Bradley Langford
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brxad.bsky.social
Bradley Langford
@brxad.bsky.social
PharmD/MPH Antimicrobial Stewardship Pharmacist 💊🛡️🦠🇨🇦
📘 Associate Editor @ashejournal.bsky.social
👤 https://discover.research.utoronto.ca/42775-bradley-langford
New in JAC AMR - our review of antibiograms from 60 hospitals found ++ variability in design

Many opportunities for improvement, for ex include:
- detail about the population
- guidance on how to interpret
-info on how duplicate patients are handled

doi.org/10.1093/jaca...

#idsky
June 17, 2025 at 2:17 AM
🆕 Evaluating BSI in Ontario we found #AMR was associated with a 10% ⬆️ risk of death equivalent to 1.2 deaths/100,000 people/year

These estimates are lower than those in previous literature, which may be due to robust adjustment for confounding

doi.org/10.1093/cid/...
@cidjournal.bsky.social
May 16, 2025 at 12:31 AM
📈 New Public Health Ontario epidemiology report:
C. auris cases in Ontario are infrequent (22 cases, 2017–2024) but are gradually rising.
🧪 94% fluconazole resistant
🧪 35% amphotericin B resistant
🧪 0% echinocandin resistant
📊 Read more: bit.ly/4cIAwBg
#AntimicrobialStewardship
April 18, 2025 at 2:09 PM
🐶🐱 Companion animals need #AntimicrobialStewardship too! In our new SR/MA (led by Dr. Fiona Emdin), we examined short vs. long antibiotic durations for UTIs in dogs & cats.📉 Pooled RR for cure = 0.55 (95% CI: 0.23–1.27), very low certainty.
🔓 doi.org/10.1186/s129...
More high-quality data needed!
April 18, 2025 at 1:55 PM
🆕 in @ashejournal.bsky.social Another example of "you get what you pay for" - hospitals with designated funding/resources to support their antibiotic stewardship program had a 3.7X higher odds of participating in AMU reporting and benchmarking
doi.org/10.1017/ash.... #IDSky
March 19, 2025 at 1:17 PM
In order to mitigate #antimicrobialresistance, we need more stewards! This scoping review shows that local public health is a key player in knowledge dissemination, data collection & design and implementation of stewardship strategies:
doi.org/10.1093/jaca...
January 13, 2025 at 9:27 PM
Audit & feedback with peer comparison works to improve antibiotic prescribing in primary care. Now, health system leaders and policy-makers must take decisive steps to integrate this strategy into the healthcare system.
qualitysafety.bmj.com/content/earl...
👏 @kevinschwartz.bsky.social
January 12, 2025 at 10:42 PM
We found lower rates of bacterial infection in patients with SARS-CoV-2 compared to Flu and RSV. This is driven by lower rates of co-infection (<48h) in patients with COVID. NB: testing practices may also vary across infections and over time.
doi.org/10.1093/ofid...
@ofidjournal.bsky.social #IDSky
January 6, 2025 at 10:25 PM
Antibiotic stewardship programs need dedicated funding to be effective. Hospital ASPs with funding & resources use less fluoroquinolones, anti-pseudomonal agents, and clindamycin.
🆕 in @ashejournal.bsky.social
📰 doi.org/10.1017/ash....
#IDSky
December 26, 2024 at 2:44 PM
A vital step in reducing unnecessary antibiotic use is getting patients and the general public on board. Here are some simple resources from the Public Health Agency of Canada explaining how to use antibiotics wisely

📃 www.canada.ca/en/health-ca...
December 23, 2024 at 9:20 PM
OpenAI Sora's first depiction of an antimicrobial steward defending the population from unnecessary antibiotic prescriptions! Not quite ready for a feature film. 😆
#FightAR #AntibioticResistance #IDSky
December 13, 2024 at 5:10 PM
Thanks to the Enterprise Antimicrobial Stewardship Program @mayoclinic.bsky.social for the opportunity to speak about cognitive bias in antimicrobial prescribing.

It was great to share with and learn from this exceptional program!
#WAAW2024
#USAAW2024
#FightAR
November 23, 2024 at 1:14 AM
Introducing AMR Aware Canada’s new campaign toolkit for #WAAW2024!
Visit AMRAware.ca/campaign/ to download and share:
✅5 Things to Know About AMR poster
✅5 Things social media graphics
✅Go Blue social headers + virtual backgrounds
#AMRSymposium2024
November 20, 2024 at 12:10 AM
It's World AMR Awareness Week!

As a #WAAW tradition, join the 300,000+ others who completed the "Which Antibiotic Are You" personality quiz.

It's a fun way to engage colleagues and the general public about #AMR.

Try it here
➡️ quiz.tryinteract.com?fbclid=IwZXh...

#WAAW2024 #IDSky
November 18, 2024 at 6:41 PM
Antimicrobial Stewards: what are your plans for World AMR Awareness Week?

Here are 10 ideas to make the most of #WAAW2024

pmc.ncbi.nlm.nih.gov/articles/PMC...
November 11, 2024 at 5:19 PM