iiinova — where your digital self keeps evolving

Ben Ereshefsky, PharmD @brainofbpharm.bsky.social · 27/09/2026

Time to boycott @mlb.com (easy for me since I don’t watch baseball). Our national parks are not for sale!

Ben Ereshefsky, PharmD @brainofbpharm.bsky.social · 18/09/2026

Yes, exactly! In addition, immunocompromise itself may not be the risk factor we think it is. I’m thinking of the DRIP score and the new CAP paper in ASHE as examples.

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Ben Ereshefsky, PharmD @brainofbpharm.bsky.social · 17/09/2026

I find it increasingly annoying when I hear “we need pseudomonas coverage b/c patient is immunocompromised from diabetes” regardless of infection or DM severity!

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Ben Ereshefsky, PharmD @brainofbpharm.bsky.social · 11/09/2026

I see opportunities to reduce the use of these tests every day (along with a few others). This is a great summary of how impactful diagnostic stewardship is. Thank you for your work on this!

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doxy-cycling.bsky.social @doxy-cycling.bsky.social · 08/09/2026

No! 🤬

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Prof Gavin Yamey MD MPH @gavinyamey.bsky.social · 05/09/2026

“Totalitarianism demands, in fact, the continuous alteration of the past, and in the long run probably demands a disbelief in the very existence of objective truth” —George Orwell, from Orwell on Truth

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Ben Ereshefsky, PharmD @brainofbpharm.bsky.social · 03/09/2026

How will kids do their homework now? 😂

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Ben Ereshefsky, PharmD @brainofbpharm.bsky.social · 29/08/2026

I saw this come out the other day, and I have say, I had no idea this study was even getting done. Need to read this in depth, but it looks like interpretation will require quite a bit of nuance, but that’s ID right!

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Ben Ereshefsky, PharmD @brainofbpharm.bsky.social · 26/08/2026

Everything you need to know about why Children’s Health Defense needs to be buried under so much legal and financial burdens that they cease to exist at all.

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Ben Ereshefsky, PharmD @brainofbpharm.bsky.social · 17/08/2026

AI companies destroying books is despicable, and I wish was a criminal act.

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Ben Ereshefsky, PharmD @brainofbpharm.bsky.social · 17/08/2026

Please don’t waste time and money sending a test that tells you someone has bacteria in their urine. We know they do; it’s not sterile! #IDSky

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Ben Ereshefsky, PharmD @brainofbpharm.bsky.social · 14/08/2026

“How could I have known that one of the most anti-vax people in the whole country would go after vaccines in his position? He told me he wouldn’t.” What an utter lying, f*cking idiot!

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Prof Gavin Yamey MD MPH @gavinyamey.bsky.social · 11/08/2026

Measles cases in the US just hit a 35-year high This is an illness that can be eliminated. Eliminated. And the response from RFK Jr & the 2 physicians with him yesterday (Drs Bhattacharya & Overton) was to issue guidance that will LOWER MMR vaccination rates It's what anti-vaxx activists would do

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Michael Osterholm, PhD, MPH @mtosterholm.bsky.social · 10/08/2026

In response to today’s White House Executive Order (EO) on vaccines, parents should continue to rely on evidence-based immunization recommendations developed by experts. Today's EO does not change the scientific evidence supporting childhood immunization. That data has been built over decades.

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Ben Ereshefsky, PharmD @brainofbpharm.bsky.social · 05/08/2026

My first job after residency was on faculty at a college of pharmacy where I taught about fungal infections. It wasn’t until I moved to California’s Central Valley that I realized that was “the valley” in Valley Fever though 😆

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Ben Ereshefsky, PharmD @brainofbpharm.bsky.social · 04/08/2026

A larger study to establish superiority and a fourth arm with EXTEND fidaxomicin protocol would be nice!

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Gillian Branstetter @gbbranstetter.bsky.social · 31/07/2026

El Sayed: "When it comes to trans rights, this is the right to get the health care that you need...It’s the right not to be discriminated against by your government because of who you are. Because what tends to happen is they come for theirs, then they come for yours"

The idea that we can assent to the taking away of anybody’s rights, and think that somehow the government won’t come for all of our rights, is itself the problem. And, look, I don’t need people to understand how they use their rights. I just need people to agree that the government shouldn’t be able to take any of our rights. I put my face on the ground thirty-four times a day, David. Most people don’t understand why I do it. I don’t need them to understand. I just want to have the right to do it. And when people decide that they want to take away my right to do that, I’ve got a problem.

