Ben Ereshefsky, PharmD
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brainofbpharm.bsky.social
Ben Ereshefsky, PharmD
@brainofbpharm.bsky.social
ID pharmacist at VUMC
I love to travel, hike, and take pictures
Pinned
VUMC 🏥 is recruiting for a PGY2 ID Pharmacy resident 🧫🦠 next year! If you or someone you know is interested, come check out one of our virtual open house sessions.

We have an amazing team of 4 inpatient, 2 OPAT, 1 peds, and 1 HIV pharmacists (and more) to work with!
If it looks like a Nazi and sounds like a Nazi…
This meme from the White House is from a neo-Nazi book that promotes antisemitic conspiracies and praises Hitler as being right.

They’re using Nazi fonts, Nazi slogans, referencing Nazi books, and using Nazi tactics.

This isn’t a coincidence.
They’re showing us who they are.
January 15, 2026 at 1:33 AM
Reposted by Ben Ereshefsky, PharmD
I don’t know how else to tell you that your life literally doesn’t matter to these people, and they do not want to make America healthy
January 12, 2026 at 10:25 PM
Reposted by Ben Ereshefsky, PharmD
Google the video & see for yourself.

This is not law enforcement. This is murder.

Sickening.
😡😡😡😡
January 7, 2026 at 10:14 PM
Reposted by Ben Ereshefsky, PharmD
Getting the #RSV #vaccine during pregnancy helped protect babies under 6 months:
• Cut doctor visits for RSV by about two-thirds
• Reduced RSV hospitalizations by about 70%

jamanetwork.com/journals/jam...
Effectiveness and Impact of Maternal RSV Immunization and Nirsevimab in US Children
This study estimates maternal respiratory syncytial virus (RSV) vaccine and nirsevimab effectiveness against acute respiratory illness and estimates the impact of these products on RSV-associated hosp...
jamanetwork.com
December 28, 2025 at 10:57 AM
Waiting 4 days seem excessively long to wait for de-escalation!

Biggest takeaway is that we have got to find a way to improve #MedEd so that anti-MRSA and anti-pseudomonal ABX are NOT the preferred empiric treatments for community-acquired infections.

#IDSky
Starting broad-spectrum antibiotic therapy in patients who present with sepsis is very ingrained in many clinicians. However, I hope this study will help convince hospitalists to de-escalate therapy those patients without MRSA or Pseudomonas infection.
#AMSSky
jamanetwork.com/journals/jam...
Antibiotic De-Escalation in Adults Hospitalized for Community-Onset Sepsis
This target trial emulation study assesses outcomes of broad-spectrum antibiotics de-escalation compared with continuation on encounter day 4 in patients hospitalized for community-onset sepsis.
jamanetwork.com
December 27, 2025 at 4:48 PM
Reposted by Ben Ereshefsky, PharmD
This is a wildly unethical study that would be illegal to conduct in the United States. Have you heard of the Tuskegee experiments (crimes against humanity)? This sounds like that.
CDC awards $1.6 million for new hepatitis B vaccine study in Guinea-Bissau. Although the award recipients aren't named, the grant seems tailored to Danish researchers whose work is championed by anti-vaxxers but challenged by mainstream scientists.
www.cidrap.umn.edu/childhood-va...
CDC awards $1.6 million for hepatitis B vaccine study, likely to controversial Danish researchers
www.cidrap.umn.edu
December 18, 2025 at 7:35 PM
More reasons for me never to go to Florida again!

I hope @sidpharm.bsky.social can get the annual meeting moved to a pro-vaccine state soon.
December 12, 2025 at 10:41 PM
Reposted by Ben Ereshefsky, PharmD
@ryanvpharmd.bsky.social @brainofbpharm.bsky.social: This study evaluated the impact of a guidance document on treatment decisions, clinical outcomes for CRAB, Steno. Our results demonstrate that implementing a treatment guideline may ⬆️ guideline directed treatment. doi.org/10.1017/ash....
Impact of institutional treatment guidance on the management and outcomes of Stenotrophomonas maltophilia and carbapenem-resistant Acinetobacter baumannii infections | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core
Impact of institutional treatment guidance on the management and outcomes of Stenotrophomonas maltophilia and carbapenem-resistant Acinetobacter baumannii infections - Volume 5 Issue 1
doi.org
December 11, 2025 at 8:00 PM
Reposted by Ben Ereshefsky, PharmD
White House Begins Christmas Season With Ceremonial Lighting Of Cross
December 10, 2025 at 10:00 PM
Reposted by Ben Ereshefsky, PharmD
The ACIP decision to discontinue the recommendation for a universal hepatitis B birth dose vaccine will cause harm.

As the federal government continues to fail children's health, families can rely on our nation's physicians to continue to put children's health first.
December 5, 2025 at 4:31 PM
Reposted by Ben Ereshefsky, PharmD
Any death is tragic; however, the Food and Drug Administration’s vague declaration about the COVID-19 vaccine and pediatric deaths undermines confidence in the safety of the vaccine and raises questions about FDA’s own approval process.

Our statement: bit.ly/44B8IvH
December 2, 2025 at 3:01 PM
I hate to say it, but absolutely do NOT listen to the CDC about vaccines. #IDSky #VaccineSky
November 21, 2025 at 3:31 PM
Reposted by Ben Ereshefsky, PharmD
Decades of rigorous and scientifically sound research have proven that vaccines do not cause autism. CDC’s decision to change language on its website reversing that finding is reckless & harmful.

