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ASHE Journal

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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 · 18h

Healthcare trainees born between 1999-2005 in our study had approximately 70% anti-HBs titers ≥10 mIU/mL, regardless of their reported vaccination history. However, one in four had titers below the protective threshold, despite self-reports of a complete vaccination schedule. doi.org/10.1017/ash....

ASHE Journal @ashejournal.bsky.social · 1d

@idatuic.bsky.social: During a national blood culture bottle shortage, UI Health implemented a stewardship intervention that safely ⬇️ blood culture utilization by 60% while maintaining stable sepsis outcomes, demonstrating the value of rapid, multidisciplinary stewardship. doi.org/10.1017/ash....

Lessons learned from a diagnostic stewardship intervention in response to a blood culture bottle supply shock | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Lessons learned from a diagnostic stewardship intervention in response to a blood culture bottle supply shock - Volume 5 Issue 1

ASHE Journal @ashejournal.bsky.social · 1d

The implementation of an ASP in the pediatric ICUs of a Peruvian center was associated with a significant 12% reduction in average antibiotic consumption. These findings underscore the vital role of ASPs in fostering appropriate and rational antibiotic use.

ASHE Journal @ashejournal.bsky.social · 1d

Public health pharmacists identified key publications that advance antimicrobial stewardship (AS) implementation across care settings. This work highlights the role of public health in guiding AS efforts and promoting appropriate antibiotic use.
doi.org/10.1017/ash....

ASHE Journal @ashejournal.bsky.social · 1d

Retrospective, single-center quality improvement study, which included a pre- and post-implementation analysis of a pharmacist-led anti-MRSA therapy bundle, we observed a notable increase in pharmacist interventions, with a high provider acceptance rate.
doi.org/10.1017/ash....

Retrospective, single-center assessment of a pharmacist-led anti-methicillin-resistant Staphylococcus aureus (MRSA) therapy bundle to enhance antimicrobial stewardship | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Retrospective, single-center assessment of a pharmacist-led anti-methicillin-resistant Staphylococcus aureus (MRSA) therapy bundle to enhance antimicrobial stewardship - Volume 5 Issue 1

ASHE Journal @ashejournal.bsky.social · 1d

This study from @bacil-kadi.bsky.social et al evaluated the impact of an antimicrobial stewardship bundle in the urgent care setting to further investigate how to more effectively practice stewardship in the outpatient setting. doi.org/10.1017/ash....

Integrating an antimicrobial stewardship bundle into advanced urgent care sites | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Integrating an antimicrobial stewardship bundle into advanced urgent care sites - Volume 5 Issue 1

ASHE Journal @ashejournal.bsky.social · 2d

This study addresses the unintended consequences of China’s Volume-Based Procurement (VBP) policy on antimicrobial overuse by implementing a novel “dual-review mechanism” led by clinical pharmacists and infectious disease specialists. doi.org/10.1017/ash....

Clinical pharmacist-led Antimicrobial Stewardship under volume-based procurement: a retrospective quasi-experimental study on rational use and resistance control | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Clinical pharmacist-led Antimicrobial Stewardship under volume-based procurement: a retrospective quasi-experimental study on rational use and resistance control - Volume 5 Issue 1

ASHE Journal @ashejournal.bsky.social · 2d

This multicenter cross-sectional study can help inform the approach to implementing universal respiratory virus admission testing should the need arise again in the future. doi.org/10.1017/ash....

Comparing two admission respiratory virus testing strategies during periods of increased SARS-CoV-2 incidence: a multicenter cross-sectional study | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Comparing two admission respiratory virus testing strategies during periods of increased SARS-CoV-2 incidence: a multicenter cross-sectional study - Volume 5 Issue 1

ASHE Journal @ashejournal.bsky.social · 2d

This multicenter study highlights delays in blood culture positivity for Candida endocarditis and supports b-D-Glucan testing as a valuable tool for earlier diagnosis, especially in high-risk patients. Early detection aids timely antifungal treatment and improved outcomes. doi.org/10.1017/ash....

Assessment of the time taken for blood culture positivity in infectious endocarditis due to Candida and an analysis of the utility of beta-D-glucan in early detection of Candida endocarditis: a multicenter retrospective study | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Assessment of the time taken for blood culture positivity in infectious endocarditis due to Candida and an analysis of the utility of beta-D-glucan in early detection of Candida endocarditis: a…

ASHE Journal @ashejournal.bsky.social · 5d

Few studies evaluate implementation of antimicrobial stewardship in rural settings. Tele-stewardship activities are likely to benefit outpatient rural settings, though further implementation research is needed. doi.org/10.1017/ash....

ASHE Journal @ashejournal.bsky.social · 5d

Patients discharged with surgical drains were interviewed to determine how the drains were managed and potential risk factors. Post-operative drain care instruction was revised as a result of differences identified between patients with SSI compared to those without SSI. doi.org/10.1017/ash....

Surgical site infections and the discharge care of surgical drains following spinal fusions: a qualitative inquiry | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Surgical site infections and the discharge care of surgical drains following spinal fusions: a qualitative inquiry - Volume 5 Issue 1

ASHE Journal @ashejournal.bsky.social · 5d

National Healthcare Safety Network… we need to talk…
doi.org/10.1017/ash....

National Healthcare Safety Network… we need to talk… | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

National Healthcare Safety Network… we need to talk… - Volume 5 Issue 1

ASHE Journal @ashejournal.bsky.social · 5d

We described the efficacy of decolonization treatments given in Hospital District of Southwest Finland (HDSWF). Of the patients successfully followed up, 78.3 % were decolonized. Decolonization treatment was effective in outpatient settings in our hospital district. doi.org/10.1017/ash....

