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/

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....

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...

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...

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...

Autism Overdiagnosis and Its Harmful Effects

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

jamanetwork.com

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...

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

nytimes.com

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

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.

time.com

"The E coli-produced 9vHPV vaccine was well tolerated, immunogenic, and highly protective against vaccine-targeted HPV types. Given its low production cost, this vaccine has the potential to improve global access to high-valency HPV vaccination." #vaccination #HPV www.thelancet.com/journals/lan...

Efficacy, safety, and immunogenicity of an Escherichia coli-produced nine-valent human papillomavirus vaccine: a multicentre, double-blind, randomised, controlled, phase 3 trial

The E coli-produced 9vHPV vaccine was well tolerated, immunogenic, and highly protective against vaccine-targeted HPV types. Given its low production cost, this vaccine has the potential to improve gl...

thelancet.com

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

ASHE Journal@ashejournal.bsky.social · 4w ago

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....

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....

It's only July and the U.S. is about to exceed the number of measles cases in 2025. It's hard to see how this is making America healthier #measles #vaccination #publichealth www.washingtonpost.com/health/2026/...

Why U.S. measles outbreaks have grown harder to extinguish

The nation is already nearing last year’s record case total, and experts say the virus is forcing doctors to relearn a disease many thought had been consigned to history.

washingtonpost.com

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

cidrap.umn.edu

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...

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

cidrap.umn.edu

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....

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

"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...

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.

npr.org

Asking vaccine-skeptic who has used his authority to decimate immunization programs to endorse a Lyme disease vaccine is like asking a vegetarian to endorse eating meat. #vaccination #lymedisease www.npr.org/2026/06/27/n...

If a Lyme disease vaccine gets approved, how would it go over? We asked hunters

Drugmakers are working on a potential new shot to prevent the tick-borne illness. How might it fare in the era of vaccine skepticism?

npr.org

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

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-...

Two new reports highlight obstacles to containing US measles outbreaks

cidrap.umn.edu

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...

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.

statnews.com

What's even more concerning is that those who drank raw milk broke a Louisiana state law by doing so. #publichealth #rawmilk www.shreveporttimes.com/story/news/2...

Why are people in Louisiana getting sick from raw milk?

Raw milk is supposed to be limited for animal consumption in Louisiana, but 11 people have been sickened from drinking it.

shreveporttimes.com

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....

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

doi.org

This is the COVID-19 vaccine effectiveness paper that Jay Bhuttacharya blocked from publication. It seems this vaccine was more effective than last season's influenza vaccine. #covid19 #vaccination #publichealth jamanetwork.com/journals/jam...

Interim Estimated Effectiveness of 2025-2026 COVID-19 Vaccines in Adults

This case-control study estimates vaccine effectiveness of 2025-2026 COVID-19 vaccines among adults with COVID-19–associated emergency department or urgent care encounters and COVID-19–associated hosp...

jamanetwork.com

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

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.

news.gallup.com

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...

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

nytimes.com

It's interesting to see what the 2022 TN legislature passed compared to what MT legislature had passed, both in response to the COVID-19 pandemic. #publichealth #ivermectin kffhealthnews.org/health-indus...

Tennessee Pharmacies Sell Potent Ivermectin, Led by Anti-Vaccine Doctor Who’s Taken ‘Bucketloads’ - KFF Health News

Four years after the Volunteer State enacted the nation’s first law allowing drugstores to sell ivermectin without patient-specific prescriptions, dozens of pharmacies dispense the drug in highly conc...

kffhealthnews.org

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...

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

cidrap.umn.edu

As Montana explores what to do with its share of this funding, it is becoming increasingly concerning who will actually benefit from it. #medicaid #ruralhealthcare #mtpol kffhealthnews.org/rural-health...

Backed by Threat of Clawbacks, Feds Wield Tight Grip on $50B Rural Health Fund - KFF Health News

Mehmet Oz, head of the Centers for Medicare & Medicaid Services, framed the $50 billion Rural Health Transformation Program as “bold, creative plans” led by states. But as states have started to roll ...

kffhealthnews.org

"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...

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

cidrap.umn.edu