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Showing episodes and shows of
Duke Antimicrobial Stewardship Outreach Network (DASON)
Shows
DASON Digest
Are You Ready for It? Assessing Cephalosporin Allergies with the CEPH-FAST Score
Episode Notes In this episode, DASON Clinical Pharmacist Liaison Dr. Melissa Johnson talks with Dr. Jason Trubiano, Director of Infectious Diseases at Austin Health in Australia. Drs. Johnson and Trubiano discuss an article in Journal of Infection entitled "Development and validation of a cephalosporin allergy clinical decision rule." The article can be found here: https://pubmed.ncbi.nlm.nih.gov/40288499/ For more information about DASON, please visit: https://dason.medicine.duke.edu/
2025-05-30
24 min
DASON Digest
(Re)moving the needle: implementation of an institutional IV to PO treatment guidance for bone and joint infections
Join DASON Clinical Pharmacist Liaison Dr. Jeannette Bouchard as she reviews the recent article published in Antimicrobial Stewardship & Healthcare Epidemiology titled: “(Re)Moving the Needle: A Retrospective, Quasi-Experimental Assessment of the Impact of a Treatment Guideline on Oral Antibiotic Prescribing for Orthopedic Infections." She discusses how this study highlights the real-world impact of guideline implementation on shifting antibiotic prescribing practices for bone and joint infections. The article reviewed in this episode can be found here: https://pubmed.ncbi.nlm.nih.gov/40160226/ For more information about DASON, please visit: https://dason.medicine.duke.edu/
2025-05-16
09 min
DASON Digest
Sole Support: Using Clinical Decision Support Solutions to Improve Care for Patients Inpatients with Diabetic Foot Infections
In this episode, DASON Clinical Pharmacist Liaison Dr. April Dyer talks with us about how a microbiology-driven electronic health record-algorithm and order set can decrease antipseudomonal use in diabetic foot infections. The article reviewed in this episode can be found here: https://pubmed.ncbi.nlm.nih.gov/40160223/ For more information about DASON, please visit: https://dason.medicine.duke.edu/
2025-05-02
11 min
DASON Digest
SBP Prophylaxis: What We’re Doing, Why We’re Doing It… and Should We Keep Doing It?
Episode Notes In this episode, DASON Clinical Pharmacist Liaison Dr. Angelina Davis chats with us about several articles about antibiotic prophylaxis for spontaneous bacterial peritonitis (SBP) in patients with cirrhosis. The materials reviewed in this episode can be found on the DASON Digest page on our website: https://dason.medicine.duke.edu/blog/sbp-prophylaxis-what-were-doing-why-were-doing-it-and-should-we-keep-doing-it For more information about DASON, please visit: https://dason.medicine.duke.edu/
2025-04-18
21 min
DASON Digest
Short and Sweet: Is short course appropriate for uncomplicated Streptococcal bacteremia?
