Category: Antimicrobial Stewardship

Antibiotics At the End-of-Life: Helping or Harming?

Content written by Dr. Clayton Mowrer. Early in my medical training, my father developed a rapidly-progressive type of cancer. Over the course of several months, his health declined quite quickly, and he was spending more time in the hospital than outside of it. It became uncomfortably clear that pushing forward with invasive and toxic interventions […]

Jul 21, 2020

#PharmToExamTable: What is the evidence for continuous infusion dosing of cefazolin?

The following is a clinical review written by Corey Paz, PharmD. Recent graduate of UNMC College of Pharmacy and new PGY1 Pharmacy Resident at Gunderson Health System in LaCrosse, Wisconsin. Follow him on Twitter @coreypaz. Corey was supervised by Scott Bergman, PharmD, FCCP, FIDSA, BCPS. Pharmacy Coordinator for Antimicrobial Stewardship at Nebraska Medicine and Clinical […]

Mar 30, 2020

Introducing AMDA UTI Consensus Statement for Diagnosis, Treatment and Prevention of Urinary Tract Infections

The AMDA – The Society for Post-Acute and Long Term-Care Medicine convened a UTI consensus statement workgroup in 2017 to outline best practices for the management of UTI in post-acute and long-term care (PALTC) settings. The workgroup consisted of various national and international subject matter experts and was chaired by UNMC faculty Dr. Muhammad Salman Ashraf, who […]

Feb 18, 2020

Antimicrobial Stewardship & Sepsis – A Great Debate

Optimal management of sepsis has long-been a holy grail in medicine. One area that remains fraught with debate is how to effectively balance the need for emergent antimicrobial administration with principles of antimicrobial stewardship. A recent Point–Counterpoint series on “Should Broad-Spectrum Antibiotics Be Routinely Administered to All Patients with Sepsis as Soon as Possible”published in […]

Jan 14, 2020

Unpacking the new IDSA Community-Acquired Pneumonia guidelines

We are always excited to have our ID fellows provide guest blog posts. Second year ID fellow Dr. Lindsey Rearigh (follow her on Twitter @LRearigh) was recently on her Antimicrobial Stewardship rotation and reviewed the latest published guidelines for Community-Acquired Pneumonia (CAP).  The American Thoracic Society (ATS) and Infectious Diseases Society of America (IDSA) recently […]

Dec 10, 2019

Antimicrobial Resistance is a Global Problem: Notes from the World Health Summit

From the World Health Summit, Berlin: Panel on Antimicrobial Resistance (AMR), October 27, 2019. The 2019 World Health Summit (#WHS2019) opened with a panel discussion about the accelerating problem of global antimicrobial resistance (AMR). Dr. Peter Beyer, an intellectual property law expert working with the WHO on global health applications, led a panel of international […]

Nov 26, 2019

Nebraska Medicine receives IDSA Antimicrobial Stewardship Center of Excellence Designation

In 2018, the Infectious Diseases Society of America (IDSA) began recognizing “Antimicrobial Stewardship Centers of Excellence” at hospitals that meet or exceed best practice standards.  We are pleased to announce that Nebraska Medicine has recently been designated as an Antimicrobial Stewardship Center of Excellence effective October 2019.  As we celebrate #AntibioticAwarenessWeek for 2019, we are reminded […]

Nov 22, 2019

Antimicrobial Stewardship efforts in the state of Nebraska

Content provided courtesy Dr. Salman Ashraf: Associate Medical Director, Nebraska Antimicrobial Stewardship Assessment and Promotion Program (ASAP) & Medical Director, Nebraska Infection Control Assessment and Promotion Program (ICAP) CDC’s most recent (2019) report on Antibiotic Resistance Threats in the United States describes 2.8 million infections due to antibiotic resistant organisms in the US resulting in over […]

Nov 21, 2019

#BeAntibioticsAware in the Community Hospital Setting

Bellevue Medical Center (BMC) is a community hospital campus of Nebraska Medicine. In 2017, our Nebraska Medicine Antimicrobial Stewardship Program expanded to include BMC with the expansion of our ASP expertise at our main campus. Danny Schroeder, a pharmacist at BMC, was recruited to lead the stewardship activities on that campus, with expertise provided by […]

Nov 20, 2019

Celebrating Antibiotic Awareness Week in Nebraska!

Antibiotic Awareness Week Proclamation Signing Ceremony CDC has designated November 18 to 24 as US Antibiotic Awareness Week.  Antibiotic Awareness Week is an annual observance in the United States and around the world to promote the importance of using antibiotic appropriately as a mean to minimize unwanted effects from antibiotic therapy (e.g., adverse reactions, Clostridioides […]

Nov 18, 2019