How can the EHR improve Antimicrobial Stewardship? 🏥💊 Our study of 136 prescriptions found only 37% included an indication and 75% a duration. ASPs should consider: ✅ Required indication/duration ✅ Reason for urine cultures ✅ Order sets with pre-filled info Read: doi.org/10.1017/ash....

@brxad.bsky.social et al: Is AMR a topic confined to our small echo chamber? Here are 4 strategies to help engage the other 99.9% in the conversation about AMR (happy #WAAW week!) doi.org/10.1017/ash....

It’s World AMR Awareness Week, and this year I had the honor to re-imagine and doodle the antibiotics in the antibiotic personality quiz 😇🖍️ Thank u @brxad.bsky.social for this amazing and fun opportunity! C’mon, take the quiz, it’s a #WAAW tradition 😉💊 #IDSky quiz.tryinteract.com#/59e68e3a8ec...

Solving #AMR requires all of us. Here are 4 ways to break the echo chamber and reach the other 99.9%: 🧠 Better knowledge translation 👨‍👩‍👦 Public engagement 🌏 One Health partnerships 👩‍⚖️ Science–policy collaboration Read more: doi.org/10.1017/ash.... #AMRAwareCA @ashejournal.bsky.social

Beyond the echo chamber: reframing AMR awareness efforts to reach the other 99.9% | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Beyond the echo chamber: reframing AMR awareness efforts to reach the other 99.9% - Volume 5 Issue 1

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Cross-sectional study of hospital antibiograms identifies areas for improvement that could help support clinical decision making & AMR monitoring: doi.org/10.1093/jaca... @brxad.bsky.social #JACAMRNews

An antibiotic audit-and-feedback intervention for family physicians targeting patients aged 65 and older was associated with a 7% reduction in antibiotic prescriptions for patients of all ages. https://ja.ma/3ImcG2W

New in JAC AMR - our review of antibiograms from 60 hospitals found ++ variability in design Many opportunities for improvement, for ex include: - detail about the population - guidance on how to interpret -info on how duplicate patients are handled doi.org/10.1093/jaca... #idsky

🆕 Evaluating BSI in Ontario we found #AMR was associated with a 10% ⬆️ risk of death equivalent to 1.2 deaths/100,000 people/year These estimates are lower than those in previous literature, which may be due to robust adjustment for confounding doi.org/10.1093/cid/... @cidjournal.bsky.social

From @brxad.bsky.social et al, a reminder global ID collaborations do and should continue to exist and strengthen in the current political landscape. doi.org/10.1017/ash....

📈 New Public Health Ontario epidemiology report: C. auris cases in Ontario are infrequent (22 cases, 2017–2024) but are gradually rising. 🧪 94% fluconazole resistant 🧪 35% amphotericin B resistant 🧪 0% echinocandin resistant 📊 Read more: bit.ly/4cIAwBg #AntimicrobialStewardship

🐶🐱 Companion animals need #AntimicrobialStewardship too! In our new SR/MA (led by Dr. Fiona Emdin), we examined short vs. long antibiotic durations for UTIs in dogs & cats.📉 Pooled RR for cure = 0.55 (95% CI: 0.23–1.27), very low certainty. 🔓 doi.org/10.1186/s129... More high-quality data needed!

Survey of US adults <65 yo comparing abx non-users to frequent users (>3x/year) in @jama.com Open Frequent abx users more likely to distrust science, want abx for viral URIs, need health literacy support, be medical maximizers, and had more comorbidities #IDSky jamanetwork.com/journals/jam...

🆕 in @ashejournal.bsky.social Another example of "you get what you pay for" - hospitals with designated funding/resources to support their antibiotic stewardship program had a 3.7X higher odds of participating in AMU reporting and benchmarking doi.org/10.1017/ash.... #IDSky

UTI vs "UTI" ⁉️ In this cohort of patients diagnosed with "UTI" only about 30% had symptoms consistent with infection. ED setting and patients with mental status changes are key opportunities for antibiotic stewardship. onlinelibrary.wiley.com/doi/10.1002/...