Episode Notes Join the Duke ID PGY2 resident Natalie Harris as she talks with Dr. Julie Gray about her new article published in ASHE this year titled “Short versus long treatment duration for streptococcal bloodstream infection." The article reviewed in this episode can be found here: https://pubmed.ncbi.nlm.nih.gov/40026772/ for more information about DASON, please visit: https://dason.medicine.duke.edu/
2025-04-04
20 min
DASON Digest
Guideline-Driven Success: Standardizing Care for Gram-Negative Bloodstream Infections
Episode Notes Join DASON liaison Jeannette Bouchard as she talks with Dr. Kati Shihadeh about her new article published in ASHE this year titled “Standardization in the management of gram-negative bloodstream infections after implementation of a clinical care guideline at a large academic, safety-net institution: a quasi-experimental study. The article reviewed in this episode can be found here: https://pmc.ncbi.nlm.nih.gov/articles/PMC11822621/ For more information about DASON, please visit: https://dason.medicine.duke.edu/
2025-03-21
23 min
DASON Digest
Less is More-Dazole? Metronidazole twice daily versus three times daily for B. fragilis bacteremia
Episode Notes In this episode, DASON Clinical Pharmacist Liaison Dr. Melissa Johnson chats with Dr. Sunish Shah from University of Pittsburgh Medical Center about metronidazole dosing for bloodstream infections. The article reviewed in the episode can be found here: https://pubmed.ncbi.nlm.nih.gov/39667533/ For more information about DASON, please visit: https://dason.medicine.duke.edu/
2025-02-21
34 min
DASON Digest
Antibiotic De-escalation in Sepsis Patients
Episode Notes In this episode DASON Clinical Pharmacist Liaison Dr. April Dyer talks with Dr. Rebekah Moehring talk to us about outcomes of antibiotic de-escalation in patients with suspected sepsis. The article discussed in the episode can be viewed here: https://pubmed.ncbi.nlm.nih.gov/39657050/ For more information about DASON, please visit: https://dason.medicine.duke.edu/
2025-02-07
26 min
DASON Digest
Testing Troubles: Navigating C. difficile confusion
Episode Notes Join Drs. Libby Dodds Ashley and Dev Anderson as they discuss one of the latest articles from the Duke ID team regarding C. difficile testing and the confusion that surrounds certain testing results. The articles reviewed in this episode can be found here: https://pubmed.ncbi.nlm.nih.gov/39828613/ and https://pubmed.ncbi.nlm.nih.gov/39180325/ For more information about DASON, please visit: https://dason.medicine.duke.edu/
2025-01-24
22 min
DASON Digest
The BALANCE Trial: 7 vs 14 Days for Bloodstream Infection
In this episode of the DASON Digest Podcast, Dr. Angelina Davis, one of our DASON Clinical Pharmacist Liaisons, talks to us about the BALANCE Trial and the work the investigators did with duration of antibiotic treatment for bloodstream infections in hospitalized patients. The article reviewed in this episode can be found here: https://pubmed.ncbi.nlm.nih.gov/39565030/ For more information about DASON, please visit: https://dason.medicine.duke.edu/
2025-01-10
13 min
DASON Digest
Decoding DxEx: the CDC Core Elements of Hospital Diagnostic Excellence
Episode Notes In this episode, DASON Clinical Pharmacist Liaison Dr. Melissa Johnson talks with Dr. Dan Morgan from University of Maryland School of Medicine. The articles and documents reviewed can be found here: https://www.cdc.gov/patient-safety/hcp/hospital-dx-excellence/index.html https://www.cdc.gov/patient-safety/media/pdfs/DxEx-Tool-Priority-Examples-508.pdf https://www.cdc.gov/patient-safety/media/pdfs/DxEx-Tool-Additional-Examples-508.pdf https://www.cdc.gov/patient-safety/media/pdfs/DxEx-Tool-Medical-Test-Checklist-508.pdf https://pubmed.ncbi.nlm.nih.gov/36786646/ https://pubmed.ncbi.nlm.nih.gov/39602334/ For more information about DASON, please visit: https://dason.medicine.duke.edu/
2024-12-06
45 min
DASON Digest
Episode 100: A Celebration of Stewardship
Episode Notes In this very special episode we have guest appearances from old and new stewardship friends. References for this episode can be found at this link: https://dason.medicine.duke.edu/blog/episode-100-celebration-stewardship For more information about DASON, please visit: https://dason.medicine.duke.edu
2024-11-22
58 min
DASON Digest
Unexpected Findings: Ertapenem in Surgical Prophylaxis
