Stewardship: Practical Approaches And Applications

Overview: Duration of therapy is an important target of antimicrobial stewardship interventions that can be challenging to implement successfully. This podcast will briefly review the updated literature which seems to be coming more frequent recently and describe best practices when implementing shorter durations of therapy safely within the context of an antimicrobial stewardship program. Speakers: Dimitri Drekonja, MD, MS Marisa Holubar, MD, MS Rebekah Wrenn, PharmD, BCIDP (moderator)

Overview: IV to PO conversion has immense potential to benefit patients by preventing unnecessary intravenous therapy associated with risks such as prolonged length of stay, line-associated infections, and excess cost and inconvenience. Although it is often listed as a low hanging fruit for antimicrobial stewardship, there are many nuances to cover. This podcast will discuss special cases, big successes, and gaps in our current understanding of IV to PO conversion. Speakers: Monica Mahoney, PharmD, BCPS, BCIDP Neil Ritchie, PhD, MBCHB, MRCP(UK) Rebekah Wrenn, PharmD, BCIDP (moderator)

Overview: IV to PO conversion has immense potential to benefit patients by preventing unnecessary intravenous therapy associated with risks such as prolonged length of stay, line-associated infections, and excess cost and inconvenience. Although it is often listed as a low hanging fruit for antimicrobial stewardship, there are many nuances to cover. This podcast will discuss special cases, big successes, and gaps in our current understanding of IV to PO conversion. Speakers: Meghan Jeffres, PharmD Shivani Patel, PharmD, BCPS Whitney Buckel, PharmD, BCPS (moderator)

Overview: In this episode, while not COVID specific, Dr. Chris Crnich has a conversation with Dr. Erica Shenoy of Massachusetts General Hospital around monkeypox. Speakers: Erica Shenoy, MD, PhD Christopher Crnich, MD, PhD (moderator) To watch the Town Hall Dr. Shenoy referenced in the podcast, please visit https://learningce.shea-online.org/. The Town Hall is on the home page, including slides and references. Do you have topic ideas or feedback for our podcast? Please let us know at https://learningce.shea-online.org/content/shea-podcast-feedback

Description: In this podcast, we invited Dr. Igho Ofotokun, Professor of Medicine at Emory University School of Medicine and PI for the NIH funded Researching COVID to Enhance Recovery initiative, to talk all thing related to long COVID, including PASC vs long COVID, hypotheses around long COVID causes, vaccination impact on long COVID, future research, and more. Speakers: Igho Ofotokun, MD, MSc Christopher Crnich, MD, PhD (moderator) Interested in becoming a SHEA member? Use the coupon code LearningCE22 to get $20 any membership type. What do you think of our podcasts? Do you have topic or speaker suggestions? Let us know at https://learningce.shea-online.org/content/shea-podcast-feedback

Overview: In this episode, our moderator, Dr. Whitney Buckel, has a conversation with Dr. Jennifer Hanrahan, Chair of the SHEA Spring 2022 Planning Committee, and Dr. Jesse Jacob, Vice Chair of the SHEA Spring 2022 Planning Committee, around the conference, how COVID-19 influenced the planning and execution, session highlights, and more. Speakers: Whitney Buckel, PharmD, BCPS (moderator) Jennifer Hanrahan, DO, MSc Jesse Jacob, MD, MSc You can still register to watch all educational sessions on-demand and claim credit through 12/31/22. Visit https://sheaspring.org for more information! Interested in becoming a SHEA member? Use the coupon code LearningCE22 to get $20 any membership type. What do you think of our podcasts? Do you have topic or speaker suggestions? Let us know at https://learningce.shea-online.org/content/shea-podcast-feedback

Overview: Our moderator has a conversation with Dr. Erica Shenoy and Dr. Julie Trivedi on the influence of CDC Guidance on COVID-19 policies, with perspectives coming from physicians who work in what we call “blue” and “red” states. Speakers: Whitney Buckel, PharmD, BCPS Erica Shenoy, MD, PhD Julie Trivedi, MD Interested in becoming a SHEA member? Use the coupon code LearningCE22 to get $20 any membership type. What do you think of our podcasts? Do you have topic or speaker suggestions? Let us know at https://learningce.shea-online.org/content/shea-podcast-feedback

