Seth Cohen
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sethalosporin.bsky.social
Seth Cohen
@sethalosporin.bsky.social
ID doc, Director of Infection Prevention at UWMC (Seattle), Medical Education, Epidemiology. Lover of audiobooks, birds, and bagels.
Pinned
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
Love it, thanks Joseph!
December 23, 2025 at 3:44 AM
December 22, 2025 at 3:24 PM
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
December 22, 2025 at 3:22 PM
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.
Important ID publications 2025 Cohen.pdf | Powered by Box
app.box.com
December 22, 2025 at 3:22 PM
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‘‡
December 22, 2025 at 3:22 PM
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‘‡
December 22, 2025 at 3:22 PM
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‘‡
December 22, 2025 at 3:22 PM
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‘‡
December 22, 2025 at 3:22 PM
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‘‡
December 22, 2025 at 3:22 PM
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‘‡
December 22, 2025 at 3:22 PM
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‘‡
December 22, 2025 at 3:22 PM
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‘‡
December 22, 2025 at 3:22 PM
🧡 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‘‡
December 22, 2025 at 3:22 PM
Love thisβ€” adding it to my teaching folder. Thanks for sharing Lisa!
October 24, 2025 at 4:26 AM
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?
August 28, 2025 at 10:37 PM
Welcome! We’re thrilled to have you.
July 9, 2025 at 9:19 PM
Congrats!
July 2, 2025 at 3:51 AM
Welcome!
May 27, 2025 at 3:49 AM
Very cool!
May 22, 2025 at 8:16 PM
Very cool thanks for sharing.
April 10, 2025 at 4:36 PM
Congrats!
March 10, 2025 at 9:38 PM
Let us know what you decide!
February 28, 2025 at 5:42 AM
πŸ’” so very sorry to hear
January 12, 2025 at 12:47 AM
Reposted by Seth Cohen
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
December 17, 2024 at 12:08 AM
@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!
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
December 17, 2024 at 12:12 AM