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ASHE Journal

@ashejournal.bsky.social

Antimicrobial Stewardship & Healthcare Epidemiology, open access journal of the Society for Healthcare Epidemiology of America. https://www.cambridge.org/core/journals/antimicrobial-stewardship-and-healthcare-epidemiology

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ASHE Journal@ashejournal.bsky.social · 1h ago

Effectiveness of chlorine for the control of carbapenem-resistant gram-negative bacilli in the drainage network of a high-complexity healthcare facility doi.org/10.1017/ash....

Effectiveness of chlorine for the control of carbapenem-resistant gram-negative bacilli in the drainage network of a high-complexity healthcare facility | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Effectiveness of chlorine for the control of carbapenem-resistant gram-negative bacilli in the drainage network of a high-complexity healthcare facility - Volume 6 Issue 1

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ASHE Journal@ashejournal.bsky.social · 7h ago

This systematic review explores how ASP strategies such as education and handshake stewardship are implemented and how they impact antimicrobial use. Findings highlight diverse approaches and opportunities to strengthen implementation for improved outcomes doi.org/10.1017/ash....

Systematic review of implementing stewardship activities to promote appropriate antimicrobial use | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Systematic review of implementing stewardship activities to promote appropriate antimicrobial use - Volume 6 Issue 1

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ASHE Journal@ashejournal.bsky.social · yesterday

Hospital-wide analysis of 10M+ admissions found potention preventable CR-BSI cases had 3–5x higher costs ($162–$187K vs $40–$44K), 38–44 excess LOS days, 3–6x higher mortality. Excess hospital days drove the burden. Preventing PPCRIs could save ~$100K and 4 bed-days/case. doi.org/10.1017/ash....

Increased cost of care and length of stay due to potentially preventable catheter-related infections in US inpatient data, 2022–2023 | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Increased cost of care and length of stay due to potentially preventable catheter-related infections in US inpatient data, 2022–2023 - Volume 6 Issue 1

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ASHE Journal@ashejournal.bsky.social · 2w ago

@sustainabil-id.bsky.social: In an effort to “bust” myths related to IPC and single-use plastics, we surveyed IPC experts regarding their perceptions of common practices that may be considered myths regarding the use of single-use plastics in IPC.

Popular infection prevention myths related to single-use plastics | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Popular infection prevention myths related to single-use plastics - Volume 6 Issue 1

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ASHE Journal@ashejournal.bsky.social · 2w ago

In this multicenter retrospective cohort of patients with ESBL E. coli UTIs, oral step-down therapy was associated with a statistically significant ⬇️ in median venous catheter line days without worse clinical outcomes when compared to treatment with IV carbapenems alone. doi.org/10.1017/ash....

Retrospective multicenter evaluation of oral step-down versus intravenous carbapenem treatment of extended-spectrum beta-lactamase-producing Escherichia coli urinary tract infections | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Retrospective multicenter evaluation of oral step-down versus intravenous carbapenem treatment of extended-spectrum beta-lactamase-producing Escherichia coli urinary tract infections - Volume 6 Issue…

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ASHE Journal@ashejournal.bsky.social · 2w ago

A pharmacist-driven empiric IV vanco restriction protocol improved prescribing appropriateness and lowered monitoring burden. This model is a practical, effective strategy for institutions seeking to enhance antibiotic stewardship, particularly those with limited resources. doi.org/10.1017/ash....

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ASHE Journal@ashejournal.bsky.social · 2w ago

Development and usability evaluation of an antimicrobial stewardship mHealth CDSS in Pakistan showed that the COMBACT mobile app supports decision-making for common infections, and highlights usability strengths and gaps, informing improvements for LMIC clinical adoption. doi.org/10.1017/ash....

Development, implementation, and usability evaluation of an mHealth-based clinical decision-support system for strengthening antimicrobial stewardship among physicians in Pakistan: a mixed-methods study | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Development, implementation, and usability evaluation of an mHealth-based clinical decision-support system for strengthening antimicrobial stewardship among physicians in Pakistan: a mixed-methods…

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ASHE Journal@ashejournal.bsky.social · 2w ago

During 2023-2024, only 42% of hospitalized children with influenza in Western, NY received antivirals. Comorbidities, illness severity, symptoms, and parent and provider factors such as applying outpatient guidelines to inpatients impacted treatment decisions. doi.org/10.1017/ash....

Clinical decision-making and documentation gaps associated with influenza antiviral treatment in hospitalized children | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Clinical decision-making and documentation gaps associated with influenza antiviral treatment in hospitalized children - Volume 6 Issue 1

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ASHE Journal@ashejournal.bsky.social · 2w ago

@aditi.ramakrishnan.bsky.social @jonathanrydermd.bsky.social: As doxy PEP ⬆️ , there is a new urgency to develop stewardship of doxy PEP and STI care diagnostics. In this piece, we explore opportunities for synergy between the fields of antimicrobial stewardship and STI's. doi.org/10.1017/ash....

The intersection of sexually transmitted infections and antimicrobial stewardship: opportunities for synergy | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

The intersection of sexually transmitted infections and antimicrobial stewardship: opportunities for synergy - Volume 6 Issue 1

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ASHE Journal@ashejournal.bsky.social · 2w ago

Respiratory mPCR testing was associated with antimicrobial treatment modifications in hospitalized patients with CAP, predominantly through treatment de-escalation following pathogen detection. doi.org/10.1017/ash....

