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Seth Cohen

@sethalosporin.bsky.social

ID doc, Director of Infection Prevention at UWMC (Seattle), Medical Education, Epidemiology. Lover of audiobooks, birds, and bagels.

3,328 Followers  |  551 Following  |  43 Posts  |  Joined: 12.10.2023
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Posts by Seth Cohen (@sethalosporin.bsky.social)

Love it, thanks Joseph!

23.12.2025 03:44 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

#IDsky

22.12.2025 15:24 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Interested in thoughts on any of these trials as well as suggestions for other literature to include. @uwidfellowship.bsky.social @pergamic.bsky.social @rupalij.bsky.social

22.12.2025 15:22 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 2    πŸ“Œ 0
Preview
Important ID publications 2025 Cohen.pdf | Powered by Box

Want the full reading list?

See β€œEssential Publications in Infectious Diseases 2025” link below, with more details on essential literature from this year:

pdf: app.box.com/s/ny7m9d0pdi...

Ppt on request

Thanks for reading and for everything you do.

22.12.2025 15:22 β€” πŸ‘ 5    πŸ” 1    πŸ’¬ 2    πŸ“Œ 0

8️⃣ Big Picture Takeaways

πŸ“Œ Guidelines often rest on limited evidence
πŸ“Œ Treatment durations keep shrinkingβ€”even for TB
πŸ“Œ PO often >> IV. Safe and patient centered.
πŸ“Œ RSV prevention is a true breakthrough
πŸ“Œ Despite setbacks, this is still an exciting time to be in ID πŸ‘‡

22.12.2025 15:22 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

7️⃣ Vaccines: A Standout Year

RSV vaccines: ~80–90% reduction in RSV hospitalizations in adults β‰₯60

mRNA flu vaccines: superior efficacy vs standard flu shots, with more reactogenicity

Emerging data suggest mRNA vaccines may synergize with cancer immunotherapy

Woot woot! πŸ‘‡

22.12.2025 15:22 β€” πŸ‘ 6    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

6️⃣ COVID Therapeutics: Reappraisal

Large real-world data suggest Paxlovid offers little benefit in highly vaccinated older adults.
Its role in 2025 is increasingly narrow and should be framed honestly. πŸ‘‡

22.12.2025 15:22 β€” πŸ‘ 3    πŸ” 1    πŸ’¬ 1    πŸ“Œ 0

5️⃣ Antimicrobials: Find the niche

Cefiderocol: noninferior, not superior; reserve for salvage

Olorofim: bright spot in mold infections. Rare mold trials are hard!

Dalbavancin: viable consolidation therapy after S. aureus bacteremia clearance

Gepotidacin is here! πŸ‘‡

22.12.2025 15:22 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

4️⃣ Mpox: A Hard Lesson in Evidence

Randomized trials now show no clinical benefit of tecovirimat for mpox.
Animal models and uncontrolled observational data may have misled usβ€”an important cautionary tale for outbreak therapeutics. πŸ‘‡

22.12.2025 15:22 β€” πŸ‘ 6    πŸ” 1    πŸ’¬ 1    πŸ“Œ 0

3️⃣ STIs: Paradigm Shifts

Two practice-changing NEJM trials:

Male partner treatment for bacterial vaginosis cut recurrence nearly in half

Twice-yearly lenacapavir for HIV PrEP showed ~90% protection

Implementation, cost, and access will determine real-world impact. πŸ‘‡

22.12.2025 15:22 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

2️⃣ Vector Control: Entomology β‰  Outcomes

Three trials, three lessons:

Ivermectin MDA ↓ malaria incidence

Permethrin baby wraps ↓ infant malaria by 66%

Indoor residual spraying dramatically ↓ mosquitoes but not infections

Bottom line: endpoints are key πŸ‘‡

22.12.2025 15:22 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

1️⃣ Guidelines: Shorter, Oral, Individualized

2025 continues the trend toward less is more:

CAP: shorter courses (3–5 days) if stable

TB: 4-month regimens now endorsed for select patients

cUTI: oral step-down even with bacteremia is appropriate

Individualize guidance!πŸ‘‡

22.12.2025 15:22 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
picture of books, with text: "essential publications in ID, 2025 edition"

picture of books, with text: "essential publications in ID, 2025 edition"

🧡 Essential ID Papers for 2025: A Clinician’s Guide

Each year brings a flood of amazing ID literature.

Here are candidates for some of the most important ID papers of 2025, spanning guidelines, trials, antimicrobials, and vaccines.
πŸ‘‡

22.12.2025 15:22 β€” πŸ‘ 39    πŸ” 19    πŸ’¬ 2    πŸ“Œ 3

Love thisβ€” adding it to my teaching folder. Thanks for sharing Lisa!

24.10.2025 04:26 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Nice work! @drrossanarosa.bsky.social have you found a disinfectant for inpatient rooms that can be used universally regardless of colonization status or do auris rooms get their own cleaning/disinfection protocol?

28.08.2025 22:37 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Welcome! We’re thrilled to have you.

09.07.2025 21:19 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Congrats!

02.07.2025 03:51 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Welcome!

27.05.2025 03:49 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Very cool!

22.05.2025 20:16 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Very cool thanks for sharing.

10.04.2025 16:36 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Congrats!

10.03.2025 21:38 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Let us know what you decide!

28.02.2025 05:42 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

πŸ’” so very sorry to hear

12.01.2025 00:47 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
mount rainier

mount rainier

orca jumping in front of space needle

orca jumping in front of space needle

πŸš¨πŸ“£πŸš¨πŸ“£
We're hiring!

Open search for Associate Director of Infection Prevention at UW Medical Center

Work in amazing academic environment with a phenomenal team.

Fantastic quality of life.

Did I mention protected time for scholarly activities?

DM w q's

apply.interfolio.com/160509

#IDsky

17.12.2024 00:08 β€” πŸ‘ 27    πŸ” 21    πŸ’¬ 1    πŸ“Œ 3

@pergamic.bsky.social @johnlynchid.bsky.social @paulpottingermd.bsky.social @germhuntermd.bsky.social @drrossanarosa.bsky.social @jlsalinas.bsky.social

Graduating fellows with interests in scholarship, med-ed, IP and clinical service are welcome to apply!

17.12.2024 00:12 β€” πŸ‘ 9    πŸ” 4    πŸ’¬ 0    πŸ“Œ 1
mount rainier

mount rainier

orca jumping in front of space needle

orca jumping in front of space needle

πŸš¨πŸ“£πŸš¨πŸ“£
We're hiring!

Open search for Associate Director of Infection Prevention at UW Medical Center

Work in amazing academic environment with a phenomenal team.

Fantastic quality of life.

Did I mention protected time for scholarly activities?

DM w q's

apply.interfolio.com/160509

#IDsky

17.12.2024 00:08 β€” πŸ‘ 27    πŸ” 21    πŸ’¬ 1    πŸ“Œ 3

What a great match! Can’t wait to meet them.

05.12.2024 00:48 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Thanks for sharing

01.12.2024 05:44 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Amazing opportunity

26.11.2024 22:22 β€” πŸ‘ 5    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Great thread, thank you!

20.11.2024 21:29 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0