Zack (Snacks) Nelson, PharmD, MPH
@zacrobid.bsky.social
📍 Minneapolis
🦠 Infectious diseases specialist
🚑 Emergency med emeritus
🌈 Human
🦠 Infectious diseases specialist
🚑 Emergency med emeritus
🌈 Human
Reposted by Zack (Snacks) Nelson, PharmD, MPH
Wife and I in tears reading this…
January 26, 2026 at 4:30 AM
Wife and I in tears reading this…
Reposted by Zack (Snacks) Nelson, PharmD, MPH
One of the best things I’ve read in a while:
January 25, 2026 at 10:39 PM
One of the best things I’ve read in a while:
This is too much logic for the “law and order” crowd. They, after all, back a convicted felon who has repeatedly pardoned J6ers and sexual predators.
The people who'll tell you today's murder victim in Minnesota shouldn't have turned up to a protest carrying a gun are the same people who said Kyle Rittenhouse was perfectly entitled to do the same thing.
January 24, 2026 at 6:51 PM
This is too much logic for the “law and order” crowd. They, after all, back a convicted felon who has repeatedly pardoned J6ers and sexual predators.
Reposted by Zack (Snacks) Nelson, PharmD, MPH
The people who'll tell you today's murder victim in Minnesota shouldn't have turned up to a protest carrying a gun are the same people who said Kyle Rittenhouse was perfectly entitled to do the same thing.
January 24, 2026 at 5:58 PM
The people who'll tell you today's murder victim in Minnesota shouldn't have turned up to a protest carrying a gun are the same people who said Kyle Rittenhouse was perfectly entitled to do the same thing.
Literal execution in broad daylight and a large segment of the population won’t even blink.
www.startribune.com/ice-raids-mi...
www.startribune.com/ice-raids-mi...
Live: Man shot by federal agents in south Minneapolis this morning, witnesses say
A video appears to shows federal agents wrestling a man to the ground then shooting him.
www.startribune.com
January 24, 2026 at 4:30 PM
Literal execution in broad daylight and a large segment of the population won’t even blink.
www.startribune.com/ice-raids-mi...
www.startribune.com/ice-raids-mi...
Reposted by Zack (Snacks) Nelson, PharmD, MPH
Demonstrators as far as the eye can see. Current status of the march in Downtown Minneapolis, Minnesota for Ice Out of Minnesota. They are turning onto 3rd Street from 5th Avenue.
January 23, 2026 at 8:19 PM
Demonstrators as far as the eye can see. Current status of the march in Downtown Minneapolis, Minnesota for Ice Out of Minnesota. They are turning onto 3rd Street from 5th Avenue.
I’m shocked. Wait. No I’m not.
I’ve been seeing this in my city for weeks now.
I’ve been seeing this in my city for weeks now.
🚨HOLY CRAP. An ICE whistleblower just revealed a secret memo authorizing ICE officers to break into homes without a judicial warrant, which DHS's own legal training materials say is unconstitutional!
ICE then hid the memo from the public, passing it along by word of mouth and private conversation.
ICE then hid the memo from the public, passing it along by word of mouth and private conversation.
January 21, 2026 at 10:43 PM
I’m shocked. Wait. No I’m not.
I’ve been seeing this in my city for weeks now.
I’ve been seeing this in my city for weeks now.
