UW Infectious Disease Fellowship Program
@uwidfellowship.bsky.social
The very best of ID training and #IDSky. Your place for ID news, publications and education. #allarewelcomehere
Official account of the Univ of WA ID Fellowship Program | PD Meena Ramchandani & APD Fred Buckner
Content: Cynthia K Wallace, Chief Fellow
Official account of the Univ of WA ID Fellowship Program | PD Meena Ramchandani & APD Fred Buckner
Content: Cynthia K Wallace, Chief Fellow
Pinned
Vaccine Communication Strategies
redcap.iths.org
Want to share your thoughts on vaccine avoidance?
One of our awesome F3s, Alexa Giovanatti, is conducting a provider survey at:
redcap.iths.org/surveys/?s=F...
Her goal is to gather anecdotes, insights, and communication tips then compile these into a practical resource.
Please share! #IDSky
One of our awesome F3s, Alexa Giovanatti, is conducting a provider survey at:
redcap.iths.org/surveys/?s=F...
Her goal is to gather anecdotes, insights, and communication tips then compile these into a practical resource.
Please share! #IDSky
Can AI help us with AMS? Almost definitely yes, if used wisely. #IDSky #AMS
academic.oup.com/ofid/advance...
academic.oup.com/ofid/advance...
Supervised machine learning to identify hospital inpatients needing a change of antibiotic therapy in real-time: Preclinical diagnostic evaluation and feasibility study
This study evaluated the diagnostic performance of a supervised machine learning classifier prioritising hospital inpatients for antibiotic therapy review.
academic.oup.com
November 26, 2025 at 2:16 PM
Can AI help us with AMS? Almost definitely yes, if used wisely. #IDSky #AMS
academic.oup.com/ofid/advance...
academic.oup.com/ofid/advance...
November 26, 2025 at 2:10 PM
#idboardreview Pt living in Texas x15yrs originally from Mexico had thyroid ca s/p neck dissection: histopath 275-µm encapsulated cyst w/larva 27 µm w/bacillary bands. He ate raw pork 10yr ago in Texas. Wbc 6k, absolute eosinophil count 360 & CK 150 #IDsky #idmeded #meded
November 26, 2025 at 1:52 AM
From our team to yours, happy Thanksgiving 🍁 #IDSky
We are grateful for each other and for the people who entrust us with their care 🙏
www.instagram.com/reel/DRZihUP...
We are grateful for each other and for the people who entrust us with their care 🙏
www.instagram.com/reel/DRZihUP...
UW Infectious Diseases on Instagram: "Happy Fellowsgiving - from all of us, to all of you :) #id #idfellows"
Celebrate Thanksgiving with loved ones by sharing thoughtful and heartfelt messages, expressing gratitude and appreciation for the special people in your life. Use these inspiring quotes and phrases t...
www.instagram.com
November 25, 2025 at 5:08 PM
From our team to yours, happy Thanksgiving 🍁 #IDSky
We are grateful for each other and for the people who entrust us with their care 🙏
www.instagram.com/reel/DRZihUP...
We are grateful for each other and for the people who entrust us with their care 🙏
www.instagram.com/reel/DRZihUP...
Only 21% of eligible girls have received >=1 HPV vax.
In this study of single vs triple dose HPV vaccine in girls & young women in Costa Rica, 1x dose w/non-inferior immunogenicity to 3x dose for HPV 18, but not 16 although Ab levels appear seroprotective… #IDSky
www.thelancet.com/journals/lan...
In this study of single vs triple dose HPV vaccine in girls & young women in Costa Rica, 1x dose w/non-inferior immunogenicity to 3x dose for HPV 18, but not 16 although Ab levels appear seroprotective… #IDSky
www.thelancet.com/journals/lan...
Human papillomavirus (HPV) type 16 and type 18 antibody concentrations after a single dose of bivalent HPV vaccine in girls aged 9–14 years compared with three doses of quadrivalent HPV vaccine in wom...
