iiinova — where your digital self keeps evolving

T. Neil Ku, MD, FSHEA, FIDSA @kutneil.bsky.social · 18/09/2026

I recently heard from a geriatrician that all the urinary pathogens at a long-term care facility he covers are resistant to nitrofurantoin. Having worked at one, it doesn't surprise me since nurses and families often request antibiotics for assumed UTIs. #AMSSky kffhealthnews.org/aging/3-comm...

kffhealthnews.org

3 Common Drugs Older Adults Might Be Overusing - KFF Health News

Not all older people need benzodiazepines, antibiotics, or daily aspirin — and taking them can carry increased risks.

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Reposted by T. Neil Ku, MD, FSHEA, FIDSA

IDSA @idsainfo.bsky.social · 13/09/2026

Raw milk can carry serious health risks, despite common claims about its benefits and safety.

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T. Neil Ku, MD, FSHEA, FIDSA @kutneil.bsky.social · 09/09/2026

A significant proportion of unvaccinated people are willing to get vaccinated. The most common reason for not getting vaccinated is a lack of opportunity (i.e., a convenient time, place, and appointment). The second most common reason is that clinicians do not offer vaccination. #vaccination

cidrap.umn.edu

People who say they’ll get vaccinated against COVID and flu often don’t. Why not?

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Reposted by T. Neil Ku, MD, FSHEA, FIDSA

ASHE Journal @ashejournal.bsky.social · 25/08/2026

Rule-based decision antimicrobial stewardship reduced antibiotic use initially but effects were not sustained. Time-lag analysis revealed bidirectional links between antimicrobial use and CPE incidence, highlighting the need for adaptive, data-driven stewardship strategies. doi.org/10.1017/ash....

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Reposted by T. Neil Ku, MD, FSHEA, FIDSA

Society of Infectious Diseases Pharmacists - SIDP @sidpharm.bsky.social · 21/08/2026

This infographic is a fantastic summary of the beta-lactamase inhibitors reviewed in the new #Breakpoints episode "Beta-lactamase inhibitors: Scientifically elegant, just complex." Use this infographic as a reference, and be sure to share! #infographic #newepisode

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Reposted by T. Neil Ku, MD, FSHEA, FIDSA

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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T. Neil Ku, MD, FSHEA, FIDSA @kutneil.bsky.social · 18/08/2026

A 0.1% drop may not sound like much, but we should consider that any downward trend, while vaccine-preventable infections are rising in the U.S., is not good. Montanans should also be aware that this analysis does not include Montana immunization data. #immunization #mtpol #publichealth

reuters.com

US kindergarten vaccine coverage continues downward trend, falling 0.1%

U.S. kindergarten vaccination coverage fell 0.1% during the 2025-2026 school year, continuing a downward trend that has seen declines every year except one since the onset of COVID-19, according to d...

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Reposted by T. Neil Ku, MD, FSHEA, FIDSA

Society for Healthcare Epidemiology of America (SHEA) @sheaepi.bsky.social · 11/08/2026

The President’s executive order changing childhood vaccine recommendations, signed today does not reflect current scientific evidence and does not represent the “Gold Standard” in vaccine research. Read SHEA and APIC's joint statement: shea-online.org/shea-and-api...

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Reposted by T. Neil Ku, MD, FSHEA, FIDSA

IDSA @idsainfo.bsky.social · 11/08/2026

At a time when measles outbreaks are already threatening communities across the country, making vaccination more complicated and burdensome risks leaving more children vulnerable. Our response to the vaccine executive order: www.idsociety.org/news--public...

