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Koen B Pouwels
Health economist with an interest in AMR at University of Oxford. All views are my own.
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Koen B Pouwels retweeted
Larry Roope Jul 30
Why do hospital prescribers continue antibiotics when it is safe to stop? ⁦⁦⁩ ⁦⁩ ⁦⁩ ⁦⁩ ⁦⁦⁩ ⁦⁩ ⁦⁩ ⁦
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Koen B Pouwels Jul 9
Also a massive drop compared to other Aprils and March in penicillin V (mainly used for sore throat) in primary care in England
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Koen B Pouwels Jul 8
Replying to @epb41l2
Will do that with next update.
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Koen B Pouwels Jul 8
Our work on percentage of individuals infected with SARS-CoV-2 over time, risk factors for infection, and percentage of individuals testing postive but not reporting any symptoms around the date the sample was taken
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Koen B Pouwels Jul 3
Replying to @gmknght
Yes, that's why uti antibiotics stays on the same trend. Working on that latter question, but wouldn't give a million for it as we can just wait and see :)
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Koen B Pouwels Jul 3
Replying to @gmknght
But penicillins most important to look at imho, based on our previous work on what is prescribed for what and where most inappropriate prescribing occurs. & The other one is penicillin V (sore throat) which declines substantially.
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Koen B Pouwels Jul 3
Replying to @gmknght
Loads of people already doing this I suspect - I know a few, both in UK but also more international analyses - so I suspect lots of papers competing to be the first to publish about this.
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Koen B Pouwels Jul 1
Replying to @kb_pouwels
Given large decrease in penicillin (mostly respiratory) and steady increase in UTI antibiotics, this suggests reduced transmission of other pathogens and/or less healthcare seeking behaviour for (minor) respiratory infections - thinking probably covid so no need for antibiotics.
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Koen B Pouwels Jul 1
Penicillin prescribing by English GP practices at lowest recorded level ever in April (data publicly available since May '15) and large decline compared to March Lockdown (March 23) also having some favourable effects? Steady increase for UTI antibiotics
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Koen B Pouwels Apr 23
Great modelling work from evaluating who we should test - and how to be efficient with limited number of tests - to detect outbreaks in long-term care facilities (care and nursing homes) as early as possible.
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Koen B Pouwels retweeted
Larry Roope Apr 23
Warning of danger could reduce inappropriate use but only if empower patients to self-manage symptoms w/o . & others .
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Koen B Pouwels Apr 1
Replying to @epb41l2
It took a while, but the R code for estimating the excess length of stay in the presence of time-dependent confounding is online now:
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Koen B Pouwels Mar 24
Replying to @jbuchanan_ox
Maybe a grandpad, I believe it comes with 4G. E.g. . Diclaimer, I don't know anyone who.has experience with it
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Koen B Pouwels retweeted
HERC Mar 10
NEW PUBLICATION: Quantifying the economic cost of antibiotic resistance and the impact of related interventions: rapid methodological review, conceptual framework and recommendations for future studies
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Koen B Pouwels Mar 7
Our work on quantifying the economic costs of and impact of related interventions: . Overview of what studies have done so far and what we should do in the future. And some related recent methodological work:
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Koen B Pouwels Feb 14
Replying to @epb41l2
Ah it somehow didn't appear in the supplements. Either wait till this is corrected after the proofs are in or drop me an email.
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Koen B Pouwels Feb 13
Our new work on estimating the effect of hospital-associated infections on length of stay in the presence of time-varying confounding (incl some R code). Time to adopt this or similar techniques for better informed decision making.
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Koen B Pouwels retweeted
Xavier Didelot Jan 14
I am looking for a postdoctoral research fellow to join me in , see . Don't hesitate to contact me if you're interested!
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Koen B Pouwels retweeted
Gabriele Pollara Dec 27
Strong response. Illustrates very nicely the challenge of judging an antibiotic prescription appropriate or not.
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Koen B Pouwels Dec 26
Our concerns about a article using irrational criteria to judge appropriateness of antibiotic prescriptions. Classifying antibiotics for K pneumoniae pneumonia, acute prostatitis, peritonsillar abscess, etc. as 'always inappropriate'...:
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