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ASHE Journal @ashejournal.bsky.social · 25/09/2026

PACCARB was established to advise the government on the increasing threat of AMR to public health. This commentary reviews PACCARB's history and role in AMR response including the National Action Plan, summarizes member perspectives, & outlines a call to action to ID & ASP. doi.org/10.1017/ash....

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From advisory to action: the case for preserving PACCARB in the fight against antimicrobial resistance | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

From advisory to action: the case for preserving PACCARB in the fight against antimicrobial resistance - Volume 6 Issue 1

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ASHE Journal @ashejournal.bsky.social · 25/09/2026

Recent Enterobacterales literature shows oral therapy is non-inferior to IV, and shorter durations are non-inferior to longer ones for uncomplicated BSIs. This study highlights real-world variability in the application of new literature & treatment of Enterobacterales BSIs. doi.org/10.1017/ash....

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ASHE Journal @ashejournal.bsky.social · 25/09/2026

Authors describe the maturation of a stewardship program over 12 years, demonstrating that handshake stewardship is both effective and sustainable, and that over time the focus shifted from decreased overall days of therapy per thousand patient days towards optimal use. doi.org/10.1017/ash....

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Handshake stewardship over a decade: refinement after successful implementation | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Handshake stewardship over a decade: refinement after successful implementation - Volume 6 Issue 1

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ASHE Journal @ashejournal.bsky.social · 25/09/2026

Outpatient sexual health care is an important setting for antimicrobial stewardship. This commentary discusses opportunities to integrate STI prevention and stewardship through diagnostic strategies, prescribing review, AMR surveillance, and patient-centered implementation. doi.org/10.1017/ash....

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Integrating antimicrobial stewardship into outpatient STI prevention and sexual health care | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Integrating antimicrobial stewardship into outpatient STI prevention and sexual health care - Volume 6 Issue 1

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ASHE Journal @ashejournal.bsky.social · 24/09/2026

Portable medical equipment plays a role in pathogen transmission. In a point-prevalence culture survey in 31 hospitals, 17% of portable devices were contaminated with 1 or more pathogens. These results suggest that efforts are needed to improve cleaning of portable equipment. doi.org/10.1017/ash....

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Contamination of portable equipment with healthcare-associated pathogens: a point-prevalence culture survey in 31 American hospitals | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Contamination of portable equipment with healthcare-associated pathogens: a point-prevalence culture survey in 31 American hospitals - Volume 6 Issue 1

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ASHE Journal @ashejournal.bsky.social · 24/09/2026

The rise of AMR is a consequence of the extensive use of antibiotics. The study aims at determining the factors that impact prescription, modifications and change of antibiotics during the hospital course in the PICU of a Tertiary Care Centre in South India. doi.org/10.1017/ash....

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Optimizing antibiotic therapy in the pediatric intensive care unit: a study of prescription trends | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Optimizing antibiotic therapy in the pediatric intensive care unit: a study of prescription trends - Volume 6 Issue 1

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ASHE Journal @ashejournal.bsky.social · 24/09/2026

A multicenter study of 1,081 patients and caregivers across six hospitals in India found important gaps in knowledge about antibiotic use despite generally positive attitudes. The findings highlight opportunities for education to support antimicrobial stewardship. doi.org/10.1017/ash....

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ASHE Journal @ashejournal.bsky.social · 24/09/2026

This scoping review summarizes pharmacist contributions to penicillin allergy assessment and de-labeling in antimicrobial stewardship programs, highlighting risk stratification, testing approaches, and opportunities to improve antibiotic use and patient safety. doi.org/10.1017/ash....

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Pharmacist-led penicillin allergy interventions and delabeling outcomes: a scoping review | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Pharmacist-led penicillin allergy interventions and delabeling outcomes: a scoping review - Volume 6 Issue 1

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ASHE Journal @ashejournal.bsky.social · 24/09/2026

Outpatient antibiotic prescribing in Switzerland from 2019 to 2023 shows that most prescriptions are issued by providers outside the registered primary care physician. Stewardship efforts should extend beyond primary care to include the broader outpatient network. doi.org/10.1017/ash....

