 people tonight.
@meganranney
Megan Ranney MD MPH 🌻
3 years
@heidiflagg My other kid: "This doesn't scare me. I would have just barricaded the doors and hid under the desk. That's what they teach us in school." 😭 OUR KIDS DESERVE BETTER THAN THIS.
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@ErinMcCreary
Erin McCreary
2 years
No words other than this is truly the honor of a lifetime and that I believe in Auburn, and love it. Thank you, @AuburnU @AUHSOP @UWHealth @UPMC @IDConnect1 for teaching me and giving me the opportunity to be a pharmacist. War Eagle 🦅
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@ErinMcCreary
Erin McCreary
3 years
happy gotcha day, Nora 🥰 here’s to trading Covid-related stress for puppy-related smiles
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@ErinMcCreary
Erin McCreary
2 years
hello to every insurance company, there is absolutely no way on this earth that Evusheld should require prior authorization. please update your policies ASAP. sincerely, every healthcare worker who definitely doesn't have the energy to complete unnecessary paperwork
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@ErinMcCreary
Erin McCreary
2 years
I haven’t slept in going on 30 hours and I’m sweating but SO HAPPY to be back learning with friends 🤗🤗 #ECCMID2022 @JGPharmD @jwagsIDPharmD
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@ErinMcCreary
Erin McCreary
2 years
my phone autocorrects “it” to “IRB” and “man” to “mAb” and if that doesn’t sum up my life for the past 2 years idk what does
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@ErinMcCreary
Erin McCreary
5 years
👀 Therapeutic monitoring of #vancomycin revised consensus guideline available for public comment! Submit by March 15th. 🗓🖍‼️ @ASHPOfficial ⁩ ⁦ @IDSAInfo ⁩ ⁦ @PIDSociety ⁩ ⁦ @SIDPharm
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@ErinMcCreary
Erin McCreary
8 months
moment of vulnerability because I had several genuine and inspiring and validating and raw convos during and after #IDWeek2023 . it was an amazing week AND it’s okay to not be totally okay sometimes :)
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@ErinMcCreary
Erin McCreary
1 year
this is the greatest thing ever. @districtbrews collaborated with the ID group @uabmedicine to make a beer where 10% of sales support a student-run free clinic, @equalaccessbham . everyone in the area go buy this now. and then administer via continuous infusion 😉 @SEdwardsPharmD
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@ErinMcCreary
Erin McCreary
10 months
thank you, @SIDPharm , for the greatest honor. I can't wait to serve with this amazing Board!
@SIDPharm
SIDP
10 months
THE RESULTS ARE IN 🗳️👏 Congratulations to the Newly Elected @SIDPharm Board Members for 2023-2024! 🎉🎉🎉 President-Elect: @ErinMcCreary , PharmD, BCPS, BCIDP Secretary: @helennewland , PharmD, BCIDP Board Member-at-Large: Whitney Buckel ( @tinymuscles ), PharmD, BCIDP
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@ErinMcCreary
Erin McCreary
3 years
to everyone with kids aged 5-11, congratulations and I am so so excited for you and your families
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@ErinMcCreary
Erin McCreary
4 years
friendly reminder that antimicrobial stewardship often involves escalating therapy #nottheantibioticpolice #justtryingtohelpgetpatientsonoptimaltherapy
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@ErinMcCreary
Erin McCreary
1 year
today #Breakpoints passed the 250,000 listen milestone ☀️ this podcast has been the most amazing journey of meeting the coolest people, learning so much, and sharing with all of you! thanks @jpogue1 and @julie_justo for this vision and everyone at @SIDPharm . Onward!
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@ErinMcCreary
Erin McCreary
3 years
just a pharmacist trying to get my patient who has failed oral vanc twice some fidaxomicin and even with insurance it's ONE THOUSAND DOLLARS. sigh.
