ASHE Journal

Dr. Mark Rupp: There is a great deal of beauty and goodness in the world, you just have to open your eyes to see it | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core Dr. Mark Rupp: There is a great deal of beauty and goodness in the world, you just have to open your eyes to see it - Volume 6 Issue 1

Careers in Healthcare: hear from Dr. Mark Rupp, "There is a great deal of beauty and goodness in the world, you just have to open your eyes to see it." doi.org/10.1017/ash....

Identifying and analyzing high-prescribers of opioids and antibiotics using medicare part D data | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core Identifying and analyzing high-prescribers of opioids and antibiotics using medicare part D data - Volume 6 Issue 1

@priyanori.bsky.social et al: Using 2023 Medicare Part D data from NY, high prescribers—defined as the top decile within their specialty—were associated with provider type, years in practice, gender, and patient panel characteristics. Targeted ASP strategies are warranted. doi.org/10.1017/ash....

Qualitative evaluation of a statewide antibiotic stewardship quality improvement sepsis intervention | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core Qualitative evaluation of a statewide antibiotic stewardship quality improvement sepsis intervention - Volume 6 Issue 1

This evaluation of a statewide intervention targeting broad-spectrum antibiotic use for sepsis highlights how statewide QI collaboratives can be effective in promoting hospital-based antibiotic stewardship. doi.org/10.1017/ash....

PEN-DEL: implementing penicillin allergy de-labeling in hospitalized older adults – a quality improvement initiative | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core PEN-DEL: implementing penicillin allergy de-labeling in hospitalized older adults – a quality improvement initiative - Volume 6 Issue 1

This quality improvement initiative, PEN-DEL, implemented penicillin allergy de-labelling in hospitalized elderly adults and demonstrated a 71% de-labelling rate within eligible patients. doi.org/10.1017/ash....

Approximating the cost-benefit analysis to a badge system to track hand hygiene in the hospital setting | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core Approximating the cost-benefit analysis to a badge system to track hand hygiene in the hospital setting - Volume 6 Issue 1

This study creates a model to estimate the impact of a badge system for tracking hand hygiene within the hospital setting. The associated healthcare savings are estimated based on the reduction of hospital acquired blood stream infections due to the increase in compliance. doi.org/10.1017/ash....

Challenging cases in infection prevention and control: proceedings from SHEA Spring 2025 | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core Challenging cases in infection prevention and control: proceedings from SHEA Spring 2025 - Volume 6 Issue 1

Three real-world infection prevention challenges—dropped surgical implants, hospital HVAC shutdowns, and cadaver use in ORs—highlight how hospital epidemiologists navigate high-stakes decisions when guidelines are limited, using evidence, risk assessment, and collaboration. doi.org/10.1017/ash....

Antimicrobial use and stewardship opportunities in Burkina Faso: findings from the first Global Point Prevalence Survey in eight hospitals | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core Antimicrobial use and stewardship opportunities in Burkina Faso: findings from the first Global Point Prevalence Survey in eight hospitals - Volume 6 Issue 1

This first Global Point Prevalence Survey in Burkina Faso reveals that 73% of hospitalized patients received antibiotics, mostly empirically. Findings highlight critical stewardship and diagnostic gaps, guiding actions to optimize antibiotic use nationwide doi.org/10.1017/ash....

APSIC revised guidelines for prevention of central line associated bloodstream infections (CLABSI): a summary and position statement | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core APSIC revised guidelines for prevention of central line associated bloodstream infections (CLABSI): a summary and position statement - Volume 6 Issue 1

This paper describes the 2024 revised APSIC CLABSI prevention guidelines. The recommendation is the use of quality improvement methodology in facility-wide implementation of a CLABSI prevention program. doi.org/10.1017/ash....

Nationwide data from Brazil (2008–2024) show rising hospitalizations for congenital infections, driven mainly by congenital syphilis, with marked regional disparities. Findings highlight ongoing gaps in prenatal care, surveillance, and maternal–child health services. doi.org/10.1017/ash....

The rise and fall of contact precautions: how does personal protective equipment fit into sustainable healthcare? | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core The rise and fall of contact precautions: how does personal protective equipment fit into sustainable healthcare? - Volume 5 Issue 1

New Editor's Choice! The rise and fall of contact precautions: how does PPE fit into sustainable healthcare? This article (@patrickching.bsky.social et al) summarizes the controversy around contact precaution use and imagines balancing prevention with sustainability. doi.org/10.1017/ash....

Gut check: antimicrobial stewardship opportunities in intra-abdominal infections | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core Gut check: antimicrobial stewardship opportunities in intra-abdominal infections - Volume 6 Issue 1

Gut check: This review highlights stewardship opportunities in intra-abdominal infections, focusing on SBP prophylaxis, antibiotic management of biliary infections and appendicitis, and optimizing amoxicillin-clavulanate and metronidazole dosing. doi.org/10.1017/ash....

Impact of institutional treatment guidance on the management and outcomes of Stenotrophomonas maltophilia and carbapenem-resistant Acinetobacter baumannii infections | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core Impact of institutional treatment guidance on the management and outcomes of Stenotrophomonas maltophilia and carbapenem-resistant Acinetobacter baumannii infections - Volume 5 Issue 1

The paper to which they are responding: doi.org/10.1017/ash....

Improved guideline adherence may not overcome evidence gaps in severe trimethoprim-sulfamethoxazole-resistant Stenotrophomonas maltophilia infection: a case-based perspective | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core Improved guideline adherence may not overcome evidence gaps in severe trimethoprim-sulfamethoxazole-resistant Stenotrophomonas maltophilia infection: a case-based perspective - Volume 6 Issue 1

In response to a recent ASHE study on Stenotrophomonas maltophilia, we present a case-based perspective highlighting the challenges of severe SXT-resistant infection, real-world treatment constraints, and the gap between guideline adherence and clinical outcomes. doi.org/10.1017/ash....

