Ben Ereshefsky, PharmD

#idweek2026 what's hot in ID by Dr Paul Sax

This is Tommy. Tommy had a question about my allegiances. Listen to the end to hear about his.

In addition to better pay, how do we get other teams to actually respect the expertise of ID physicians more? Currently undergoing some issues with certain ICU teams insisting on meropenem use despite ID consult saying not to use 😡

Banned Books Week is almost over! The Trump administration had at least 596 books removed from schools serving military families. Don’t forget to get out there and read some of the books they tried to keep off the shelves. Happy Banned Books Week!

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

“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

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.

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

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

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

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.

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"

Or you know, just get rid of the guns.

🔥🔥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...

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

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

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...

🧐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

An excellent appraisal of the most up to date evidence in Staph Aureus Bacteraemia led by Anna Goodman. academic.oup.com/jac/article/...

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.

🔥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....

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

Phase 2 RCT of Nitazoxanide in chronic norovirus infection among transplant recipients found no difference in time to symptom resolution @michaelisonmd.bsky.social #TxID #IDSky www.amjtransplant.org/article/S160...

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

🚨 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

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...

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

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

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

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

NGL the last few days were rough for folks working in public health—RFK Jr’s horrific lies, his extraordinarily vile eugenics, his blaming infectious diseases on immigrants, his refusal to take any responsibility for the measles crisis or its control & the appointment of a tobacco executive at CDC 🫣

This administration is full of such despicable people. #VaccinesWork

~53,000 military personnel died in combat in WW1. ~45,000 other soldiers died from the flu. #PeteHegseth may be ignorant of history, careless about the lives of those in uniform, but the army remembers. www.army.mil/article/2104...

I agree. Definitely not going back to the Other Place!

Evaluation of the impact of universal mupirocin decolonization in intensive care units on the utility of MRSA PCR nasal swab testing ✅ Just Accepted 🔗 https://bit.ly/4bWBN9b

Same.

missing sepsis - bad misdiagnosing another catastrophe as “sepsis” - also bad it almost makes me think that maybe we should specially train people how to identify and differentiate these disease processes and provide personalized care 🤔

Never in recorded history has a four-year-old found his father’s loaded book and accidentally killed his younger sister with it. BUT WE BAN BOOKS NOT GUNS #guns #violence #BookBans #NaziAmeriKKKa #fascism

I’m old enough to remember people being fired for saying this about Charlie Kirk 🤷🏻‍♂️

Duration of therapy for Pseudomonas aeruginosa bacteremia – a post hoc subgroup analysis from the BALANCE randomized controlled trial ✅ Just Accepted 🔗 https://bit.ly/4rKKyry

@jakescottmd.bsky.social connects the dots perfectly in this must-read @cidrap.bsky.social op-ed. It's hard to focus on any single issue with this ongoing barrage of insanity and illegality, but what's happening at HHS/CDC needs to stay on everyone's short list of important issues.

IDSA 2025 Guidelines on the use of vaccines for the prevention of seasonal COVID-19 infections in immunocompromised patients ✅ Just Accepted 🔗 https://bit.ly/47FAtok

My favorite is when they’re on dapto + ceftaroline, but the ICU is convinced the patient has a new VAP and adds Zosyn 😭

Really disappointed in the ATS’ stubbornness and doubling down on a bad rec that they keep trying to justify with weak reasoning.

New PJI study in @ofidjournal.bsky.social: Largest restrospective study to date of doxycycline use for PJI treatment with encouraging results All doxycycline use was in combination though, primarily rifampin. Limited to Staph, Coryne, & Cuti #IDSky #OrthoID academic.oup.com/ofid/advance...

“When the rich wage war, it’s the poor who die.” -Sartre