Guillermo Rodriguez-Nava (Guiro) @G_ROD_11 Twitter profile

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Guillermo Rodriguez-Nava (Guiro)

5 months

Excited to have been awarded the @SHEA_Epi Jonathan Freeman Scholarship! Grateful to my mentor @jlsalinas7 , my program @stanforddivision , and my division @Stanford_Med_ID for their support in my developing career as a Hospital Epidemiologist!

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

5 years

@FacMedicinaUNAM @DraMalinka @germanfajardo Abusados, que es delito divulgar información confidencial de los pacientes en redes sociales.

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

5 years

@FacMedicinaUNAM @DraMalinka @germanfajardo Garcia Rodríguez Alinka Getsemani. Es Médico interno de pregrado. Ahí les encargo.

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

6 years

R1CG: le escuchaste el soplo? Yo-MIP: cuál soplo? R1CG: ESTA! JAJA *Mi inocencia radicó en creer que un cirujano sabe utilizar un estetos.

DrRock

@DrRockPed

6 years

Cita en este tuit la mejor broma que te han hecho en el hospital.

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

5 months

Ceftriaxone is actually abbreviated CRO, not CTX.

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

2 years

Am I supposed to wear a tuxedo when they ask for a formal ID consult?

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

Some dermatology rotation should be included in the ID fellowship curriculum. Could be experience bias, but I feel people frequently call ID before derm for many rashes and boy they all look maculopapular to me.

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

5 months

Boy, this is a new one.

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

Who else has a dot phrase based on the abstract of this paper. One of my most used dot phrases after .nogrowth and .pleasesendcultures

Osteomyelitis Complicating Sacral Pressure Ulcers: Whether or Not to Treat With Antibiotic Therapy

We conducted a systematic literature review and found no data supporting benefit of antibacterial therapy for osteomyelitis in the setting of sacral pressu

academic.oup.com

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

3 months

God no. Asymptomatic DNAuria 😰 @dr_dmorgan @SHEA_Epi #SHEASpring2024

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

Not all patients presenting with infection require blood cultures! Conditions with a pre-test probability >14% for bacteremia: - Community-onset fever req admit - Pyelonephritis - Sepsis - Meningitis This probability increases to >40% if shaking chills.

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

Me in the ICU: Please stop all antibiotics.

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

10 months

Spiraling empiricism refers to the inappropriate or unjustifiable escalation of treatment for suspected but unconfirmed infectious diseases, often based on these fallacies. From Spiraling Empiricism–Kim & Galis. A must-read, specially for non-ID providers:

Kyle Walding

@TBrnaughtTB

10 months

if we sign off, pts stay on mero for weeks if we don’t sign off, pts stay on mero for weeks but we’re upset about it every day

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

4 months

@MediCasos Recomendación Clase 1A desde 2022.

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

@DGlaucomflecken I actually thought it was about premature ejaculation.

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

2 years

Happy for our new budding colleagues, but tough day for ID. Compensation is not the only issue. Some unfilled programs had several restrictions for the foreign trained/born. They should, if possible, revisit these restrictions. This may be a minor issue, but an issue nonetheless

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

Correct me if I’m wrong, but antibiotic resistance does not equal increased virulence. As far as I know, resistance genes are not intrinsically associated with extra virulence factors. In fact, I remember reading the opposite somewhere. Yet people freak out when they see “ESBL”

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

Wrapping up an incredible first year of ID fellowship! It was hard but learned so much from the amazing faculty at @Stanford_Med_ID Now excited to start the second year as Hospital Epidemiology and Infection Prevention fellow under the mentorship of @jlsalinas7 !

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

@drtimothyli From IDWeek: Patients receiving definitive therapy with ceftriaxone for MSSA bacteremia experienced a higher rate of 90 and 30-day treatment failure and a lower rate of event-free survival as compared to those treated with cefazolin or an ASP.

738. Outcomes of Ceftriaxone Versus Antistaphylococcal Penicillins or Cefazolin for Definitive...

AbstractBackground. Methicillin-susceptible Staphylococcus aureus (MSSA) bacteremia requires weeks of IV antimicrobial therapy for treatment with antistaph

academic.oup.com

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

Immensely proud and grateful for the opportunity to represent @Stanford_ID and showcase my roots on an international platform. Special thanks to @Marisa_Holubar for mentoring my slides, @profrobread for hosting, and @IDSAInfo and @ESCMID for this amazing opportunity #ECCMID2023

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

So grateful with my attendings (Dr. @Marisa_Holubar , Dr. Winslow, Dr. Banaei, and Dr. Schoolnik) and co-fellows at @Stanford_ID Our case was selected to represent ID fellows in North America at the #IDWeek - #ECCMID Fellows Exchange program in Copenhagen! 💪🏼

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

📟 Candida pneumonia? Should I publish the case report or should you? 😂

Candida Pneumonia in Intensive Care Unit?