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@ErinMcCreary
Erin McCreary
4 years
no holding back here @RxTransplant
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@ErinMcCreary
Erin McCreary
2 years
celebrated 33 with multiple days of sunshine and lots of high quality oxygen ☀️
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@ErinMcCreary
Erin McCreary
4 years
Huge congratulations to the most humble and hardest working colleague ever, @ryankshields ! It is a legit honor to learn from you and our patients are super lucky to have you! @IDPittStop @PittDeptofMed
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@ErinMcCreary
Erin McCreary
4 years
Dr.* Monogue
@ASCP_Chicago
ASCP
4 years
How are CLSI antimicrobial breakpoints determined? Dr. Clark, along with pharmacists Dr. Sanders and Ms. Monogue, break it down for us.
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@ErinMcCreary
Erin McCreary
2 years
#ECCMID2022 Late Breakers🚨 SABATO trial—5330 pts assessed to enroll 213 with low-risk SAB. Early PO switch non-inferior to completing 12-16 total DOT with IV ABX & assoc w/shorter hospital LOS. important to diligently assess patients who are actually low risk before switch to PO
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@ErinMcCreary
Erin McCreary
1 year
this is literal insanity
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@ErinMcCreary
Erin McCreary
3 years
“They ought to put the vaccine in Cracker Jack boxes. Then everyone would want one!” - Grandpa McCreary (this is the best, best day. way to go @WV_DHHR for reaching seniors who live at home.)
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@ErinMcCreary
Erin McCreary
1 year
happy friday!
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@ErinMcCreary
Erin McCreary
4 years
How it started How it’s going
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@ErinMcCreary
Erin McCreary
2 years
I get asked this a lot so here are our “rules” for Evusheld: Vax ➡️ Evusheld: 14 days Evusheld ➡️ Vax: currently 30 days, proposing to move to ‘no wait’ Sotrovimab ➡️ Evusheld: wait until patient out of contagiousness period as defined by infection prevention and clinically well
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@ErinMcCreary
Erin McCreary
3 years
Only side effects: Relief, hope, joy But man does everyone else in the world need this ASAP, too. We have a lot of work to do. Mask up, discuss hesitancy empathetically, help w/ clinics, get creative w/ logistical barriers to distribution (esp to elderly @ home, high ADI areas)
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@ErinMcCreary
Erin McCreary
6 years
ZERO percent of septic patients on CRRT achieved serum concentrations >4x MIC of Pseudomonas spp. for the recommended time when receiving cefepime at 2g q12h dose. Zero. Percent. #ashp18
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@ErinMcCreary
Erin McCreary
4 years
Congratulations @pranita_tamma @OncIDPharmd @davidvanduin @ClancyNeil and #twitterless Drs. Mathers and Bonomo on publishing the @IDSAInfo Guidance on the Treatment of Antimicrobial Resistant Gram-Negative Infections!!
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@ErinMcCreary
Erin McCreary
4 years
@BissellBrittany @seymoc “Before my sample size gets too big” is so, so good.
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@ErinMcCreary
Erin McCreary
3 years
when stewie becomes prescriber culture 😍
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@ErinMcCreary
Erin McCreary
3 years
I agreed to do a peer review. A few days later my grandpa died. @PergamIC reassigned the review without question. @MichaelGIsonMD not only did the review but also emailed me condolences (after picking up my work!) Thanks arent enough but man this community continues to humble me.
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@ErinMcCreary
Erin McCreary
4 years
Sending positive vibes and lots of this emoji 🤗 to everyone in health care today, especially those helping coordinate remdesivir allocations at the local level. You are not alone in any of the things you’re feeling or four letter words you are saying, I promise. @julie_justo
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@ErinMcCreary
Erin McCreary
3 years
it seems owning a house is spending a few hundred dollars a day on things you’ve never considered before
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@ErinMcCreary
Erin McCreary
5 years
. @JGPharmD presents nice table on therapeutic drug monitoring of azoles. would argue for posaconazole TDM even if using delayed released tablets based on these recent data: #accpam19
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@ErinMcCreary
Erin McCreary
3 years
my favorite person peacefully went to be with my grandma this morning. he was unparalleled. in kindness, wisdom, and the way he steadfastly, deeply loved. being your granddaughter is the greatest honor.
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