Stewardship: Practical Approaches And Applications

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

In this episode of the Rapid Response Podcast, Dr. Krystina Woods talks with Dr. Larry Kociolek of Lurie Children’s Hospital of Chicago about Pediatric Respiratory Viral Surge and trends they have seen; what it looks like now compared to at the height of the COVID-19 pandemic, mitigation strategies and more. Speaker: Larry Kociolek, MD, MSCI, FSHEA, FPIDS Moderator: Krystina Woods, MD Let us know what you think of our podcasts at https://learningce.shea-online.org/content/shea-podcast-feedback .

Overview: In this episode of the series, Dr. Krystina Woods talks with Dr. Dr. Curtis Donskey of Case Western Reserve University and Dr. William A. Rutala of the University of North Carolina School of Medicine about environmental cleaning, new technologies, ultraviolet light technologies, continuous room decontamination, critical research gaps and where we go from here. Speakers: Curtis Donskey, MD William Rutala, PhD, MS, MPH Krystina Woods, MD(moderator)

Overview: In this episode of the podcast, we discuss Monkeypox through the eyes of the Commission or the Chicago Department of Public Health (CDPH), Dr. Allison Arwady. Our moderator, Dr. Krystina Woods asks questions around behavior change, stigma, testing and limited supplies, policy implications from subcutaneous to intradermal injections, and funding. Speakers: Allison Arwady, MD, MPH Krystina Woods, MD (Moderator)

Overview: In this episode of the series, Dr. Krystina Woods talks with Dr. Michelle Doll of Virginia Commonwealth University and Dr. Jerome Leis of University of Toronto aroundhand hygiene monitoring, monitoring adherence, hand hygiene electronic monitoring and how it compares to traditional monitoring, and the future in this area. Speakers: Michelle Doll, MD, MPH Jerome Leis, MD, MSc, FRCPC Krystina Woods, MD(moderator)

Overview: In this episode of the podcast, we bring back Dr. Westyn Branch-Elliman of Harvard Medical School to have a conversation around children going back to school in 2022. Our moderator, Dr. Chris Crnich, asks her questions around testing, how HCPs can help, and current/future research on the topic. Speakers: Westyn Branch-Elliman, MD, MMSc Christopher Crnich, MD, PhD (moderator)

Overview: This podcast will explore the utility of whole genome sequencing (WGS) in the context of hospital epidemiology of infection prevention, including recent evidence showcasing success in identifying and/or determining the nidus of a cluster or outbreak. The speakers will explain how they have or are planning to use WGS and the interplay between those performing or studying WGS and clinicians/infection prevention staff. Advantages, challenges, limitations, and research gaps will be addressed as well as what the speakers envision for the future. Speakers: Deena R. Altman, MD, MS Alexander Sundermann, DrPH, CIC, FAPIC Chad Nix, MSc, CIC (moderator)

Overview: In this episode of the Rapid Response Podcast, Dr. Raghav Tirupathi talks with Dr. Robert Wachter of the University of California, San Francisco about the current COVID landscape, how to interpret current case rates, mask mandates, isolation guidelines, second boosters, and more. Speakers: Robert Wachter, MD Raghavendra Tirupathi, MD (moderator) Let us know what you think of our podcasts at https://learningce.shea-online.org/content/shea-podcast-feedback.