It has been questioned if Candida pneumonia exists as a clinical entity. Only histopathology can establish the definite diagnosis. Less invasive diagnostic strategies lack specificity and have been...

www.ncbi.nlm.nih.gov

Dr. Glaucomflecken

@DGlaucomflecken

1 year

Relevant for the discourse today

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

9 months

Que se sienta el Power Mexicano! 🇲🇽 💪🏼 Proud of them for their courage, sacrifice, and knowledge. Congrats on your accomplishment! @MarianiVP @CarlosdelRio7 @IDSAInfo @IDWeekmtg

Stanford Infectious Diseases Fellowship

@Stanford_ID

9 months

@incmnszmx , @IdBowl ’s first international team, is absolutely dominating the second round! 🎊 🇲🇽 🎉

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

ID in training exam: Look at this Gram stain and tell me diagnosis. Me: Okay, let me click the image and zoom in. ID ITE: No can do. Me: Okay. Answer C it is. Next!

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

2 years

Budding @Stanford_ID fellows! #IDTwitter #MedTwitter

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

@drjefemaestro El parásito malaria y otros parásitos del phylum Apicomplexa evolucionaron de alaga marinas: pasaron del océano a ser parásitos en mamíferos terrestres.

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

The person who figures out the physics behind why the hospital badge is always backwards deserves a Nobel Prize.

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

6 years

Cuando el interno no ha desayunado @DrRockPed

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

@okwalding When we have a cure. Thanks.

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

C diff testing can be confusing. Remember, the presence of C diff doesn't necessarily mean C diff infection (CDI) without toxins. Here are 3 insightful studies on this topic.

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

11 years

#LosPobresEst údianEnLaUnam Los únicos tres pobres Premios Nobel mexicanos estudiaron en la UNAM. Prefiero ser pobre a estúpido.

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

Made it! #ECCMID2023 @ESCMID

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

2 years

Happy to finally be here In Person! #IDWeek2022 #NoMoreVancAndZosyn

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

Ready for the formal ID consult. After vacation tho.

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

2 years

Short but sweet @IDWeek2022 for me! So happy to meet in person all the amazing people I met during fellowship interview season. Say what you want, but the ID community is something else! #IDWeek2022 #IDTwitter

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

2 years

It is said that it takes an average of 17 years for research evidence to reach clinical practice. How to close the gap? Among other things, targeting the ID fellows! Thanks @jakescottMD and @BradSpellberg for the amazing Grand Rounds at @Stanford_ID today!

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

@MBurt34 Don’t know if this is what you meant. I guess you could be an overall happy person but not in a happy state? Lol

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

3 years

I cannot think of a better place than Silicon Valley to combine my biggest passions: Infectious Disease, Hospital Epidemiology, Blockchain Technology, and AI. I am excited to join the amazing @Stanford_ID next summer! #IDtwitter #fellowshipmatch @ID_fellows

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

This one is another of my most dot-phrased papers when they consult for Leukocytosis. An oldie but a goodie. Perhaps it's time for an update?

Conditions Associated with Leukocytosis in a Tertiary Care Hospital, with Particular Attention to...

Abstract. Few modern studies have enumerated the conditions associated with leukocytosis. Our clinical experience has implicated Clostridium difficile infe

academic.oup.com

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

If beta-lactams are the treatment of choice for MSSA, would it be reasonable to think that ceftaroline may be a better first-line option for MRSA than vancomycin?

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

9 months

Kudos to @sheliza_halani from @UofT for leading this international collaboration, reporting the world's first cases of Mpox-associated myocarditis! @Stanford_ID @StanfordDeptMed @IDWeekmtg #IDWeek2023

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

2 months

Around 3.5% of hospitals in the US are academic medical centers. Community hospitals likely represent the reality of healthcare. Happy to learn how they do Healthcare Epidemiology and Infection Control at @SHC_TriValley . Unique opportunity through the @Stanford_ID HE & IPC track!

