New pediatric ECMO data on 🦠ppx from Mayo ✅ All pts on ECMO receive cefazolin starting at cannulation ✅ +Open chest = + fluconazole ✅ Rec for all pts to get Peds ID consult Protocol led to more appropriate abx use. No change in infections #IDSky journals.lww.com/pidj/fulltex...

Come join #IDSky at the unofficial @idweek.bsky.social Social Media Meet-Up! All are welcome.

Impressive work by @kenkoonwong.bsky.social performing bioinformatics analysis on an isolate from the meningococcus conjunctivitis outbreak!

Outcomes of Military Blood Donors with Reactive Trypanosoma cruzi Antibody Screening ✅ Just Accepted #IDSky

There have been many documented meningococcal meningitis outbreaks. Here we describe our investigation and response to the first documented meningococcal conjunctivitis outbreak. 🧫 Contributions by 🌟🌟🌟 fellows @sucroselauren.bsky.social @ogallardo.bsky.social #IDSky www.cdc.gov/mmwr/volumes...

An open label 🇩🇰 RCT comparing weight changes associated with DTG/ABC/3TC vs. DTG/3TC in virally suppressed pts at one year. Result: No difference. bmcinfectdis.biomedcentral.com/articles/10.... #IDSky

We need to do better at testing for HIV in pts with concerns for STIs in Emergency settings. A Utah-based multimodal intervention increased HIV testing rates from 29% to 39% in pts who had GC/CT testing. 5 new cases of HIV discovered through intervention #IDSky academic.oup.com/cid/advance-...

How do you interpret a positive test that has 99.98% specificity? With caution if you screen lots of low risk individuals. 49 of 89k military 🩸 donors screened ➕ for T cruzi antibodies. 0 met diagnostic criteria for Chagas’ disease #IDSky academic.oup.com/ofid/advance...

Thank you @ashejournal.bsky.social for supporting our work! Open Access! To contain C. auris’ spread it’s essential to have a robust process for identifying colonization present admission. We hope this work can help support those seeking resources to strengthen their IPC programs! #IDSky

Combining ibuprofen or acetaminophen with ciprofloxacin in vitro greatly increases mutagenesis for genes leading to cipro-resistance. (Not the case for diclofenac, furosemide, metformin, atorvastatin, tramadol, temazepam, and pseudoephedrine) #IDSky www.nature.com/articles/s44...

There is a lot of data on the epidemiology of people who test positive for gonorrhea or chlamydia, but much less is published on who we are testing in 2025. Our team evaluated 3 months of GC/CT testing at a large military base in Texas #IDSky journals.sagepub.com/doi/abs/10.1...

A small point of the article, but completely agree that any candidemia on ECMO should be considered a complicated infection. #IDSky

Eight of 63 clients of a tattoo artist using a homemade (witch hazel-based) diluent developed an NTM skin and soft tissue infection. Just say no to 🙅‍♂️homemade tattoo ink #IDSky academic.oup.com/cid/advance-...

“In August 2024, identification of a rabid feral cat (from an “unmanaged cat colony”), initially thought to have potentially exposed 309 persons, led to administration of postexposure prophylaxis (PEP) to three persons” “Unmanaged cat colonies pose public health risks” www.cdc.gov/mmwr/volumes...

I feel like many people on #IDSky would be perfect candidates BMC releases call for Editor-in-Chief for “Critical Care: Sepsis and Severe Infection” Applications Due 8/25 ccforum.biomedcentral.com/call-for-edi...

And is not only a 🍄 Fungi issue... 🧫 All that glitters is not gold!! an unusual presentation of S. aureus #sepsis during VV #ECMO: multiple & coalescent round formations appearing through venous side of this membrane lung #FOAMcc #FOAMecmo @intenscaremed.bsky.social 🔓 rdcu.be/cEx7H

First case of 🇺🇸 VRSA since 2015: 🧫 DFI wound culture at site of previously treated MRSA + E. faecalis 🧫 New co-infection VRSA + VRE 🧫 Mechanism: harboring VanA gene ✅ Successfully treated with Dapto 🧫 No contacts with VRSA colonization #IDSky

📢 ECMO & infectious disease: interdependent relationship EuroELSO & @escmid.bsky.social webinar 🗓️ Sep 5, 13:30 CEST 🧫 nosocomial infections in #ECMO: device attribution & ABTs 🧫 #ECLS in septic shock 🖋 www.euroelso.net/webinars/ 🎥 Previous webinars: 🔓 bit.ly/EuroELSOyout... Pic 📘 bit.ly/3HqMoKJ

DOTS trial is published! It will be interesting to see how data correlates with SNAP. jamanetwork.com/journals/jam... Thanks to @jonathanrydermd.bsky.social and @kenkoonwong.bsky.social for letting me know! #IDSky

Congratulations and thanks to Dr Alison Helfrich on the publication of her study on the disparate incidence of malaria in US military families with a parent borne in an endemic region. academic.oup.com/ofid/advance...

My team’s new article is out! For male basic trainees who had ICD-10 code for UTI or dysuria: ~50% had a sexual history documented ~70% had a gc/ct test ordered, -Ultimate diagnosis of gc/ct >>> uti -Few had any STI testing in 3 years following dysuria #IDSky academic.oup.com/milmed/advan...

Today Kenya 🇰🇪 was declared free of African trypanosomiasis with the last locally acquired case in 2009. It is the 10th country to eliminate this disease. #IDSky www.who.int/news/item/08...

