Enrique Castro-Sánchez @castrocloud.bsky.social · 05/12/2025www.theguardian.com/society/2025...theguardian.comRising racism blamed for collapse in number of foreign nurses coming to UKNumber of overseas nurses and midwives registered between April and September was half that of a year ago 020
Enrique Castro-Sánchez @castrocloud.bsky.social · 01/12/2025If your AMS role vanished tomorrow… what would your ward, facility, health system lose? And how would you prove it, in numbers, not just narratives? Full reflection here: open.substack.com/pub/theamsnu... #AMR #Nursing #Stewardship #HealthEconomics #AMS #IPC #PatientSafety 000
Enrique Castro-Sánchez @castrocloud.bsky.social · 01/12/2025AMS programmes save money. But unless nursing contributions are made visible, they risk disappearing at budget time. 100
Enrique Castro-Sánchez @castrocloud.bsky.social · 01/12/2025From COM-B–based engagement tools to nursing-sensitive stewardship outcomes, we now have ways to show what nurses already do, and what their work is worth. 100
Enrique Castro-Sánchez @castrocloud.bsky.social · 01/12/2025My new The AMS Nurse Substack post asks a simple question with big consequences: If we don’t measure the value of AMS nursing, how can we argue for sustainable funding? 100
Enrique Castro-Sánchez @castrocloud.bsky.social · 01/12/2025We talk a lot about “empowering nurses” in stewardship, but not enough about securing the roles themselves. 100
Enrique Castro-Sánchez @castrocloud.bsky.social · 01/12/2025Why antimicrobial stewardship (AMS) nursing needs an economic story… AMS nurses are doing some of the most safety-critical work in the hospital… yet many posts are temporary, seconded, or funded year-to-year. 111
Enrique Castro-Sánchez @castrocloud.bsky.social · 12/11/2025My post on The AMS Substack sits in that uneasy space between praise and permission, asking what real partnership in stewardship might look like, and what it costs to keep showing up when the system still doesn’t always listen. open.substack.com/pub/theamsnu...open.substack.comBetween Admiration and Authority: How Far Does Nursing Partnership in Antimicrobial Stewardship Really Go?When the pharmacist calls for collaboration, but the system still resists it. 010
Enrique Castro-Sánchez @castrocloud.bsky.social · 12/11/2025Yet, in the quiet moments of practice, during the IV review that went unnoticed, or the hesitant suggestion that gets waved away, admiration starts to sound a little hollow. 110
Enrique Castro-Sánchez @castrocloud.bsky.social · 12/11/2025There’s a particular kind of melancholy that comes with being admired but not quite trusted. Often, colleagues from other professions say that nurses are essential. The evidence agrees. 110
Enrique Castro-Sánchez @castrocloud.bsky.social · 10/11/2025Epidemics test our values as much as our systems. When fear rises, will we choose compassion or blame? Our editorial argues for solidarity, because dignity is a public health intervention. doi.org/10.1002/nop2...doi.orgThe Stigmatisation of Men Who Have Sex With Men in the Spread of Mpox: Are We Repeating the Mistakes of HIV?The 2022 mpox outbreak disproportionately affected men who have sex with men (MSM), leading to targeted public health interventions. While data supported prioritising MSM, this focus risks reviving s... 010
Enrique Castro-Sánchez @castrocloud.bsky.social · 10/11/2025Nurses are at the frontlines of inclusion. We listen, educate, advocate, often when others won’t. In mpox, as in HIV, nursing leadership can rebuild trust and confront stigma. 100
Enrique Castro-Sánchez @castrocloud.bsky.social · 10/11/2025HIV taught us that solidarity and empowerment save lives. Mpox reminds us that stigma still shapes outbreak response. Let’s not repeat history, let’s rewrite it with empathy and evidence. 110
Enrique Castro-Sánchez @castrocloud.bsky.social · 10/11/2025Stigma doesn’t stop infection, but it fuels it. When communities feel blamed, they disengage from prevention, testing, and care. Public health language matters. 100
Enrique Castro-Sánchez @castrocloud.bsky.social · 10/11/2025The 2022 mpox outbreak hit MSM communities hardest. But focusing only on risk groups risks repeating old narratives. Epidemiology can’t justify stigma. Public health must protect people, not just populations. 100
