Stewardship: Practical Approaches And Applications

On today’s episode of The SHEA Podcast, Dr. Jorge Salinas is joined by Joseph Perz and Melissa Cumming for a conversation on the existing public health infrastructure for addressing healthcare associated infections and antimicrobial resistance. Listen as they discuss public health’s role in healthcare, specific to communicable diseases, as well as how public health programs interact with partners—such as healthcare systems, professional associations, or quality improvement organizations and how to create effective partnerships.

This is the final episode of SHEA's three-part series, Developments in Transmission-based Precautions. This discussion focuses on the common workflows in the ED and the limitations associated with infection prevention practices when compared to other settings. Speakers will address opportunities to improve infection prevention identified during the pandemic, as well as screening of patients, use of personal protective equipment (PPE), and pathogen versus syndrome-based transmission-based precautions. Speakers: John Townes, MD Anna Quay Yaffee, MD, MPH Moderator: Chad Nix, MSc, CIC

Today’s episode of the The SHEA Podcast features a discussion between Dr. Amie John and Dr. Caitlin McGrath. Tune as and listen to their discussion on Dr. McGrath’s work on novel strategies to ensure equity in HAI prevention and the use of existing HAI surveillance systems to identify and mitigate inequities. They discuss where to start, how to get buy in from stakeholders, key metrics to be considered when evaluating the effectiveness of infection prevention efforts, and more.

This is Ep. 2 of the Developments in Transmission-Based Precautions Series. The speakers will elucidate carbapenemase-producing carbapenem-resistant Enterobacterales and classifications utilized for multi-drug resistant gram-negative rods, along with their epidemiology. They will address challenges associated with identifying these organisms, recommended precautions for patients colonized or infected, and effective communication regarding their presence, including enhancements to screening methods. Speakers: Charlesnika T. Evans, PhD, MPH Christopher Pfeiffer, MD, MHS Moderator: Chad Nix, MSc, CIC

This is Ep. 1 of SHEA's three-part series, Developments in Transmission-based Precautions. This episode focuses on preventing respiratory virus infections in patients with neutropenia or those undergoing hematopoietic stem cell transplantation. We’ll explore characteristics of the patient population or local epidemiological trends that might warrant additional precautions and our speakers will provide a synopsis of the recommendations or data used to substantiate such measures. Speakers: Mini Kamboj, MD Lynne Strasfeld, MD Moderator: Chad Nix, MSc, CIC

This is Ep. 2 of SHEA's two-part series, Infection Prevention & Antibiotic Stewardship at End of Life. This episode explores the role of antibiotic treatment in the end-of-life setting with a focus on balancing the role in maintaining comfort and relieving symptoms with the concern for adverse effects, excessive or futile use, and contribution to the development of antibiotic resistance. Speakers: Jon P. Furuno, PhD Susan L. Mitchell, MD, MPH Moderator: Haley Pritchard, MD, MS

This is Ep. 1 of SHEA's two-part series, Infection Prevention & Antibiotic Stewardship at End of Life. This episode focuses on the risks and benefits of IP policies in the acute care setting - such as isolation requirements and visitor restrictions - and how they might (or might not) be adapted at end-of-life. Speakers: Rupak Datta, MD, MPH, PhD Melissa Wachterman, MD, MSc, MPH Moderator: Lindsey Gottlieb, MD

Today’s episode of The SHEA Podcast discusses vancomycin and how antimicrobial stewardship programs should address its use. Our moderator is Mackenzie Keintz and our guests are Rebekah Moehring and Kimberly Claeys, two experts on the topic that represent the physician and pharmacy perspective of ASP programs. Listen as they discuss why vancomycin is a target for antimicrobial stewardship programs, strategies to target vancomycin use and safety, available alternatives, how to work with over prescribers, and lessons learned from our guests experiences targeting vancomycin use at their institution.

In this final episode of SHEA's podcast series, Social & Cultural Aspects of Infection Control & Antibiotic Stewardship, speakers discuss some of the barriers that contribute to the decreased adherence to infection prevention guidelines and the implications they have with regard to patient safety, in addition to potential behavioral strategies that can be implemented to drive appropriate infection prevention practices. Speakers: Jennifer Hanrahan, DO Daniel Walker, PhD, MPH Moderator: Catherine Derber, MD, FACP, FIDSA

This is Part 2 of the discussion on the social and cultural aspects of antibiotic prescribing and stewardship in hospitals. This episode focuses on the interventions that can be implemented based on the culture at your institution or within parts of your institution. Speakers will discuss communication strategies that can be most successful when talking with prescribers as a part of prospective audit and feedback based on the culture of the unit, hospital, or specialty at your institution and the perceived social and behavioral drivers of their suboptimal prescribing. Speakers: Esmita Charani, PhD, MsC, MPharm, MRPSGB David Schwartz, MD Brad Spellberg, MD Moderator: Hana R. Winders, PharmD, BCIDP

This is Ep. 1, Part 1 of SHEA's podcast series, Social & Cultural Aspects of Infection Control & Antibiotic Stewardship. This episode focuses on the key drivers of suboptimal prescribing and how they may differ within various specialties within hospitals. In addition, speakers will discuss how to determine what behavioral domains are influencing inappropriate antibiotic prescribing which is important for determining which interventions can be useful to implement. Speakers: Esmita Charani, PhD, MsC, MPharm, MRPSGB David Schwartz, MD Brad Spellberg, MD Moderator: Hana R. Winders, PharmD, BCIDP

In this episode of The SHEA Podcast, outgoing SHEA President Deborah Yokoe welcomes incoming SHEA President Tom Talbot. Get to know Dr. Talbot and learn more about his career in healthcare epidemiology and his goals as the 2024 SHEA President.