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

9 months

Great teamwork with @RalphTayyarMD , @jlsalinas7 , and our colleagues! Notably, most asymptomatic patients with a positive SARS-CoV-2 test lack replicating virus. This finding contributed to our decision to scale back routine admission testing!

Low infectivity among asymptomatic patients with a positive severe acute respiratory coronavirus...

Low infectivity among asymptomatic patients with a positive severe acute respiratory coronavirus virus 2 (SARS-CoV-2) admission test at a tertiary care center, 2020–2022 - Volume 45 Issue 2

www.cambridge.org

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

10 months

Latinx Friends in Medicine at @StanfordMed 🇲🇽 🇪🇨 🇵🇷 #HispanicHeritageMonth

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

@dralicehan Staphylococcus aureus.

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

9 months

When they asked me about my superpower, I didn't have an answer. Now I know it's the ability to surround myself with the very best. From my mentor @jlsalinas7 and @Stanford_ID division to my best friends, co-fellows, and my wonderful partner @GoarEgoryan , I owe you all so much!

Stanford Infectious Diseases Fellowship

@Stanford_ID

9 months

One of our second-year hospital epi and infection prevention/control fellows, @G_ROD_11 , swept the Saturday session with his *three* posters in keeping with the #IDWeek2023 theme of Mexican 🇲🇽 brilliance! Strong work, Guillermo!

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

Cefotaxime is a lost art, but its memory lives on thanks to everyone who abbreviates ceftriaxone as 'CTX'.

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

4 months

Antiretroviral therapy is effective. The real issue is access (2-week difference).

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

In 7 months if ID fellowship, I have seen a handful of patients with mucormycosis with terrible outcomes. I don’t blame the patients for having diabetes. I don’t blame the Mucorales. I blame the system that prevented most of them from having early access to insulin.

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

8 months

Yes! Retire the SEP-1 bundle. Up to 50% of hospitalized patients meet SIRS criteria at some point during their stay, many without sepsis. An important step for diagnostic and antimicrobial stewardship!

SIDP

@SIDPharm

9 months

New joint position paper in @CIDJournal ! @SIDPharm , @IDSAInfo , @EmergencyDocs , @PIDSociety , @SHEA_Epi , and @SocietyHospMed advocate for the retirement of the @CMSGov SEP-1 bundle Read it here:

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

2 years

Waiting for the OSH records. #HappyHalloween

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

Imagine a world where people used chemo as they use antibiotics. Fever? Let’s give empiric R-CHOP before lymph node biopsy. Breast mas? Empiric docetaxel and cyclophosphamide! Shortness of breath and lung consolidation? Admit and start pemetrexed and cisplatin!

Erin McCreary

@ErinMcCreary

1 year

happy friday!

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

2 years

Surgery: Hey, we would like a consult for “antibiotic optimization.” ID: *After seeing the patient* - We recommend source control optimization. Surgery:

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

4 months

Every time I rotated at the county hospital, I wondered if there were alternatives to penicillin for syphilis. Great collaboration with Brazil to help explore that question! Fun fact: I used a customized AI to help me complete my part of the review.

Syphilis Treatment: Systematic Review and Meta-Analysis Investigating Nonpenicillin Therapeutic...

This review and meta-analysis compared nonneurological syphilis treatments. Results indicate alternative therapies like doxycycline, ceftriaxone, and azith

academic.oup.com

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

5 months

Me likey some paella. @ESCMID

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

11 months

Honored to meet Dr. De la Rosa Zamboni, President of the Mexican Association for the Study of Nosocomial Infections ( @ameinac ), the Mexican counterpart of @SHEA_Epi Looking forward to fostering stronger connections within the Hospital Epidemiology communities in both countries!

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

I’m thrilled to see many Latinx matched today! One in 10 people on the US is a native Spanish speaker. Speaking their language can significantly improve the patient experience. By doing so, you’re becoming an essential part of the healthcare task force! #LatinxInMedicine

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

I wasn't interested in fungi until @vivagoar23 introduced me to @GermHunterMD . Now, I'm eager to combine my Infection Control and Hospital Epidemiology training with knowledge about fungal infections! #ECCMID2023

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

@ABsteward Discontinue please.

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

2 years

So happy to be back and have the opportunity to share the knowledge I have gained at @Stanford_ID I am convinced I was able to land the diagnosis on a middle age patient with liver transplant (disseminated nocardiosis) thanks to our strong immunocompromised host service!

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

2 years

Two and half years of my Internal Medicine training were pretty much Covid-19 and ARDS. Yet, officially Board Certified!

