So looking forward to this meeting with my fav folks in IP, AS, and public health. Plus can we say CHICAGO? Who else is coming? 🙋🏻‍♀️ #IDsky #AMSsky

📢 New in OFID! Many adults ≥65yrs have harmless bacteria in their urine (ASB) often misdiagnosed as a UTI ⏩ harmful antibiotic use. We found US adults ≥65 given an educational leaflet were more comfortable avoiding antibiotics for ASB & less likely to mistake ASB for UTI! 🔗 doi.org/10.1093/ofid...

Congrats to IDSA for picking Dr. Marrazzo for this leadership position. During this challenging time for ID, it's heartening to have such a kind, visionary and motivating voice representing us in DC #idsky @drjeannem.bsky.social

IDSA selects UW alum and former faculty Jeanne Marrazzo as the next CEO!!! #IDSky Congratulations Dr Marrazzo, from all of us here at UW ID ❤️

🌟 ABX Pearl of the Day: ❓Q: If the urinalysis (UA) has elevated WBC or bacteria, does this mean the patient has a UTI? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

We are searching for an Administrative Division Director to help lead strategy, operations, and clinical program growth. If you have strong leadership experience, financial & analytical skills, and a passion in medicine, we want to hear from you! Apply at tr.ee/idhiring Link in bio.

We are proud to recognize Dr. Catherine Blish for Outstanding Teaching and Mentorship and her commitment to diversity, equity, and inclusion! Nominated by Noah Cruz, Dr. Blish supports trainees from day one and helps them build confidence, skills, and clear career paths.

Meet our very own Dr. David Relman, a leader in microbiome science whose work connects infectious diseases, public health, and global biosecurity. His research and service have shaped how we understand and respond to emerging health threats.

In the latest episode of The SHEA Podcast, Dr. Jonathan Ryder hosts a pro/con debate on procalcitonin with experts Dr. Michael Mansour and Dr. Sheetal Kandiah. They dig into where PCT adds value (or doesn’t) in antimicrobial stewardship and diagnostic decision-making. bit.ly/4pts2mW

This single-center quality improvement study found that 45% of C. difficile infections were preventable due to inappropriate antibiotic use or treatment of non-guideline conditions. These findings support continued antimicrobial stewardship efforts to reduce CDI rates. doi.org/10.1017/ash....

References: 1.SHC UTI ABX Guidelines 2.IDSA: Asymptomatic bacteriuria 3.Top 10 myths of UTI (PMID: 27066953)

3️⃣ Colonization is inevitable Foley in place? Bacteria ↑ 3–5% per day → ~100% after 30 days. ✅ Avoid UCx from Foley >4 days → almost always colonized. ✅ If infection suspected: use aseptic technique & ideally replace catheter before collecting specimen.

🌟 ABX Pearl of the Day: ❓Q: My patient is admitted for heart failure and has a chronic indwelling foley with cloudy urine. Should I send a urinalysis or urine culture (UCx) to assess for UTI? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

How does a changing planet affect patient health? Join us on December 19 for a virtual CME session with Dr. Stephen Luby on how planetary change is reshaping human health and what clinicians can do to respond. Open to all healthcare professionals!

Here’s a short skeetorial to raise awareness about the surprisingly high sodium content in some IV antibiotics...clinically important for patients with CHF. Judicious use matters!💧🧂 #emimcc #medsky #EMsky #IDsky #pharmsky #AMSky #FOAMed

Welcome to our 2026 Transplant and Immunocompromised Host ID fellows! We’re glad to have them join the Stanford ID community and continue their training in this specialized area of infectious diseases! #StanfordID #InfectiousDiseases

🆕⚡ A Temporary Rift or a Permanent Split? Why Didn’t IDSA Endorse the CAP Guidelines 2025 Update? In 2025 IDSA disagreed because the new guidelines recommend routine antibiotics for viral-positive outpatients with comorbidities & inpatients with nonsevere CAP #IDSky academic.oup.com/cid/article-...

Led by our Steven Doerstling, Lina Meng, and Marisa Holubar, ABX Pearls delivers quick, practical stewardship tips for busy clinicians. Most respondents read the weekly emails and shared that the pearls strengthened real-time decision making and confidence.

Medical Grand Rounds about Antimicrobial Stewardship by our new Chief of ID #stewardship @nuintmed.bsky.social

🆕🔥State-of-the-Art Review with 🌟s @trubianojason.bsky.social : Antibiotic Allergy—A Multidisciplinary Approach to Delabeling #idsky url: academic.oup.com/cid/article/...

🌟 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

IV fosfo finally FDA approved in US for cUTI d/t E. coli or Kleb pneumo. -How much will it cost? -Folks willing to use it for Kleb (or other Enterobacterales) in the absence of CLSI BPs? -Dose: 6G IV q8h…Tolerability in real-world? 🤔 Lots of questions to consider…. #IDSky #AMSsky

SHEA is proud to offer several scholarships to support training and professional development in healthcare epidemiology, infection prevention, antibiotic stewardship, & public health. Apply for a scholarship to SHEA Spring by December 12th, 2025 at 11:59pm ET! For more information: bit.ly/49zQ7Du

🎃 Happy Halloween from Antarctica! 🧊 Throwback to 2019 when Dr. Julie Parsonnet and Dr. Dean Winslow celebrated Halloween at McMurdo Station while serving as the station doctors. Their costumes? Neisseria gonorrhoeae, also known as "the clap." #StanfordMedicine #Halloween

We’re thrilled to welcome Dr. Paul Bollyky, MD, DPhil, as the new Division Chief of Infectious Diseases and Geographic Medicine at Stanford Medicine. Dr. Bollyky has been a dedicated member of our division, bringing deep expertise and a vision for advancing infectious disease research and care.