Non-inferior antibody responses for the single-dose bivalent HPV vaccine were seen
for HPV-18 but not HPV-16, which would be insufficient evidence to motivate regulatory
change, even though seropositi...
www.thelancet.com
November 24, 2025 at 2:44 PM
Only 21% of eligible girls have received >=1 HPV vax.
In this study of single vs triple dose HPV vaccine in girls & young women in Costa Rica, 1x dose w/non-inferior immunogenicity to 3x dose for HPV 18, but not 16 although Ab levels appear seroprotective… #IDSky
www.thelancet.com/journals/lan...
In this study of single vs triple dose HPV vaccine in girls & young women in Costa Rica, 1x dose w/non-inferior immunogenicity to 3x dose for HPV 18, but not 16 although Ab levels appear seroprotective… #IDSky
www.thelancet.com/journals/lan...
Modified dual treponemal/non-treponemal test missed fewer cases at the expense of marked overtreatment - overtreatment varied by pre-test probability of tested group.
The authors conclude that no single algorithm is appropriate for all populations. #IDSky
www.thelancet.com/journals/lan...
The authors conclude that no single algorithm is appropriate for all populations. #IDSky
www.thelancet.com/journals/lan...
Comparison of the performance and costs of testing algorithms using rapid diagnostic tests for detection and treatment of syphilis among pregnant individuals and men who have sex with men: a modelling...
No single algorithm was optimal across all settings. T-RDTs remain suitable for antenatal
screening, but the standard or modified T/NT-RDT might be preferable for populations
at high risk for syphilis...
www.thelancet.com
November 24, 2025 at 2:26 PM
Modified dual treponemal/non-treponemal test missed fewer cases at the expense of marked overtreatment - overtreatment varied by pre-test probability of tested group.
The authors conclude that no single algorithm is appropriate for all populations. #IDSky
www.thelancet.com/journals/lan...
The authors conclude that no single algorithm is appropriate for all populations. #IDSky
www.thelancet.com/journals/lan...
Intervention improved composite outcomes (death, serious infxn) by 32% (RR 0.68, 0.55-0.83) and included:
- adherence to hand hygiene
- adoption of evidence-based guidelines for prevention and management of maternal infxn
- early response to sepsis (FAST-M) #IDSky
www.nejm.org/doi/full/10....
- adherence to hand hygiene
- adoption of evidence-based guidelines for prevention and management of maternal infxn
- early response to sepsis (FAST-M) #IDSky
www.nejm.org/doi/full/10....
A Multicomponent Intervention to Improve Maternal Infection Outcomes | NEJM
Maternal infection and sepsis are major causes of maternal death and severe illness
worldwide, particularly in low- and middle-income countries. Inconsistent implementation
of evidence-based recomm...
www.nejm.org
November 24, 2025 at 2:16 PM
Intervention improved composite outcomes (death, serious infxn) by 32% (RR 0.68, 0.55-0.83) and included:
- adherence to hand hygiene
- adoption of evidence-based guidelines for prevention and management of maternal infxn
- early response to sepsis (FAST-M) #IDSky
www.nejm.org/doi/full/10....
- adherence to hand hygiene
- adoption of evidence-based guidelines for prevention and management of maternal infxn
- early response to sepsis (FAST-M) #IDSky
www.nejm.org/doi/full/10....
Vibrio spp cases have double in the last 5 years in South Carolina, 68 cases so far in 2025.
Unfortunately, federal grant to study this was not renewed this year. #IDSky
www.thestate.com/news/local/e...
Unfortunately, federal grant to study this was not renewed this year. #IDSky
www.thestate.com/news/local/e...
Infections rise sharply as flesh-eating microbe moves through creeks of coastal SC
Vibrio, a toxic microbe found in warm coastal waters, is on the rise in South Carolina as the earth’s climate changes.
www.thestate.com
November 24, 2025 at 2:08 PM
Vibrio spp cases have double in the last 5 years in South Carolina, 68 cases so far in 2025.