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

5 years

Este individuo no comparte los valores de la UNAM ni de la Facultad de Medicina. @FacMedicinaUNAM @UNAM_MX @germanfajardo

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

3 months

And this is my version of #BetterPoster More on our results soon!

Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

3 months

Good for the @CDCgov promoting the #BetterPostwr format! @SHEA_Epi @mikemorrison

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

4 months

Best tea for an ID office (not sponsored lol)

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

TB cannot be ruled out!

James Wilson, DO, FACP, FAWM, CTropMed®

@JamesWilsonDO1

1 year

#IDtwitter #MedTwitter #tuberculosis @IdVilchez

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

2 years

Thankful to Santa Clara Valley Medical Center and @Stanford_ID ! Very challenging to start fellowship in a safety-net hospital, but very grateful for the support of the attendings and residents, the learning experience, and the opportunity to collaborate with the @CDCgov !

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

2 months

Great to reconnect with the @ESCMID Clinical Grand Round Fellows Class 2023! Great cases, excel discussions, and friendship. Such an amazing experience!

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

On call during IDWeek abstract submission deadline. Everyone getting cefiderocol, omadacycline, ampho, chloramphenicol and remdesivir overnight. Will de escalate in the morning.

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

3 months

Great talk by @dvilarc on Infection Prevention challenges in low- and middle-income countries! One of the most influential teachers in my career and in Healthcare Epi in Mexico. Introduced me to evidence-based medicine and clinical epi in Med School! Orgullo @FacMedicinaUNAM

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

7 months

I've heard from reliable sources that @taylorswift13 's alternative career option was being an infectious disease physician.

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

9 months

@Gabby_Brauner27 Fun fact. In Mexico City, ICUs are usually in the first floor so they can evacuate the patients easily during an earthquake.

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

Pro tip. Staph lugdunensis has a foot fetish and likes the great toe🦶If you have a patient with unexplained Staph lugd bacteremia, don’t forget to examine the feet.

Staphylococcus lugdunensis in several niches of the normal skin flora - PubMed

Staphylococcus lugdunensis is a coagulase-negative staphylococcus (CNS). Its pathogenicity and virulence are more similar to Staphylococcus aureus than to a CNS. It causes severe infections with high...

pubmed.ncbi.nlm.nih.gov

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

As much as I like teams to consider non-infectious causes of fever, atelectasis is not one of them. This old myth came from a rat model, where they surgically exposed and ligated one main bronchus to collapse the lung and then harvested macrophages to measure IL and TNF LOL

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

4 months

@DrNeilStone And then you fail the quiz because all their questions are not up to date lol

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

3 years

A future infectious diseases fellow infiltrating a cardiology meeting 👀

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

8 months

Feliz Día de Muertos! We celebrate the lives of those who are no longer with us with smiles and by offering them the things they loved when they were here. Catrinas collection by @GoarEgoryan

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

10 months

Congrats @Marisa_Holubar ! An amazing clinician and brilliant antimicrobial steward, but also an outstanding mentor and, most importantly, a genuinely kind soul! We're fortunate to have you with us at @Stanford_ID @Stanford_Med_ID

Ilan Schwartz MD PhD

@GermHunterMD

10 months

Congratulations to the 219 individuals honored as Fellows of IDSA @andhen25 @BonuraErin @pascalisID @roby_bhatt @wbranchelliman @SBtotheDub @DrPaloma_ID_MD @JennCuellarR @skepticalIDdoc @dralicehan @MatiH_ID @martinhoenigl @Marisa_Holubar @ARLetourneau

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 month

Leading this work with the guidance and support of @jlsalinas7 , @ValeriaFabreMD , and @StanfordMed has been a highlight of my HE & IPC fellowship at @Stanford_ID ! Advancing care with evidence, and learning the political and operational aspects of IPC!

Kyle Walding

@TBrnaughtTB

1 month

yessss for this new Epic hard stop for blood culture orders! with supportive literature! 🤗 #diagnosticstewardship

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

Such a nice day with the smartest and nicest! @Stanford_ID @Stanford_Med_ID

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

4 months

First time being invited as a featured speaker! There's nothing better than doing it at home! Gracias @ameinac y @Daniela95835839 for the invite, and also gracias @jlsalinas7 and @Stanford_Med_ID for the mentorship and support!

Jorge Luis Salinas

@jlsalinas7

4 months

El gran @G_ROD_11 speaking at @ameinac on how are respiratory pathogens transmitted? Breaking paradigms. @Stanford_ID @Daniela95835839

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

One month left as a first year ID fellow. Boy, what a ride!

