Antimicrobial stewardship & healthcare epidemiology : ASHE最新文献

{"title":"Methodological considerations in interpreting a process evaluation of antimicrobial stewardship for community-acquired pneumonia.","authors":"Rhushvi Thakkar, Deepika Raina, Chandana Maji, Vaseem Anjum","doi":"10.1017/ash.2026.10397","DOIUrl":"10.1017/ash.2026.10397","url":null,"abstract":"","PeriodicalId":72246,"journal":{"name":"Antimicrobial stewardship & healthcare epidemiology : ASHE","volume":"6 1","pages":"e147"},"PeriodicalIF":0.0,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13199415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148038326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhanced <i>C. auris</i> screening and rapid diagnostics in cluster units: association with fewer incident clinical cases.","authors":"Mayar Al Mohajer, Todd Lasco","doi":"10.1017/ash.2026.10378","DOIUrl":"10.1017/ash.2026.10378","url":null,"abstract":"<p><p><i>Candida auris</i> screening in units meeting a prespecified cluster threshold was intensified from biweekly to weekly and paired with rapid in-house PCR (November 2022-March 2024). Monthly incident clinical cases decreased by 32%. Colonization detections increased with weekly screening and declined after in-house testing, supporting earlier case finding and response.</p>","PeriodicalId":72246,"journal":{"name":"Antimicrobial stewardship & healthcare epidemiology : ASHE","volume":"6 1","pages":"e105"},"PeriodicalIF":0.0,"publicationDate":"2026-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13199414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148038323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of a far ultraviolet-C light technology for decontamination of surfaces and personal items in long-term care facility resident rooms.","authors":"Amelia L Milner, Samir Memic, Maria M Torres-Teran, Jennifer L Cadnum, Curtis Donskey","doi":"10.1017/ash.2026.10345","DOIUrl":"10.1017/ash.2026.10345","url":null,"abstract":"<p><p>Contaminated surfaces in long-term care facility resident rooms may contribute to transmission of healthcare-associated pathogens. We demonstrated that a far ultraviolet-C light technology operated for 2 to 4 hours during periods when residents were out of the room was effective in reducing contamination of surfaces and personal items.</p>","PeriodicalId":72246,"journal":{"name":"Antimicrobial stewardship & healthcare epidemiology : ASHE","volume":"6 1","pages":"e104"},"PeriodicalIF":0.0,"publicationDate":"2026-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13199412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148038373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of respiratory syncytial virus (RSV) vaccine eligibility in an outpatient adult infectious diseases clinic.","authors":"Amy Liu, Conor Stack, Monica V Mahoney","doi":"10.1017/ash.2026.10342","DOIUrl":"10.1017/ash.2026.10342","url":null,"abstract":"<p><p>Respiratory syncytial virus (RSV) vaccination access is complicated by insurance coverage limitations. This two-week study showed that at least 75% of eligible older adults were covered by Medicare Part D, which restricts vaccine administration to retail pharmacies. This increases complexity of care coordination, may decrease vaccination rates, and highlights the need for expanded vaccine coverage.</p>","PeriodicalId":72246,"journal":{"name":"Antimicrobial stewardship & healthcare epidemiology : ASHE","volume":"6 1","pages":"e103"},"PeriodicalIF":0.0,"publicationDate":"2026-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13199419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148038311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Polypropylene wiping cloths contaminated with <i>S. aureus</i> and <i>P. aeruginosa</i> transfer significantly less to uncontaminated surfaces compared to microfiber and cotton.","authors":"Maxwell Voorn, Geraldine Tembo, Siddharth Kumar, Haley Oliver-Jischke, Peter Teska","doi":"10.1017/ash.2026.10360","DOIUrl":"10.1017/ash.2026.10360","url":null,"abstract":"<p><strong>Background: </strong>Cross-contamination from contaminated wiping cloths is an underrecognized route of pathogen transmission in healthcare settings. Reused, misapplied, or ineffective disinfectants can transfer viable bacteria between surfaces. <i>Staphylococcus aureus</i> and <i>Pseudomonas aeruginosa</i> persist under hospital conditions and are frequently isolated in healthcare environments. While many studies assess bacterial inactivation, few examine how chemistry and wipe material influence transfer when bacterial inactivation is incomplete.</p><p><strong>Methods: </strong>Hydrogen peroxide (HP), a quaternary ammonium compound (QAC), and an ethoxylated alcohol (EA) cleaner were tested with cotton, microfiber, and meltblown polypropylene wipes. Wipes inoculated with ∼ 7 log₁₀ CFU of <i>S. aureus</i> or <i>P. aeruginosa</i> were used on 1 ft² Formica. Bacterial transfer to surfaces and gloves was quantified between the chemistry and material combinations using single- and multi-layer setups.</p><p><strong>Results: </strong>HP-based wipes demonstrated the highest bactericidal efficacy, transferring little to no viable bacteria. Polypropylene wipes consistently transferred fewer bacteria than cotton or microfiber wipes. Wipes with QAC or EA, particularly those made of cotton, transferred significantly more bacteria to surfaces and gloves. Adding layers of wipe material reduced bacterial transfer, especially for microfiber.</p><p><strong>Conclusion: </strong>Chemistry and wipe material both significantly impact bacterial transfer during cleaning. HP with polypropylene wipes offered the most effective reduction in cross-contamination. Cotton and microfiber wipes paired with QAC or EA exhibited higher transfer risks, likely due to electrostatic interactions contributing to reduced antimicrobial activity. These findings emphasize the need for optimized wipe-chemistry combinations to ensure effective surface decontamination.