Unfortunately, federal grant to study this was not renewed this year. #IDSky
www.thestate.com/news/local/e...
Unfortunately, federal grant to study this was not renewed this year. #IDSky
www.thestate.com/news/local/e...
In this prospective cohort study of 347 adults in China, repeated COVID infections were associated with disease deterioration in people with preexisting lung fibrosis. HR 1.5 for multiple infxns, 1.58 for COVID PNA, 1.84 for respiratory failure. #IDSky
bmcinfectdis.biomedcentral.com/articles/10....
bmcinfectdis.biomedcentral.com/articles/10....
SARS-CoV-2 reinfection in interstitial lung disease patients and its association with clinical deterioration: a two-year prospective cohort study - BMC Infectious Diseases
Background The COVID-19 pandemic has raised concerns about respiratory sequelae, particularly in the patients with preexisting interstitial lung disease (ILD). This study aimed to evaluate the longitu...
bmcinfectdis.biomedcentral.com
November 24, 2025 at 2:04 PM
In this prospective cohort study of 347 adults in China, repeated COVID infections were associated with disease deterioration in people with preexisting lung fibrosis. HR 1.5 for multiple infxns, 1.58 for COVID PNA, 1.84 for respiratory failure. #IDSky
bmcinfectdis.biomedcentral.com/articles/10....
bmcinfectdis.biomedcentral.com/articles/10....
From WHO Europe director:
WHO Europe will push for “bold advocacy, relentless pursuit of health equity, and creative resource mobilization” to ensure that no one is left behind in the fight against TB.
Systemic injustice driving persistence & deaths from TB #IDSky #TB
www.aa.com.tr/en/health/wh...
WHO Europe will push for “bold advocacy, relentless pursuit of health equity, and creative resource mobilization” to ensure that no one is left behind in the fight against TB.
Systemic injustice driving persistence & deaths from TB #IDSky #TB
www.aa.com.tr/en/health/wh...
WHO Europe chief urges action on tuberculosis, says funding gaps must ‘never determine fate of millions'
Hans Kluge says TB remains world’s deadliest infectious disease, calls for faster diagnostics, safer treatments and sustained funding - Anadolu Ajansı
www.aa.com.tr
November 24, 2025 at 1:51 PM
From WHO Europe director:
WHO Europe will push for “bold advocacy, relentless pursuit of health equity, and creative resource mobilization” to ensure that no one is left behind in the fight against TB.
Systemic injustice driving persistence & deaths from TB #IDSky #TB
www.aa.com.tr/en/health/wh...
WHO Europe will push for “bold advocacy, relentless pursuit of health equity, and creative resource mobilization” to ensure that no one is left behind in the fight against TB.
Systemic injustice driving persistence & deaths from TB #IDSky #TB
www.aa.com.tr/en/health/wh...
Increase in leptospirosis cases in the Philippines after flooding from Typhoon Tino… #IDSky
www.pna.gov.ph/articles/126...
www.pna.gov.ph/articles/126...
DOH hospital in Bacolod sets up leptospirosis wards amid rise in cases
BACOLOD CITY – The Corazon Locsin Montelibano Memorial Regional Hospital (CLMMRH) here has established dedicated adult and pediatric wards for leptospirosis patients amid the rise in cases of the infe...
www.pna.gov.ph
November 23, 2025 at 2:49 PM
Increase in leptospirosis cases in the Philippines after flooding from Typhoon Tino… #IDSky
www.pna.gov.ph/articles/126...
www.pna.gov.ph/articles/126...
Baby botulism cases rise to 31 (all hospitalized) across 15 states. , no deaths. ByHeart has confirmed presence of clostridium botulinum in formula.
If you suspect your infant patient has botulism, immediately call 510-231-7600 for case consultation 24/7.
#IDSky
www.cdc.gov/botulism/out...
If you suspect your infant patient has botulism, immediately call 510-231-7600 for case consultation 24/7.