Enrique Castro-Sánchez @castrocloud.bsky.social · 10/11/2025Our new Nursing Open editorial is out: “The Stigmatisation of Men Who Have Sex With Men in the Spread of Mpox: Are we repeating the mistakes of HIV?" doi.org/10.1002/nop2... #Nursing #PublicHealth #Equity #Mpoxdoi.orgThe Stigmatisation of Men Who Have Sex With Men in the Spread of Mpox: Are We Repeating the Mistakes of HIV?The 2022 mpox outbreak disproportionately affected men who have sex with men (MSM), leading to targeted public health interventions. While data supported prioritising MSM, this focus risks reviving s... 110
Enrique Castro-Sánchez @castrocloud.bsky.social · 28/10/2025My new The AMS Nurse reflection, written during #ESICM2025, asks what would change if we recognised critical-care nursing vigilance as leadership. Read more theamsnurse.substack.com/p/in-the-cru...theamsnurse.substack.comIn the Crucible of Care: Why the Critical Care Nurse Is (another!) Unsung Hero of Antibiotic StewardshipReflections from the European intensive care frontlines of antimicrobial resistance 010
Enrique Castro-Sánchez @castrocloud.bsky.social · 28/10/2025Two decades of research show the pattern: when nurses prompt, question, and advocate, antibiotic use falls … but hierarchy and workload still silence those voices. 110
Enrique Castro-Sánchez @castrocloud.bsky.social · 28/10/2025ICU nurses see antibiotics started, hung, reviewed, and stopped. They are the 24-hour sentinels of antimicrobial stewardship; yet still one of the most overlooked leaders in the room. 110
Enrique Castro-Sánchez @castrocloud.bsky.social · 28/10/2025The ICU is the crucible of care — where every decision can save a life … or feed resistance. 110
Enrique Castro-Sánchez @castrocloud.bsky.social · 27/10/2025Looking ahead Community health workers already save lives every day. With the right systems, they can also protect the effectiveness of antibiotics for generations. It’s time to see them as key agents of change in the work to prevent and address #AMR. 🔗 doi.org/10.1136/bmjg...doi.orgInvolvement of community health workers in antimicrobial stewardship interventions and programmes: a scoping reviewIntroduction Antimicrobial resistance (AMR) poses a global health threat, especially in low-income and middle-income countries. Community health workers (CHWs) are key actors in infection management a... 000
Enrique Castro-Sánchez @castrocloud.bsky.social · 27/10/2025Policy implications Our review calls for CHWs to be formally integrated into national AMS policies. They need clear scopes of practice, fair pay, and ongoing learning opportunities. Investing in CHWs means investing in equity and resilience. #CommunityHealth 100
Enrique Castro-Sánchez @castrocloud.bsky.social · 27/10/2025Training & Support Training makes the difference. Where CHWs had structured AMS education, supervision & feedback tools, outcomes improved—better adherence to guidelines, fewer unnecessary prescriptions. Without that support, progress stalls. #AMR #Stewardship 100
Enrique Castro-Sánchez @castrocloud.bsky.social · 27/10/2025What we found Across 8 studies in Uganda, Tanzania, Zambia, Pakistan, Bangladesh & Kenya, CHWs helped prevent, detect & treat infections—often reducing inappropriate antibiotic use. But their stewardship role is rarely formalised or supported. #GlobalHealth 100
Enrique Castro-Sánchez @castrocloud.bsky.social · 27/10/2025Why this matters #AMR kills over 1.2 million people each year—mostly in low- and middle-income countries. Yet those same health systems rely heavily on community health workers. How can we harness their role in responsible antibiotic use? Our review explores just that. 100
Enrique Castro-Sánchez @castrocloud.bsky.social · 27/10/2025Thrilled to share our new paper in BMJ Global Health: “Involvement of community health workers in antimicrobial stewardship programmes: a scoping review.” Community health workers (CHWs) are central to tackling #AMR globally. 🔗 doi.org/10.1136/bmjg...doi.orgInvolvement of community health workers in antimicrobial stewardship interventions and programmes: a scoping reviewIntroduction Antimicrobial resistance (AMR) poses a global health threat, especially in low-income and middle-income countries. Community health workers (CHWs) are key actors in infection management a... 130