This is Ep. 3 of SHEA's three-part series, Updates from the SHEA SSI Compendium. This episode focuses on the major recommendations included in the SHEA SSI Compendium that address the post-operative period. Speakers will discuss the recommendations regarding blood glucose control, discontinuing perioperative antibiotics after incisional closure, and providing feedback. Speakers: Michael Calderwood, MD, MPH Patchen Dellinger, MD Joshua Schaffzin, MD, PhD Moderator: Jessica Howard-Anderson, MD, MSc

This is Ep. 2 of SHEA's three-part series, Updates from the SHEA SSI Compendium. This episode focuses on a few of the core infection control interventions that take place during the perioperative process that are found in the SHEA SSI Compendium of Strategies update. In addition, speakers will discuss the importance of maintaining normothermia, utilizing an SSI Prevention checklist, and building a cross-functional team to address this complex challenge across health systems. Speakers: Dale Bratzler, DO, MPH Ruth Carrico, PhD, DNP, APRN, FNP-C, CIC, FSHEA, FNAP, FAAN Moderator: Hudson Garrett, PhD, MSN, MPH, MBA, FNP-BC, IP-BC, PLNC, CFER, AS-BC, VA-BC, BC-MSLcert™, HACP-IC, CMRP, HACP, HACP-IC, HACP-PE LTC-CIP, CIC, NCEE, NRAEMT, MSL-BC, DICO-C, TR-C, CPPS, CCHR-S, CPHQ, CVAHP, CPXP, CDIPC, CPHRM, CHIPP-B, FACDONA, FAAPM, FACHDM, FNAP, FAHVAP, FACHE, FSHEA, FIDSA

This is Ep. 1 of SHEA's three-part series, Updates from the SHEA SSI Compendium. This episode focuses on Pre-operative Recommendations for Patients with Beta-Lactam Allergy Labels. Speakers will discuss the pre-operative interventions suggested in the SHEA SSI Compendium of Strategies update, as well as the role of beta-lactam allergy assessment for patients undergoing surgery, as vancomycin use is no longer recommended for routine use. Speakers will also talk about how to educate both surgical and anesthesia providers and patients about the implications of beta-lactam allergy labels. Speakers: Kimberly Blumenthal, MD, MSc Philip Lam, BScPhm, MD, MSc, FRCPC Moderator: Haley Pritchard, MD, MS

Overview: Recently the Centers for Disease Control and Prevention (CDC) allowed institutions to relax in-facility masking strategies. With the end of the public health emergency on the horizon, is it time to further adjust masking guidance in healthcare? This pro/con discussion will highlight the debate on whether to incorporate an updated standard for universal precautions in healthcare settings to permanently include universal masking in routine patient-care interactions or to refine a risk-based approach for patient care for masking. Speakers: Ibukun Kalu, MD Erica S. Shenoy, MD, PhD Moderator: Deborah Yokoe, MD, MPH

Overview: This is Ep. 4 of SHEA's four-part series on Leadership & Management which focuses on the different career opportunities for individuals interested in antimicrobial stewardship. In addition, experts will discuss how to advocate for and advance stewardship positions at your institution and elaborate on leadership and management skills necessary for antimicrobial stewards. Speakers: Daniel Livorsi, MD Erin McCreary, PharmD, BCPS, BCIDP Payal Patel, MD, MPH Moderator: Jessica Howard-Anderson, MD

Overview: This is Ep. 3 of SHEA's four-part series on Leadership & Management which focuses on the next possible career steps for a senior-level epidemiologist. Experts will cover some of the various paths that a career at this level can take including hospital-system level leadership, transition to C-suite leadership (or a combination role), formal and informal consulting roles, and the importance of serving as a mentor. Speakers: James Steinberg, MD Stephen Weber, MD Moderator: Krystina Woods, MD

Overview: This is Ep. 2 of SHEA's four-part series on Leadership & Management which focuses on leadership and management skills needed to successfully lead and manage a team as a mid-career healthcare epidemiologist. Experts address how one can develop a leadership style, use effective means of communication with a team, and the importance of being mentored, even at this stage of one’s career. Speakers: Waleed Javaid, MD Ciara Woods Moderator: Krystina Woods, MD

Overview: This is Ep. 1 of SHEA's four-part series on Leadership & Management which focuses on common issues and questions that arise when individuals are looking for their first job in healthcare epidemiology(including in public health). Experts will address themes including how to start the job search, what to look for in a job, contract negotiations, and recommended training courses. Speakers: Jennifer Hanrahan, DO Sujan Reddy, MD Clare Rock, MD, MS Moderator: Jessica Howard-Anderson, MD