ID Week 2025 was a blast! 🎉 Our Stanford ID crew had a great time connecting, learning, presenting research, and tackling the Out-BREAK escape room together. Grateful for the collaboration, curiosity, and fun that made this week one to remember. #IDWeek #InfectiousDiseases #StanfordID

Less is More: The Evidence for Shorter Durations of Antimicrobial Therapy for Acute Otitis Media. Our review article breaks down the evidence! @pedsky.bsky.social #PedSky #PedsIDSky #AntibioticStewardship #EMSky link.springer.com/article/10.1...

🌟 ABX Pearl of the Day: ❓ Q: Treating HAP/VAP? 🤔 Can we go shorter than 7 days? 💡A: Yes! While 7 days is the norm, evidence supports shorter courses in specific cases. Let’s break it down! 👇 #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

💊 Denver Health researchers tested Take 5, an intervention promoting five-day antibiotic courses for common infections at two urgent-care sites. ✅ 5-day prescriptions rose without higher return visits or hospitalizations. pubmed.ncbi.nlm.nih.gov/41018710/ #AntibioticStewardship

Save the date! IDWeek 2026 will be held October 21-24, 2026, in Washington, DC.

To learn more about opportunities to improve antibiotic use in adults and kids, please join us on Nov 20 at 12:00 noon CST for an enlightening discussion with Drs @tttimbrook.bsky.social, Chanu Rhee, and Jeffrey S. Gerber. CE is available! www.cidrap.umn.edu/antimicrobia...

We have TWO opportunities to learn more about unnecessary broad-spectrum antibiotic use. First up, @cidrap.bsky.social's @ejholmes.bsky.social and Dr. Marnie Peterson led a report that examines the associations between antibiotic spectrum and patient outcomes www.cidrap.umn.edu/antimicrobia...

Come check out our work at #IDweek2025

🌟 ABX Pearl of the Day: ❓ Q: Why does the lab mention when a GNR (gram-negative rod) is “lactose fermenting”? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

📚 References: Lipsky et al, PMID: 37779457 Senneville et al, IWGDF/IDSA Guidelines on the Diagnosis and Treatment of Diabetes-related Foot Infections (IWGDF/IDSA 2023), PMID: 37779457

Shout out to sustainability leaders at Harbor-UCLA Pam Lee, MD and Gary Fong, PharmD with the launching of an Antibiotic Waste Calculator (ecorxchoice.com?page=home) as a innovative solution to support antibiotic stewardship and sustainability! See recent newsletter @sidpharm.bsky.social #IDSky

Should vancomycin be replaced in MRSA guidelines? Should ceftobiprole take ceftaroline’s place for persistent staphylococcal bacteremia? Watch #IDWeek2025 attendees, including rachelbpharmd.bsky.social, debate the future of S. aureus management. Register for IDWeek: idweek.org/registration

Review key findings from the top 10 papers in antimicrobial resistance at #IDWeek2025. Add to your schedule when you register for IDWeek: https://idweek.org/registration

Now announcing the #IDWeek2025 Opening Plenary, “Reflection and Renewal: Advancing Public Health in Challenging Times,” held Sun. Oct. 19 at 3:45pm ET!

Sometimes, the sodium content of antibiotics matters. Just last week, there was a CHF patient with pneumonia who wasn’t improving - It turns out that the culprit wasn’t infection severity; it was likely the sodium load from Zosyn (piperacillin–tazobactam). Check out our "fry scale."

Antimicrobial Stewardship & Healthcare Epidemiology, an official journal of SHEA, is seeking an Associate Editor to join its dynamic editorial team. Send a brief statement of interest and a current CV to [email protected] by November 1, 2025. For more information: bit.ly/475Ug0g

Step into the shoes of the stewardship team for “A Day with the Antimicrobial Stewardship Pager." Learn strategies to limit antimicrobial overuse, build a collaborative environment, and improve patient outcomes. #IDWeek2025 is ONE WEEK away! Join us in Atlanta next Sunday: idweek.org/registration

🩺 Can reducing the frequency of monitoring safely lessen the burden on OPAT teams and patients? In 420 patients, only 2% had lab abnormalities linked to readmission or treatment change. academic.oup.com/ofid/article... #OPAT #AntimicrobialStewardship #IDPharmacy

Public health pharmacists identified key publications that advance antimicrobial stewardship (AS) implementation across care settings. This work highlights the role of public health in guiding AS efforts and promoting appropriate antibiotic use. doi.org/10.1017/ash....

🌟 ABX Pearl of the Day: ❓ Q: When should you consider empiric MRSA coverage for SSTI treatment? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

Meet Dr. Christina Lin, MD, PhD, one of our Infectious Diseases fellows at Stanford! Christina is passionate about public health, global health, and understanding bacterial pathogenesis. Outside of work, she’s discovering new restaurants, exploring museums, sketching or diving into video games!

Join us in Atlanta for our Annual ID Week Social hosted by Stanford’s Division of Infectious Diseases! 📅 Monday, Oct 20, 2025 ⏰ 5:30 PM EST Come celebrate, reconnect, and unwind with colleagues during ID Week. ➡️ DM us for more info!