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Reposted by T. Neil Ku, MD, FSHEA, FIDSA

Jonathan Ryder, MD @jonathanrydermd.bsky.social · 04/08/2026

New in @jamanetworkopen.com from BrighT STAR Collaborative: Diagnostic stewardship via clinical decision support in pediatric endotracheal aspirate Cx's associated with 16% reduction in cultures, but no change in antibiotics. No safety concerns identified pubmed.ncbi.nlm.nih.gov/42536370/

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Reposted by T. Neil Ku, MD, FSHEA, FIDSA

Jonathan Ryder, MD @jonathanrydermd.bsky.social · 04/08/2026

New RCT from @nejm.org Evidence: PO Vanc x10 d VS PO Vanc Taper/Pulse VS Fidaxomicin for 1st or 2nd Recurrence of CDiff (n=308) Day 59 sustained clinical response: Vanc TP: 58.6% vs Vanc x10: 44.1% vs Fidaxo: 44.1% (p>0.0255 = not significant) #IDSky #CDiff evidence.nejm.org/doi/full/10....

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Reposted by T. Neil Ku, MD, FSHEA, FIDSA

Jonathan Ryder, MD @jonathanrydermd.bsky.social · 22/07/2026

Cool survey of >1400 US adults on their perceptions around antibiotic use in @ofidjournal.bsky.social Survey participants preferred - Longer antibiotic courses - Always finishing the prescribed course We need to convince the public that shorter is better! #IDSky academic.oup.com/ofid/article...

academic.oup.com

Validate User

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Reposted by T. Neil Ku, MD, FSHEA, FIDSA

Jonathan Ryder, MD @jonathanrydermd.bsky.social · 22/07/2026

Excited to share a new piece in @ashejournal.bsky.social! STI care and antimicrobial stewardship programs are often siloed. However, with doxyPEP there has been a lot of concerns about stewardship. Can we integrate these fields? Yes! @shawna-san.bsky.social www.cambridge.org/core/journal...

cambridge.org

The intersection of sexually transmitted infections and antimicrobial stewardship: opportunities for synergy | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

The intersection of sexually transmitted infections and antimicrobial stewardship: opportunities for synergy - Volume 6 Issue 1

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T. Neil Ku, MD, FSHEA, FIDSA @kutneil.bsky.social · 09/07/2026

It's striking how autism has become what ADHD was in the 1990s. The only difference is how much more politically charged autism is than ADHD. jamanetwork.com/journals/jam...

jamanetwork.com

Autism Overdiagnosis and Its Harmful Effects

This Viewpoint describes the extent and mechanisms of overdiagnosis in autism and reviews its harmful implications.

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T. Neil Ku, MD, FSHEA, FIDSA @kutneil.bsky.social · 09/07/2026

This feels like a real life episode of Law and Order, and Children's Health Defense really wants us to believe that vaccines suffocated this woman's twins at the same time. www.nytimes.com/2026/07/07/u...

nytimes.com

Plaintiff for Anti-Vaccine Group’s Suit Is Charged With Murder of Her Twins

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T. Neil Ku, MD, FSHEA, FIDSA @kutneil.bsky.social · 09/07/2026

This outbreak highlights the vulnerability of the U.S. food production and distribution, and the importance of stringent food safety surveillance. With the current administration having slashed funding to FoodNet, we'll continued to see outbreaks like this. #publichealth #cyclospora

time.com

What to Know About the Diarrhea Outbreak Tied to Fresh Produce

Hundreds of people in the U.S. have gotten sick so far from cyclosporiasis.

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T. Neil Ku, MD, FSHEA, FIDSA @kutneil.bsky.social · 07/07/2026

Nurses can be valuable in diagnostic stewardship. However, the challenge remains in reassuring clinicians concerned about missed diagnoses and meeting patient satisfaction expectations when antibiotic therapy is expected. #diagnosticstewardship #AMSSky

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Reposted by T. Neil Ku, MD, FSHEA, FIDSA

ASHE Journal @ashejournal.bsky.social · 07/07/2026

Can nurses lead outpatient UTI stewardship? This EHR-integrated triage tool improved symptom documentation, reduced unnecessary urine cultures, and cut antibiotic treatment of asymptomatic bacteriuria—all without increasing pyelonephritis. #ABXstewardship #NursingResearch doi.org/10.1017/ash....