Episode Notes For this episode, Dr. Libby Dodds Ashley is joined by Dr. Chris Hostler to discuss Dr. Hostler’s recent article evaluating postoperative outcomes in patients receiving ertapenem for colon surgery. This article that includes some data from our DASON sites so this is a MUST listen! The article reviewed in this episode can be found here: https://pubmed.ncbi.nlm.nih.gov/39363596/ For more information about DASON, please visit: https://dason.medicine.duke.edu/
2024-11-08
15 min
DASON Digest
A Multicenter Retrospective Study Evaluating Intravenous to Oral Antibiotic Stepdown for Uncomplicated Streptococcal Bacteremia
Episode Notes In this episode of the DASON Digest podcast, DASON Clinical Pharmacist Liaison Dr. Melissa Johnson reviews an article that compares the efficacy and safety of intravenous (IV) versus oral (PO) stepdown therapy for uncomplicated streptococcal bacteremia. The article can be found here: https://academic.oup.com/ofid/article/11/7/ofae361/7701251 For more information about DASON, please visit: https://dason.medicine.duke.edu/
2024-10-11
26 min
DASON Digest
Rethinking Daptomycin Dosing: New data on fixed dose daptomycin
Episode Notes Join DASON Clinical Pharmacist Dr. Libby Dodds Ashley as she discusses a recent article in Pharmacotherapy on daptomycin dosing with one of the primary authors, Dr. Katie Olney. The article reviewed in this episode can be found here: https://pubmed.ncbi.nlm.nih.gov/39078247/ For more information about DASON, please visit: https://dason.medicine.duke.edu/
2024-08-30
18 min
DASON Digest
Return of the Penicillin Allergy Label
Episode Notes In this exciting episode, DASON Clinical Pharmacist Dr. April Dyer discusses a hot off the press article that follows up the results from the big PALACE trial that was published in 2023. The article reviewed in this episode can be found here: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2822413 For more information about DASON, please visit: https://dason.medicine.duke.edu/
2024-08-20
12 min
DASON Digest
Is ID the Consult of Fear?
Episode Notes In this episode, DASON Clinical Pharmacist Liaison Dr. April Dyer walks us through an article from Clinical Infectious Diseases entitled "Beyond Infection: Mortality and End-of-Life Care Associated with Infectious Disease Consultation in an Academic Health System." The article reviewed in this episode can be found here: https://pubmed.ncbi.nlm.nih.gov/38867715/ For more information about DASON, please visit: https://dason.medicine.duke.edu/
2024-07-19
18 min
DASON Digest
It Goes On and On and On: Reviewing the new RCT for Continuous infusion vs. Intermittent infusion Beta-lactams
In this exciting episode, Drs. Libby Dodds Ashley and Jeannette Bouchard are joined by Dr. Jason Roberts to discuss his two newly published articles in JAMA that help to answer the question: is there a difference between continuous and intermittent infusions of beta-lactam antibiotics, especially in the critically ill populations? The reviewed materials can be found here: https://dason.medicine.duke.edu/blog/it-goes-and-and-reviewing-new-rct-continuous-infusion-vs-intermittent-infusion-beta-lactams For more information about DASON, please visit: https://dason.medicine.duke.edu/
2024-06-21
31 min
DASON Digest
PEN-FAST and Furious: The efficacy of the PEN-FAST tool in de-labeling previously reported penicillin allergies
Episode Notes In this episode, University of Kentucky PGY2 Infectious Diseases Pharmacy Residents, Will Harris and Tyler Pitcock, discuss the recently published article evaluating the efficacy of the clinical decision tool, PEN-FAST, in de-labeling patients with reported penicillin allergies with one of the authors and Duke University Hospital Infectious Diseases Physicians, Dr. Nick Turner. The article reviewed in this episode can be found here: https://pubmed.ncbi.nlm.nih.gov/37459086/ For more information about DASON, please visit: https://dason.medicine.duke.edu/
2024-04-26
26 min
DASON Digest
The devil's in the defaults: the impact of eliminating default durations of therapy
Episode Notes In this episode, Duke University Hospital Infectious Diseases Pharmacist Dr. Rebekah Wrenn and her resident, Amy Mackowiak, review Dr. Wrenn's recently published article evaluating the impact of default duration elimination on exposure to fluoroquinolone therapy. The article reviewed in today's episode can be found here: https://pubmed.ncbi.nlm.nih.gov/38347810/ For more information about DASON, please visit: https://dason.medicine.duke.edu/
2024-04-12
27 min
DASON Digest