#IDSky
www.cdc.gov/botulism/out...
Infant Botulism Outbreak Linked to Infant Formula, November 2025
Details on an outbreak of infant botulism linked to infant formula, November 2025.
www.cdc.gov
November 23, 2025 at 2:44 PM
Baby botulism cases rise to 31 (all hospitalized) across 15 states. , no deaths. ByHeart has confirmed presence of clostridium botulinum in formula.
If you suspect your infant patient has botulism, immediately call 510-231-7600 for case consultation 24/7.
#IDSky
www.cdc.gov/botulism/out...
If you suspect your infant patient has botulism, immediately call 510-231-7600 for case consultation 24/7.
#IDSky
www.cdc.gov/botulism/out...
If you haven’t gotten your flu vaccine yet, there is still time. The vaccine will not prevent all flu, but will make it less severe if you do get infected… #IDSky #vaccines
🎁 article 👉 www.nytimes.com/2025/11/19/h...
🎁 article 👉 www.nytimes.com/2025/11/19/h...
Early Signs Point to a Harsh Flu Season in the U.S.
www.nytimes.com
November 23, 2025 at 2:15 PM
If you haven’t gotten your flu vaccine yet, there is still time. The vaccine will not prevent all flu, but will make it less severe if you do get infected… #IDSky #vaccines
🎁 article 👉 www.nytimes.com/2025/11/19/h...
🎁 article 👉 www.nytimes.com/2025/11/19/h...
Almost 40% shortfall in pledged donations to the Global Fund to fight AIDS, TB and Malaria, hampering efforts to disseminate new HIV prevention drugs, improved malaria control measures and innovations in TB treatment and vaccination… #IDSky
www.theguardian.com/global-devel...
www.theguardian.com/global-devel...
Control of HIV, TB and malaria at risk after global health fund donations fall
World leaders pledge just over $11bn, short of the $18bn experts say is needed to stay on track to tackle challenges
www.theguardian.com
November 22, 2025 at 4:20 PM
Almost 40% shortfall in pledged donations to the Global Fund to fight AIDS, TB and Malaria, hampering efforts to disseminate new HIV prevention drugs, improved malaria control measures and innovations in TB treatment and vaccination… #IDSky
www.theguardian.com/global-devel...
www.theguardian.com/global-devel...
November 22, 2025 at 3:47 AM
True but different avian flu strain. First was H5N1 in Louisiana. This is H5N5, first know human case. #IDSky
NEW: Bird flu patient dies, marking second U.S. fatality in 2025. Washington state resident was older adult w underlying conditions.
My story.
www.washingtonpost.com/health/2025/...
My story.
www.washingtonpost.com/health/2025/...
Bird flu patient dies, marking second U.S. fatality in 2025
The Washington state resident, an older adult with underlying conditions, was infected with a strain that has previously been reported in animals but never before in humans.
www.washingtonpost.com
November 22, 2025 at 3:16 AM
True but different avian flu strain. First was H5N1 in Louisiana. This is H5N5, first know human case. #IDSky
BREAKING: Resident of Washington state dies after being infected with H5N5 bird flu
A Grays Harbor County resident receiving treatment for H5N5 avian flu has died. The Washington State Department of Health extends its condolences to the family.
A Grays Harbor County resident receiving treatment for H5N5 avian flu has died. The Washington State Department of Health extends its condolences to the family.
November 22, 2025 at 1:37 AM
DOH reaffirms that vaccines are a proven, essential tool for protecting people’s health. We join health agencies and associations across the country in confirming there is no credible scientific evidence linking vaccines to #autism.
doh.wa.gov/newsroom/was...
doh.wa.gov/newsroom/was...
Washington State Department of Health statement on vaccine safety and autism claims
For immediate release: November 21, 2025 (25-139) Contact: DOH Communications
doh.wa.gov
November 21, 2025 at 7:53 PM
Interesting cases & important teaching point - be attentive to HBV status when switching away from tenofovir-containing ART.
