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Peds ID PharmD

@pedsidpharmd

Jen Girotto is Peds ID PharmD. She is a Pediatric ID pharmacist passionate about antimicrobial stewardship and immunizations

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13.11.2024
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Latest posts by Peds ID PharmD @pedsidpharmd

Another recent publication w/the PPA Immunization Committee, we highlight the importance of the hepatitis B vaccine at birth. πŸ‘ΆπŸ’‰

πŸ”— jppt.kglmeridian.com/view/journal...

#PedsIDsky #Rxsky

04.03.2026 19:02 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 1

Here is is our PPA Immunization Committee publication to support pharmacists in immunization practice. πŸ’‰πŸ“š

This article provides evidence-informed strategies and practical resources to strengthen vaccine conversations with families.

πŸ”— jppt.kglmeridian.com/view/journal...

#PedsIDsky #Rxsky

04.03.2026 19:01 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Peds ID and Immunization on Instagram: "Pediatric Bacterial Arthritis Takeaways for Pharmacy Practice by Kenna Riley available at: https://pharmacy.uconn.edu/pediatric-id-and-immunization-updates/" 0 likes, 0 comments - pedsidandimmunization on January 20, 2026: "Pediatric Bacterial Arthritis Takeaways for Pharmacy Practice by Kenna Riley available at: https://pharmacy.uconn.edu/pediatric-id-and...

Bacterial arthritis in pediatrics, key takeaways for pharmacy practice by Kenna Riley. www.instagram.com/p/DTvxxhOiUq... Full article available pharmacy.uconn.edu/pediatric-id... #Rxsky

20.01.2026 20:52 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 1
A JAMA article titled "Influenza A(H3N2) Subclade K Virus Threat and Response" shows diagrams of the influenza virus, highlighting antigenic sites and amino acid changes. Labels indicate receptor-binding sites and glycosylation sites.

A JAMA article titled "Influenza A(H3N2) Subclade K Virus Threat and Response" shows diagrams of the influenza virus, highlighting antigenic sites and amino acid changes. Labels indicate receptor-binding sites and glycosylation sites.

πŸ’¬ Perspective: The rise of H3N2 subclade K may increase severe #influenza outcomes this season; available vaccines and antivirals remain important tools for prevention and treatment.

ja.ma/3MVJMt1

29.12.2025 13:00 πŸ‘ 7 πŸ” 3 πŸ’¬ 0 πŸ“Œ 1
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People at Increased Risk for Flu Complications Learn more about who is at higher risk of developing potentially serious flu complications.

4️⃣ 🚨 Treat early! Antivirals recommended for:
βœ”οΈ High-risk patients (incl children <2 / <5 yrs and adults β‰₯65 yrs)
βœ”οΈ Chronic medical conditions
βœ”οΈ Progressive disease
βœ”οΈ All hospitalized patients
πŸ”— Who is high risk? www.cdc.gov/flu/highrisk...
#PedsIDsky #RXsky

19.12.2025 19:52 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

3️⃣ 🦠 Influenza A (H3N2) predominates
➑️ ~90% of subtyped isolates ( ~90% of these = K subtype)
Luckily! πŸ’Š All tested strains remain susceptible to neuraminidase inhibitors (e.g., oseltamivir) and baloxavir
#PedsIDsky #RXsky

19.12.2025 19:52 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

2️⃣ 🌎 High / very high flu activity in ~1/3 of states
πŸ“ Southern New England, NY, NJ, LA, CO, ID, MI, SC
πŸ‘ΆπŸ“Š Highest outpatient/ED flu visits in younger age groups
#PedsIDsky #RXsky

19.12.2025 19:52 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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Weekly US Influenza Surveillance Report: Key Updates for Week 50, ending December 13, 2025 Seasonal influenza activity is low.