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T. Neil Ku, MD, FSHEA, FIDSA @kutneil.bsky.social · 01/07/2026

The current administration should focus research on identifying the actual cause of these patients' symptoms rather than attributing them to a fictitious condition. www.cidrap.umn.edu/lyme-disease...

cidrap.umn.edu

CIDRAP Op-Ed: The wrong cure—how the new federal Lyme plan validates a diagnosis that often isn't there

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Reposted by T. Neil Ku, MD, FSHEA, FIDSA

Society for Healthcare Epidemiology of America (SHEA) @sheaepi.bsky.social · 01/07/2026

Registration is now open for Improving Infection Prevention and Antibiotic Use in Long-Term Care: From Guidance to Practice, a live virtual workshop taking place November 5–6, 2026. Register today to reserve your spot: learningce.shea-online.org/content/impr...

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T. Neil Ku, MD, FSHEA, FIDSA @kutneil.bsky.social · 30/06/2026

And Wyoming DoH just announced a second measles case in recent weeks, inching closer to Montana... #measles #vaccination #publichealth www.cidrap.umn.edu/measles/cidr...

cidrap.umn.edu

CIDRAP Op-Ed: Call it what it is—the US has lost its hold on measles elimination

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Reposted by T. Neil Ku, MD, FSHEA, FIDSA

ASHE Journal @ashejournal.bsky.social · 29/06/2026

SMX-TMP is commonly used as step-down therapy for gram-negative bacteremia. The results of this study indicate that patients who received low-dose (< 8 mg/kg TMP) had similar outcomes to those who received high-dose (>/= 8 mg/kg TMP). doi.org/10.1017/ash....

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Reposted by T. Neil Ku, MD, FSHEA, FIDSA

IDSA @idsainfo.bsky.social · 29/06/2026

Additional funding is critically needed to address the Ebola epidemic in Central Africa, save lives and contain the outbreak. Funding only the Department of State ignores the reality that outbreak response requires coordination across agencies. Our statement: bit.ly/4vCkcdZ

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T. Neil Ku, MD, FSHEA, FIDSA @kutneil.bsky.social · 27/06/2026

"I don't see data that point to that conclusion that a 5 million person drop can be explained by allegations of fraud,"... "There's lots of evidence pointing to people making decisions based on what they can pay each month." #healthequity #ACA www.npr.org/2026/06/26/n...

npr.org

5 million have dropped ACA insurance after Trump and the GOP let prices skyrocket

The number of people who signed up for a health plan and then didn't pay their premium fell much more sharply than it has in years past. Trump officials blame fraud. Health policy experts blame costs.

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Reposted by T. Neil Ku, MD, FSHEA, FIDSA

IDSA @idsainfo.bsky.social · 26/06/2026

The new charter of the CDC’s Advisory Committee on Immunization Practices changes the fundamental focus, membership structure and governance of the committee. Our response with @pidsociety.bsky.social, @sheaepi.bsky.social and @sidpharm.bsky.social: bit.ly/4eN1oBq

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T. Neil Ku, MD, FSHEA, FIDSA @kutneil.bsky.social · 26/06/2026

Despite these reports, the current administration has continued to focus primarily on vaccine-related injuries, even though far more people were injured by measles. #vaccination #publichealth #measles www.cidrap.umn.edu/measles/two-...

cidrap.umn.edu

Two new reports highlight obstacles to containing US measles outbreaks

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T. Neil Ku, MD, FSHEA, FIDSA @kutneil.bsky.social · 26/06/2026

I suppose if one can't win at a game then it's time to change the rules. Is he looking to going back to inoculating people with cowpox or having parents take their chances by sending their children to chickenpox parties? #vaccination #publichealth #pedsky www.statnews.com/2026/06/25/a...

statnews.com

New ACIP charter broadens criteria for members, calls for review of alternatives to vaccines

A new charter for the panel that advises the CDC on vaccine use substantially refocuses the responsibilities of the committee, downplaying its role in recommending the use of new vaccines.