Decolonization of methicillin-resistant Staphylococcus aureus – effectiveness of decolonization treatment | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Decolonization of methicillin-resistant Staphylococcus aureus – effectiveness of decolonization treatment - Volume 5 Issue 1

ASHE Journal @ashejournal.bsky.social · 8d

Authors describe a machine learning model that uses structured data from the electronic health record to accurately stratify antibiotic necessity and appropriateness. doi.org/10.1017/ash....

A machine learning model to predict optimal antibiotic use in hospital medicine patients | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

A machine learning model to predict optimal antibiotic use in hospital medicine patients - Volume 5 Issue 1

ASHE Journal @ashejournal.bsky.social · 8d

Risk factors for surgical site infection following hysterectomy: nine-year experience at a large safety-net hospital network in New York City--is it really a good definition? doi.org/10.1017/ash....

Risk factors for surgical site infection following hysterectomy: nine-year experience at a large safety-net hospital network in New York City | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Risk factors for surgical site infection following hysterectomy: nine-year experience at a large safety-net hospital network in New York City - Volume 5 Issue 1

ASHE Journal @ashejournal.bsky.social · 8d

@aprildyerid.bsky.social et al: A novel abx use denominator, targeted abx use admission, is defined as an inpt admission in which a select agent/group of agents is administered. Used in combo with length of therapy, it allows programs to quickly assess agent inpt durations. doi.org/10.1017/ash....

ASHE Journal @ashejournal.bsky.social · 9d

Fighting AntimicroBial Resistance in Carceral Settings (FABRICS) study on antibiotics prescribing in New England prisons--read on: doi.org/10.1017/ash....

Fighting AntimicroBial Resistance in Carceral Settings (FABRICS) study on antibiotics prescribing in New England prisons | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Fighting AntimicroBial Resistance in Carceral Settings (FABRICS) study on antibiotics prescribing in New England prisons - Volume 5 Issue 1

ASHE Journal @ashejournal.bsky.social · 9d

The misuse of antibiotics in poultry farm worsens AMR. A survey in Enugu State found 90.5% used antibiotics, mainly for infections (80.5%) and growth (61%). Ampicillin (75%) was most used. Yet, 65% were unaware of AMR. Stricter regulations and education are needed. doi.org/10.1017/ash....

Reposted by ASHE Journal

Society for Healthcare Epidemiology of America (SHEA) @sheaepi.bsky.social · 15d

New on The ASHE Podcast!

Dr. Brittany Rodriguez, Dr. Andrea Prinzi, and Dr. Denver Niles share key takeaways from the inaugural AMR Summit, held in November 2024, including rapid diagnostics, implementation science, and strategies for engaging hospital leadership.

🎧 Listen: bit.ly/46WUkP1

ASHE Journal @ashejournal.bsky.social · 15d

This study reveals high levels of multidrug-resistant bacterial contamination on surfaces in a Ugandan hospital mortuary. Findings highlight gaps in infection control practices and underscore the need for improved hygiene, disinfection, and antimicrobial stewardship.
doi.org/10.1017/ash....

ASHE Journal @ashejournal.bsky.social · 16d

@ritikaprasad.bsky.social @stanfordasp.bsky.social @marisa-holubar.bsky.social: The inpatient mandatory indication field outperformed the ICD-10 in inferring dc abx indications, and can be used to assess abx appropriateness without needing manual chart review.
doi.org/10.1017/ash....

Unraveling indications for discharge antibiotics: the Devil’s in the details | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Unraveling indications for discharge antibiotics: the Devil’s in the details - Volume 5 Issue 1

ASHE Journal @ashejournal.bsky.social · 18d

A single-center study evaluated primary oral vancomycin prophylaxis in high-risk ICU patients during a Clostridioides difficile outbreak. Following implementation, HO-CDI rates declined without a notable increase in vancomycin-resistant enterococci. doi.org/10.1017/ash....

Use of primary oral vancomycin prophylaxis to stem an outbreak of Clostridioides difficile infection in intensive care patients | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Use of primary oral vancomycin prophylaxis to stem an outbreak of Clostridioides difficile infection in intensive care patients - Volume 5 Issue 1

ASHE Journal @ashejournal.bsky.social · 18d

Antimicrobial optimization based on negative results from both BFP and respiratory culture may potentially reduce unnecessary antibiotic exposure and AKI in hospitalized patients with suspected pneumonia without increasing the risk of mortality and readmission. doi.org/10.1017/ash....

ASHE Journal @ashejournal.bsky.social · 19d

Across 3 facilities, 47% of high prescribers of broad-spectrum hospital-onset (BSHO) agents continued to prescribe high in the subsequent periods versus 24% for high anti-MRSA agents prescribers. Persistence of high prescribing adds credibility to our metric for BSHO agents doi.org/10.1017/ash....

Estimating the likelihood of hospitalists to repeatedly prescribe high rates of antibiotics | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Estimating the likelihood of hospitalists to repeatedly prescribe high rates of antibiotics - Volume 5 Issue 1

ASHE Journal @ashejournal.bsky.social · 19d

First provision of a digital antibiotic allergy reassessment tool into patients medical record system in Germany--in surgical patients with reported allergy to beta-lactam-antibiotics. doi.org/10.1017/ash....

Digital five-step questionnaire to enhance standard perioperative prophylaxis in surgical patients with reported allergy to beta-lactam-antibiotics | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Digital five-step questionnaire to enhance standard perioperative prophylaxis in surgical patients with reported allergy to beta-lactam-antibiotics - Volume 5 Issue 1