</p>","PeriodicalId":72246,"journal":{"name":"Antimicrobial stewardship & healthcare epidemiology : ASHE","volume":"6 1","pages":"e145"},"PeriodicalIF":0.0,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13184567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147984607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dental stewardship implementation and antimicrobial resistance awareness in India: prescribing patterns, knowledge gaps, and barriers-systematic review with narrative synthesis.","authors":"Rasha Abdelsalam Elshenawy, Rishal Dsouza","doi":"10.1017/ash.2026.10388","DOIUrl":"10.1017/ash.2026.10388","url":null,"abstract":"<p><strong>Introduction: </strong>Antimicrobial resistance (AMR) is a critical global health threat, with drug-resistant infections projected to cause up to 10 million deaths annually by 2050. India bears a disproportionate share of this burden. Dental practitioners contribute approximately 10% of national antibiotic prescriptions; however, antimicrobial stewardship (AMS) in dental settings remains underdeveloped, with no national dental-specific guidelines. This systematic review with narrative synthesis evaluates AMR awareness and AMS implementation among Indian dental professionals.</p><p><strong>Methods: </strong>A systematic review with narrative synthesis was conducted in accordance with PRISMA 2020 guidelines. Five databases were searched for studies published between January 2014 and December 2024. Eligible studies of any design examined AMR awareness, AMS behaviors, or antibiotic prescribing practices among Indian dental practitioners. Methodological quality was independently appraised using CASP checklists. Due to substantial heterogeneity across study designs and outcomes, findings were synthesized narratively and analyzed thematically.</p><p><strong>Results: </strong>From 1,852 records, 14 studies involving 3,602 participants were included. All studies referenced guidelines or clinical pathways. Prescribing practices were the most frequently assessed outcome (12/14; 86%), followed by compliance (9/14; 64%) and knowledge or awareness (6/14; 43%). Key findings included significant knowledge-practice gaps, inappropriate prescribing patterns, and the absence of structured stewardship infrastructure. Facilitators included baseline AMR awareness and professional willingness to engage, while barriers included curriculum deficiencies and limited access to guidelines.</p><p><strong>Conclusions: </strong>Structured dental AMS programs are both urgently needed and feasible in India. Addressing modifiable drivers through national prescribing guidelines, integrated AMS education, and audit and feedback systems is essential to support AMR containment.</p>","PeriodicalId":72246,"journal":{"name":"Antimicrobial stewardship & healthcare epidemiology : ASHE","volume":"6 1","pages":"e146"},"PeriodicalIF":0.0,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13184568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147984579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ongoing guidance for infectious disease care for migrants and immigrants: a case-based narrative review.","authors":"Rachel Croxton, Tessa Adžemović, Payal K Patel, Elizabeth A Scruggs-Wodkowski, Joseph Benigno Ladines-Lim","doi":"10.1017/ash.2026.10390","DOIUrl":"10.1017/ash.2026.10390","url":null,"abstract":"<p><p>In this narrative review, we build upon previous work and provide guidance on the infectious disease care of immigrant, refugee, and asylee populations, accounting for numerous policy changes at the federal level that have been made in the past year and with a focus on re-emerging infections such as measles. We present three cases to illustrate teaching points on the care of pertinent infections we have chosen (HIV, measles, and Ebola), not only at the patient level but also actions of advocacy that can be taken to build health systems that better care for these patients.</p>","PeriodicalId":72246,"journal":{"name":"Antimicrobial stewardship & healthcare epidemiology : ASHE","volume":"6 1","pages":"e144"},"PeriodicalIF":0.0,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13184564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147984601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Convergence of multidrug resistance with biofilm formation and hypermucoviscosity in <i>Klebsiella pneumoniae</i> from tertiary-care hospitals in Northwestern Pakistan.","authors":"Aiman Waheed, Taj Ali Khan, Sajjad Ahmad, Fahad Ahmed, Zahoor Khan","doi":"10.1017/ash.2026.10405","DOIUrl":"10.1017/ash.2026.10405","url":null,"abstract":"<p><p>This multicenter study describes the convergence of multidrug resistance, biofilm formation, and hypermucoviscosity in <i>Klebsiella pneumoniae</i> clinical isolates from tertiary-care hospitals in Pakistan. The high prevalence of these phenotypes highlights significant therapeutic challenges and underscores the need for strengthened surveillance, infection control, and antimicrobial stewardship.</p>","PeriodicalId":72246,"journal":{"name":"Antimicrobial stewardship & healthcare epidemiology : ASHE","volume":"6 1","pages":"e143"},"PeriodicalIF":0.0,"publicationDate":"2026-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13184566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147984515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding infection control needs in schools: insights from Nebraska's school health staff.","authors":"Mounica Soma, Chris Cashatt, Muhammad Salman Ashraf, Kate Tyner, Andrea Riley, Alice Sato, Robin Williams, Juan Teran-Plasencia","doi":"10.1017/ash.2026.10396","DOIUrl":"10.1017/ash.2026.10396","url":null,"abstract":"","PeriodicalId":72246,"journal":{"name":"Antimicrobial stewardship & healthcare epidemiology : ASHE","volume":"6 1","pages":"e142"},"PeriodicalIF":0.0,"publicationDate":"2026-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13162065/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147936085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Decreasing single-use plastic within the pneumatic tube system during medication transport.","authors":"Shreya M Doshi, Demilade Haastrup, Xiaoyan Song","doi":"10.1017/ash.2026.10385","DOIUrl":"10.1017/ash.2026.10385","url":null,"abstract":"","PeriodicalId":72246,"journal":{"name":"Antimicrobial stewardship & healthcare epidemiology : ASHE","volume":"6 1","pages":"e139"},"PeriodicalIF":0.0,"publicationDate":"2026-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13162057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147936009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}