Arkansas Antimicrobial Stewardship Foundation
@arstewardship.bsky.social
Arkansas Antimicrobial Stewardship Foundation: Promoting antibiotic stewardship education to better the health outcomes of all Arkansans.
We often overlook agriculture and farming when thinking about antimicrobial stewardship, but we're exposed to numerous resistant bacteria from these sources. Most of the recent food recalls are due to agricultural runoff and poor manure management.
November 20, 2025 at 4:22 AM
We often overlook agriculture and farming when thinking about antimicrobial stewardship, but we're exposed to numerous resistant bacteria from these sources. Most of the recent food recalls are due to agricultural runoff and poor manure management.
Yesterday's post was about the people in direct contact with the patient. Today's #USAAW week post is about the backbone of most of our stewardship programs: the clinical micro lab. We're all in this together. We all have a role.
November 18, 2025 at 11:05 PM
Yesterday's post was about the people in direct contact with the patient. Today's #USAAW week post is about the backbone of most of our stewardship programs: the clinical micro lab. We're all in this together. We all have a role.
For our first #USAAW week post, let's look at the 5 Ds of Stewardship. This is one place were providers, pharmacist, and other patient care team members can make a big difference. #WereInItTogether
November 17, 2025 at 8:55 PM
For our first #USAAW week post, let's look at the 5 Ds of Stewardship. This is one place were providers, pharmacist, and other patient care team members can make a big difference. #WereInItTogether
Mastery Monday: This came up this weekend, so I made an infographic about it. It's a pretty common question that pharmacy gets from providers at all levels. Is your patient allergic or not? Most PCN allergies aren't real, but we want to be cautious with any allergy a patient reports.
October 21, 2025 at 12:07 AM
Mastery Monday: This came up this weekend, so I made an infographic about it. It's a pretty common question that pharmacy gets from providers at all levels. Is your patient allergic or not? Most PCN allergies aren't real, but we want to be cautious with any allergy a patient reports.
I don't know about you, but my nightmares are filled with superbugs and NDMs, not Freddy Krueger and Jason Voorhees. That makes March, Friday the 13th the perfect time to come together to fight and prevent these real monsters. Save the date: more details to come.
October 16, 2025 at 2:26 PM
I don't know about you, but my nightmares are filled with superbugs and NDMs, not Freddy Krueger and Jason Voorhees. That makes March, Friday the 13th the perfect time to come together to fight and prevent these real monsters. Save the date: more details to come.
Sometimes, the sodium content of antibiotics matters. Just last week, there was a CHF patient with pneumonia who wasn’t improving - It turns out that the culprit wasn’t infection severity; it was likely the sodium load from Zosyn (piperacillin–tazobactam). Check out our "fry scale."
October 13, 2025 at 2:08 PM
Sometimes, the sodium content of antibiotics matters. Just last week, there was a CHF patient with pneumonia who wasn’t improving - It turns out that the culprit wasn’t infection severity; it was likely the sodium load from Zosyn (piperacillin–tazobactam). Check out our "fry scale."
It's Wednesday and I forgot to post our Mastery Monday post on here. Oops! Drug fever is relatively uncommon, with estimates varying but often placing it around 3-5% of drug-related adverse effects or 1-3% of fevers of unknown origin. If you see a persistent fever, it could be worth considering.
October 8, 2025 at 2:32 PM
It's Wednesday and I forgot to post our Mastery Monday post on here. Oops! Drug fever is relatively uncommon, with estimates varying but often placing it around 3-5% of drug-related adverse effects or 1-3% of fevers of unknown origin. If you see a persistent fever, it could be worth considering.
Mastery Monday: I wouldn't say Tygacil is a first line
for VRE, but it's an option (and it can be a good one for
polymicrobial intrabdominal infections associated with
VRE). Linezolid is an option even if someone is on an
SSRI, depending on the patient.
for VRE, but it's an option (and it can be a good one for
polymicrobial intrabdominal infections associated with
VRE). Linezolid is an option even if someone is on an
SSRI, depending on the patient.
September 29, 2025 at 3:53 PM
Mastery Monday: I wouldn't say Tygacil is a first line
for VRE, but it's an option (and it can be a good one for
polymicrobial intrabdominal infections associated with
VRE). Linezolid is an option even if someone is on an
SSRI, depending on the patient.
for VRE, but it's an option (and it can be a good one for
polymicrobial intrabdominal infections associated with
VRE). Linezolid is an option even if someone is on an
SSRI, depending on the patient.