Guideline is *two* HBV active agents for HIV with HBV sAg positive… #IDSky
academic.oup.com/cid/advance-...
Guideline is *two* HBV active agents for HIV with HBV sAg positive… #IDSky
academic.oup.com/cid/advance-...
Hepatitis B reactivation following switch away from tenofovir-containing anti-retroviral therapy in people living with HIV: A case series and lessons for practice
Abstract. The potential for hepatitis B reactivation must be considered when switching people with HIV and prior hepatitis B exposure away from tenofovir-c
academic.oup.com
November 21, 2025 at 2:05 PM
Interesting cases & important teaching point - be attentive to HBV status when switching away from tenofovir-containing ART.
Guideline is *two* HBV active agents for HIV with HBV sAg positive… #IDSky
academic.oup.com/cid/advance-...
Guideline is *two* HBV active agents for HIV with HBV sAg positive… #IDSky
academic.oup.com/cid/advance-...
CID’s Nigeria edition, online now!
ONNV: academic.oup.com/cid/article/...
Yersinia Pestis: academic.oup.com/cid/article/...
Rickettsial dz: academic.oup.com/cid/article/...
OneHealth & Public Health: academic.oup.com/cid/article/...
Epidemic prone pathogens: academic.oup.com/cid/article/...
ONNV: academic.oup.com/cid/article/...
Yersinia Pestis: academic.oup.com/cid/article/...
Rickettsial dz: academic.oup.com/cid/article/...
OneHealth & Public Health: academic.oup.com/cid/article/...
Epidemic prone pathogens: academic.oup.com/cid/article/...
Fulminant Yersinia Pestis Infection in a Known HIV-Positive Patient: A Case Report of Identification in Nigeria 2024
Abstract. Yersinia pestis is one of the most dangerous pathogens in the world. While plague foci exist in Africa, no recent cases have been reported in Nig
academic.oup.com
November 21, 2025 at 2:00 PM
CID’s Nigeria edition, online now!
ONNV: academic.oup.com/cid/article/...
Yersinia Pestis: academic.oup.com/cid/article/...
Rickettsial dz: academic.oup.com/cid/article/...
OneHealth & Public Health: academic.oup.com/cid/article/...
Epidemic prone pathogens: academic.oup.com/cid/article/...
ONNV: academic.oup.com/cid/article/...
Yersinia Pestis: academic.oup.com/cid/article/...
Rickettsial dz: academic.oup.com/cid/article/...
OneHealth & Public Health: academic.oup.com/cid/article/...
Epidemic prone pathogens: academic.oup.com/cid/article/...
A mosquito-borne arbovirus, O’nyong’nong virus (ONNV) is an acute febrile illness w/HA, large joint pains, +/- rash & LAD.
It was identified in 1959 but remains relatively rare, partially due to limited diagnostics. These are the 1st reported Nigerian cases… #IDSky
academic.oup.com/cid/article/...
It was identified in 1959 but remains relatively rare, partially due to limited diagnostics. These are the 1st reported Nigerian cases… #IDSky
academic.oup.com/cid/article/...
O’nyong’nyong Virus Infections in Nigeria: A Case Series
Abstract. We report seven patients with detected o’nyong’nong virus infection, presenting with acute febrile illness at two tertiary hospitals in Nigeria.
academic.oup.com
November 21, 2025 at 1:48 PM
A mosquito-borne arbovirus, O’nyong’nong virus (ONNV) is an acute febrile illness w/HA, large joint pains, +/- rash & LAD.
It was identified in 1959 but remains relatively rare, partially due to limited diagnostics. These are the 1st reported Nigerian cases… #IDSky
academic.oup.com/cid/article/...
It was identified in 1959 but remains relatively rare, partially due to limited diagnostics. These are the 1st reported Nigerian cases… #IDSky
academic.oup.com/cid/article/...
Reposted by UW Infectious Disease Fellowship Program
November 21, 2025 at 11:19 AM