This series will focus on applying stewardship practices in the ambulatory and emergency department settings, describing how tele-stewardship can be used in resource limited settings, analyzing innovations in diagnostic stewardship, and discussing stewardship in the time of COVID-19.

Episode 1 - Stewardship in Ambulatory Settings and the Emergency Department
Episode 2 - Tele-stewardship: An Emerging Tool for Resource Limited Settings 
Episode 3 - Innovations in Diagnostic Stewardship: A Focus on Bacteriuria and Bacterisputia
Episode 4 - Antibiotic Stewardship in the Time of COVID-19

Challenges and Innovations in Antimicrobial Stewardship

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
Larissa May, MD, MSPH, MSHS
Rebekah Wrenn, PharmD, BCIDP (moderator)

Stewardship in Ambulatory Settings and The Emergency Department

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)

Tele-stewardship: An Emerging Tool For Resource Limited Settings

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)

Innovations in Diagnostic Stewardship: A Focus on Bacteriruria & Bacterisputia

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)

Antibiotic Stewardship in the Time of COVID-19

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)

Changing Landscape of Environmental Disinfection

The first podcast of the series "Stewardship: Practical Approaches and Applications", produced by the Society for Healthcare Epidemiology of America (SHEA).  This episode focuses on demonstrating how to impact the rates of Clostridium Difficile infections using antimicrobial stewardship interventions targeting providers in various practice settings.

Panelists: Libby S Dodds-Ashley, PharmD, MHS with the Duke Antimicrobial Stewardship Outreach Network, and Dr. Larissa May, MD, MSHS, MSPH, an Associate Professor and Director of Emergency Department Antibiotic Stewardship at UC Davis Health System.

Focusing Stewardship to Help Tackle CDI

The second podcast of the series "Stewardship: Practical Approaches and Applications", produced by the Society for Healthcare Epidemiology of America (SHEA). This episode focuses on integrating technological and sociobehavioral approaches to diagnostic stewardship, with a specific focus on improving blood culture ordering practices.

Changing the Culture of Culturing

The third podcast of the series “Stewardship: Practical Approaches and Applications”, produced by the Society for Healthcare Epidemiology of America (SHEA). This episode focuses on the leading cause of antibiotic use with UTI over diagnosis in the Adult and Pediatric populations.

The Big Picture on UTI

The last podcast in the series "Stewardship: Practical Approaches and Applications", produced by the Society for Healthcare Epidemiology of America (SHEA). This episode focuses on how to impact antibiotic prescribing practices using Antimicrobial Stewardship Interventions targeting providers and patients in the outpatient setting.

Panelists:  Debra Palazzi, MD, MEd, Associate Professor of Pediatrics in the Infectious Diseases Section at Baylor College of Medicine, and the Medical Director of the Antimicrobial Stewardship Program at Texas Children’s Hospital; and
Ellen Wald, MD, Professor and Chair of the Department of Pediatrics at the University of Wisconsin School of Medicine and Public Health and an internationally recognized expert on the diagnosis and treatment of pediatric infectious diseases.

Upper Respiratory Infections & The Role of Antimicrobials

The Society for Healthcare Epidemiology of America (SHEA)
Leading through science

Stewardship in Ambulatory Settings and The Emergency Department

SHEA

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