Enhancing infection prevention and control in behavioral health settings: barriers, facilitators, and tailored strategies | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core Enhancing infection prevention and control in behavioral health settings: barriers, facilitators, and tailored strategies - Volume 6 Issue 1

This review summarizes current evidence on infection prevention and control in behavioral health settings, highlighting key barriers and outlining practical facilitators and strategies to improve IPC implementation and sustainability. doi.org/10.1017/ash....

Incidence and risk factors for hospital-attributable central line-associated bloodstream infections in adult inpatients in a tertiary hospital | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core Incidence and risk factors for hospital-attributable central line-associated bloodstream infections in adult inpatients in a tertiary hospital - Volume 6 Issue 1

HA-CLABSI is associated with severe patient outcomes and is of concern globally. Published data on HA-CLABSI incidence and risk factors in Singaporean hospitals is limited. Our study aimed to determine HA-CLABSI risk factors to inform targeted infection prevention practices. doi.org/10.1017/ash....

APSIC guidelines for environmental hygiene: surface cleaning air and water quality in hospitals: 2025 update | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core APSIC guidelines for environmental hygiene: surface cleaning air and water quality in hospitals: 2025 update - Volume 6 Issue 1

In this Guideline, APSIC provides evidence and practices of environmental hygiene focusing on new recommendation on surface cleaning, air and water quality issues that relevant to practices in Asia Pacific. doi.org/10.1017/ash....

Spatial pattern and risk factors of resistance to important antibiotics among E. coli from veterans in seven U.S. Midwest states | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core Spatial pattern and risk factors of resistance to important antibiotics among E. coli from veterans in seven U.S. Midwest states - Volume 6 Issue 1

Geographic variations in rates of outpatient E. coli resistance among Midwest outpatient veterans were seen, while being male, having diabetes and previous exposure to antibiotics are significant risk factors for four classes of antibiotics. doi.org/10.1017/ash....

Episode 27: A Research Agenda For Burn Infection Prevention Hosted by Dr. Gonzalo Bearman and Dr. Priya Nori, this episode features Dr. Madhuri Sopirala, Dr. Werner Bischof, and Dr. David Weber discussing their recent ASHE publication, A research agenda for bu

While most of the US is 🥶 , warm up by listening to the latest podcast on the research agenda in burn infection prevention 🔥
on.soundcloud.com/eDiJkTFfb7nJ...

Infectious disease care is multidisciplinary, but how is the workforce distributed? A case study of Japan reveals major disparity (Gini 0.28–0.46). Only 56% of medical areas simultaneously comprise ID physicians, PharmD and nurses. Tailored regional policies are imperative. doi.org/10.1017/ash....

Can implementation of a complex outpatient antimicrobial therapy program reduce readmissions for patients with bone and joint infections? | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core Can implementation of a complex outpatient antimicrobial therapy program reduce readmissions for patients with bone and joint infections? - Volume 6 Issue 1

Creating an advanced practice provider-led Complex Outpatient Antimicrobial Therapy program at our institute improved post-discharge follow-up, strengthened outpatient antimicrobial monitoring and supported timely outpatient interventions for patients with complex infection. doi.org/10.1017/ash....

Routine admission urinalysis has low clinical utility in psychiatric hospitalizations | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core Routine admission urinalysis has low clinical utility in psychiatric hospitalizations - Volume 6 Issue 1

@triphammd.bsky.social: Only 1.7% of UA in psychiatry admissions led to the dx of a clinical UTI. Among those treated with abx, inappropriate prescriptions occurred in 71.3% of cases. Reassessment of psych admission criteria, education on judicious use of UAs is required. doi.org/10.1017/ash....

Outbreak of mucocutaneous Candida infections in newborns: clinical implications, investigation, and control measures | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core Outbreak of mucocutaneous Candida infections in newborns: clinical implications, investigation, and control measures - Volume 6 Issue 1

Outbreak of mucocutaneous Candida infections in newborns: clinical implications, investigation, and control measures doi.org/10.1017/ash....

Did you know you may be able to publish open access at no cost in SHEA’s journals?

Check whether your institution has an open access publishing agreement with Cambridge using the eligibility checker: www.cambridge.org/core/eligibi...

Identified needs in antimicrobial stewardship education for pediatric advanced practice providers: a qualitative analysis | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core Identified needs in antimicrobial stewardship education for pediatric advanced practice providers: a qualitative analysis - Volume 6 Issue 1

Education needs in antimicrobial stewardship for pediatric advanced practice providers. A qualitative study exploring perspectives of advanced practice providers and antimicrobial stewardship key stakeholders. doi.org/10.1017/ash....

We conducted a retrospective cohort study, to identify risk factors of post urological infections in patients with negative urine culture screening. We highlighted CKD stage III-V, and Revised Cardiac Risk Index (preoperative) > 2, as novel risks for postoperative infections. doi.org/10.1017/ash....

Implementation of an interruptive electronic health record alert improves optimal antibiotic prescribing in ambulatory patients with acute bacterial sinusitis: a quasi-experiment | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core Implementation of an interruptive electronic health record alert improves optimal antibiotic prescribing in ambulatory patients with acute bacterial sinusitis: a quasi-experiment - Volume 6 Issue 1

Implementation of an interruptive electronic health-record significantly improved optimal antibiotic use in outpatients with acute sinusutis. doi.org/10.1017/ash....