I don’t care what your religion is if you are claiming to provide healthcare. You either actually provide healthcare or you are denying healthcare and forcing people to suffer because your cult doesn’t believe in science. We should not pay tax $ to religious facilities that deny people healthcare.

Hot off the press at @thelancetinfdis.bsky.social: our paper diving into non-adherence in the BALANCE trial. We identify factors associated with protocol non-adherence, and evaluate the impact of potential bias on trial results. authors.elsevier.com/a/1m5He5E-Uo... @steventong.bsky.social #IDSky

🌟 ABX Pearl of the Day: ❓ Q: Should I add vancomycin for severe mucositis in my patient with persistent neutropenic fever (NF) of unknown etiology? 🤔 Currently on cefepime & stable. Let’s dive in! 👇 #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

VUMC 🏥 is recruiting for a PGY2 ID Pharmacy resident 🧫🦠 next year! If you or someone you know is interested, come check out one of our virtual open house sessions. We have an amazing team of 4 inpatient, 2 OPAT, 1 peds, and 1 HIV pharmacists (and more) to work with!

If only Vinay Prasad had stayed gone. Since his return, he turned a previously standard-setting agency into a hot mess, complete with backstabbing, interoffice warfare, secrecy, & despotic management. He thinks he's a big deal, but he is a small man. rasmussenretorts.substack.com/p/the-small-...

We should have a system like those "Prove you're not a robot" but for UA and culture. Like show me you know what a UTI is for realsies. Multiple choice and essay.

A major study just published in NEJM offers powerful, locally generated evidence from Africa on an old question: can steroids save lives in community-acquired pneumonia (CAP)? The answer from Kenya’s SONIA trial: yes and safely so. 🧵 www.nejm.org/doi/full/10....

I hate my state.

Def time to remove cefdinir from formulary!

👇🏻👇🏻👇🏻

First-trimester exposure to mRNA #COVID19 vaccines was not associated with an increased risk of major congenital malformations overall, by organ system, or by individual malformation. ja.ma/48Ckr05

This is such a thorough take down of Bari Weiss and the vapid shill she is for oligarch billionaires. He especially shreds the Free Press over it's coverage of trans issues and the so called whistleblower Jamie Reed. youtu.be/gieTx_P6INQ?...

So excited to be a part of this. Thanks for including me! @pamipenem.bsky.social #IDSky

“The Party told you to reject the evidence of your eyes and ears. It was their final, most essential command.” ― George Orwell, 1984

Watch to the end 😭

open.substack.com/pub/pauloffi... The risks of discouraging the birth dose for hepatitis B vaccine.

It was the best of times, it was the worst of times…well maybe just the worst.

This shall now be known as the “down with IKEA” tariff. Stupid AF 🤬

Stated at ACIP: COVID-19 vaccines are recommended for people 65 years and older and for individuals 6 months to 64 years old based on individual decision making. Fact: Scientific evidence continues to strongly support broad COVID-19 vaccination.

Newborn lives are on the line. The hepatitis B birth dose is safe, effective, and lifesaving yet it’s under attack at ACIP this week. Weakening this policy would be a grave mistake. Read why we must defend it. open.substack.com/pub/bktitanj...

MUST-WATCH: “When you live here it feels like a poor country— you’re so reasonable. They painted you in a bad light. It makes me angry.” Bernie wins over WV Trump voters, shows how @marshablackburn & Trump use averages to lie to us + help the rich. Full: www.youtube.com/watch?v

It takes 5 paragraphs to get to the part where they reveal that this incredibly stupid, ridiculously expensive, and unnecessarily dangerous “raid” was targeting a US citizen since birth. And the DHS Secretary was there playing dress up. The absolute stupidest people, just throwing away *our* money.

I’m beyond disgusted and fed up with this country. This is absolute madness that people are losing their jobs after pointing out what a bad person Ch@rlie K!rk was. From my daughter’s HS: www.williamsonherald.com/news/local_n...

"Project 2025 … vowed to strip the CDC of its ability to issue guidance on vaccines and to end required testing for new pathogens." What frustrates me is that these weirdos advertised their plan and yet everyone was still caught off-guard. www.theguardian.com/us-news/2025...

The free speech activist who built a list of professors he worked to get fired for their speech must be celebrated for his support of free speech, and anyone who quotes his speech accurately in context will be fired and/or face state punishment by the champions of free speech, do I have that right?

