Congratulations to our incoming WashU ID fellows!!!! The future is bright!!!!!

Welcome to our new fellows!!! SO excited for the start of a new year!!!

7 years of training down, 3(?) to go

Medicine resident wins award

Really elegant paper using barcoded SARS-CoV-2 to explore virus transmission in a small animal model. Some highlights: #IDSkyhttps://www.science.org/doi/10.1126/sciadv.ads2927

New paper describing different routes of H5N1 infection in a non-human primate model #IDsky www.nature.com/articles/s41...

Excited to share our research on duration of antifungal ppx for Cocci in SOT! TLDR; For patients repeatedly pos for EIA-IgM-only w no seroconversion, compatible clinical illness, or rads findings, discontinuing antifungal ppx may be reasonable after 1st posttxp yr journals.lww.com/transplantjo...

New correspondence in CID from myself and Dan Ilges discussing important recent work on antibiotic deescalation in patients with sepsis #IDsky academic.oup.com/cid/advance-...

Interesting data on suraxavir-marboxil for uncomplicated influenza. Hopefully the there is less treatment emergent resistance than the other PA endonuclease inhibitor on the market #IDsky www.nature.com/articles/s41...

Very interesting pair of papers out this week redefining T cell responses to acute vs chronic viral infections #IDSky www.nature.com/articles/s41...

How good (or bad) is the Legionella urine antigen test? A middle-aged SOT patient presents to the ED with fever, cough, and diarrhea of 2 days duration. T = 39.4 C, rest of vitals stable. Labs show neutrophilic leukocytosis and mild hyponatremia. CT of the chest shows a LLL consolidation. #IDSky

Im not sure how much baloxavir marboxil added to this case (if we can extrapolate from endemic IAV), but it certainly has the coolest MOA in ID

Incredibly THRILLED to introduce the incoming WashU Infectious Diseases Fellowship Class of 2025. The future is SO bright!

🆕🔥Across 236 US hospitals, de-escalation of antiMRSA & antipseudomonal Abx in suspected sepsis was infrequent & variable across hospitals De-escalation more common in more stable pts and associated with lower adjusted risks for AKI, ICU admission& death #idsky academic.oup.com/cid/advance-...

I’m headed to WashU for fellowship! #IDsky

Conventional intermittent dosing remains the current standard of care for beta-lactam antibiotics 🆕🔥 Editorial with ✨Prof.Jason Roberts Is it time to implement prolonged infusions of beta-lactam antibiotics in and beyond critical care settings? #idsky #medsky onlinelibrary.wiley.com/doi/10.1111/...

Quick synthesis of the recent trials on ppx antibiotics to prevent VAP

Late-breaking science session #ReSs24! First up the PROTECT trial examining ceftriaxone PPx after cardiac arrest @nickjohnsonmd.bsky.social @pulmtoilet.bsky.social @imcrit.bsky.social @pulmcrit.bsky.social

Howdy #IDsky, I’m a PGY3 medicine resident and incoming ID fellow at (check back in 22 days). My interests include sepsis, OI in the ICU, and infection induced immune dysregulation. Look forward to keeping the conversation alive on BlueSky.