Data on treatments for bubonic plague are limited. In this open-label, randomized, controlled trial in Madagascar, ciprofloxacin monotherapy was noninferior to a standard aminoglycoside–ciprofloxacin regimen. Full IMASOY trial results: nej.md/3Ugs0kx #MedSky #IDSky

- Make sure there is thought put into resources (if extra lab tests are needed etc.) - Have collaborators that won't make it bigger or more complicated than it needs to be. - ensure affiliations etc set up so can access full text docs (this isn't automatic in Oz) - good reference manager

@bryanpwhite.bsky.social et al: In a cohort (n=127) of OPAT patients on daptomycin 7.4 mg/kg for an average of 37 days, the rate of CK elevation was 11.8% at a median of 13 days (IQR 9-16) supporting weekly lab monitoring on daptomycin for OPAT. doi.org/10.1017/ash....

Since it is that time of year: One of the most rewarding parts of being faculty is paying forward mentorship with students, residents+ fellows for their research projects. So far, as 4th year faculty, I’ve mentored ~40 trainee projects (17 completed). Here are what I talk about at 1st meeting:

ECMO presents unique challenges to drug PK/PD, complicating pharmacotherapy in critically ill patients. Here, pharmacological research agenda on adult #ECMO: 🔎 international panel of 25 ECMO experts from 13 countries representing ECMO Pharmacology Network 🔍 structured Delphi consensus process

This week Timor-Leste 🇹🇱 has been certified malaria-free! 223,000 cases in 2006 to last case in 2021 www.who.int/news/item/24... #IDSky

New single center 🇨🇳 ECMO ID study demonstrating significantly 💰 for VA ECMO pts with HAIs -Rate 34/1000 ECMO days (avg) -🫁 infs most common, predominantly MDR Gram-negatives -Used CDC NHRN definitions, but had a case of Cryptococcus as a HAI 🤨 aricjournal.biomedcentral.com/articles/10.... #IDSky

New post-hoc Camera-2 📷 post-hoc analysis out today regarding adherence to quality metrics in MRSA bacteremia. Compared to similar non-trial population w/ MRSA bacteremia: -No difference in 🪦, BUT -non-trial had less following of quality metrics (see ⬇️) #IDSky jamanetwork.com/journals/jam...

Important message from MMWR today: “Choose pasteurized milk” 🐮 with description of 171 cases of Salmonella (70% in children) #IDSky www.cdc.gov/mmwr/volumes...

Super proud of @unmc-id.bsky.social ID fellow @nicolehuntermd.bsky.social for authoring this comprehensive review on the latest in blood culture contamination efforts! #IDSky link.springer.com/article/10.1...

“PETSEPSIS” out today which evaluated ICU admissions for 🇫🇷 pts w/ 🐕 🐈 bites 10 yrs, 46 ICUs 174 pts, median age: 64 Micro: 1) Pasteurella spp. (70%) 2) Capnocytophaga spp. (16%) 24% in hospital 🏥 mortality Rare infections, ⬆️ mortality #IDSky ccforum.biomedcentral.com/articles/10....

Senegal 🇸🇳 eliminated trachoma this week. www.who.int/news/item/15... #IDSky

The new @idsainfo.bsky.social cUTI guidelines are now out! www.idsociety.org/practice-gui... #IDSky

Excited to be a part of this great group of collaborators on this latest work on blood culture contamination & BCx practices across 52 centers Tons of credit to Valeria Fabre for leading this group! #IDSky journals.asm.org/doi/full/10....

Acryonyms I feel like I should have known by now: CD4, CD8 -> While I knew they were for helper and cytotoxic T cells, I didn’t know what CD stood for. I learned today it’s for “cluster of differentiation” #IDSky

Small 50 pt 🇨🇳 RCT evaluating 3 months of voriconazole post-op vs. no therapy after surgical resection of aspergilloma 0/36 w/ voriconazole had recurrence 0/14 w/o therapy with recurrence Implies ❌ antifungals after aspergilloma resections #IDSky bmcinfectdis.biomedcentral.com/articles/10....

Editor’s choice, practice-changing article in CID #IDSky academic.oup.com/cid/advance-...

Excited to read @amtatara.bsky.social newest article!

Niger 🇳🇪 eliminated onchocerciasis, the first African country to do so, earlier in 2025 #IDSky www.who.int/news/item/30...

Guinea 🇬🇳 eliminated African Trypanosomiasis in 2025 www.who.int/news/item/29...

Mauritania 🇲🇷 also eliminated trachoma earlier this year www.who.int/news/item/19....

Burundi 🇧🇮 has eliminated trachoma earlier this week www.who.int/news/item/11...

Papua New Guinea 🇵🇬 has eliminated trachoma (www.who.int/news/item/19...) in 2025

Realized this is the second country declared malaria free in 2025. The other is the Republic of Georgia 🇬🇪 www.who.int/news/item/23...

Tetracycline resistance is becoming much more common in 🇺🇸 gonococcal isolates :( “The mean estimated percentage of isolates carrying tetM in this collection increased from less than 10% in 2020 to greater than 30% in the first quarter of 2024” #IDSky www.nejm.org/doi/full/10....

I got promoted to Associate Professor! I’m so grateful for: -my mentors for taking the time to guide me to this role -my mentees for making my job fun and rewarding -my extramural letter writers ✍️ for making this possible Let me know if there opportunities to pay it forward to others on #IDSky

“Many essential NTD treatment products remain prohibitively expensive in the US despite being off patent and well established” Good news: Albendazole: $174/pill in 2019 to $58 🪱 Bad news: Mebendazole: $5/pill in 2011, now $423 🪱 Stable prices for praziquantel 🪱 #IDSky doi.org/10.1093/ofid...

An impressive MMWR investigation of a botulism outbreak related to related to home-canned nopales 🌵 salad consumed at outdoor gathering -100% infection rate in those who ate 🥗 -Inproper canning practices blamed (see figure) -Early antitoxin + all pts recovered #IDSky www.cdc.gov/mmwr/volumes...