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Michael Marks
@drmichaelmarks.bsky.social
Professor of Medicine at LSHTM. Lead for Integrated Academic Training at LSHTM. Consultant in Infectious Diseases at UCLH. Syphilis & STIs, Neglected Tropical Diseases, Emerging Infectious Diseases, Group A Strep, Pragmatic Trials
72 followers78 following6 posts
MMdrmichaelmarks.bsky.social

Agree - hence our conclusion in editorial that these data can't tell us that much. We've been thinking about how to actually solve this problem - see www.clinicalmicrobiologyandinfection.com/article/S119... Possibly using an ACORN type approach to facilitate the trial design

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TYtomayates.bsky.social

Thanks, will have a look An ACORN style approach sounds like a very good idea, though not sure I'd want to be randomised to an arm that didn't receive a beta lactam The beauty of linezolid is that you can use ceftriaxone upfront, without worrying about MRSA Factorial randomisation to IVIG vs not?

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MM
Michael Marks
@drmichaelmarks.bsky.social
Professor of Medicine at LSHTM. Lead for Integrated Academic Training at LSHTM. Consultant in Infectious Diseases at UCLH. Syphilis & STIs, Neglected Tropical Diseases, Emerging Infectious Diseases, Group A Strep, Pragmatic Trials
72 followers78 following6 posts