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ASHE Journal @ashejournal.bsky.social · 24/09/2026

The implementation of a novel, multidisciplinary and multifaceted TOC-PAT initiative increased the overall proportion of appropriate OPAT regimens prescribed at hospital discharge. doi.org/10.1017/ash....

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TOC-PAT: a novel approach to discharge stewardship | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

TOC-PAT: a novel approach to discharge stewardship - Volume 6 Issue 1

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ASHE Journal @ashejournal.bsky.social · 23/09/2026

Female external urine wicking devices (FEUWDs) are an alternative to indwelling urinary catheters that may decrease the risk of urinary tract infection. A FEUWD impregnated with zinc pyrithione and thiabendazole inhibited growth of bacterial and fungal pathogens. www.cambridge.org/core/journal...

cambridge.org

https://www.cambridge.org/core/journals/antimicrobial-stewardship-and-healthcare-epidemiology/article/efficacy-of-zinc-pyrithione-preservative-incorporated-into-a-female-external-urine-wicking-device-in-reducing-growth-of-healthcareassociated-pathogens-a-laboratory-evaluation/B7C182D3673599950AF279048E95468B

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ASHE Journal @ashejournal.bsky.social · 23/09/2026

How should we hospitalize neonates to promote HAI prevention? For a scoping review on open bays vs. single rooms, we found only 10 comparative studies. Not surprisingly, evidence is mixed, depends on your context. Study flags lots of gaps in NICU design and IP research. #NICU doi.org/10.1017/ash....

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ASHE Journal @ashejournal.bsky.social · 14/09/2026

From @brxad.bsky.social et al: A 2026 survey found that while 96% of hospitals have ASP programs, significant under-resourcing persists. Despite advances in clinical decision support and allergy assessments, lack of funding will continue to limit impact in the future. doi.org/10.1017/ash....

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Mind the gap: a cross-sectional study of antimicrobial stewardship program resources and practice in Ontario hospitals | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Mind the gap: a cross-sectional study of antimicrobial stewardship program resources and practice in Ontario hospitals - Volume 6 Issue 1

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ASHE Journal @ashejournal.bsky.social · 14/09/2026

Identifying non-prescriber-related factors related to antibiotic consumption is crucial for targeting audit and feedback interventions. We report that patient factors establish a more accurate baseline for surveillance and suggest targets for intervention. doi.org/10.1017/ash....

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Predicting antibiotic consumption in internal medicine departments: a derivation and validation study of patient-related factors | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Predicting antibiotic consumption in internal medicine departments: a derivation and validation study of patient-related factors - Volume 6 Issue 1

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ASHE Journal @ashejournal.bsky.social · 11/09/2026

In this post hoc analysis of the GRACE-VAP trial, withholding empirical anti-MRSA therapy in patients without Gram-positive cocci clusters on Gram stain was not associated with worse clinical outcomes, supporting a more targeted antimicrobial stewardship approach in VAP. doi.org/10.1017/ash....

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ASHE Journal @ashejournal.bsky.social · 11/09/2026

Trial examining randomized controlled trials supporting chlorhexidine use in preventing hospital-acquired infections to evaluate effects of industry funding and investigator conflicts of interest out comes found there may be more favorable outcomes in industry funded trials doi.org/10.1017/ash....

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Associations between industry involvement and outcomes of clinical trials evaluating chlorhexidine | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Associations between industry involvement and outcomes of clinical trials evaluating chlorhexidine - Volume 6 Issue 1

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ASHE Journal @ashejournal.bsky.social · 10/09/2026

This study is a quality improvement evaluation assessing the impact of pharmacist-driven asymptomatic bacteriuria (ASB) intervention on antimicrobial therapy for ASB. Following implementation, we observed a marked decrease in antimicrobial days of therapy. doi.org/10.1017/ash....

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Implementation of pharmacist-led intervention on asymptomatic bacteriuria treatment in adults patients | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Implementation of pharmacist-led intervention on asymptomatic bacteriuria treatment in adults patients - Volume 6 Issue 1

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ASHE Journal @ashejournal.bsky.social · 10/09/2026

Natural disasters are increasing in the US and globally. This manuscript provides guidance on identification and management of key infectious diseases in disasters using best practices from scientific resources. doi.org/10.1017/ash....

