Antimicrobial Stewardship & Healthcare Epidemiology

In a retrospective study of positive multiplex molecular gastrointestinal pathogen tests sent for evaluation of infectious diarrhea, approximately one-third were associated with a change in antimicrobial treatment. Most of these changes were consistent with IDSA guidelines. https://lnkd.in/ejZicedx

High antibiotic use (77.6%) and low reliance on lab testing (2.4%) were observed at Tanga Regional Referral Hospital in Tanzania. Findings highlight the urgent need for antimicrobial and diagnostic stewardship to address inappropriate prescribing and reduce AMR risks. https://lnkd.in/eVmPBM9g

As folks return home from #IDWeek, we encourage you to look to ASHE for publishing your research! Here's some information about OA fees to explore publishing with us (the fees should not be a barrier!): https://lnkd.in/eqanfcU5

Immediate identification of patients receiving dialysis is important for patient safety! This simple surveillance tool is accurate & feasible for real-time use. https://lnkd.in/ezNqqTe3

Researchers surveyed physicians and patients to create a novel Desirability of Outcome Ranking for non-severe community acquired pneumonia. When comparing physician and patient preferences in outcomes, we found significant differences. https://lnkd.in/errxgduX

Effective blood culture shortage mitigation was noninferior for mortality, readmissions, nor ED visits in a rural population. Clinicians preferred mitigation strategies: in person communication, algorithms and order cascades. Regulatory pressure may cause unnecessary orders. https://lnkd.in/eJeNUagX

This paper demonstrates an association between Paxlovid prescribing and social vulnerability. Areas of low-medium social vulnerability index (SVI) had higher rates of Paxlovid prescriptions than those with low SVI. https://lnkd.in/e_x-9_Yv

A single center comparison showed no difference in restricted antibiotic prescription appropriateness between medical trainees and staff. https://lnkd.in/eUbPsdAT

Timely selection of empirical treatment for carbapenem-resistant Enterobacterales bacteremia is challenging in the absence of prior antibiotic exposure. We found that intensive care unit stay duration predicts CRE bacteremia, with a threshold of ≥8 days yielding 81% sensitivity. https://lnkd.in/e4TwnH79

Including antibiotic allergy evaluation as part of healthcare-associated infection point prevalence survey is a simple and effective way to combat antimicrobial resistance. https://lnkd.in/ea32QuqD