Can someone remind me how going through the skin twice to get 2 sets of blood cultures from two different sites is supposed to reduce contamination? Wouldn’t it increase the risk? 4 bottles from same site makes more sense and the 1st bottle serves as the “diversion”” device. #idsky
January 10, 2026 at 6:42 PM
Can someone remind me how going through the skin twice to get 2 sets of blood cultures from two different sites is supposed to reduce contamination? Wouldn’t it increase the risk? 4 bottles from same site makes more sense and the 1st bottle serves as the “diversion”” device. #idsky
Reposted by Zack (Snacks) Nelson, PharmD, MPH
The session at @idweek.bsky.social with @bwtrautner.bsky.social and @zacrobid.bsky.social discussing the development of these and Wiki Guidelines was incredibly well done
December 23, 2025 at 2:02 AM
The session at @idweek.bsky.social with @bwtrautner.bsky.social and @zacrobid.bsky.social discussing the development of these and Wiki Guidelines was incredibly well done
Reposted by Zack (Snacks) Nelson, PharmD, MPH
Tuberculous meningitis is often fatal, and current therapies need to be improved. In the HARVEST phase 3 trial, high-dose rifampin plus standard treatment was assessed. Full trial results: nej.md/49iiDsQ
#MedSky #NeuroSky #IDSky
#MedSky #NeuroSky #IDSky
December 17, 2025 at 11:00 PM
Tuberculous meningitis is often fatal, and current therapies need to be improved. In the HARVEST phase 3 trial, high-dose rifampin plus standard treatment was assessed. Full trial results: nej.md/49iiDsQ
#MedSky #NeuroSky #IDSky
#MedSky #NeuroSky #IDSky
Remind me again why we don't use oral cefixime (availability not withstanding) or cefpodoxime for gonorrhea? We preferentially rx chlamydia for 7 days now with doxy, so save me the single dose argument.
MIC creep ("reduced susceptibility" from 1.5 decades ago) is not a good answer! #IDSky #MedSky
MIC creep ("reduced susceptibility" from 1.5 decades ago) is not a good answer! #IDSky #MedSky
December 12, 2025 at 3:27 PM
Reposted by Zack (Snacks) Nelson, PharmD, MPH
#idweek2025 new in #UTI IDSA (GRADE methodology: clinical cure critical based on pt feedback) vs wikiguidelines (clear recommendation vs clinical review) 1/
October 22, 2025 at 3:59 PM
Reposted by Zack (Snacks) Nelson, PharmD, MPH
October 22, 2025 at 12:18 PM
Reposted by Zack (Snacks) Nelson, PharmD, MPH
#idweek2025 new in #UTI IDSA (GRADE methodology: clinical cure critical based on pt feedback) vs wikiguidelines (clear recommendation vs clinical review) 1/
October 22, 2025 at 12:16 PM
#idweek2025 new in #UTI IDSA (GRADE methodology: clinical cure critical based on pt feedback) vs wikiguidelines (clear recommendation vs clinical review) 1/
Reposted by Zack (Snacks) Nelson, PharmD, MPH
Don’t miss @bwtrautner.bsky.social and I talk about what’s new in UTI (the UTI WikiGuideline and IDSA cUTI guideline) on Wednesday AM at 08:00 EST! #idweek2025 #idsky
📣 New #Communicable drops Mon 20 Oct!
@angelahuttner.bsky.social & @erinmccreary.bsky.social welcome Barbara Trautner @bwtrautner.bsky.social & Valéry Lavergne, the co-chairs of the first IDSA guidelines for complicated UTIs, to discuss this important milestone!
#IDSky #UTIsky #MedSky #clinmicro
@angelahuttner.bsky.social & @erinmccreary.bsky.social welcome Barbara Trautner @bwtrautner.bsky.social & Valéry Lavergne, the co-chairs of the first IDSA guidelines for complicated UTIs, to discuss this important milestone!
#IDSky #UTIsky #MedSky #clinmicro
October 17, 2025 at 12:35 AM
Don’t miss @bwtrautner.bsky.social and I talk about what’s new in UTI (the UTI WikiGuideline and IDSA cUTI guideline) on Wednesday AM at 08:00 EST! #idweek2025 #idsky
Don’t miss @bwtrautner.bsky.social and I talk about what’s new in UTI (the UTI WikiGuideline and IDSA cUTI guideline) on Wednesday AM at 08:00 EST! #idweek2025 #idsky
📣 New #Communicable drops Mon 20 Oct!
@angelahuttner.bsky.social & @erinmccreary.bsky.social welcome Barbara Trautner @bwtrautner.bsky.social & Valéry Lavergne, the co-chairs of the first IDSA guidelines for complicated UTIs, to discuss this important milestone!
#IDSky #UTIsky #MedSky #clinmicro
@angelahuttner.bsky.social & @erinmccreary.bsky.social welcome Barbara Trautner @bwtrautner.bsky.social & Valéry Lavergne, the co-chairs of the first IDSA guidelines for complicated UTIs, to discuss this important milestone!
