ASHE Journal
@ashejournal
Antimicrobial Stewardship & Healthcare Epidemiology, open access journal of the Society for Healthcare Epidemiology of America.
Impact of hemo-alert program on appropriate antimicrobial therapy in hospitalized patients with bacteremia: a quasi-experimental study doi.org/10.1017/ash....
Association between dentists’ awareness of antimicrobial resistance and selection of oral third-generation cephalosporins: a cross-sectional study doi.org/10.1017/ash....
Higher rates of theoretical antibiotic changes were acted upon post-standard of care culture results as compared to post-pneumonia PCR panel results in non-ICU patients with sputum specimens, suggesting a disconnect between pneumonia PCR results and provider action. doi.org/10.1017/ash....
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....
ICYMI, from @kp-idpharm.bsky.social: Delivering feedback to walk-in clinic providers on abx use was associated with temporary ⬇️ in antibiotic-prescribing but also changes in diagnostic coding (i.e., “gaming”)--monitor for changes in both when implementing outpatient metrics. doi.org/10.1017/ash....
Part 1 of a two-part series on outpatient antimicrobial stewardship interventions in immunocompromised patients: what has been studied, what are barriers to implementing interventions in this group, and how ASPs might overcome these challenges. doi.org/10.1017/ash....
In a retrospective cohort of adults with hematologic malignancies, hepatotoxicity during antifungal prophylaxis was infrequent and mild with both isavuconazole and posaconazole, with no statistically significant differences in incidence or timing. doi.org/10.1017/ash....
Can nurses lead outpatient UTI stewardship? This EHR-integrated triage tool improved symptom documentation, reduced unnecessary urine cultures, and cut antibiotic treatment of asymptomatic bacteriuria—all without increasing pyelonephritis. #ABXstewardship #NursingResearch doi.org/10.1017/ash....
SMX-TMP is commonly used as step-down therapy for gram-negative bacteremia. The results of this study indicate that patients who received low-dose (< 8 mg/kg TMP) had similar outcomes to those who received high-dose (>/= 8 mg/kg TMP). doi.org/10.1017/ash....
The authors summarize the evolution of technology in antimicrobial stewardship (AS) over the past 30 years and the future of artificial intelligence with AS. They also summarizes global disparities in AS and future opportunities to incorporate technology in AS globally. doi.org/10.1017/ash....
@id-jd-pharmd.bsky.social: Rapid BCID improved MSSA BSI care compared to conventional cx-based methods by enabling earlier β lactam therapy, leading to more desirable DOOR outcomes and⬇️AKI. Findings highlight the impact of faster organism ID in optimizing patient outcomes. doi.org/10.1017/ash....
Antibiotic overprescribing remains common in outpatient pediatrics. Using Medicaid claims, authors evaluated provider report cards as a scalable stewardship tool. Quarterly audit and feedback improved guideline concordance, diagnostic appropriateness, reduced cefdinir use. doi.org/10.1017/ash....
Hopefully you're catching "sports fever" rather than infectious fevers as the FIFA world cup continues this summer. SoundCloud: soundcloud.com/ashe-managin... Apple Podcast: podcasts.apple.com/us/podcast/e... Spotify: open.spotify.com/episode/0ReJ...
This review summarizes the very broad scope of antimicrobial stewardship in outpatient settings--a topic with a growing body of literature and increasing interest! doi.org/10.1017/ash....
A cross-sectional survey of 103 AMR stakeholders identified antimicrobial stewardship and environmental AMR as key gaps. Impact–Effort analysis highlighted priority areas for action, with no differences observed across sectors or career stages. doi.org/10.1017/ash....
Antimicrobial stewardship programs deliver substantial and sustained cost savings while enhancing patient safety and healthcare quality. This review demonstrates the value of targeted antimicrobial and diagnostic stewardship initiatives. doi.org/10.1017/ash....
From 2011-2022, outpatient antibiotic prescribing per capita declined overall, but rates for advanced practice clinicians rose—especially for nurse practitioners. Rates for NPs were highest in rural counties, likely reflecting their growing role in primary care. doi.org/10.1017/ash....
Antimicrobial stewardship interventions at a community health system were implemented after the 2019 community acquired pneumonia guidelines were published. This research evaluated the impact of interventions on antimicrobial stewardship in a pre-post implementation study. doi.org/10.1017/ash....
@rashaaelshenawy.bsky.social: New systematic review: Dental antimicrobial stewardship in India remains severely underdeveloped. Despite high AMR awareness, inappropriate prescribing is rampant due to knowledge gaps, lack of guidelines & training. #AMR #Dentistry #AntibioticStewardship #India
In a regional Australian hospital network, longer turnaround time for multiplex PCR testing in suspected CNS infection was associated with longer antimicrobial duration and hospital length of stay. Findings highlight diagnostic workflow as a potential AMS target. doi.org/10.1017/ash....
Adhesion of antibiotic-resistant bacteria to patient-applied thermoplastic medical devices doi.org/10.1017/ash....
@ghinwadumyati.bsky.social et al: In adults with first-episode of community- associated CDI, fidaxomicin was associated with a 50% lower risk of recurrence through 180 days compared with vancomycin. doi.org/10.1017/ash....
We describe a pseudo-outbreak of Y. enterocolitica in sputum cultures from four patients admitted with pneumonia. Whole genome sequencing (WGS) revealed that all isolates were genetically indistinguishable, suggesting a common but unidentified healthcare-associated source. doi.org/10.1017/ash....
Antimicrobial resistance before and after the COVID-19 pandemic in Northern Brazil doi.org/10.1017/ash....
A decade of Streptococcus pneumoniae bloodstream infections: a single-center retrospective analysis doi.org/10.1017/ash....
Last night at #SHEASpring2026, the editorial boards for @ichejournal.bsky.social and ASHE met and we all (particularly the EIC!) expressed gratitude to the authors, the reviewers, the editors, and the @sheaepi.bsky.social staff that keep us running.
This study presents a detailed policy analysis of AMS in National Action Plans across Africa, against a benchmark of relevant regional and global instruments. Results show good levels of alignment, while highlighting divergences to account for national priorities. doi.org/10.1017/ash....
Antimicrobial Resistance is a major global threat. This Nigerian teaching hospital study revealed key stewardship gaps such as poor documentation, rare 48-hour reviews, and limited culture-guided therapy. The findings show the urgent need for better stewardship to combat AMR. doi.org/10.1017/ash....