The field of infectious diseases (ID) pharmacy is characterized by its dynamic nature, continuously adapting to new pathogens, evolving resistance patterns, and advancements in therapeutic and diagnostic modalities. This report synthesizes the latest research updates, primarily focusing on developments from 2024 and 2025, pertinent to ID pharmacists. It highlights their expanding roles, the impact of their interventions, and the critical challenges and opportunities shaping the specialty. The COVID-19 pandemic underscored the indispensable contributions of pharmacists in managing infectious threats , and recent research continues to build on this foundation, emphasizing their roles beyond traditional antimicrobial stewardship (AMS) into broader clinical consultation, public health, and research.

ID pharmacotherapy now impacts pharmacists across all specialties, necessitating a foundational understanding and continuous learning for a wide range of practitioners. The specialty of ID pharmacy, which initially arose from a need for consultancy in complex antimicrobial use cases, is now experiencing further expansion in its scope and responsibilities. This historical context is important for understanding the trajectory of the field. The pandemic experience has likely recalibrated expectations from healthcare systems, other providers, and the public regarding the capabilities and responsibilities of pharmacists in infectious diseases. Rather than a simple return to pre-pandemic duties, there appears to be an integration of pandemic-learned lessons and expanded roles into routine practice, demanding ongoing research, adaptation, and formal recognition and resourcing of these broadened responsibilities. Furthermore, if ID pharmacotherapy influences every pharmacist, generalist pharmacists will increasingly require specialized support. This elevates the ID pharmacist's role not only as a direct care provider but also as an educator, mentor, and consultant to other pharmacy professionals, thereby amplifying their impact across the healthcare system and underscoring the need for ID pharmacists to cultivate strong communication and leadership skills.