#IDSky #UTIsky #MedSky #clinmicro
October 17, 2025 at 12:35 AM
Don’t miss @bwtrautner.bsky.social and I talk about what’s new in UTI (the UTI WikiGuideline and IDSA cUTI guideline) on Wednesday AM at 08:00 EST! #idweek2025 #idsky
Reposted by Zack (Snacks) Nelson, PharmD, MPH
#COVID patients who don't receive remdesivir not more likely to die, data suggest
Models found no difference in all-cause death rates, 30-day hospital readmissions, or length of stay before and after restrictions were put into place.
www.cidrap.umn.edu/c...
Models found no difference in all-cause death rates, 30-day hospital readmissions, or length of stay before and after restrictions were put into place.
www.cidrap.umn.edu/c...
April 28, 2025 at 5:52 PM
#COVID patients who don't receive remdesivir not more likely to die, data suggest
Models found no difference in all-cause death rates, 30-day hospital readmissions, or length of stay before and after restrictions were put into place.
www.cidrap.umn.edu/c...
Models found no difference in all-cause death rates, 30-day hospital readmissions, or length of stay before and after restrictions were put into place.
www.cidrap.umn.edu/c...
Reposted by Zack (Snacks) Nelson, PharmD, MPH
In CID: Our real world study is the 1st (to our knowledge) to detail widespread restriction of remdesivir with patients that represent present-day epidemiology in the era of near universal SARS-CoV-2 seropositivity.
#IDSky
#MedSky
@ebhirsch.bsky.social
academic.oup.com/cid/advance-...
#IDSky
#MedSky
@ebhirsch.bsky.social
academic.oup.com/cid/advance-...
Into the Unknown: Practical Remdesivir Restriction in the Era of Widespread SARS-CoV-2 Seropositivity
AbstractBackground. There is limited data to support routine remdesivir use in the contemporary era of SARS-CoV-2 with widespread seropositivity.Methods. A
academic.oup.com
April 26, 2025 at 3:12 PM
In CID: Our real world study is the 1st (to our knowledge) to detail widespread restriction of remdesivir with patients that represent present-day epidemiology in the era of near universal SARS-CoV-2 seropositivity.
#IDSky
#MedSky
@ebhirsch.bsky.social
academic.oup.com/cid/advance-...
#IDSky
#MedSky
@ebhirsch.bsky.social
academic.oup.com/cid/advance-...
In CID: Our real world study is the 1st (to our knowledge) to detail widespread restriction of remdesivir with patients that represent present-day epidemiology in the era of near universal SARS-CoV-2 seropositivity.
#IDSky
#MedSky
@ebhirsch.bsky.social
academic.oup.com/cid/advance-...
#IDSky
#MedSky
@ebhirsch.bsky.social
academic.oup.com/cid/advance-...
Into the Unknown: Practical Remdesivir Restriction in the Era of Widespread SARS-CoV-2 Seropositivity
AbstractBackground. There is limited data to support routine remdesivir use in the contemporary era of SARS-CoV-2 with widespread seropositivity.Methods. A
academic.oup.com
April 26, 2025 at 3:12 PM
In CID: Our real world study is the 1st (to our knowledge) to detail widespread restriction of remdesivir with patients that represent present-day epidemiology in the era of near universal SARS-CoV-2 seropositivity.
#IDSky
#MedSky
@ebhirsch.bsky.social
academic.oup.com/cid/advance-...
#IDSky
#MedSky
@ebhirsch.bsky.social
academic.oup.com/cid/advance-...
Reposted by Zack (Snacks) Nelson, PharmD, MPH
We are incredibly proud of our entire UTI WikiGuideline drafting team!
March 26, 2025 at 12:47 AM
We are incredibly proud of our entire UTI WikiGuideline drafting team!
#IDSky: the iDIAPASON trial was stopped early due to low enrollment, results still published, sheds doubt on whether the 3 RCTs demonstrating non-inferiority of 8 days to 15 days for VAP is applicable to PA-VAP -- pulmonologists are quoting this study still!
How long do you typically treat PA-VAP?
How long do you typically treat PA-VAP?
December 10, 2024 at 5:33 PM
#IDSky: the iDIAPASON trial was stopped early due to low enrollment, results still published, sheds doubt on whether the 3 RCTs demonstrating non-inferiority of 8 days to 15 days for VAP is applicable to PA-VAP -- pulmonologists are quoting this study still!
