Join Nicki and Jess as they dive into the journey of Clostridioides difficile (C. diff) infections as patients move between hospitals and Skilled Nursing Facilities (SNFs). They're joined by special guests Kelly, Glenn, and Cory, who help unpack insights from a massive U.S. study of over 86,000 hospitalizations.

Together, they explore why so many patients are discharged to SNFs after a C. diff infection, why those coming from SNFs face higher mortality, longer hospital stays, and higher costs, and what this all means for care coordination. Additionally, they break down the stats, discuss the real-world implications, and explain how hospitals and SNFs can work together to improve outcomes for older adults. Tune in for a lively, informative conversation about the challenges and opportunities of navigating care transitions after C. diff. With special guests: Kelly R Reveles, PharmD, PhD, Associate Professor, The University of Texas at Austin College of Pharmacy, Glenn S Tillotson, PhD, Partner, GST Micro, and Cory Evans, OTR/L, CEO, Clinware Solutions, Inc.

Measles is back, and when a community outbreak hit in early 2025, one children's hospital had to move fast. In this episode, hosts Nicki and Jess are joined by Chris, Christie, and Lacey to break down how their multidisciplinary team rapidly designed and implemented infection prevention strategies to protect pediatric patients, families, and staff. From emergency department screening sheds and temporary negative pressure rooms to staff education, fit testing, and coordination with public health, our guests walk through what worked, what was challenging, and the real-world lessons learned from managing a highly contagious virus in a healthcare setting. This conversation offers practical insights for infection preventionists and healthcare leaders preparing for vaccine-preventable disease outbreaks. With special guests:

• Lacey Kovar, MPH, CIC, Senior Infection Preventionist, Covenant Children's Hospital
• Chris Gould, MBA, Senior Director of Environment of Care, Facilities Engineering for the Texas-New Mexico Region, Covenant Health
• Christie Vandygriff, MSIPE, BSN, RN, Senior Manager of Infection Prevention, Covenant Health

Have you ever tackled a complex job without a manual? In this episode, we dive into the reality of infection prevention training and explore how variability in orientation impacts CIC preparedness among infection preventionists in Texas. The conversation highlights a heavy reliance on on-the-job training, limited use of standardized onboarding tools, and significant disparities in certification, particularly among rural and non-acute care professionals. Join hosts Nicki and Jess as they unpack why structured resources like the APIC Novice Roadmap and APIC Text matter. We also hear key insights from Dr. Kayla Ruch, who shares firsthand experiences and actionable solutions to strengthen training pathways, improve CIC readiness, and support a more resilient infection prevention workforce.

With special guest: Kayla Ruch, PhD, MPH, CPH, HACP, CIC, Senior Instructional Developer for Infection Prevention and Control, Texas Epidemic Public Health Institute (TEPHI)

Can a simple nasal antiseptic protect ICU patients from deadly MRSA infections? This episode dives into how a Michigan hospital team reduced bloodstream infections with a twice-daily antiseptic, why it worked, and what it takes to implement this approach. With expert insights and real-world challenges, this is prevention in action, right under your nose.

With special guests:

• Sarah Prascius, MPH, CIC, Infection Prevention Specialist, Henry Ford West Bloomfield Hospital - Michigan
• Alex Wells, MPH, CIC, CPHQ, Manager of Safety and Reliability, Henry Ford West Bloomfield Hospital - Michigan
• Tricia Stein, MD, FIDSA, FACP, Medical Director of Infection Prevention and Antimicrobial Stewardship and Chief of the Infectious Disease Section, Henry Ford West Bloomfield Hospital - Michigan

Can benchmarking data actually improve antibiotic prescribing for kids? In this episode of AJIC: Science into Practice, hosts Nicki and Jess talk with Dr. Rana El Feghaly and Dr. Matthew Kronman about how collaborative reporting, smart guidelines, and EMR nudges help reduce unnecessary prescriptions. Hear how 22 institutions are reshaping outpatient stewardship with one smarter antibiotic choice at a time.

With special guests:

• Rana El Feghaly, MD, MSCI, CPHQ, Pediatric Infectious Diseases Physician, Infectious Diseases Clinical Director, Pediatric Department Director of Quality and Safety, Children's Mercy Kansas City
• Matthew P. Kronman, MD, MSCE, Professor of Pediatric Infectious Diseases and Associate Vice Chair for Education in the Department of Pediatrics, University of Washington

How did a soil-dwelling parasite infiltrate a New York care facility? Hosts Jess and Nicki dig into a real-life outbreak of Strongyloides stercoralis with experts Kelly Barrett and Dr. Geetika Sood. What began as an unexpected lab finding spiraled into 17 confirmed infections across residents and staff. Tune in for sharp insights, big data talk, and infection prevention lessons you won't want to miss.

With special guests:

Kelly Ann Barrett, MPH, Infectious Disease Epidemiologist, New York State Department of Health and Geetika Sood, M.D., ScM, Medical Director, New York State Division of Epidemiology

Why do infection preventionists stay or walk away? In this episode, hosts Nicki and Jess sit down with guests Dr. Sara Reese and Albert Shackelford to unpack new data on retention and attrition in the field of Infection Prevention (IP). From burnout and workload pressures to flexible schedules and opportunities for growth, they explore the factors shaping career decisions for infection preventionists today. Plus, get a sneak peek at even more analyzed data coming soon. Tune in for an eye-opening conversation filled with data, lived experiences, and practical strategies that every healthcare leader can use to support and sustain the IP workforce.

With special guests:

Sara Reese, PhD, MPH, CIC, FAPIC, Director of Research for the Center of Research, Practice, and Innovation, APIC and Albert Shackelford, MPH, Public Health Professional and Active-Duty Sailor

What happens when infection prevention meets Southern charm? In this episode of AIC Science Into Practice, experts from UAB spotlight Alabama's Regional Center for Infection Prevention and Control. Discover how they tackled misinformation, trained 70,000+ participants statewide, and built a powerful network of infection preventionists, all while having a little fun along the way.

With special guests:

Matthew Fifolt, PhD, Associate Professor in the Department of Health Policy and Organization, The University of Alabama at Birmingham's School of Public Health and Lisa McCormick, DrPH, MPH, Senior Associate Dean for Academics and Practice, The University of Alabama at Birmingham's School of Public Health

What really happens when you flush the toilet? In this episode, environmental microbiologist Dr. Charles Gerba reveals the science behind aerosolized germs, viral cross-contamination, and the surprising role toilet flushing plays in spreading pathogens like norovirus. Discover how air sanitizer sprays can reduce airborne and surface contamination and what that means for infection prevention. If you've ever used a public restroom, this is one episode you don't want to miss.

With special guest:

Charles Gerba, PhD, University of Arizona

Confused by endoscope reprocessing gaps? Join hosts Nikki, Jess, and guest Frankie Catalfumo as they dig into brush types, drying myths, storage debates, and why IFUs can't be trusted blindly. Packed with humor, hard truths, and baking analogies, this episode arms you with practical advice and a few laughs to stop biofilm from crashing your sterile party. Tune in!

With special guest:

Frankie Catalfumo, MPH, CIC, CRST, Director of Practice Guidance and Health Equity, APIC