🧡 CDC FluView Update (12/19)
πŸ“ˆ Flu activity is rising: 2nd week above baseline
πŸ€’ ILI ~4% nationwide
πŸ§ͺ Flu test positivity ↑ ~15% this week
πŸ”— CDC FluView Week 50: www.cdc.gov/fluview/surv...
#PedsIDsky #RXsky

19.12.2025 19:52 πŸ‘ 3 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

πŸ“’ In a time where vaccine hesitancy is rising, the Pediatric Pharmacy Association’s Immunization Committee has published guidance on how to build immunization confidence through communication, education, and trusted resources.

Read more here: jppt.kglmeridian.com/view/journal...

#Rxsky

09.12.2025 19:57 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Grateful for the clear messages coming from @ameracadpeds.bsky.social @idsainfo.bsky.social @apha.org

05.12.2025 18:00 πŸ‘ 78 πŸ” 32 πŸ’¬ 2 πŸ“Œ 0
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The decision by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention to downgrade its recommendations to protect infants from hepatitis B is a dangerous move that will harm children.

Click here to read AAP's full statement: bit.ly/3Y9ZQJT

05.12.2025 16:15 πŸ‘ 1187 πŸ” 649 πŸ’¬ 35 πŸ“Œ 38
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New review finds no evidence to support delaying universal hepatitis B birth-dose vaccination

#ACIP votes to change the #hepatitisB #vaccine birth dose recommendation, ending the universal birth dose policies that have almost eliminated neonatal hepatitis B infection, cut pediatric infections by more than 95%, and prevented more than 6 million infections / a million hospitalizations.

05.12.2025 15:46 πŸ‘ 2 πŸ” 4 πŸ’¬ 1 πŸ“Œ 1
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CDC vaccine advisers appear likely to recommend delaying hepatitis B vaccine birth dose A panel that issues advice on U.S. vaccine policy appears prepared to vote Thursday to recommend a delay in when most babies begin to be vaccinated against hepatitis B.

It's hard to predict what the new #ACIP will do, but it looks like it will recommend that the universal birth dose for #hepatitisB be jettisoned. Experts warn even a delay of 2 months before the first dose will lead to chronically infected kids & deaths. www.statnews.com/2025/12/04/c...

04.12.2025 15:06 πŸ‘ 77 πŸ” 36 πŸ’¬ 2 πŸ“Œ 3
Next ACIP Meeting: Anticipated Votes Read draft vote language to be considered during the next ACIP meeting.

ACIP meeting is about to start. The updated proposed HepB vote language has been posted. www.cdc.gov/acip/meeting...

This language is confusing and if passed will result in more infants exposed.

05.12.2025 13:01 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

The vote was slightly different than what was published and was delayed until tomorrow so members were able to fully review the updated options and language before voting.

04.12.2025 21:32 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
False claims often link childhood vaccines, including the hepatitis B (HBV) vaccine, to sudden
infant death syndrome (SIDS). In reality, many studies have looked at this issue and found no
connection between vaccines and SIDS. While most studies examined the full set of childhood
vaccines rather than HBV alone, at least one study focused just on HBV and still found no link.
During this meeting, the ACIP committee is likely to cite this study which at first glance seemed
to have found a higher rate of SIDS deaths in the vaccinated group, but the total overall number
of unexpected infant deaths due to any cause was not statistically significantly different between
HBV vaccinated and unvaccinated groups (p=0.6). In the initial analysis, they looked at deaths
of infants who had received the Hep B vaccine. In this group, there were 8 SIDS deaths. By
contrast, the group of infant deaths in the matched unvaccinated group that was used for
comparison had no SIDS deaths, but did have a lot of other causes of death.
This initial imbalance likely reflects confounding: the matched unvaccinated infants were more
medically fragile or unhealthy overall, and at higher risk for mortality from other causes, making
them an inappropriate comparison group.
To address this, the authors calculated SIDS rates using the full populationβ€”240,717
vaccinated infants (including the 8 SIDS deaths mentioned above, 3.3 per 100,000 births), and
120,979 unvaccinated newborns (including four additional SIDS cases not captured in the
matched subset, also 3.3 per 100,000 births). The resulting identical rates (P = 0.99) show
no statistical difference in SIDS risk between HBV vaccinated and unvaccinated
newborns.

