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T. Neil Ku, MD, FSHEA, FIDSA @kutneil.bsky.social · 11/10/2026

“They contract hepatitis B in the context of being part of a research project,” Hansen said, which made their infection happen, in effect, “by design”.

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T. Neil Ku, MD, FSHEA, FIDSA @kutneil.bsky.social · 11/10/2026

“'You are now enrolling newborns in a lottery to test a hypothesis,'... The children who are randomly selected not to receive the birth dose of the vaccine, those who “lost the lottery”, face in their earliest days the risk of contracting hepatitis B, which can cause irreversible lifelong damage."

theguardian.com

Controversial vaccine trial touted by RFK Jr gets go-ahead in Guinea-Bissau

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T. Neil Ku, MD, FSHEA, FIDSA @kutneil.bsky.social · 08/10/2026

What's preventing physicians (or anyone) from abusing this system to make extra cash? More importantly, how reliable will the data be? #vaccination

cidrap.umn.edu

HHS launches new major vaccine injury intuitive

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T. Neil Ku, MD, FSHEA, FIDSA @kutneil.bsky.social · 08/10/2026

Most people don't go to the CDC website for help with their "personal decisions." They go there to find out what they should do. I also have grave concerns that the HHS administration is using the CDC to deliver politically motivated and often non-science-based messages. #publichealth

wsj.com

New CDC Director Is Eager to Change Its Culture

The country’s leading public-health organization needs less “paternalism” and more communication with Americans, Erica Schwartz says.

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T. Neil Ku, MD, FSHEA, FIDSA @kutneil.bsky.social · 07/10/2026

I don't think this is the news most Montanans want to hear. #montana #vaccination #hib

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

Furthermore, antibiotics are commonly thought of as drugs that offer comfort for hospice patients. Clinicians often disregard the consequences of antibiotic therapy for these patients.

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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

What's more concerning is the increase in vaccination exemptions.

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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 · 08/07/2026

Since cost is a major barrier to vaccine access for many people, including those in the U.S., this is a very promising solution to address an infection that can cause more issues than just an unappealing skin growth.

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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

Most of these people will likely not be eligible for Medicaid. When they seek medical care, they be labeled as "Self-Pay" and if they're lucky, the hospital may offer some charge reduction or payment options. Even with that, everyone without insurance will be stuck with huge medical debts.

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

However, I find it perplexing how people are selective about the things whose safety they are concerned about. One hunters they interviewed was concerned about the safety of the vaccine but not worried about the possibility of lead poisoning when using lead containing pellets when shooting turkeys.

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

Well, for many people, ignorance is bliss.

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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

"Both reports conclude that maintaining high measles vaccination coverage is the most effective intervention for preventing measles and limiting disruptions to schools and communities."

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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

What's the point of keeping the word "immunization" in the name if the goal is not to immunize anyone?

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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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