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Hospital discharge is a critical and often overlooked moment for antibiotic stewardship. In this episode of The ASHE Podcast, hosts Dr. Gonzalo Bearman and Dr. Priya Nori are joined by Dr. David Ha (Stanford University) and Dr. Ritika Prasad (University of California, San Francisco), authors of the recent ASHE article “Unraveling indications for discharge antibiotics: the Devil’s in the details.”
The conversation explores why discharge prescribing is so challenging, the limitations of ICD-10 codes, and how using indication-based fields like the Last Inpatient Indication can more accurately capture clinician intent and improve stewardship at transitions of care.
https://www.cambridge.org/core/journals/antimicrobial-stewardship-and-healthcare-epidemiology/article/unraveling-indications-for-discharge-antibiotics-the-devils-in-the-details/00D66BAC14D6C6B878572EB7069C7014
In this episode of The ASHE Podcast, host Dr. Priya Nori speaks with Dr. Alexia Foy-Crowder, Dr. Pam Bailey, and Dr. Grace Pazienza about their ASHE paper, “Stewardship opportunities in peripartum infections: a review of quality improvement initiatives and future directions” (September 2025).
They discuss why they focused on the peripartum population, the unique implementation challenges in obstetric care, and key findings from their study—including the high proportion of mother–baby dyads receiving antimicrobials and the striking variability across 199 identified regimens. The authors reflect on guideline discordance, the frequent presence of penicillin allergy labels, and how these issues create opportunities for stewardship intervention.
The conversation also covers practical strategies for engaging obstetric teams, metrics for improving antibiotic use, remaining research gaps, and how stewardship in obstetrics connects to maternal health disparities and global antimicrobial resistance.
https://www.cambridge.org/core/journals/antimicrobial-stewardship-and-healthcare-epidemiology/article/stewardship-opportunities-in-peripartum-infections-a-review-of-quality-improvement-initiatives-and-future-directions/BC262D79208E5215F7FF7562B579C6B2#article
Join hosts Gonzalo Bearman and Priya Nori as they dive into the critical intersection of infectious diseases and climate change with experts Dr. Shreya M. Doshi and Dr. Preeti Jaggi. This episode explores actionable steps that infectious diseases professionals can take to address the climate crisis, based on the article, "Ten Sustainable Steps Infectious Diseases Professionals Can Take to Mitigate the Climate Crisis." Our expert guests discuss how global warming exacerbates disease spread and the specific contributions of healthcare activities, from diagnostics and pharmaceutical waste, to greenhouse gas emissions. The conversation highlights strategies for reducing healthcare waste, transitioning from disposable to reusable medical supplies, and balancing infection control needs with environmental sustainability in PPE. Additional topics include optimizing pharmaceutical use to reduce waste, advocating for climate action in healthcare systems, and optimizing telehealth. The importance of tracking and reporting environmental benefits is emphasized, along with an invitation to join a new sustainability interest group. Listeners should note that this submission is part of an ongoing Call for Papers in ASHE on Environmental Sustainability.
Links:
- https://sustainabil-id.com/
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