Navigating the LAByrinth: Updates in Antibacterial Susceptibility Testing
Episode Notes In this episode of the DASON Digest Podcast, one of our DASON Clinical Pharmacist Liaisons, Dr. Melissa Johnson, talks with Dr. Jim Lewis, ID Clinical Pharmacy Coordinator and Adjunct Associate Professor at Oregon Health & Science University Departments of Pharmacy and ID in Portland, Oregon. The material reviewed in today's podcast can be found here: https://clsi.org/standards/products/microbiology/documents/m100/ For more information about DASON, please visit: https://dason.medicine.duke.edu
2024-04-05
53 min
DASON Digest
Incorporating Adverse Event Feedback Into Antibiotic Stewardship
Episode Notes In this episode of the DASON Digest podcast, DASON Clinical Pharmacist Liaison Dr. April Dyer talks to us about how to incorporate adverse event feedback into antibiotic stewardship. The article reviewed in this episode can be found here: https://pubmed.ncbi.nlm.nih.gov/38415083/ For more information about DASON, please visit: https://dason.medicine.duke.edu
2024-03-15
14 min
DASON Digest
Optimizing the use of the GI Panel and strategies to improve appropriate testing
Episode Notes In this episode, DASON Clinical Pharmacist Liaisons Drs. Jeannette Bouchard and Libby Dodds-Ashley walk us through the details of a recent article published in ASHE to assess the impact of a clinical decision support survey to improve GI Panel ordering appropriateness at a VA. The article reviewed in this episode can be found here: https://pubmed.ncbi.nlm.nih.gov/38415090/ For more information about DASON, please visit: https://dason.medicine.duke.edu/
2024-03-01
18 min
DASON Digest
Which of Active vs Passive Response to Rapid Diagnostic Blood Culture Results
Episode Notes In this episode of the DASON Digest podcast, DASON Clinical Pharmacist Liaison Dr. Angelina Davis talks to us about the use of active versus passive methods of responding to rapid diagnostic blood culture results. The article reviewed can be found here: https://pubmed.ncbi.nlm.nih.gov/36483427/ For more information about DASON, please visit: https://dason.medicine.duke.edu/
2024-02-19
14 min
DASON Digest
Exploring the Microbiome: Pertinent details from a phase 1 study exploring omadacycline in healthy guts
Episode Notes In this episode, DASON Clinical Pharmacist Liaison Dr. Jeannette Bouchard is joined by Dr. Kevin Garey, an adjunct professor at the University of Texas School of Public Health and senior author of the reviewed article. They walk us through the details of the microbiome effects oral omadacycline has versus oral vancomycin and what this might mean for the future of the treatment for C. difficile infections. The materials reviewed in today's episode can be found here: https://pubmed.ncbi.nlm.nih.gov/38051631/ and https://pubmed.ncbi.nlm.nih.gov/22563022/ For more information about...
2024-02-02
23 min
DASON Digest
It’s All in the Dose: High-dose oral beta-lactams for bacteremic UTIs due to Enterobacterales
Episode Notes In this episode, DASON Clinical Pharmacist Liaisons Drs. Melissa Johnson and Jeannette Bouchard discuss an article from ASHE on high-dose oral beta-lactam definitive therapy compared to fluoroquinolone or trimethoprim-sulfamethoxazole oral therapy for bacteremia secondary to a urinary tract infection. The article reviewed can be found here: https://pubmed.ncbi.nlm.nih.gov/37771747/ For more information about DSAON, please visit: https://dason.medicine.duke.edu/
2024-01-19
19 min
DASON Digest
Source Specific Sepsis Order Sets Lead to Improved Empiric Therapy in the ED
Episode Notes In this episode, Dr. April Dyer, one of our DASON Clinical Pharmacist Liaisons, talks to us about source specific order sets leading to improved empiric therapy in the ED in a 200 bed hospital. The article reviewed in this episode can be found here: https://academic.oup.com/ofid/advance-article/doi/10.1093/ofid/ofad677/7491622# To learn more about DASON, please visit: https://dason.medicine.duke.edu
2024-01-05
10 min
DASON Digest
Optimizing Outpatient Ordering
Episode Notes In this episode, Drs. Bouchard, Dodds Ashley, and Perez review a large study tackling inappropriate antimicrobial use in the outpatient setting. The article reviewed in this episode can be found here: https://academic.oup.com/ofid/advance-article/doi/10.1093/ofid/ofad585/7439469 For more information about DASON, please visit: https://dason.medicine.duke.edu
2023-12-15
29 min
DASON Digest
Ending VAP: is vaporizing antibiotics the answer?