False claims often link childhood vaccines, including the hepatitis B (HBV) vaccine, to sudden infant death syndrome (SIDS). In reality, many studies have looked at this issue and found no connection between vaccines and SIDS. While most studies examined the full set of childhood vaccines rather than HBV alone, at least one study focused just on HBV and still found no link. During this meeting, the ACIP committee is likely to cite this study which at first glance seemed to have found a higher rate of SIDS deaths in the vaccinated group, but the total overall number of unexpected infant deaths due to any cause was not statistically significantly different between HBV vaccinated and unvaccinated groups (p=0.6). In the initial analysis, they looked at deaths of infants who had received the Hep B vaccine. In this group, there were 8 SIDS deaths. By contrast, the group of infant deaths in the matched unvaccinated group that was used for comparison had no SIDS deaths, but did have a lot of other causes of death. This initial imbalance likely reflects confounding: the matched unvaccinated infants were more medically fragile or unhealthy overall, and at higher risk for mortality from other causes, making them an inappropriate comparison group. To address this, the authors calculated SIDS rates using the full populationβ€”240,717 vaccinated infants (including the 8 SIDS deaths mentioned above, 3.3 per 100,000 births), and 120,979 unvaccinated newborns (including four additional SIDS cases not captured in the matched subset, also 3.3 per 100,000 births). The resulting identical rates (P = 0.99) show no statistical difference in SIDS risk between HBV vaccinated and unvaccinated newborns.

A study cited in today's ACIP meeting about Hep B and SIDS was misrepresented. The study's authors themselves have refuted an association.

04.12.2025 14:42 πŸ‘ 15 πŸ” 8 πŸ’¬ 0 πŸ“Œ 0

If anyone is looking for a bit more in depth info on the HBV vaccine, you may find this helpful www.cidrap.umn.edu/vaccine-inte...

04.12.2025 15:28 πŸ‘ 17 πŸ” 8 πŸ’¬ 1 πŸ“Œ 0
A "JAMA" article, published online December 3, 2025, titled "Universal Hepatitis B Vaccination at Birthβ€”Risks of Revising the Recommendation" by Michael S. Abers et al., discusses ACIP's review and a possible vote to eliminate the birth dose recommendation.

A "JAMA" article, published online December 3, 2025, titled "Universal Hepatitis B Vaccination at Birthβ€”Risks of Revising the Recommendation" by Michael S. Abers et al., discusses ACIP's review and a possible vote to eliminate the birth dose recommendation.

πŸ’¬Viewpoint: Eliminating universal hepatitis B birth dose vaccination risks an estimated 8% increase in annual perinatal #HepatitisB infections in the US, increasing preventable chronic disease burden. ja.ma/3Me0zHh

03.12.2025 15:45 πŸ‘ 50 πŸ” 33 πŸ’¬ 0 πŸ“Œ 5
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Today, ACIP is poised to vote on delaying the hepatitis B vaccine birth dose, a move that could put millions of kids at risk of lifelong disease. Read more about the implications of today’s vote in AAP News:
bit.ly/4rBt1TF

04.12.2025 14:24 πŸ‘ 30 πŸ” 27 πŸ’¬ 1 πŸ“Œ 5
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Answering Key Questions on Hepatitis B Birth Dose at a Critical Time | CGHE

The hepatitis B birth dose is an evidence-based measure to prevent cancer.

Here’s why it’s so important.

www.globalhep.org/news-blogs/a...

03.12.2025 15:44 πŸ‘ 10 πŸ” 7 πŸ’¬ 0 πŸ“Œ 1
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Do studies show that vaccines are safe? Explore the truth behind vaccine safety as we debunk claims that Hepatitis B clinical trials lacked thorough monitoring, emphasizing vaccines’ proven benefits.

Hepatitis B vaccines are safe, and a successful public health measure we've used for decades.

www.voicesforvaccines.org/jtf_topics/d...