In this episode, our moderator has a conversation with Dr. Morgan Katz of Johns Hopkins Bayview/Johns Hopkins School of Medicine around all things long-term care. From the current COVID situation in these facilities, to biggest challenges and solutions, to resources and stewardship, learn more about what's going on with COVID and LTC and how you can implement them at your facilities. Speakers: Morgan Katz, MD, MHS Ishrat Kamal-Ahmed, PhD, MSc (moderator) Interested in becoming a SHEA member? Use the coupon code LearningCE22 to get $20 any membership type. What do you think of our podcasts? Do you have topic or speaker suggestions? Let us know at https://learningce.shea-online.org/content/shea-podcast-feedback

Overview: In our first episode of 2022, our moderator Dr. Chris Crnich sits down with Dr. Martin Hoenigl to discuss COVID-Associated Fungal Pneumonia. They discuss how this type of pneumonia came to the forefront during the pandemic, how healthcare plays a role, concerns, and more. Speakers: Chris Crnich, MD, PhD (moderator) Martin Hoenigl, MD, FECMM Interested in becoming a SHEA member? Use the coupon code LearningCE22 to get $20 any membership type. What do you think of our podcasts? Do you have topic or speaker suggestions? Let us know at https://learningce.shea-online.org/content/shea-podcast-feedback

Overview: In our final episode of 2021, moderator Dr. Jennifer Hanrahan of University of Toledo has a discussion with Drs. Kirsten Schutte (Asante), Scott Stienecker (Parkview Health) and Jay Varkey (Emory University) about COVID-19 in 2021. This episode focuses on how this year compared to 2020, successes and challenges throughout the year, and guesses around COVID in 2022. As we conclude 2021, SHEA would like to thank every single healthcare professional who goes above and beyond every day during this challenging time. We’d also like to thank each of you, our listeners, for making this such a successful podcast series. If you’re interested in becoming a new member of SHEA, use the coupon code LearningCE22 at checkout to receive $20 off. Speakers: Jennifer Hanrahan, DO, MSc (moderator) Kirsten Schutte, MD R. Scott Stienecker, MD, FIDSA, FSHEA, CIC Jay Varkey, MD What do you think of our podcasts? Do you have topic or speaker suggestions? Let us know at https://learningce.shea-online.org/content/shea-

Overview: In this podcast, Dr. James Cutrell, Chair of the SHEA Journal Club, interviews both Dr. David Calfee, Editor-in-Chief of Infection Control and Hospital Epidemiology (ICHE) and Dr. Gonzalo Bearman, Editor-in-Chief of Antimicrobial Stewardship and Healthcare Epidemiology (ASHE). Learn more about Dr. Calfee and Dr. Bearman and their visions for SHEA Publications in 2022! Visit ICHE at https://www.cambridge.org/core/journals/infection-control-and-hospital-epidemiology and ASHE at https://www.cambridge.org/core/journals/antimicrobial-stewardship-and-healthcare-epidemiology/information/instructions-contributors. Speakers: James Cutrell, MD (moderator) David Calfee, MD, MPH Gonzalo Bearman, MD, MPH

Overview: In this podcast, Dr. Christopher Crnich has an insightful conversation with Dr. Monica Mahoney and Dr. Jason Pogue around outpatient COVID-19 oral treatments and other therapeutics. They discuss monoclonal antibodies, including the current treatments and what is to potentially come, recently released Molnupiravir and Nirmatrelvir, and the impacts, challenges, and best practices around administering these to patients. Speakers: Christopher Crnich, MD, PhD (moderator) Monica Mahoney, PharmD, BCPS, BCIDP, FCCP Jason Pogue, PharmD, BCPS, BCIDP What do you think of our podcasts? Do you have topic or speaker suggestions? Let us know at https://learningce.shea-online.org/content/shea-podcast-feedback

Overview: In this episode, our moderator has a discussion with Dr. Rekha Murthy of Cedars-Sinai Medical Center and UCLA David Geffen School of Medicine, and Dr. Josh Schaffzin of Cincinnati Children's Hospital and University of Cincinnati about implementing mandatory vaccine policies. Both speakers were involved in a SHEA working group around this topic and discuss how implementation is going, the challenges around it, solutions to move forward, and discuss it from an adult and pediatric perspective. Speakers: Waleed Javaid, MD (moderator) Rekha Murthy, MD Josh Schaffzin, MD, PhD What do you think of our podcasts? Do you have topic or speaker suggestions? Let us know at https://learningce.shea-online.org/content/shea-podcast-feedback

Overview: In this episode of the podcast, our moderator, Dr. Karen Ravin of Nemours Children's Hospital Delaware, talks with Dr. Eric Bell of CHOC Primary Care Network in Orange County, California about the news around CDC & FDA approval to vaccinate children ages 5-11. They discuss dosage, side effects, misinformation around vaccinating children, pediatric vaccination advocacy, and more. Speakers: - Eric Ball, MD - Karen Ravin, MD What do you think of our podcasts? Do you have topic or speaker suggestions? Let us know at https://learningce.shea-online.org/content/shea-podcast-feedback

