James Wilson, DO, FACP, FAWM, CTropMed

One dose of the #measles #vaccine (available as #MMR) is 93% effective at preventing measles.

Two doses are 97% effective.

Yes: #vaccines prevent infections. This is called sterile immunity.

#VaccineSaveLives #IDSky #MedSky

#HappyThanksgiving #Thanksgiving

World Antimicrobial Awareness Week: AMR and Politics Podcast Episode · ID:IOTS - Infectious Disease Insight Of Two Specialists · 19/11/2025 · 42m

It’s World Antimicrobial Awareness Week! Did u know AMR might kill us all? @bsacandjac.bsky.social do: they partnered up with interested politicians to drive AMR up the UK's political agenda. How is what this episode is all about! Listen on!
#IDsky #microsky #amr

podcasts.apple.com/gb/podcast/i...

Do you think Musk will find a way to decontaminate these surgical robots he thinks we’ll take over in less than half of our lifetimes…?

#quoteoftheday

“…a long habit of not thinking a thing to be wrong, gives it a superficial appearance of being right…”

Thomas Paine, Common Sense

#thomaspaine #CommonSense #America #unitedwestanddividedwefall

Outbreak Investigation of Salmonella: Moringa Leaf Powder October 2025 Do not eat, sell, or serve certain recalled products containing moringa leaf powder. FDA’s investigation is ongoing.

#idsky #medsky #moringa #supergreens @fda.gov #africaimports #supergreens #salmonella #outbreak

www.fda.gov/food/outbrea...

#MTB #tuberculosis #idsky #tropmed @astmh.bsky.social @accpchest.bsky.social @idsainfo.bsky.social

How much continuous neb albut / insulin+D50 got you from 1 -> 2? Or HD?

OOOOoooo!!! do tell, DO tell!

A systematic review and meta-analysis of seropositive detection rate of Brucella abortus in blood donor populations - Scientific Reports Scientific Reports - A systematic review and meta-analysis of seropositive detection rate of Brucella abortus in blood donor populations

Brucella abortus present in ~1/1000 blood donors in endemic areas in this estimate, with potential to transmit Brucellosis. Authors suggest need for screening in this regions… #IDSky

www.nature.com/articles/s41...

Was it by serial antibody testing? If I remember correctly, any Gram negative bacteremia can lead to a positive antibody test but at a low ratio… @fungaldoc.bsky.social @drtoddlee.bsky.social @idiots-pod.bsky.social @umn-idim.bsky.social @idvilchez.bsky.social

@drtoddlee.bsky.social
Hey, mind dropping a “follow” for me so I can DM you like we used to on Twitter/X?
Wanted to chat about some things.
Thanks!

All at Olympia Fields, IL, amirite..?!

The SHIRE..!! Bagginnnnssss

(That SNF/LTACH had third highest rate in US in the 2010s… ask IDPH, it was where I saw more Colistin/Tygacil usage than anywhere in my life)

#idsky #medsky #microsky @drtoddlee.bsky.social @idiots-pod.bsky.social

Hmmmm… what about rebound..?

Also, weren’t we seeing good use in patients who couldn’t come in or take Paxlovid / RDV?

@drtoddlee.bsky.social @bradspellberg.bsky.social @absteward.bsky.social

A lady doctor holding a hand culture plate

Got my hand culture plates ready for a horror show today!
Nothing drives the point of hand hygiene better than showing folks what grows in unwashed hands 😱🧼
#IDSky

#IDSky @lucialunaw.bsky.social parasites!

An Unusual Culprit: Staphylococcus capitis Native Mitral Valve Endocarditis Following Scalp Surgery Staphylococcus capitis is a coagulase-negative Staphylococcus (CoNS) that colonizes the skin, particularly the scalp, and is often dismissed as a blood culture contaminant in the absence of prosthetic...

Interesting case! It does make me wonder if he had “unknown” pathology of his mitral valve, perhaps rheumatic heart disease that had gone unidentified…

Another key point - 6/6 cx positive for same organism unlikely to be a contaminant, esp in sick person. #IDSky

www.cureus.com/articles/427...