04.12.2025 14:22 πŸ‘ 17 πŸ” 10 πŸ’¬ 0 πŸ“Œ 0

⚠️ ACIP draft language does NOT prohibit giving HepB birth dose…but it creates major confusion for clinicians & families.
β€’ Confusion β†’ missed doses
β€’ Missed doses β†’ preventable chronic infection
β€’ Chronic infection β†’ liver cancer & liver failure πŸ’”

Let’s keep protecting newborns. πŸ’™
#PedsIDsky #Rxsky

04.12.2025 13:39 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Next ACIP Meeting: Anticipated Votes Read draft vote language to be considered during the next ACIP meeting.

🚨 ACIP is proposing new HepB birth-dose language today.
πŸ‘‰ www.cdc.gov/acip/meeting...

Concerns:
β€’ Birth dose prevents lifelong HepB, liver cancer & liver disease
β€’ It remains a key public-health tool
β€’ Why the U.S. adopted this strategy πŸ‘‰ pharmacy.uconn.edu/2025/10/06/h...

#PedsIDsky #Rxsky

04.12.2025 13:39 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 1
Pediatric ID and Immunization Updates | UConn School of Pharmacy Resources for Pediatric ID and Immunization Updates for All AgesΒ  Mission:Β  To provide healthcare professionals with timely, evidence-based insights in ...

Late onset sepsis is a major issue in preterm infants.
Gm + bacteria remain the main pathogens.
Decreased MRSA detection has ➑️ decreased vanco txπŸ‘.
πŸ”‘ ASP opportunity ➑️ shorter treatment courses.

#Rxsky #PedsIDsky
Read Blog Post: s.uconn.edu/pediatric-id...
Video summary: youtu.be/_KETa4L9zUU

03.12.2025 19:02 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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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

21.11.2025 00:42 πŸ‘ 117 πŸ” 65 πŸ’¬ 3 πŸ“Œ 3
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Vaccines Gave Us Back Our Tomorrows. We’re Squandering Them More than half a century of vaccine progress is swiftly being undone because of politics and propaganda.

Since 1974, routine immunization has saved an estimated 154 million lives, making vaccines the single biggest driver of infant survival in the modern era. Vaccine hesitancy threatens this progress, @syramadad.bsky.social writes for the New York Academy of Sciences.
spr.ly/633277iNmZ

20.11.2025 20:46 πŸ‘ 8 πŸ” 4 πŸ’¬ 0 πŸ“Œ 0
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For decades, scientists have studied the potential causes of autism, and have repeatedly found no credible link between childhood vaccines and autism. Read our full fact-check:β€―β€―www.aap.org/en/news-room...

20.11.2025 20:00 πŸ‘ 58 πŸ” 43 πŸ’¬ 2 πŸ“Œ 2

Measles is highly contagious and highly preventable. Staying up to date with the MMR vaccine remains the best protection for children and communities.
#Rxsky #PedsIDsky

20.11.2025 19:28 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Measles Cases and Outbreaks Find the latest numbers of confirmed U.S. measles cases. CDC updates this page weekly.

πŸ“ˆ Measles cases continue to rise in the U.S.

CDC update (Nov 19), 1,753 measles cases in 42 states www.cdc.gov/measles/data...

πŸ”Ή 66% occured in 19 years or younger
πŸ”Ή 12% required hospitalization
 ‒ 21% of <5 years
 ‒ 7% of 5–19 years
πŸ”Ή 92% of all unvaccinated/unknown vaccination
#Rxsky #PedsIDsky

20.11.2025 19:28 πŸ‘ 5 πŸ” 3 πŸ’¬ 1 πŸ“Œ 0
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β€œSince 1998, independent researchers have conducted more than 40 high-quality studies involving over 5.6 million people. The conclusion is clear and unambiguous: There’s no link between vaccines and autism." -Dr. Susan Kressly, AAP President on recent changes to the CDC's website

20.11.2025 15:24 πŸ‘ 597 πŸ” 303 πŸ’¬ 7 πŸ“Œ 8