Our statement w/ @hivma.bsky.social, APIC, @sheaepi.bsky.social & @sidpharm.bsky.social: bit.ly/3XEc0KH
November 21, 2025 at 12:42 AM
Reposted by Ben Ereshefsky, PharmD
The corrupted CDC website refers to a Danish study (Andersson et al) and "a statistically significant 67% increased risk of Asperger's syndrome per 1 mg increase in aluminum exposure among children born between 2007 and 2018 (Supplement Figure 4)." It's worth putting this into context. Short 🧵
November 20, 2025 at 5:20 PM
Reposted by Ben Ereshefsky, PharmD
It’s World AMR Awareness Week, and this year I had the honor to re-imagine and doodle the antibiotics in the antibiotic personality quiz 😇🖍️
Thank u @brxad.bsky.social for this amazing and fun opportunity!

C’mon, take the quiz, it’s a #WAAW tradition 😉💊
#IDSky

quiz.tryinteract.com#/59e68e3a8ec...
November 18, 2025 at 11:11 PM
Reposted by Ben Ereshefsky, PharmD
The next #MedEd game for #WAAW2025 is here! Can you find the four groups of four items that belong together? 🧩🤔

Play Infectious Connections today: connections.firstline.org

Discover the engaging educational content crafted by Shaqil Peermohamed, MD! #IDSky #PharmSky #AMSSKy
November 17, 2025 at 2:26 PM
Reposted by Ben Ereshefsky, PharmD
I don’t care what your religion is if you are claiming to provide healthcare.

You either actually provide healthcare or you are denying healthcare and forcing people to suffer because your cult doesn’t believe in science.

We should not pay tax $ to religious facilities that deny people healthcare.
Many people dismissed the announcement Catholic hospitals will ban gender-affirming care nationwide under the assumption that there will be other options. In reality, Catholic hospitals make up as much 46% of options in some states. This map is 2020, prior to Trump’s assault on safety net hospitals.
November 15, 2025 at 7:56 PM
Reposted by Ben Ereshefsky, PharmD
Hot off the press at @thelancetinfdis.bsky.social: our paper diving into non-adherence in the BALANCE trial. We identify factors associated with protocol non-adherence, and evaluate the impact of potential bias on trial results.

authors.elsevier.com/a/1m5He5E-Uo...

@steventong.bsky.social #IDSky
authors.elsevier.com
November 12, 2025 at 12:55 AM
Reposted by Ben Ereshefsky, PharmD
🌟 ABX Pearl of the Day:

❓ Q: Should I add vancomycin for severe mucositis in my patient with persistent neutropenic fever (NF) of unknown etiology? 🤔 Currently on cefepime & stable. Let’s dive in! 👇

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
November 5, 2025 at 5:38 PM
VUMC 🏥 is recruiting for a PGY2 ID Pharmacy resident 🧫🦠 next year! If you or someone you know is interested, come check out one of our virtual open house sessions.

We have an amazing team of 4 inpatient, 2 OPAT, 1 peds, and 1 HIV pharmacists (and more) to work with!
November 5, 2025 at 9:49 PM
Reposted by Ben Ereshefsky, PharmD
If only Vinay Prasad had stayed gone. Since his return, he turned a previously standard-setting agency into a hot mess, complete with backstabbing, interoffice warfare, secrecy, & despotic management.

He thinks he's a big deal, but he is a small man.
rasmussenretorts.substack.com/p/the-small-...
The Small Men Making a Big Mess at FDA
Turns out that putting Vinay Prasad in charge of regulating drugs and vaccines was a bad idea
rasmussenretorts.substack.com
November 3, 2025 at 11:53 PM
Reposted by Ben Ereshefsky, PharmD
We should have a system like those "Prove you're not a robot" but for UA and culture. Like show me you know what a UTI is for realsies. Multiple choice and essay.
November 3, 2025 at 7:26 PM
Reposted by Ben Ereshefsky, PharmD
A major study just published in NEJM offers powerful, locally generated evidence from Africa on an old question: can steroids save lives in community-acquired pneumonia (CAP)? The answer from Kenya’s SONIA trial: yes and safely so. 🧵
www.nejm.org/doi/full/10....
A Pragmatic Trial of Glucocorticoids for Community-Acquired Pneumonia | NEJM
Adjunctive glucocorticoids may reduce mortality among patients with severe community-acquired pneumonia (CAP) in well-resourced settings. Whether these drugs are beneficial in low-resource settings...
www.nejm.org
October 30, 2025 at 12:03 PM
I hate my state.
October 29, 2025 at 12:30 AM
Def time to remove cefdinir from formulary!
‼️Just shared at #IDWeek2025 & now published in @ofidjournal.bsky.social cephalexin vs. cefdinir for tx of uUTI in females. Spoiler: Cefdinir was independently associated with/failure & cefdinir pts were twice as likely to fail. Let’s stop Rx’ing cefdinir for UTI! 🛑💊 academic.oup.com/ofid/article...
Cefdinir Versus Cephalexin for the Treatment of Uncomplicated Urinary Tract Infections
Due to its poor bioavailability and urinary excretion, cefdinir may be a suboptimal agent for UTI treatment. Our findings demonstrate that patients treated
academic.oup.com
October 24, 2025 at 1:21 AM