Division of Infectious Diseases

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 of the importance of antimicrobial stewardship as antimicrobial resistance is… Continue Reading

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 35,000 deaths annually. The Division of Infectious Diseases at University… Continue Reading

#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 Dr. Jasmine Marcelin. In celebrating #AntibioticAwarenessWeek, Danny shares his thoughts… Continue Reading

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 difficile infections) and antibiotic resistance. In recognition of this annual… Continue Reading

Antibiotic Awareness Week Is Coming! How Will YOU Raise Awareness??

CDC has designated November 18-22, 2019 as US Antibiotic Awareness Week!  We are joining the CDC and many organizations around the world recognizing and promoting awareness for appropriate antibiotic use. During #AntibioticAwarenessWeek, collaborative blog posts from UNMC ID/ASP and Nebraska ASAP will be published between November 18 and 22. Check out these videos supporting the Antibiotic Awareness Week message, from our UNMC ID archives! Dr. Jasmine… Continue Reading

When you see CRE: Add Equal Parts Antimicrobial Stewardship and Infection Control

The following was previously posted by Dr. Marcelin to SHEA Journal Club published online in April 2019. Dealing with carbapenem resistant organisms presents both an antimicrobial stewardship and infection control problem. Richter et al. aimed to predict risk factors for carbapenem resistance among Gram-negative rods (CR-GNR). The authors were particularly interested in whether differences exist in risk factors for development of ertapenem-resistance (ER-GNR), versus resistance… Continue Reading

Prescribing in Pediatric Patients: Who is at Risk?

The following was previously posted by Dr. Marcelin to SHEA Journal Club published online in January 2019. In the inpatient setting, much of the broad-spectrum antibiotic prescribing occurs in the context of the sepsis syndrome, where uncertainty leads to overly broad empiricism. Development of antibiotic-resistant Gram-negative rods (high-risk GNRs) may complicate empiric treatment choices, and in the pediatric population, delay in appropriate treatment can have… Continue Reading

Technology vs. Humans: Role of Rapid Diagnostics and Antimicrobial Stewardship in Cancer Patients

Rapid diagnostic testing (RDTs) plays an important role in Antimicrobial Stewardship Programs (ASP) and highlights the impact of the Microbiology laboratory on reducing inappropriate antibiotic use, particularly in hospitalized patients. Early microbial identification with RDTs can lead to earlier initiation of targeted antimicrobial therapy, which can in turn result in shorter hospitalization, fewer adverse events and reduced C. difficile infections. Other studies have shown that… Continue Reading

UNMC Infectious Diseases Fellows are Antibiotics Aware

The following was written by Dr. Raj Karnatak, 2nd year ID fellow at UNMC; a reflection of his current Antimicrobial Stewardship/Infection Control rotation: The UNMC Infectious Diseases fellowship antimicrobial stewardship and infection control rotation provides robust training for fellows in both antimicrobial stewardship and infection control. Training is well designed with education in all the core elements of stewardship and infection control. Fellows attend dedicated… Continue Reading

How Nebraska ASAP is Making Everyone Antibiotic Aware

The following was written by Dr. Salman Ashraf, co-Medical Director of the Nebraska Antimicrobial Stewardship Assessment & Promotion Program (ASAP): Antibiotic Resistance is one of the most urgent threats to the public health. Overuse and misuse of antibiotics allows the development of antibiotic-resistant bacteria. Unfortunately, a significant proportion of antibiotic use in various healthcare settings continues to be unnecessary or inappropriate. About a third (30%)… Continue Reading