Respiratory multiplex PCR and antimicrobial treatment modification in hospitalized patients with community-acquired pneumonia | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Respiratory multiplex PCR and antimicrobial treatment modification in hospitalized patients with community-acquired pneumonia - Volume 6 Issue 1

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ASHE Journal@ashejournal.bsky.social · 2w ago

Outcomes of patients with Candidozyma auris vs. Candida glabrata and C. krusei: the after-effect of lifetime contact precautions doi.org/10.1017/ash....

Outcomes of patients with Candidozyma auris vs. Candida glabrata and C. krusei: the after-effect of lifetime contact precautions | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Outcomes of patients with Candidozyma auris vs. Candida glabrata and C. krusei: the after-effect of lifetime contact precautions - Volume 6 Issue 1

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ASHE Journal@ashejournal.bsky.social · 2w ago

@pamipenem.bsky.social et al: Among 300 pregnant pts with IAI tx’d with cefoxitin vs. triple tx, more pts received cefoxitin w/in 60-90 mins v triple (69.3% v 4.7%, p < 0.001). Time to effective abx was shorter w/ cefoxitin (76.4 v 183.7 mins, p < 0.001). doi.org/10.1017/ash....

Time to antibiotic administration in intra-amniotic infections: impact of cefoxitin monotherapy versus traditional antibiotic therapy | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Time to antibiotic administration in intra-amniotic infections: impact of cefoxitin monotherapy versus traditional antibiotic therapy - Volume 6 Issue 1

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ASHE Journal@ashejournal.bsky.social · 3w ago

Authors reviewed patients with FRI following lower extremity fracture fixation looking at perioperative ppx, infecting organism, time to infection. Infection with organisms resistant to cefazolin did not develop earlier, suggesting that broader prophylaxis may not be needed 🦠 doi.org/10.1017/ash....

Is cefazolin an appropriate choice for preoperative prophylaxis in patients undergoing surgery for fracture-related infection | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Is cefazolin an appropriate choice for preoperative prophylaxis in patients undergoing surgery for fracture-related infection - Volume 6 Issue 1

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ASHE Journal@ashejournal.bsky.social · 3w ago

A multidrug-resistant organism tracking and alert system is associated with lower MRSA and CP-CRE infection rates at Veterans Affairs Medical Centers doi.org/10.1017/ash....

A multidrug-resistant organism tracking and alert system is associated with lower MRSA and CP-CRE infection rates at Veterans Affairs Medical Centers | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

A multidrug-resistant organism tracking and alert system is associated with lower MRSA and CP-CRE infection rates at Veterans Affairs Medical Centers - Volume 6 Issue 1

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ASHE Journal@ashejournal.bsky.social · 3w ago

This study is relevant, especially given the global push to move AMS from hospital setting into the community. In a region like Akwa-Ibom, Nigeria, community pharmacists are often the first point of contact for patients, making their role critical in the fight against AMR. doi.org/10.1017/ash....

Antimicrobial stewardship in community pharmacies in Uyo, Akwa Ibom State: practices, barriers, and facilitators | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Antimicrobial stewardship in community pharmacies in Uyo, Akwa Ibom State: practices, barriers, and facilitators - Volume 6 Issue 1

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ASHE Journal@ashejournal.bsky.social · 4w ago

Provider-targeted pharmacist-driven QI study of uncomplicated community acquired pneumonia resulted in 28.7% ⬇️ in antibiotic overuse from 6.75±1.75 to 6.24±1.47 days, p=0.001 (N=222 pre-intervention patients, N=170 post-intervention, target of 5 days per IDSA guidelines) doi.org/10.1017/ash....

A 5-day antibiotic stewardship target for uncomplicated community-acquired pneumonia | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

A 5-day antibiotic stewardship target for uncomplicated community-acquired pneumonia - Volume 6 Issue 1

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ASHE Journal@ashejournal.bsky.social · 4w ago

Intravenous push antibiotics were associated with decreased median time from sepsis identification to antibiotic administration for septic patients, increased adherence to practice guidelines and reduced Emergency Department length of stay. doi.org/10.1017/ash....

Impact of intravenous push antibiotics on sepsis management at a Veterans Affairs medical center emergency department | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Impact of intravenous push antibiotics on sepsis management at a Veterans Affairs medical center emergency department - Volume 6 Issue 1

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ASHE Journal@ashejournal.bsky.social · 4w ago

Where antibiotic time-outs work: department- and ward-stratified effects of a pharmacist-led anti-MRSA time-out doi.org/10.1017/ash....

Where antibiotic time-outs work: department- and ward-stratified effects of a pharmacist-led anti-MRSA time-out | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Where antibiotic time-outs work: department- and ward-stratified effects of a pharmacist-led anti-MRSA time-out - Volume 6 Issue 1

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ASHE Journal@ashejournal.bsky.social · 4w ago

Current status and challenges in the assessment of antibiotic allergy information in electronic health records: a retrospective observational study of perioperative patients doi.org/10.1017/ash....

Current status and challenges in the assessment of antibiotic allergy information in electronic health records: a retrospective observational study of perioperative patients | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Current status and challenges in the assessment of antibiotic allergy information in electronic health records: a retrospective observational study of perioperative patients - Volume 6 Issue 1

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ASHE Journal@ashejournal.bsky.social · 4w ago

How should we use multiplex gastrointestinal polymerase chain reaction (GI-PCR) tests of the stool for the evaluation of infectious diarrhea in immunocompromised cancer patients? doi.org/10.1017/ash....

Improving syndromic testing in oncology: performance characteristics of multiplex PCR assays for evaluation of infectious gastroenteritis among hospitalized cancer patients | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Improving syndromic testing in oncology: performance characteristics of multiplex PCR assays for evaluation of infectious gastroenteritis among hospitalized cancer patients - Volume 6 Issue 1

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