How long do you typically treat PA-VAP?
How long do you typically treat PA-VAP?
Reposted by Zack (Snacks) Nelson, PharmD, MPH
WOW 🔥
Our article is still on the most viewed list in the last 7 days from #JAMANetworkOpen
@zacrobid.bsky.social
@dremilymcd.bsky.social @drtoddlee.bsky.social @bradspellberg.bsky.social #idsky #medsky #utisky #EMIMCC
Our article is still on the most viewed list in the last 7 days from #JAMANetworkOpen
@zacrobid.bsky.social
@dremilymcd.bsky.social @drtoddlee.bsky.social @bradspellberg.bsky.social #idsky #medsky #utisky #EMIMCC
🔥In Case You Missed It🔥
Our NEW WikiGuidelines
A stellar cast of auth🌟rs
54 members , 12 countries
The Third WikiGuidelines
After OM,IE
Guidelines for the Prevention Diagnosis,and Management of Urinary Tract Infections in Pediatrics & Adults #idsky
#JAMANetworkOpen
jamanetwork.com/journals/jam...
Our NEW WikiGuidelines
A stellar cast of auth🌟rs
54 members , 12 countries
The Third WikiGuidelines
After OM,IE
Guidelines for the Prevention Diagnosis,and Management of Urinary Tract Infections in Pediatrics & Adults #idsky
#JAMANetworkOpen
jamanetwork.com/journals/jam...
December 7, 2024 at 2:29 PM
WOW 🔥
Our article is still on the most viewed list in the last 7 days from #JAMANetworkOpen
@zacrobid.bsky.social
@dremilymcd.bsky.social @drtoddlee.bsky.social @bradspellberg.bsky.social #idsky #medsky #utisky #EMIMCC
Our article is still on the most viewed list in the last 7 days from #JAMANetworkOpen
@zacrobid.bsky.social
@dremilymcd.bsky.social @drtoddlee.bsky.social @bradspellberg.bsky.social #idsky #medsky #utisky #EMIMCC
Reposted by Zack (Snacks) Nelson, PharmD, MPH
45 year old generally healthy female on infliximab for Crohn's disease develops non-typhoidal Salmonella bacteremia and UC+ for same organism. She rapidly improves on IV ceftriaxone.
Q: What duration are you treating for?
A:
-- 7 days?
-- 10 days?
-- 14 days?
-- 4-6 weeks?
And... why, #IDSky?!
Q: What duration are you treating for?
A:
-- 7 days?
-- 10 days?
-- 14 days?
-- 4-6 weeks?
And... why, #IDSky?!
December 4, 2024 at 7:37 PM
45 year old generally healthy female on infliximab for Crohn's disease develops non-typhoidal Salmonella bacteremia and UC+ for same organism. She rapidly improves on IV ceftriaxone.
Q: What duration are you treating for?
A:
-- 7 days?
-- 10 days?
-- 14 days?
-- 4-6 weeks?
And... why, #IDSky?!
Q: What duration are you treating for?
A:
-- 7 days?
-- 10 days?
-- 14 days?
-- 4-6 weeks?
And... why, #IDSky?!
45 year old generally healthy female on infliximab for Crohn's disease develops non-typhoidal Salmonella bacteremia and UC+ for same organism. She rapidly improves on IV ceftriaxone.
Q: What duration are you treating for?
A:
-- 7 days?
-- 10 days?
-- 14 days?
-- 4-6 weeks?
And... why, #IDSky?!
Q: What duration are you treating for?
A:
-- 7 days?
-- 10 days?
-- 14 days?
-- 4-6 weeks?
And... why, #IDSky?!
December 4, 2024 at 7:37 PM
45 year old generally healthy female on infliximab for Crohn's disease develops non-typhoidal Salmonella bacteremia and UC+ for same organism. She rapidly improves on IV ceftriaxone.
Q: What duration are you treating for?
A:
-- 7 days?
-- 10 days?
-- 14 days?
-- 4-6 weeks?
And... why, #IDSky?!
Q: What duration are you treating for?
A:
-- 7 days?
-- 10 days?
-- 14 days?
-- 4-6 weeks?
And... why, #IDSky?!