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

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/...

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...

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

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...

Adding some decor to my office 🌸🪡 #IDSky

Thanks to the Enterprise Antimicrobial Stewardship Program @mayoclinic.bsky.social for the opportunity to speak about cognitive bias in antimicrobial prescribing. It was great to share with and learn from this exceptional program! #WAAW2024 #USAAW2024 #FightAR

#AMR is an 'invisible' public health threat. Let's make it more visible! Check out these landmarks all across Canada illuminated in blue to highlight the importance of action against AMR www.google.com/maps/d/edit?... #GoBlueforAMR - dates included in map details

Feels right that my 1st post here should be to share this incredible RCT, led by my PhD supervisor Nick Daneman: www.nejm.org/doi/full/10.... Main takeaway: 7-days of abx should be the standard of care for patients with uncomplicated non-S. aureus BSI. A deep dive 🧵: #IDsky

@drrossanarosa.bsky.social and others: Development and validation of an antimicrobial stewardship clinical decision-support tool to improve the management of urinary tract infections versus asymptomatic bacteriuria in hospitalized patients bit.ly/4fAaHUx #IDsky

In honor of #WAAW, check out 10 Ways to Make the Most of World Antimicrobial Awareness Week! (It's from 2022 but still very relevant!) bit.ly/4fVLL9W #IDSky

we're here too! 🥳 #IDSky

Introducing AMR Aware Canada’s new campaign toolkit for #WAAW2024! Visit AMRAware.ca/campaign/ to download and share: ✅5 Things to Know About AMR poster ✅5 Things social media graphics ✅Go Blue social headers + virtual backgrounds #AMRSymposium2024

As it's World #AMR Awareness Week, you might be interested this recent review in The Lancet Microbe WHO global research priorities for antimicrobial resistance in human health www.thelancet.com/journals/lan... #WAAW #WAAW2024 #IDSky #MicroSky #OpenAccess #OA

It's World AMR Awareness Week! As a #WAAW tradition, join the 300,000+ others who completed the "Which Antibiotic Are You" personality quiz. It's a fun way to engage colleagues and the general public about #AMR. Try it here ➡️ quiz.tryinteract.com?fbclid=IwZXh... #WAAW2024 #IDSky

Ever wondered how to assess antibiotic stewardship practices at a global level? 🌍 Really excited to introduce this collaborative effort with CDC and global partners: the Global Antibiotic Stewardship Evaluation Tool bit.ly/4119bGP #IDtwitter #IDsky #myfirstskeet

Antimicrobial Stewards: what are your plans for World AMR Awareness Week? Here are 10 ideas to make the most of #WAAW2024 pmc.ncbi.nlm.nih.gov/articles/PMC...

Don't miss the Public Health Ontario rounds for #WAAW2024 Rethink the Rx: Reducing Unnecessary Antibiotic Prescribing in Primary Care Tuesday, Nov 19, 2024 | 12:00 pm to 1:00 pm EST 👇Register Here: www.publichealthontario.ca/en/Education...

We cannot afford to only focus on hospitals for antimicrobial stewardship Tons of antibiotics are dispensed by pharmacies, drug sellers and informal providers www.thelancet.com/journals/lan...