Death from sub-acute sclerosing panencephalitis (SSPE) in a child in Los Angeles SSPE is a rare sequel of #measles infection that appears years after the initial infection, and is uniformly fatal. So sorry for this family. As things are going on the US, we'll be seeing more of these cases.

Just come out and say it: he lied his ass off and made up a bunch of 💩.

Guess what Florida will make great again? Measles, mumps, rubella, tetanus, diphtheria, pertussis, polio, Haemophilus influenzae type b, Respiratory syncytial virus, influenza, Covid-19, hepatitis A & B, varicella, Human papillomavirus, Meningococcal meningitis & rotavirus

Please, let's not make measles and polio great again!! Cartoon by @mluckovich.bsky.social

Even as disinformation spreaders and quacks are destroying trust in vaccines, let’s spread the truth about how vaccines have saved millions of lives 👇🏾 Vaccines Cause Adults! www.scientificamerican.com/article/see-...

The CDC was once the gold standard. Now it’s been decimated — leaders pushed out, expertise silenced, trust shattered. If another pandemic strikes, the cost will be measured in lives. This is what neglect looks like

IDSA calls on insurers to cover COVID vaccines consistent with medical recommendations and evidence, and urges Congress to conduct strong oversight of the Administration’s decision restricting Americans’ freedom to choose vaccination. Our statement: https://bit.ly/3JBFPb6

These are the sorts of attacks on experts that resulted in a domestic terrorist firing 500 shots at the CDC just over a week ago. If you stand for evidence based public health interventions, you basically get a target placed on your back by DHHS leadership. www.politico.com/news/2025/08...

A clinical practice guideline for tuberculous meningitis Tuberculous Meningitis International Research Consortium www.thelancet.com/journals/lan... 🔒

More support for oral antibiotics for endocarditis! #IDSky academic.oup.com/cid/advance-...

Finally published 🆕🔥DOTS RCT Among participants with complicated S aureus bacteremia who achieved blood culture clearance, dalbavancin was not superior to standard therapy for achieving a more desirable outcome at day 70 #idsky jamanetwork.com/journals/jam...

Stephen Colbert is going SCORCHED EARTH right now. To RFK Jr: “Fuck you, you roid-addled nepo carnie! Fuck you, you roadkill-munching Luddite human slim jim!”

We know how busy life can get. Here are 4 articles you may have missed in June and July, and a bonus August article!

Or, hear me out. Just put down the vanc to begin with since it’s so overused!

This is going to age as well as the USSR ever meeting (or exceeding) the productivity targets in Stalin’s 5 year plans.

Also worth mentioning that Russell Vought’s ex-wife credits their daughter’s life to a medicine developed through NIH funding, which they wouldn’t have even been able to afford without NIH funded research trials. This should come up in every conversation with him. www.motherjones.com/politics/202...

Shameful.

When people lie this badly it is so easy to just be like “wow, tell me how one of the people you know died from a vaccine,” bc it’s obviously a lie & he won’t be able to answer bc it’s a lie. I’m not sure why nobody does that to these people? The tiniest amount of pushback would make them fall apart

Increased vaccine uptake in US kids linked to reduced antibiotic prescriptions An ecological study finds increased uptake of recommended childhood vaccines was linked to a 47% drop in the rate of overall antibiotic prescriptions from 2000 through 2019. www.cidrap.umn.edu/a...

🚨BREAKING: IDSA, along with AAP, APHA, ACP and others, has filed a lawsuit against HHS/Secretary Kennedy to stop unlawful changes to vaccine policy and defend public health. We refuse to stand by while America’s public health safeguards are torn apart. bit.ly/4lm7UkW

Spot on. It’s happening right now…this is how it starts.

NEW: SCOTUS's parental rights messages: Protect anti-LGBTQ views, ignore LGBTQ people. The court protected religious parents' rights in a case over LGBTQ-related books in classrooms. Days later, the court turned away requests from parents of trans kids. Today, at Law Dork:

"And if you think this would be a bridge too far for Senator Cassidy, you haven’t been paying attention." pauloffit.substack.com/p/senator-ca...

NYT Opinion: ‘“I Think (RFK) Is About to Destroy Vaccines in This Country” says Paul Offit, MD www.nytimes.com/2025/06/18/o...