Mastery Monday: Azithromycin is a fun antibiotic to learn about because it's kind of weird. It's also not as effective as it used to be, which is a global concern due to overprescribing because it is cheap and easily accessible. Who hasn't had an unnecessary Z-Pak? I think most of us have.
September 22, 2025 at 5:29 PM
Mastery Monday: Azithromycin is a fun antibiotic to learn about because it's kind of weird. It's also not as effective as it used to be, which is a global concern due to overprescribing because it is cheap and easily accessible. Who hasn't had an unnecessary Z-Pak? I think most of us have.
Mastery Monday: This week it's oral cephalosporins.The main point is that even though your isolate is susceptible to a ceftriaxone, that doesn't mean the drugs will cover it. We usually use cefazolin as a surrogate.PharmSoHard did a really good podcast about cefdinir data and controversies in 2023.
September 15, 2025 at 9:05 PM
Mastery Monday: This week it's oral cephalosporins.The main point is that even though your isolate is susceptible to a ceftriaxone, that doesn't mean the drugs will cover it. We usually use cefazolin as a surrogate.PharmSoHard did a really good podcast about cefdinir data and controversies in 2023.
Mastery Monday: Since it's early in the school year for our new students, residents, and fellows, I thought I'd start doing some "Mastery Monday" posts with some simple, easy to digest facts that will help you all grow into good stewards. If you have an idea for a future topic, let me know.
September 8, 2025 at 2:06 PM
Mastery Monday: Since it's early in the school year for our new students, residents, and fellows, I thought I'd start doing some "Mastery Monday" posts with some simple, easy to digest facts that will help you all grow into good stewards. If you have an idea for a future topic, let me know.
We have Amanda's CAP guideline summary here, though there is a little controversy with this one!
September 5, 2025 at 5:08 PM
We have Amanda's CAP guideline summary here, though there is a little controversy with this one!
I've summarized the new cUTI IDSA guidelines (they came out on July 17. A new CAP guideline came out then too but there's some IDSA/ATS drama so I was waiting on the official IDSA letter for that one - who knew ID was so spicy?).
August 21, 2025 at 12:59 PM
I've summarized the new cUTI IDSA guidelines (they came out on July 17. A new CAP guideline came out then too but there's some IDSA/ATS drama so I was waiting on the official IDSA letter for that one - who knew ID was so spicy?).
Sunday kicks off Shark Week, and it’s also the 50th Anniversary of Jaws this summer! You might wonder what sharks have to do with stewardship. As apex predators, they face many of the same challenges we do. Stewardship is a team sport and affects the whole ecosystem! #SharkWeek #jaws50
July 19, 2025 at 2:08 AM
Sunday kicks off Shark Week, and it’s also the 50th Anniversary of Jaws this summer! You might wonder what sharks have to do with stewardship. As apex predators, they face many of the same challenges we do. Stewardship is a team sport and affects the whole ecosystem! #SharkWeek #jaws50
Did you know that today's holiday used to be associated with tetanus? The severity of the disease led some to compare the holiday's death toll to that of major battles for independence.
July 4, 2025 at 12:58 PM
Did you know that today's holiday used to be associated with tetanus? The severity of the disease led some to compare the holiday's death toll to that of major battles for independence.
Check out our latest blog post to join our education committee and find out more about the ADH survey.
www.arstewardship.org/post/join-ou...
www.arstewardship.org/post/join-ou...
Join Our Education Committee
We want to expand our outreach from the Summit to other parts of the state to further stewardship efforts. If you'd be interested in joining our education committee to discuss what opportunities you'...
www.arstewardship.org
June 23, 2025 at 4:44 PM
Check out our latest blog post to join our education committee and find out more about the ADH survey.
www.arstewardship.org/post/join-ou...
www.arstewardship.org/post/join-ou...
If you’re like me and couldn’t make it to MAD-ID, you can follow here.
💡Great afternoon of interviews with insightful takeaways on improving patient care and implementing guidelines! 🦠💊 #MADID2025 @mad-id.bsky.social #IDsky #MEDsky #AMRsky
Stay updated with onsite coverage here: www.contagionlive.com/conference/m...
