How Pharmacist-led Interventions Can Improve Discharge Antibiotic Use
A conversation on antimicrobial stewardship with Kushal Naik, PharmD, MBA.
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The Burden of Clostridioides Difficile
A study looked at hospital admissions of Medicare patients and saw a large percentage of recurrent Clostridioides difficile infections (rCDI) as the primary diagnosis.
Mandatory Stop Dates, Indication Documentation Do Not Impact Length of Antibiotic Therapy
No difference was observed in any of the outcomes and there was no impact on the duration of therapy.
Evaluating Safety and Efficacy Protocols of Graded Dose Challenge and Desensitization
GDC and DSENS were both seen to be safe and effective tools to optimize therapy in the study participants.
Shorter Prescription Stop Dates Do Not Influence Antibiotic Treatment Duration
An effort to increase stewardship showed that 5-day and 10-day prescription stop dates for antibiotics did little to influence actual therapy length and outcomes.
Developing a Severity Score to Better Assess COVID-19
A diagnostic analyzer was studied looking at 3 biomarkers to predict the level of COVID-19, and could potentially serve as a risk stratification tool.
Antibiotic Prescribing, Guideline Adherence May Vary by Care Setting
An assessment from the Cleveland Clinic shows prescribing concordant to guidelines can exceed 60% in certain facilities.
Antimicrobial Stewardship Opportunities in Non-Neutropenic Oncology Patients
Almost half of the participants in the study had an opportunity to improve their antibiotic regimen.
Effectiveness of a Pediatric Antimicrobial Stewardship Program in a Community Hospital
The pilot program was demonstrated to significantly reduce days of antibiotic therapy.
Pharmacist-led Intervention to Improve Antibiotic Use at Hospital Discharge
More than half of the pharmacist led interventions were accepted by providers during the intervention period.
Impact of COVID-19 on Outpatient Daily Life
A majority of the study participants experienced symptoms that interfered with activities of their daily life.
Understanding Recurrent Clostridioides Difficile Infection and Hospitalization
A large retrospective analysis of Medicare patients offers a glimpse of the incidence rates of this patient population and the burdens associated with it.
Tocilizumab Could Treat Cytokine Release Syndrome in Severe COVID-19 Patients
The IL-6 targeting monoclonal antibody is linked to improved inflammatory and hemodynamic markers in hospitalized patients.
Assessing Antimicrobial Stewardship Interventions on Discharge Antibiotic Regimens
Interventions implemented by pharmacists were more likely to be accepted by prescribers.
Fidaxomicin, Vancomycin Provide Similar C Difficile Initial Cure, Mortality Rates
A meta-analysis suggest the 2 first-line C diff therapies provide similar outcomes, yet differ in recurrent infection risk.
Utilizing an EMR to Increase Infectious Disease Consultations
Study finds communicating on Electronic Medical Record (EMR) led to follow-up with infectious disease providers.
Identifying Associated Risk Factors for Persistent Vancomycin Resistant Enterococcal Bacteremia
In-hospital mortality and recurrent bacteremia occurred in 58% and 17% of patients with persistent VRE BSIs.
Pharmacist-Led Flu Shot Screening Leads to Improved Community Immunization
A concerted effort to increase flu vaccination during the COVID-19 pandemic resulted in more protection among a high-risk population, as well as educational opportunities for pharmacy students.
Evaluating the Efficacy of Daptomycin and Ceftaroline for the Treatment of MRSAB
Rates of in-hospital mortality and days with bacteremia were similar between the two study cohorts.
Antimicrobial Stewardship During the Time of COVID-19
Antimicrobials were commonly prescribed during the first wave of the pandemic, and clinicians were successfully guided by antimicrobial stewardship programs.
Examining COVID-19 Transmission After First-Dose of Vaccine in LTCF
Increased facility-level vaccine coverage amongst residents and staff was associated with lower cases in the latter population.
Improving Urine Collection Poses Opportunity for Diagnostic Stewardship in Primary Care
More than half of urine cultures were found to be contaminated and 1 in 5 of the patients were prescribed an antibiotic.
Communication in Hospital-Based Antimicrobial Stewardship
Social identity plays an important role in how antimicrobial stewards see their roles and influences how they communicated with prescribers.
Tuberculosis Testing in New HIV Patients Does Not Effect ART Regimen
A comparative study of same-day and seven-day TB test results show there is little difference in HIV treatment adherence or outcomes at 48 weeks.
HTI Vaccine Regimen Shows Immunogenicity in HIV Patients
Phase 1/2 trial results showed the immunomodulary vaccine regimen could induce significant T-cell response in patients with HIV.
Treating with Monoclonal Antibodies for COVID-19 Prevention, Progression
A bamlanivimab study showed a 72% reduction in the incidence of COVID-19 and an 80% reduction of progression in the virus in residents in assisted living facilities and nursing staff.
Improving Mental Health in Older Adults Living With HIV
Managing mental health in adults living with HIV is paramount during the COVID-19 pandemic.
Should TB Treatment Move into Long-Acting Injectables?
While at the earliest stages of potential development, long-acting/extended release (LA/ER) formulations for treatment and prevention of TB could be something to be studied in the future.
Impact of COVID-19 on HIV Testing in Children and Adolescents
Index testing declined in countries including Malawi, Lesotho and Zimbabwe.