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We surveyed acute-care hospitals on strategies to reduce inappropriate testing and treatment of colonized patients. Decision support during test ordering was common, but "hard stops" to prevent placement of inappropriate orders and active intervention of antimicrobial stewardship programs on positive test reports were infrequent.
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http://dx.doi.org/10.1017/ice.2021.133 | DOI Listing |
Microbiol Spectr
September 2025
Medical Laboratory Department, College of Health and Medical Technology, Sulaimani Polytechnic University, Sulaymaniyah, Iraq.
Unlabelled: The environmental pollution from the misuse of antimicrobial drugs is fueling selection pressure in bacteria, thereby exacerbating the threat to global health. In Iraq, the situation is made worse by the poor implementation of the World Health Organization's Global Antimicrobial Resistance and Use Surveillance System (WHO-GLASS). Consequently, this study aimed to increase surveillance of the spread of antimicrobial resistance in Sulaymaniyah, Iraq.
View Article and Find Full Text PDFInfect Control Hosp Epidemiol
September 2025
Department of Social Medicine and Health Management, School of Public Health, Wuhan University, Wuhan City, Hubei Province, China.
Objective: Antimicrobial resistance (AMR) is a global health challenge, highlighting the need for antibiotic stewardship policies. We evaluated the impact of the National Action Plan to Contain Antimicrobial Resistance (2022-2025) on antibiotic use among primary healthcare institutions (PHIs) in Central China.
Design: A segmented interrupted time-series analysis from January 2021 to December 2023.
Antimicrob Steward Healthc Epidemiol
September 2025
Department of Palliative and Supportive Care, The Lois U. and Harry R. Horvitz Palliative Medicine Program, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH, USA.
Background: Antimicrobials are frequently prescribed to hospice patients despite limited data on their utility. The Palliative Performance Scale (PPS) has been used for survival prediction among cancer patients and further generalized to end-of-life (EOL) diagnoses. This study aims to identify characteristics associated with antimicrobial usage within 30 days of EOL in non-hospitalized outpatient hospice patients from a single center in the United States (US).
View Article and Find Full Text PDFAntimicrob Steward Healthc Epidemiol
September 2025
Department of Obstetrics and Gynecology, Division of Maternal/Fetal Medicine, Prisma Health Upstate, Greenville, SC, USA.
Antimicrobial resistance is an urgent public health threat, and despite significant consumption of antimicrobials in pregnancy, there remain opportunities for improvement of their use in the obstetric population. Improvement in antimicrobial utilization can be streamlined by assessing baseline characteristics, utilization of diagnostic testing, awareness of peripartum protocols, and recognition of penicillin allergies. In a single healthcare system including 8 obstetric hospitals, an administrative review identified 199 different regimens used among 8,528 patients based on American College of Obstetrician and Gynecologists (ACOG) guidelines.
View Article and Find Full Text PDFAntimicrob Steward Healthc Epidemiol
August 2025
Pharmacy Department, Blacktown Hospital, Blacktown, NSW, Australia.
Background: Effective antimicrobial stewardship (AMS) programs must address the needs of culturally and linguistically diverse (CALD) patients who often experience language barriers and varying cultural beliefs regarding antibiotics. They are at greater risk of receiving suboptimal or inappropriate care, yet guidance to support AMS practices for this population remains limited.
Aim: To investigate antibiotic knowledge, perspectives, and experiences of CALD patients.