Stay updated with onsite coverage here: www.contagionlive.com/conference/m...
May 30, 2025 at 7:58 PM
If you’re like me and couldn’t make it to MAD-ID, you can follow here.
I'm behind on my MMWR, but the March 27th edition had a case study about an Arkansas splash pad and a fatal N. fowleri infection. I'm sure most of us remember the case (it was in 2023) but it's an interesting article with some information about the almost always fatal amoeba.
Fatal Case of Splash Pad–Associated Naegleria ...
This report describes a fatal case of Naegleria fowleri ...
www.cdc.gov
April 30, 2025 at 1:19 AM
I'm behind on my MMWR, but the March 27th edition had a case study about an Arkansas splash pad and a fatal N. fowleri infection. I'm sure most of us remember the case (it was in 2023) but it's an interesting article with some information about the almost always fatal amoeba.
Happy Medical Laboratory Professionals Week to all the lab peeps. We couldn’t do it without you.
April 22, 2025 at 12:22 PM
Happy Medical Laboratory Professionals Week to all the lab peeps. We couldn’t do it without you.
Reposted by Arkansas Antimicrobial Stewardship Foundation
Reposted by Arkansas Antimicrobial Stewardship Foundation
📝 Here are cliff notes on the new FDA-approved product #Emblaveo
www.idstewardship.com/drugs/aztreo...
💠 IV only
💠 Activity vs Ambler Class B metallo-beta-lactamase (MBL) producing gram negative bacteria (e.g., NDM)
💠 Likely will be expensive
💠 Has been approved in Europe since April 2024
#IDsky
www.idstewardship.com/drugs/aztreo...
💠 IV only
💠 Activity vs Ambler Class B metallo-beta-lactamase (MBL) producing gram negative bacteria (e.g., NDM)
💠 Likely will be expensive
💠 Has been approved in Europe since April 2024
#IDsky
Aztreonam-avibactam (Emblaveo)
Aztreonam-avibactam (Emblaveo) photo source pfizer.nl KEY POINTS Aztreonam-avibactam (Emblaveo) is the combination of aztreonam (a monobactam) that interferes with bacterial cell wall synthesis and av...
www.idstewardship.com
February 9, 2025 at 6:52 PM
📝 Here are cliff notes on the new FDA-approved product #Emblaveo
www.idstewardship.com/drugs/aztreo...
💠 IV only
💠 Activity vs Ambler Class B metallo-beta-lactamase (MBL) producing gram negative bacteria (e.g., NDM)
💠 Likely will be expensive
💠 Has been approved in Europe since April 2024
#IDsky
www.idstewardship.com/drugs/aztreo...
💠 IV only
💠 Activity vs Ambler Class B metallo-beta-lactamase (MBL) producing gram negative bacteria (e.g., NDM)
💠 Likely will be expensive
💠 Has been approved in Europe since April 2024
#IDsky
Yo, doc. So they say the half-life's long.
February 12, 2025 at 11:53 PM
Yo, doc. So they say the half-life's long.
Reposted by Arkansas Antimicrobial Stewardship Foundation
Big Data Bayesian Truths: No Vancomycin Trough Concentration Target is Sufficiently Precise for Safety or Efficacy
✅ Just Accepted
#IDSky
✅ Just Accepted
#IDSky
Big Data Bayesian Truths: No Vancomycin Trough Concentration Target is Sufficiently Precise for Safety or Efficacy
Therapeutic drug monitoring is standard of care for vancomycin because of the known efficacy and safety exposure window [i.e. area under the concentration-time curve (AUC) of 400-600 mg*24hours/L]. Despite guideline recommendations, AUCs are infrequently calculated because of the perceived adequacy of trough (Cmin) concentrations.
buff.ly
February 12, 2025 at 12:55 AM
Big Data Bayesian Truths: No Vancomycin Trough Concentration Target is Sufficiently Precise for Safety or Efficacy
✅ Just Accepted
#IDSky
✅ Just Accepted
#IDSky
Our love for stewardship is infectious! Find out more about all the great topics at the stewardship summit on our site: www.arstewardship.org/event-detail...
February 12, 2025 at 1:20 AM
Our love for stewardship is infectious! Find out more about all the great topics at the stewardship summit on our site: www.arstewardship.org/event-detail...