Antibiotic Overprescription for “Urinary Tract Infections” Is Associated With Poor Diagnostic Stewardship and Low Adherence to Guidelines

Purpose While urinary tract infections (UTIs) are thought to be common among women, as many as 65% of UTI diagnoses may be inaccurate. To identify strategies to improve antibiotic stewardship, we so...

onlinelibrary.wiley.com

Shorter is greener! 🍃♻️ Unnecessary antibiotics contribute to greenhouse gas emmissions. Want to know how much? 👉🏻 shorturl.at/52wOT Fantastic point! #IDSky #AMSsky

Local public health organizations have an important role to play in mitigating #AMR They should be leveraged for knowledge translation/mobilization, optimizing surveillance & establishing strategic collaborations https://doi.org/10.1093/jacamr/dlae187 @brxad.bsky.social @dianeashiru.bsky.social

CDC's Morbidity and Mortality Weekly Report (MMWR) has provided real-time data and analysis about disease outbreaks and emerging health threats without a break every week since 1960. Until today.

Enthused that our article on BCx stewardship during the BCx shortage made the best of OFID 2024! academic.oup.com/ofid/article...

Every Crisis Is an Opportunity: Advancing Blood Culture Stewardship During a Blood Culture Bottle Shortage

The current blood culture bottle shortage emphasizes the importance of diagnostic stewardship for blood cultures. We offer strategies for implementing bloo

academic.oup.com

Clinical Infectious Diseases@cidjournal.bsky.social · 2y ago

With 2024 officially in the books, the editors-in-chief of CID, JID, and OFID wish to share a curated selection of 16 outstanding papers from across all three IDSA journals. ⬇️ Browse the collection via the link below ⬇️

In order to mitigate #antimicrobialresistance, we need more stewards! This scoping review shows that local public health is a key player in knowledge dissemination, data collection & design and implementation of stewardship strategies: doi.org/10.1093/jaca...

Audit & feedback with peer comparison works to improve antibiotic prescribing in primary care. Now, health system leaders and policy-makers must take decisive steps to integrate this strategy into the healthcare system. qualitysafety.bmj.com/content/earl... 👏 @kevinschwartz.bsky.social

We found lower rates of bacterial infection in patients with SARS-CoV-2 compared to Flu and RSV. This is driven by lower rates of co-infection (<48h) in patients with COVID. NB: testing practices may also vary across infections and over time. doi.org/10.1093/ofid... @ofidjournal.bsky.social #IDSky

🆕in @cidjournal.bsky.social - our instrumental variable analysis of community-dwelling adults 66+ found that longer antibiotic courses were NOT associated with an increased benefit or harm compared to shorter courses. doi.org/10.1093/cid/... 🧵thread below #IDSky

Evaluating Harms Associated with Prolonged Antibiotic Duration of Therapy in Community Dwelling Older Adults: A Cohort Study using Instrumental Variable Analysis

In this instrumental variable analysis of 117,682 community-dwelling older adults prescribed amoxicillin, cephalexin, or ciprofloxacin, longer antibiotic c

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Antibiotic stewardship programs need dedicated funding to be effective. Hospital ASPs with funding & resources use less fluoroquinolones, anti-pseudomonal agents, and clindamycin. 🆕 in @ashejournal.bsky.social 📰 doi.org/10.1017/ash.... #IDSky

Just a little nudge (stewards love nudges!) that if you get an abstract accepted at SHEA Spring, we subsequently publish the supplement with them all in it 🤩#IDSky

A vital step in reducing unnecessary antibiotic use is getting patients and the general public on board. Here are some simple resources from the Public Health Agency of Canada explaining how to use antibiotics wisely 📃 www.canada.ca/en/health-ca...

This review article provides an overview of the "basics" in leveraging ambulatory antimicrobial stewardship measures to build a sustainable program. #IDsky bit.ly/3DbzU9r

OpenAI Sora's first depiction of an antimicrobial steward defending the population from unnecessary antibiotic prescriptions! Not quite ready for a feature film. 😆 #FightAR #AntibioticResistance #IDSky

SRMA of Antibiotic Audit and Feedback in Primary Care: 💊11% ⬇️prescribing volume ▶️23%⬇️in unnecessary initiation 💣17% ⬇️in broad-spectrum selection 🗓️13%⬇️in prolonged duration doi.org/10.1093/cid/ci… Great work by @kevinschwartz.bsky.social and team via @cidjournal.bsky.social

🆕✨Retrospective population-based cohort study examined infection risk after colonization for MRSA,VRE,ESBL& CPE over a 5-year period For all organisms the highest risk period of progression from colonization to infection was the first 90d #idsky #medsky academic.oup.com/ofid/advance...

Long-term Risk of Infection Among Patients Colonized with Antimicrobial Resistant Pathogens: A Population-wide Cohort Study

This was a retrospective population-based cohort study that examined infection risk after colonization for MRSA, VRE, ESBL, and CPE over a 5-year period us

academic.oup.com