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Bradley Langford @brxad.bsky.social · 17/09/2026

Overwhelmed by the volume and speed of #AntimicrobialStewardship research? The Stewardship Brief cuts through the noise. It combines expert curation with AI to rank and deliver top research daily. Build your reference library & get custom alerts: www.stewardshipbrief.com

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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....

doi.org

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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Dr. Susan Sutherland @sesuth.bsky.social · 06/08/2026

Webinar announcement for those interested in Dental Antimicrobial Stewardship: From Point of Care to Practice Change: Antimicrobial Stewardship for Dental Conditions Register Here: 👉 lnkd.in/gi_Z_SP6

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ASHE Journal @ashejournal.bsky.social · 29/06/2026

@brxad.bsky.social: This study of a pharmacist-led prospective audit and feedback intervention in retirement homes was not associated with significant uptake, however it identified important barriers, facilitators and potential strategies to support AMS in retirement homes. doi.org/10.1017/ash....

doi.org

Advancing antimicrobial stewardship programs in retirement homes: a quality improvement pilot using prospective audit and feedback | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Advancing antimicrobial stewardship programs in retirement homes: a quality improvement pilot using prospective audit and feedback - Volume 6 Issue 1

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Bradley Langford @brxad.bsky.social · 19/12/2025

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....

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ASHE Journal @ashejournal.bsky.social · 19/11/2025

@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....

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Rossana Rosa @drrossanarosa.bsky.social · 18/11/2025

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...

A screen shot of the antibiotic personality quiz

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Bradley Langford @brxad.bsky.social · 16/11/2025

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

doi.org

Beyond the echo chamber: reframing AMR awareness efforts to reach the other 99.9% | Antimicrobial Stewardship & Healthcare Epidemiology | Cambridge Core

Beyond the echo chamber: reframing AMR awareness efforts to reach the other 99.9% - Volume 5 Issue 1

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JAC-AMR @jac-amr.bsky.social · 08/07/2025

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

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JAMA Network Open @jamanetworkopen.com · 01/07/2025

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. ja.ma/3ImcG2W

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Bradley Langford @brxad.bsky.social · 17/06/2025

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

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Bradley Langford @brxad.bsky.social · 16/05/2025

🆕 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

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ASHE Journal @ashejournal.bsky.social · 30/04/2025

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....

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Bradley Langford @brxad.bsky.social · 18/04/2025

📈 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

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Bradley Langford @brxad.bsky.social · 18/04/2025

🐶🐱 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!

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Jonathan Ryder, MD @jonathanrydermd.bsky.social · 23/03/2025

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...

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Bradley Langford @brxad.bsky.social · 19/03/2025

🆕 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

Visual abstract illustrating teaching hospitals, larger hospitals, and those with designated funding and/or resourcing for their antibiotic stewardship program were more likely to participate in antibiotic use tracking and reporting

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José Molina @josemolinagb.bsky.social · 12/02/2025

Shorter is greener! 🍃♻️ Unnecessary antibiotics contribute to greenhouse gas emmissions. Want to know how much? 👉🏻 shorturl.at/52wOT Fantastic point! #IDSky #AMSsky

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JAC-AMR @jac-amr.bsky.social · 15/01/2025

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 doi.org/10.1093/jacamr/dlae187 @brxad.bsky.social @dianeashiru.bsky.social

doi.org

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Dr. Tom Frieden @drtomfrieden.bsky.social · 23/01/2025

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.

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Bradley Langford @brxad.bsky.social · 13/01/2025

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...

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Bradley Langford @brxad.bsky.social · 12/01/2025

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

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Bradley Langford @brxad.bsky.social · 06/01/2025

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

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Bradley Langford @brxad.bsky.social · 26/12/2024

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

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ASHE Journal @ashejournal.bsky.social · 16/12/2024

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

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Bradley Langford @brxad.bsky.social · 23/12/2024

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...

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Bradley Langford @brxad.bsky.social · 13/12/2024

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

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Bradley Langford @brxad.bsky.social · 08/12/2024

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

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Antibiotic Steward 🅱️C🆔🅿️🌟 @absteward.bsky.social · 02/12/2024

🆕✨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...

academic.oup.com

Long-term Risk of Infection Among Patients Colonized with Antimicrobial Resistant Pathogens: A Population-wide Cohort Study

This was a retrospective population-based cohort study that examined infection risk after colonization for MRSA, VRE, ESBL, and CPE over a 5-year period us

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Rossana Rosa @drrossanarosa.bsky.social · 29/11/2024

Adding some decor to my office 🌸🪡 #IDSky

A small canvas with embroidered message “Shorter is Better”

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Bradley Langford @brxad.bsky.social · 23/11/2024

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

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Bradley Langford @brxad.bsky.social · 21/11/2024

#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

google.com

Go Blue for AMR - Google My Maps

During World AMR Awareness Week, landmarks illuminate blue to highlight the threat of AMR. Most landmarks on Nov 24, check description for the date for each site. www.AMRaware.ca

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Sean Ong @seanong.bsky.social · 21/11/2024

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

nejm.org

Antibiotic Treatment for 7 versus 14 Days in Patients with Bloodstream Infections | NEJM

Bloodstream infections are associated with substantial morbidity and mortality. Early, appropriate antibiotic therapy is important, but the duration of treatment is uncertain. In a multicenter, non...

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ASHE Journal @ashejournal.bsky.social · 20/11/2024

@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

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ASHE Journal @ashejournal.bsky.social · 19/11/2024

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

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ASHE Journal @ashejournal.bsky.social · 19/11/2024

we're here too! 🥳 #IDSky

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Bradley Langford @brxad.bsky.social · 20/11/2024

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

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Onisillos @onisillos.bsky.social · 18/11/2024

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

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Bradley Langford @brxad.bsky.social · 18/11/2024

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

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payalpatel.bsky.social @payalpatel.bsky.social · 12/11/2024

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

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Bradley Langford @brxad.bsky.social · 11/11/2024

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...

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Bradley Langford @brxad.bsky.social · 11/11/2024

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...

publichealthontario.ca

Rethink the Rx: Reducing Unnecessary Antibiotic Prescribing in Primary Care | Public Health Ontario

This PHO Rounds provides practical, evidence-informed strategies for optimizing antibiotic use and preventing overprescribing in primary care.

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Madhu Pai, MD, PhD @madhupai.bsky.social · 20/09/2024

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...

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