Now, I hope that everybody’s going to show up and say, No, no, no. You can’t stop that person or that community from reflecting and praying as they choose. Similarly, when it comes to trans rights, this is the right to get the health care that you need. That’s really what it comes down to. It’s the right to be who you are. It’s the right not to be discriminated against by your government because of who you are. Because what tends to happen is they come for theirs, then they come for yours, then they come for theirs. And at some point you live in a society where rights are negotiable, and that is not the America I was born in. It’s not the America I know and love. It’s not the America I’m going to allow somebody like Donald Trump to give us.

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Ben Ereshefsky, PharmD @brainofbpharm.bsky.social · 28/07/2026

But Tr*mpRx (or whatever the hell it’s called) is “sUpPoSed to SaVe So MuCh MoNeY FoR PeOpLe” they can just use that instead.

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Ben Ereshefsky, PharmD @brainofbpharm.bsky.social · 28/07/2026

I really wonder what’s going on that there were now two IDSA guidelines/guidance docs this month posted and removed (counting the updated SAB one)?

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Ben Ereshefsky, PharmD @brainofbpharm.bsky.social · 28/07/2026

Anyone else now having trouble with this link? #IDSky

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Antibiotic Steward 🅱️C🆔🅿️🌟 @absteward.bsky.social · 27/07/2026

🔥🔥Just published 🔥🔥 IDSA AMR Guidance 2026 IDSA 2026 Guidance on the Treatment of Antimicrobial Resistant Gram-Negative Infections 🔺ESBL , AmpC Enterobacterales 🔺CRE 🔺DTR P. aeruginosa 🔺CRAB 🔺Stenotrophomonas maltophilia #idsky www.idsociety.org/practice-gui...

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Prof Gavin Yamey MD MPH @gavinyamey.bsky.social · 24/07/2026

Ah yes, when it comes to making a decision about whether or not to approve an experimental unproven drug, it is CRUCIAL to ensure that “sellers” of the product—the ones with the most extreme financial conflicts of interests—get to decide! MAHA is just grift & blatant corruption

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Prof Gavin Yamey MD MPH @gavinyamey.bsky.social · 23/07/2026

Jay Bhattacharya is head of the CDC, so this utter BS tracks….

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Ben Ereshefsky, PharmD @brainofbpharm.bsky.social · 22/07/2026

We have some vancomycin doses in them. On the floor 1g and less is available to make at bedside with our adaptor system. The ED has some premixes. Vancomycin is easier than aminoglycosides since all those doses are rounded to 250mg.

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Jonathan Ryder, MD @jonathanrydermd.bsky.social · 21/07/2026

Evidence from Mexico that Ceftriaxone is an effective alternative to IV penicillin for neurosyphilis in PLWH Prospective data would be so helpful for this, as we need better alternatives (ideally something PO) #IDSky academic.oup.com/ofid/article...

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Ben Ereshefsky, PharmD @brainofbpharm.bsky.social · 21/07/2026

Meropenem for all I think simplifies the issue too much. The goal is to have a regimen with the correct spectrum of activity and tissue penetration without being overly broad. Accomplishing this with something given less frequently, with a better safety profile, and improved logistics is the point.

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Ben Ereshefsky, PharmD @brainofbpharm.bsky.social · 21/07/2026

We’ve definitely experienced delays getting gent to the OB OR in the past. Having the ABX right there to pull when needed can save a ton of time!

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Ben Ereshefsky, PharmD @brainofbpharm.bsky.social · 16/07/2026

What a gullible SOB if he believes that.

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Society of Infectious Diseases Pharmacists - SIDP @sidpharm.bsky.social · 16/07/2026

🧐Did you know most patients with a labeled penicillin allergy can tolerate the drug? Not to mention other beta lactams! Proactively de-labeling and providing education is crucial for patient care and antimicrobial stewardship 🥳 #stewardship #AncefForAll

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Andy Conway Morris @andymoz78.bsky.social · 12/07/2026

Vaccines work, folks. Measles is an entirely preventable disease, it has no animal reservoir

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Ben Ereshefsky, PharmD @brainofbpharm.bsky.social · 07/07/2026

Is this document now behind a members only screen? I pulled it up on my phone yesterday, but now have a page saying I need to login with an IDSA account. 🤔

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Society of Infectious Diseases Pharmacists - SIDP @sidpharm.bsky.social · 06/07/2026

New to ID? Want to network and hear from experts in the field? Check out our Antimicrobial Stewardship Certificate Program! To see the program description and register, please visit the link in our bio.