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Reposted by T. Neil Ku, MD, FSHEA, FIDSA

ASHE Journal @ashejournal.bsky.social · 23/06/2026

More than 60% of orders for an infectious diarrhea panel (IDP) are guideline-discordant. Guideline-concordant IDP orders have significantly higher positivity rates and are significantly more likely to have an impact on patient care compared to guideline-discordant orders. doi.org/10.1017/ash....

doi.org

Overuse of a molecular infectious diarrhea panel in acute care: an opportunity for diagnostic stewardship | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Overuse of a molecular infectious diarrhea panel in acute care: an opportunity for diagnostic stewardship - Volume 6 Issue 1

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T. Neil Ku, MD, FSHEA, FIDSA @kutneil.bsky.social · 22/06/2026

Despite all its faults, the ACA was a noble attempt to address this issue. With it reduced to a fraction of its former self, more Americans are going without health insurance, as they struggle to pay the premiums. Unfortunately, many of them also don't qualify for Medicaid. #healthequity

news.gallup.com

U.S. Adults' Ability to Afford Healthcare at a Five-Year Low

Fewer than half (49%) of Americans can afford needed care and medications, a five-year low. Younger, older and adults with chronic conditions are hit hardest.

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T. Neil Ku, MD, FSHEA, FIDSA @kutneil.bsky.social · 20/06/2026

This is a perfect example of why vaccination requirement is important. It's not about medical freedom. It's about troop optimizing troop readiness. www.nytimes.com/2026/06/18/u...

nytimes.com

Scores Fall Ill at Air Force Base After Hegseth Makes Flu Vaccine Optional

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T. Neil Ku, MD, FSHEA, FIDSA @kutneil.bsky.social · 18/06/2026

This feels like a federally sanctioned clinical trial that conveniently doesn't need funding or to recruit participants. However, the results, if any, will likely be misinterpreted, leading to misinformation. #autism #publichealth www.cidrap.umn.edu/anti-science...

cidrap.umn.edu

White House autism announcement triggers surge in online searches for leucovorin, Tylenol

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T. Neil Ku, MD, FSHEA, FIDSA @kutneil.bsky.social · 12/06/2026

"Measles is probably our top worry", but "gonorrhea, chlamydia will definitely be attending." As the World Cup looks more like a potential superspreader event, I will be enjoying the games from the safety of my own home or a local sports bar. #publichealth www.cidrap.umn.edu/influenza-ge...

cidrap.umn.edu

The ‘diseases of crowds’ experts say could be at the World Cup

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T. Neil Ku, MD, FSHEA, FIDSA @kutneil.bsky.social · 06/06/2026

Recently, I petitioned Rep. Downing about the importance of the U.S. reinstating foreign aid funding in response to the Ebola disease outbreak in Africa. This is his response and, disappointingly, he mentioned nothing about Ebola disease. #ebola #publichealth www.npr.org/2026/06/05/n...

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Reposted by T. Neil Ku, MD, FSHEA, FIDSA

Society for Healthcare Epidemiology of America (SHEA) @sheaepi.bsky.social · 02/06/2026

🧵1/4: The United States is at a critical moment in global health and we need your voice. An active Ebola outbreak, combined with other emerging infectious threats and upcoming international mass gatherings, highlights the urgent need for strong global coordination and real-time information sharing.

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T. Neil Ku, MD, FSHEA, FIDSA @kutneil.bsky.social · 02/06/2026

This feels like deja vu. Given all the distrust I'm hearing in that region, I fear people may not get the vaccine. www.cidrap.umn.edu/ebola/three-...

cidrap.umn.edu

Three Ebola vaccine candidates fast-tracked as African outbreak continues

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T. Neil Ku, MD, FSHEA, FIDSA @kutneil.bsky.social · 02/06/2026

A spokesman for the Department of Health and Human Services, said in an emailed statement, “We reject the premise that providing Americans with transparent information about the benefits and risks of medical products undermines public health.” #publichealth www.nytimes.com/2026/06/02/w...

nytimes.com

Hospitals See Diseases Resurge as Vaccinations Decline

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