Linezolid as salvage therapy for central nervous system infections due to methicillin-resistant Staphylococcus aureus at two medical centers in Taiwan Methicillin-resistant Staphylococcus aureus (MRSA)-associated central nervous system infections are potentially devastating. Linezolid has good penetr…

www.sciencedirect.com/science/arti....

pmc.ncbi.nlm.nih.gov/articles/PMC...

#idsky #neurosky #idcrit

#MRSA/#MRSE CNS infection not responding to IV #Vancomycin, follow @idsainfo.bsky.social ‘17 guidelines & begin intrathecal/intraventricular vanc, or switch to #linezolid?

@bradspellberg.bsky.social @mbrigmon.bsky.social @pulmcrit.bsky.social @idvilchez.bsky.social

(Random question:
Would you mind following me on blue sky and/or Twitter/X?
I wanted to DM you but we don’t follow each other so I cannot.
I have “Professio-personal academic and practical/clinical career with Internet-related outreach” questions.)

And an even better one in those at risk for ampC B-lactamase producing infections ;-)

The fact that @sccmcriticalcare.bsky.social and @accpchest.bsky.social die on this hill of ACORNs against cefepime is bananas to me.
@idsainfo.bsky.social has got my back though.
@absteward.bsky.social you down?

Nonventilator Hospital-Acquired Pneumonia: Epidemiology, Prevention, and Where It Is Now | Contagion Live The management of hospital-acquired pneumonia requires use of preventive bundles, mitigative of risk factors, and prompt diagnosis with initiation of treatment when highly suspected.

The argument could be made that patients initially admitted had community acquired AKI which resolves w/in 48h of admit ~60% w/ support. Then, non-V-HAP doesn’t necessarily include AKI. & I would argue most CKD= 3a not >/=3b. So, we good.

I looked into it. ;-)
www.contagionlive.com/view/nonvent...

#hottake

#Cefepime is safe & ACORN trial is overblown. Avoid in elderly+AKI.

#idsky #medsky #pulmsky #IDcrit #criticalcare @pulmcrit.bsky.social @bradspellberg.bsky.social @mbrigmon.bsky.social @idvilchez.bsky.social @erinmccreary.bsky.social @abxstewardess.bsky.social @pharmageddon.bsky.social

The Association Between Antibiotic Delay Intervals and Hospital Mortality Among Patients Treated in the Emergency Department for Suspected Sepsis - PubMed Both recognition delays and administration delays were associated with increased hospital mortality, but only for longer delays. These results suggest that both metrics may be important to measure and...

First part to that study series:

pubmed.ncbi.nlm.nih.gov/33591002/

First-to-second antibiotic delay and hospital mortality among emergency department patients with suspected sepsis - PubMed First-to-second antibiotic delay of greater than one hour was associated with an increased risk of hospital death among patients meeting criteria for septic shock but not all patients with suspected s...

Studies out of Atrium health in North Carolina showed that it didn’t matter if you gave the Gram positive or Gram negative coverage first.

I don’t have a Dr Kumar’s contact here, but even he agreed in his abx-timing series that began in 2006 through 2010s.

pubmed.ncbi.nlm.nih.gov/33706252/

#hottake

Early identification and supportive management is more important than early #Antibiotics in #Sepsis #SepticShock

#idsky #medsky #pulmsky #IDcrit #criticalcare @pulmcrit.bsky.social @bradspellberg.bsky.social @mbrigmon.bsky.social @vipsmdmed.bsky.social @idvilchez.bsky.social

I can’t imagine this is what people actually voted for. This is a travesty. We used to be the world leading experts and medical science.

What have we done…?

#medsky #idsky #rfkjr #rfkjrisdangerous #trumpisanationaldisgrace

Join @defendpublichealth.bsky.social in showing that RFK Jr is NOT supported by physicians and scientists

bsky.app/profile/evil...

Health progress in a post-COVID-19 world The COVID-19 pandemic upended global mortality and morbidity. COVID-19 was ranked as the number one age-standardised cause of death globally in 2021 but by 2023 had dropped to the 20th cause of death ...

From the Lancet today, the Global Burden of Disease… #IDSky

“During the COVID-19 pandemic, disability-adjusted life-years (DALYs) due to infectious, maternal, neonatal, and nutritional diseases all increased, but have since returned to pre-pandemic levels. “

www.thelancet.com/journals/lan...