Enrique Castro-Sánchez @castrocloud.bsky.social · 20/10/2025We’ve learned to teach stewardship, now we need to learn to lead it. My new The AMS Nurse post reflects on AMS nursing education, leadership, and diplomacy, and why it might be time for a Nursing AMS Policy & Diplomacy Summit. Read it: open.substack.com/pub/theamsnu... #Nursing #AMS #Diplomacyopen.substack.comRewriting the Future of Nursing Leadership in Antimicrobial StewardshipReflections on education, conferences, and diplomacy in action 010
Enrique Castro-Sánchez @castrocloud.bsky.social · 19/10/2025On the edge open.substack.com/pub/samf/p/o...open.substack.comOn the edgeMy week in the NHS 000
Enrique Castro-Sánchez @castrocloud.bsky.social · 14/10/2025‘Frightened to get out of their cars’: Britain’s toxic race debates threaten overseas care workerstheguardian.com‘Frightened to get out of their cars’: Britain’s toxic race debates threaten overseas care workersStaff are being advised to travel in mixed groups and carry panic alarms as incidents of intimidation spread 000
Enrique Castro-Sánchez @castrocloud.bsky.social · 12/10/2025Love it, organisms do what organisms do… Microbial Resuscitation & Growth Rates in Deep Permafrost: Lipid Stable Isotope Probing Results From Permafrost Research Tunnel in Fox, Alaska - Journal of Geophysical Research: Biogeosciences agupubs.onlinelibrary.wiley.com/doi/abs/10.1...agupubs.onlinelibrary.wiley.comMicrobial Resuscitation and Growth Rates in Deep Permafrost: Lipid Stable Isotope Probing Results From the Permafrost Research Tunnel in Fox, AlaskaMicrobial growth is extremely slow within the first 30 days of thaw. Temperature may drive which taxa are active, but not growth rates Subsurface microbes preferentially produce glycolipids over ... 000
Enrique Castro-Sánchez @castrocloud.bsky.social · 12/10/2025Honoured to present at #LIVES2025 @esicm.bsky.social in Munich! I’ll be teaching at the pre-congress expert course 'Developing expert practice in Sepsis, Severe Infections & Stewardship'. 25–29 October 2025 Don’t miss it! www.esicm.org/events/38th-... #ESICM #ESICMCongress #IntensiveCareesicm.org38th Annual Congress - Munich - ESICMThe 38th Annual Congress, "LIVES," will take place in Munich from October 25-29, 2025, at the International Congress Centre Munich (ICM). 010
Enrique Castro-Sánchez @castrocloud.bsky.social · 12/10/2025New from my Substack newsletter The AMS Nurse: 'Why Nursing Homes Matter for AMS'. Care home nurses make complex antibiotic decisions daily, often without training or support. Let’s recognise their role, not marginalise it. theamsnurse.substack.com/p/the-missin... #AMS #AMRNurse #longtermcaretheamsnurse.substack.comThe Missing Piece?: Why Nursing Homes Matter for Antimicrobial StewardshipHospital AMS systems are maturing. Yet in nursing homes, the terrain remains fragile... 010
Enrique Castro-Sánchez @castrocloud.bsky.social · 10/10/2025“Steve Heapy, chief executive of mass market holiday operator Jet2, read the runes: “They want less tourists, but they want them to be richer. I don’t think it’s very fair. Why should holidays be only available to a certain subset of the population?” 🤦🏻theguardian.com‘It gets a bit dirty after 2am’: overtourism debate centre stage as Abta meets in MallorcaHome to Magaluf, a major draw for boozed-up Britain, the island has become emblematic of the most heated debate in travel 000
Enrique Castro-Sánchez @castrocloud.bsky.social · 09/10/2025Assessment of malnutrition in preschool-aged children by mid-upper arm circumference in the Gaza Strip (January, 2024–August, 2025): a longitudinal, cross-sectional, surveillance study - The Lancet www.thelancet.com/journals/lan...thelancet.comAssessment of malnutrition in preschool-aged children by mid-upper arm circumference in the Gaza Strip (January, 2024–August, 2025): a longitudinal, cross-sectional, surveillance studyAfter nearly 2 years of war and severe restrictions in humanitarian aid, tens of thousands of preschool-aged children in the Gaza Strip are suffering from preventable acute malnutrition and facing an ... 010
Reposted by Enrique Castro-SánchezMelanie D’Arrigo @darrigomelanie.bsky.social · 08/10/2025I feel like this photo of masked, armed men pepper spraying a pastor protecting his community is going to be a defining picture of this moment in America for a long, long time. 17035595020948
