Louisiana governor getting involved in the Brian Kelly thing is a nice bit. I too like to cosplay as Huey Long from time to time

1/ 🚨 NEW #5Pearls: Neutropenia 🦠

Let’s review the what, when, and why of neutropenia, including management of febrile neutropenia 🥵

🖥️: www.coreimpodcast.com/2025/08/13/n...

we're under-utilizing aminoglycosides for urosepsis in patients with good renal function

rising % ESBL is pushing us to use carbapenems for empiric therapy... leading to more resistance (CDiff, CRE)

aminoglycosides have minimal gut penetration = low CDiff risk & protect microbiome 🧵 #1/4 #EMIMCC

I finally had a read of the MAHA report today, and aside from the obvious use of generative AI and false citations, what strikes me is how remarkably unprofessional and amateurish the document is.

It's just wild garbage 1/n

Lee Corso the greatest to ever do it

every time I review antibiotics I wonder if we should use more doxycycline for severe CAP in the ICU (instead of azithro)

I'm going to put my nickel down.

I think there is a pretty reasonable argument that we should be choosing doxycyline over azithromycin

let's go thru it... (#1/6)

Antibiotics depend on a global supply chain

In 2023, the US imported ~$671M in antibiotics, mainly:
🇮🇹 Italy: $207M
🇨🇳 China: $200M
🇩🇰 Denmark: $46M
🇮🇳 India: $33.6M
🇧🇬 Bulgaria: $30.6M

Tariffs won't lower costs

India & China export 58% of ingredients for making antibiotics + 83% for antivirals in US

Our patients persecuted; colleagues and public health institutions under attack. Our field needs to rise up & fight back

Silence=Death Redux: Infectious Diseases, Public Health, and the Imperative to Resist

Viewpoint by @ericmeyerowitz.bsky.social & me

OpenAccess: academic.oup.com/cid/advance-...

If you're struggling financially due to government fuckery or for any reason really and you need infant formula talk to your pediatrician we can hook you up and don't like to ask questions.

All pediatricians and infectious diseases doctors right now
#PedsSky #IDSky #MedSky

Come join us at ASHP Midyear! Feel free to share this with anyone who might be interested 🦠🧫