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

3 months

Confirmed, I'm not tall enough to be an astronaut 🥲 @astro_reid

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

A middle-aged patient with perfect renal function, electrolytes, QTc, and tendons is admitted for E. coli bacteremia due to urinary tract infection. Susceptible to all abx and afebrile for 3 days. You do:

Ciprofloxacin

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High-dose Amox (+- clav)

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

10 months

@reverendofdoubt PCT is useful to decrease exposure to antibiotics. A systematic review w/meta-analysis on 26 RCTs showed benefit in shortening abx duration and side effects. Also showed decreased morality but let’s be conservative and say didn’t impact mortality

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

9 months

Exciting times ahead for #IDweek2023 ! If you have some time, we invite you to explore the work of our Hospital Epidemiology and Infection Control team at @Stanford_ID and @Stanford_Med_ID , as well as our collaborative projects. See you there! #IDTwitter

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

8 years

Qué decepción! Por fin pude ver @EJQTJugamos pero no pude ver a quién iba a ver! @OdeRuiz :(

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

10 months

# Concern for UTI Plan: Urine cultures pending. Patient is asymptomatic. No empiric antibiotics. Continue to monitor. Good, no abx! But if no symptoms, why test? We have made important advances on antibiotic stewardship, but boy there is work to do on diagnostic stewardship.

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

7 months

My totally unbiased Twitter feed is filled with new ID trainees. Welcome to the medical specialty that has shaped the evolution of life in planet Earth the most: from the RNA world to mRNA vaccines (see what I did there?) 😃

0

18

Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

Grateful with @ESCMID for the travel expenses and hotel reservation!

1

18

Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

2 months

We didn’t win the trophy but I’m sure we won the audience and represented The Americas proudly! Most importantly, I had a ton of fun with these very smart guys!

Cesar G. Berto, MD

@CesarGBerto

2 months

@AnthonyLieuMD @ESCMID @jesusrbano @BLeeMDPhD @G_ROD_11 @bleemd

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15

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

2 years

Very grateful for our @Stanford_ID fellowship and @Stanford_Med_ID division! And thanks @MartenHawkins and @RalphTayyarMD for setting all up! I couldn’t be surrounded by better people. #HappyThanksgiving ! #IDTwitter

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

5 months

One of the things I'm learning as a Hospital Epidemiology fellow with @jlsalinas7 at @Stanford_ID is how to be an effective communicator. Not only disseminating our policy changes but also being accountable and presenting the results of these interventions.

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

3 years

My twitter feed has been full of success stories of the amazing people I met during the virtual ID interview season! I have no doubt this generation of ID docs, marked by the greatest pandemic in a 100 years, will be memorable. Specially proud of the Latinx community!

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

2 years

Always proud of where I come from, my roots, and my culture! #ZeroGen 🇲🇽 #NationalLatinoPhysicianDay #IDtwitter

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

Why do we keep using “nadir” but stopped using “zenith”? Next time, my consult note will be “blood cultures were collected during the zenith of their leukocytosis.” Totally ID appropriate 😂

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

1 year

I got a consult for leukocytosis of 18, no symptoms at all. Zero, nada. The day before, the count was 8, and the day after it decreased to 9 without any intervention, but there was a lot of unnecessary extra testing, which made me think about this situation.

Chris Moriates, MD

@ChrisMoriates

1 year

Everyday in hospitals around the world patients are awoken with a pre-dawn needle in the arm. Can we FINALLY make some coordinated progress on reducing repetitive routine lab testing?

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170

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

2 years

@AnandJag1 LOL

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

5 months

“The white count is up. Should we broaden antibiotics?” If ID docs received a dollar every time they were asked this, they'd earn more than plastic surgeons.

Jonathan Ryder, MD

@JonathanRyderMD

5 months

Great perspective piece from @NEJM that #IDTwitter will relate: "But my white count..."

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108

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

9 months

At @IDWeekmtg , the amazing @jlsalinas7 tackles thought-provoking questions from the hospital epidemiologist pager with sheer common sense! Lucky to have him as my mentor! @Stanford_ID

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Guillermo Rodriguez-Nava (Guiro)

@G_ROD_11

2 years

Mentor and mentees on the new-onset Hospital Epidemiology / Infection Prevention & Control @Stanford_ID team! @jlsalinas7 @Krithi_S #MedTwitter #IDTwitter

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