Overview: This episode reviews the current news updates of this pandemic as well as recently updated guidelines and medical literature. In addition, our moderator, Dr. Krystina Woods, sits down with Dr. Brett Singer of Lawrence Berkeley National Laboratory around venitilation, air circulation, and air quality. They discuss recent research Dr. Singer and his team have done around indoor air and transmission, how to improve ventilation at businesses, schools, hospitals, and the home, and future research in this area for the pandemic and beyond. Speakers: - Brett Singer, PhD - Krystina Woods, MD (moderator) - Chris Crnich, MD, PhD (news update) Sources from the news update: https://www.fda.gov/news-events/press-announcements/coronavirus-covid-19-update-fda-takes-additional-actions-use-booster-dose-covid-19-vaccines https://www.medrxiv.org/content/10.1101/2021.10.10.21264827v1.full.pdf https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1028113/Technical_Briefing_26.p

Overview: In the final episode of our Challenges and Innovations in Antimicrobial Stewardship podcast series, Dr. Jaffar Al-Tawfiq talks with Dr. Rebekah Moehring of Duke University and Dr. Emily Spivak of the University of Utah about antibiotic stewardship during COVID-19. They talk about the current status of antibiotic stewardship programs, the need for them, consequences of not focusing on them as much during the pandemic, and how to move forward. Speakers: Rebekah Moehring, MD, MPH Emily Spivak, MD, MHS Jaffar Al-Tawfiq, MD (moderator)

Overview: In episode three of the four-part stewardship series, our moderator, Dr. Jessica Howard-Anderson speaks with Dr. Sonali Advani and Dr. Owen Albin. This podcast compares and contrasts diagnostic stewardship strategies and interventions related to both urinary and respiratory tract culturing practices. Our speakers also discuss why diagnostic stewardship is needed in these areas and how improving ordering practices can also improve antimicrobial prescribing. Speakers: Sonali Advani, MD, MPH Owen Albin, MD Jessica Howard-Anderson, MD, MSc (moderator)

Overview: In this episode, Dr. Waleed Javaid has a conversation with Dr. Gonzalo Bearman and Ms. Ann Marie Pettis about healthcare professional fatigue and burnout with a focus of those working in healthcare epidemiology and infection prevention. They discuss the concept of burnout, how to recognize it, challenges faced as a result of burnout, what we've learned from COVID and burnout, how to address it, and more. Note: There will is not a news upate this week. It will resume in our next podcast episode. Speakers: Gonzalo Bearman, MD, MPH, FACP, FSHEA, FIDSA Ann Marie Pettis, RN, BSN, CIC, FAPIC Waleed Javaid, MD SHEA will be hosting a live rebroadcast of the three SHEA Spring 2021 plenaries, including the talk by Dr. Bearman on fatigue and burnout, on Thursday, November 16th beginning at 11 am ET. To register, please visit this Zoom link: https://us06web.zoom.us/webinar/register/WN_p6pY9FBNSxikGwXp13rPxQ What do you think of our podcasts? Do you have topic or speaker suggestions? Let us know at https://

Overview: This podcast will explore opportunities and strategies for supporting stewardship activities in resource limited clinical settings, including critical access hospitals (CAHs) and skilled nursing facilities (SNFs). Discussion with podcast participants will center on virtual stewardship activities with a specific focus on program design, the technologies used and the challenges encountered. Speakers: Erin McCreary, PharmD, BCPS, BCIDP Eddie Stenehjem, MD Chris Crnich, MD, PhD (moderator)

Overview: Antimicrobial Stewardship is well established in many inpatient settings; however, outpatient programs are not as common despite high volume of inappropriate prescribing. Literature is lacking to help guide the best interventional strategies. Additionally, patient volumes are high and time to decision making is fast in the ambulatory and ED settings. Thus, strategies that are successful inpatient may not be feasible, successful, or sustainable in the outpatient setting. Finally, hospitals fund stewardship programs through pharmacy department resources or perhaps infection prevention or quality, but what about in the outpatient setting what are sources of funding? In our first episode of SHEA's Challenges and Innovations in Antimicrobial Stewardship podcast series, Dr. Rebekah Wrenn sits down with Dr. Larissa May of University of California Davis and Dr. Jeff Linder of Northwestern University Feinberg School of Medicine to address these topics and more. Speakers: Jeff Linder, MD, MPH, FACP Laris