David Serota

@serotavirus

Infectious disease (🤒🤮) + addiction medicine (🍺💉) doctor in Miami. Infections due to substance use, HIV, S. aureus, pizza, antibiotic sommelier.

44Followers

171Following

45Posts total

34.4KViews on collected posts

Against accounts of the same size

5 posts from the last 90 days, next to the under 10K follower range. shown widely, but few of those viewers react.

Median views1 412this account2 028median for under 10K

Reach, %3209.09%this account145.30%median for under 10K

Engagement, %0.50%this account1.59%median for under 10K

Metric	This account	Median for under 10K	Ratio
Median views per post	1 412	2 028	0.70×
Reach (views ÷ followers)	32.1× audience	145.30%	22.1×
Engagement rate	0.50%	1.59%	0.31×

Others in this range → Compare with another account → How these benchmarks are built →

Growth & engagement

How the posts we collected actually performed: views and reaction rate post by post, what the audience did with them, and where the follower count goes.

Views per post

30K28 Aug

898

1.4K

145

Last 5 collected posts, oldest on the left. The scale is logarithmic: one post can outrun the rest a hundred times over.

Engagement rate per post

0.50%28 Aug

0.45%

0.78%

0.42%

0.69%

Reactions — likes, reposts, replies and quotes — divided by views. Median for under 10K accounts is 1.59%.

What the audience does

Likes46.8%117 in total

Reposts18.0%45 in total

Replies3.2%8 in total

Quotes1.2%3 in total

Bookmarks30.8%77 in total

Share of every reaction we collected for this account. Replies mean argument, reposts mean endorsement, bookmarks mean the post was worth keeping.

The follower curve appears once this account has two daily snapshots — we take one a day, and this one is on its first.

Latest posts

@serotavirus @ABsteward Similar dilemma exists for PsA VAP i think? 145 views · 1 likes · 0 reposts · 0 replies 28 Aug 2026 · Open on X →

@serotavirus @ABsteward Never thought CRP/procalcitonin would help decide stopping antibiotics for IE. Yet here we are.Relapse was 5.1% vs 1.6% with shortened therapy: E. faecalis appears to be doing much of the heavy lifting. Very intriguing. For E. faecalis, I’m not putting awa 1.4K views · 3 likes · 1 reposts · 2 replies 28 Aug 2026 · Open on X →

@ABsteward Similar idea to durapop study, which is also unintuitive. "We randomized people to get less antibiotics and our outcome is whether people got less antibiotics" https://t.co/KLBqPH2pFo 898 views · 6 likes · 1 reposts · 0 replies 28 Aug 2026 · Open on X →

@ABsteward Weird study. I think my takeaway is: okay to give 2 weeks less antibiotics for endocarditis. But if you do that, expect more recurrent bacteremia. But even taking that into account, there will be fewer abx used across the population? 2K views · 4 likes · 2 reposts · 3 replies 28 Aug 2026 · Open on X →

🆕🔥🔥POET II RCT NEJM Among patients with infective endocarditis on the left side of the heart, the use of a response-tailored antibiotic strategy* resulted in a longer time alive without antibiotic therapy than standard-duration therapy and met the criterion for noninferiority ht 30K views · 103 likes · 41 reposts · 3 replies 28 Aug 2026 · Open on X →