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Antibiotic Steward 🅱️C🆔🅿️🌟 @absteward.bsky.social · 17/06/2026

🔥Just published 🔥NEJM SNAP RCT In patients with MSSA bacteremia, cefazolin was noninferior to flucloxacillin or cloxacillin with respect to 90-day mortality and was associated with a lower incidence of acute kidney injury. #idsky www.nejm.org/doi/full/10....

nejm.org

Cefazolin for Methicillin-Susceptible Staphylococcus aureus Bacteremia | NEJM

Staphylococcus aureus bacteremia is associated with high mortality. Whether cefazolin or an antistaphylococcal penicillin should be preferred for the treatment of methicillin-susceptible S. aureus ...

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Ben Ereshefsky, PharmD @brainofbpharm.bsky.social · 11/06/2026

Great paper for all the cephalexin/cefadroxil users out there! #IDSky

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Ben Ereshefsky, PharmD @brainofbpharm.bsky.social · 11/06/2026

This is such a useful paper! I’ve frequently questioned using higher doses of cefadroxil, but besides a peds paper I believe, nothing has addressed this question in adults before!

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Ben Ereshefsky, PharmD @brainofbpharm.bsky.social · 27/05/2026

Also the refs wanted OKC to win, and they made sure that happened.

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Patrick Ching @patrickching.bsky.social · 12/05/2026

Adding tobramycin powder to vancomycin powder during surgery for high-risk periarticular tibial fractures does NOT offer extra protection against deep surgical site infection compared w vancomycin alone #IDSky #MedSky jamanetwork.com/journals/jama/fullarticle/2847582

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University of Minnesota Infectious Diseases @umn-idim.bsky.social · 05/05/2026

🚨 New research alert! For early postoperative spinal implant infections (PSII) managed with debridement and implant retention, is longer antibiotic therapy always better? Our team, alongside 9 other academic centers, evaluated 499 patients to find out. #IDSky

academic.oup.com

Antibiotic Duration after Debridement and Implant Retention for Early Postoperative Spinal Implant Infections: A Multicenter Cohort Study

In this multicenter retrospective cohort of 499 patients with early postoperative spinal implant infection managed by debridement and implant retention, ex

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Steven Tong @steventong.bsky.social · 06/05/2026

We looked at empiric B-lactam antibiotics in MRSA bacteraemia and BC persistence and AKI, using CAMERA2 dataset. Groups: none, early (only empiric B-lactam), late (only after trial enrolment), throughout (empiric and after enrolment). #IDSky www.clinicalmicrobiologyandinfection.org/article/S119...

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jamelle @jamellebouie.net · 30/04/2026

as long as john roberts has his majority, there is simply no pro democracy reform that will survive the supreme court. none.

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Ben Ereshefsky, PharmD @brainofbpharm.bsky.social · 28/04/2026

Film you've watched more than six times with gif. hard mode: no star wars, star trek, lotr, dc, marvel, disney, pixar, dreamworks, spielberg, cameron, wachowskis, or ghibli

media.tenor.com

ALT:

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Ilan Schwartz @germhuntermd.bsky.social · 23/04/2026

Spinal Epidural Abscess Aaron Tande and colleagues Review in @nejm.org #IDSky www.nejm.org/doi/full/10....

Diagram of relevant anatomy along with MRI findings in spinal abscess

Microbiology of SEA.

Table 2. Pathogens Associated with Spinal Epidural Abscess.*
Pathogen
Infections Attributable to Pathogen or Pathogen Group

Methicillin-susceptible Staphylococcus aureus
40%
Methicillin-resistant S. aureus
18%
Coagulase-negative staphylococcus species
5%
Streptococcus or enterococcus species
10%
Aerobic gram-negative bacilli
4%
Other pathogens
6%
Polymicrobial infections
2%
No growth or unknown
14%
* Shown are data from 2282 patients included in observational studies.511

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Ben Ereshefsky, PharmD @brainofbpharm.bsky.social · 23/04/2026

Wow, I wish our mindset here in the US was to discharge patients on PO ABX as option #1 and IV only if necessary. #IDSky

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