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ASHE Journal @ashejournal.bsky.social · 10/09/2026

Infections affect up to 70% of multiple myeloma patients after CAR-T therapy and remain a major cause of complications. doi.org/10.1017/ash....

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ASHE Journal @ashejournal.bsky.social · 10/09/2026

Over-the-counter antibiotic access remains common in Somalia, posing challenges to ASP and efforts to curb antimicrobial resistance. This letter highlights key drivers of inappropriate antibiotic use and outlines practical policy actions to strengthen respon doi.org/10.1017/ash....

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Over-the-counter antibiotic access in Somalia: a growing challenge for antimicrobial stewardship | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Over-the-counter antibiotic access in Somalia: a growing challenge for antimicrobial stewardship - Volume 6 Issue 1

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ASHE Journal @ashejournal.bsky.social · 10/09/2026

A survey of 239 Irish university students found high AMR knowledge (77.9%) and positive attitudes (74%), yet 18% reported non-prescribed antibiotic use and 38% held misconceptions about AMR. Low campaign awareness highlights need for targeted student AMR education. doi.org/10.1017/ash....

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Antimicrobial resistance knowledge and behaviors in Irish university students: gaps and opportunities for educational campaigns | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Antimicrobial resistance knowledge and behaviors in Irish university students: gaps and opportunities for educational campaigns - Volume 6 Issue 1

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ASHE Journal @ashejournal.bsky.social · 10/09/2026

@alexmarra.bsky.social: Pregnant people with non-viral reproductive tract co-infections face ⬆️ risks of preterm birth, NICU admission, & neonatal death than those with mono-infections, underscoring the need for broader infx screening & early intervention in prenatal care. doi.org/10.1017/ash....

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ASHE Journal @ashejournal.bsky.social · 10/09/2026

@muspharmacist.bsky.social: An educational intervention significantly enhanced pharmacists' understanding of ASP and clinical decision-making in pharyngitis management, empowering them to apply tools like Centor/McIsaac scores for more rational antibiotic use. doi.org/10.1017/ash....

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ASHE Journal @ashejournal.bsky.social · 10/09/2026

Antimicrobial stewardship in a Ghanaian surgical setting revealed a gap between recommendation acceptance and implementation. Workflow disruptions and system barriers limited impact, pointing to the need for integrated, system-level interventions. doi.org/10.1017/ash....

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ASHE Journal @ashejournal.bsky.social · 10/09/2026

An ExpertTWIN eConsult-based stewardship program at a hospital without on-site ID specialists reduced carbapenem use; was associated with favorable changes in antimicrobial use, resistance patterns, & culture submission, with no clear changes in mortality or length of stay. doi.org/10.1017/ash....

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ASHE Journal @ashejournal.bsky.social · 10/09/2026

@chrishopkins123.bsky.social: This qualitative study interviewed a range of clinicians and identified 4 main themes for behavioral & social influences on clinicians to send urine cultures. Diagnostic stewardship intervention must address layers of influence to be effective. doi.org/10.1017/ash....

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ASHE Journal @ashejournal.bsky.social · 03/09/2026

An antimicrobial stewardship application in 2 pediatric settings revealed high levels of use. Of users, >70% self-reported using the recommendations and 97% an impact on practice. This is a potentially useful tool to optimize prescribing, particularly in outpatient settings. doi.org/10.1017/ash....

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ASHE Journal @ashejournal.bsky.social · 03/09/2026

Offloading the cognitive and administrative burden of vaccine record review and recommendation development from PCPs to a dedicated virtual team meaningfully improved adult vaccination rates. doi.org/10.1017/ash....

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ASHE Journal @ashejournal.bsky.social · 02/09/2026

Fungal blood cultures rarely detected fungal pathogens not found in paired standard blood cultures, with added findings in only 0.4% of cases. This corresponded to an annual institutional cost of approximately $102,613.50 to detect the additional 4 fungi per year. 💰️ doi.org/10.1017/ash....

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Reevaluating the role of fungal blood cultures in clinical practice | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Reevaluating the role of fungal blood cultures in clinical practice - Volume 6 Issue 1

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ASHE Journal @ashejournal.bsky.social · 02/09/2026