Enrique Castro-Sánchez @castrocloud.bsky.social · 07/10/2025Investing in Primary Care: The #Nurse Practitioner Will See You Nowmilbank.orgInvesting in Primary Care: The Nurse Practitioner Will See You Now | Milbank Memorial FundDecades of research confirms the safety, quality, and effectiveness of care provided by NPs, including care for complex patients, and their acceptance and approval by patients. Yet challenges remain i... 020
Enrique Castro-Sánchez @castrocloud.bsky.social · 07/10/2025Acetaminophen Use in Pregnancy—Study Author Explains the Data jamanetwork.com/journals/jam...jamanetwork.comStudy Author on Acetaminophen Use in PregnancyThis Medical News article is an interview with epidemiologist Brian Lee, PhD, about his study on acetaminophen use during pregnancy and children’s risk of autism and other neurodevelopmental disorders... 021
Enrique Castro-Sánchez @castrocloud.bsky.social · 05/10/2025Journalist casualties in the Israel-Gaza war cpj.org?p=321571 010
Enrique Castro-Sánchez @castrocloud.bsky.social · 05/10/2025Enhorabuena a la ex-enfermera británica Sarah Mullaly por su designación como Arzobispa de Canterbury 000
Reposted by Enrique Castro-SánchezScience News @scinews.bsky.social · 08/09/2025Weapons, wealth, and health: the arms industry as a commercial determinant of health. #BMJ Open Access www.bmj.com/content/390/... 175
Enrique Castro-Sánchez @castrocloud.bsky.social · 25/09/2025So: adolescent food insecurity is social, structural, and planetary. We hope this review helps shift the conversation from blaming families to addressing the systems that produce hunger. 📄 Full paper (open access): doi.org/10.1016/j.ja... #FoodInsecurity #AdolescentHealth #PlanetaryHealthdoi.orgRedirecting 000
Enrique Castro-Sánchez @castrocloud.bsky.social · 25/09/2025Our conclusion: Adolescent food insecurity is a systemic problem. Piecemeal fixes won’t work. We need rights-based policies, sustainable food systems, and adolescent-centred research, especially in the Global South. 100
Enrique Castro-Sánchez @castrocloud.bsky.social · 25/09/2025And the underexplored frontier: 🌍 Planetary factors. Seasonality, droughts, floods, and the wider climate crisis all shape whether adolescents have enough to eat. But very few studies examine these links. A glaring research gap (which we are addressing!) 110
Enrique Castro-Sánchez @castrocloud.bsky.social · 25/09/2025What we found across different levels of influence: 🏠 Interpersonal – poverty, family structure, peer pressure. 🏫 Organisational – schools as key food providers, but with barriers. 🏘 Community – food deserts, safety, social capital. 🏛 Societal – food assistance, discrimination, economic inequality 110
Enrique Castro-Sánchez @castrocloud.bsky.social · 25/09/2025We reviewed 5,149 records ➡️ included 40 studies. 🔎 Most from high-income countries. 📊 Few from the Global South—despite higher vulnerability. This geographic bias means we know far too little about the settings most affected. 100
Enrique Castro-Sánchez @castrocloud.bsky.social · 25/09/2025Adolescence (10–19 years) is a critical window. Food insecurity here can lead to: ⚠️ Poor physical health ⚠️ Emotional distress & stigma ⚠️ Missed school, exploitation, and long-term disadvantage. Yet, most research looks only at younger children. We aimed to close that gap. 100
Enrique Castro-Sánchez @castrocloud.bsky.social · 25/09/2025🚨 New paper out! We explored what drives adolescent food insecurity worldwide. Spoiler: it’s not just about money or family—it’s shaped by environments, communities, policies, and even the planet. 📄 Open access: doi.org/10.1016/j.ja...doi.orgRedirecting 100
Reposted by Enrique Castro-SánchezRoyal College of Nursing @rcn.org.uk · 22/09/2025The increasingly hostile rhetoric shown towards migrants is deeply concerning. We urge all UK political parties to end this race to the bottom and instead celebrate the contribution of those from overseas. Without brilliant migrant nursing staff, our health & care services would cease to function. 12414
Enrique Castro-Sánchez @castrocloud.bsky.social · 19/09/2025Not at all! We dont hang around…we have places to be, friends to meet etc. Also, ‘Spain’ not homogeneous. I see differences with colleagues from North, South, etc (Im Southerner…) 010