Episode Notes In this episode, Drs. Libby Dodds Ashley and Jeannette Bouchard, two of our DASON Clinical Pharmacists, talk to us about bringing and end to VAP. The article reviewed in this episode can be found here: https://pubmed.ncbi.nlm.nih.gov/37888914/ For more information about DASON, please visit: https://dason.medicine.duke.edu
2023-12-01
20 min
DASON Digest
Neurotoxicity vs Nephrotoxicity: A Look at the Comparative Safety of Cefepime and Piperacillin-Tazobactam in Adults Hospitalized With Acute Infection
Episode Notes In this episode, Dr. April Dyer, one of the DASON Clinical Pharmacists, talks about cefepime vs piperacillin-tazobactam in adults hospitalized with acute infection. The article reviewed in this episode can be found here: https://pubmed.ncbi.nlm.nih.gov/37837651/ For more information about DASON, please visit: https://dason.medicine.duke.edu
2023-11-03
21 min
DASON Digest
Analyzing Antibiograms: Reassessing a major tool
Episode Notes Drs. Perez, Hillenbrand and Mourad do a deep dive on how to best apply one of our most common stewardship tools. The article reviewed in this episode can be found here: https://academic.oup.com/cid/advance-article/doi/10.1093/cid/ciad467/7240295 For more information about DASON, please visit: https://dason.medicine.duke.edu
2023-10-20
34 min
DASON Digest
Hit me with your best shot! Tools to select the best empiric therapy in complicated UTIs
Episode Notes In this episode of the DASON Digest Podcast, DASON Clinical Pharmacist Liaison Dr. Jeannette Bouchard talks to us about clinical risk scores to improve empiric antimicrobial selection for outpatient complicated urinary tract infections. The article reviewed in this episode can be found here: https://academic.oup.com/ofid/article/10/8/ofad319/7198038#413122181 For more information about DASON, please visit: https://dason.medicine.duke.edu
2023-09-29
18 min
DASON Digest
Can we FINALLY stop antibiotics in culture negative serious infections?
Episode Notes In this episode of the DASON Digest Podcast, DASON Clinical Pharmacist Liaison Dr. Angelina Davis talks to us about the early discontinuation of antibiotics in patients admitted with clinically suspected serious infection but negative cultures. The article reviewed in this episode can be found here: https://pubmed.ncbi.nlm.nih.gov/37449298/ For more information about DASON, please visit: https://dason.medicine.duke.edu
2023-09-01
20 min
DASON Digest
Creating Impactful, Feasible, Actionable, and Measurable Stewardship Interventions
Episode Notes In this episode of the DASON Digest Podcast, DASON Clinical Pharmacist Liaison Dr. April Dyer talks to us about improving the efficiency of antimicrobial stewardship action in acute care facilities. The article reviewed in this episode can be found here: https://academic.oup.com/ofid/advance-article/doi/10.1093/ofid/ofad412/7234482 For more information about DASON, please visit: https://dason.medicine.duke.edu
2023-08-18
18 min
DASON Digest
Don’t be so Negative! A Look at GN-BSI in the US
Episode Notes Dr. Rey Perez chats with our newest DASON Clinical Pharmacist Liaison, Dr. Jeannette Bouchard, about the epidemiology of gram negative blood stream infections. The article reviewed in this episode can be found here: https://academic.oup.com/ofid/article/10/7/ofad265/7175984 For more information about DASON, please visit: https://dason.medicine.duke.edu
2023-08-04
27 min
DASON Digest
Rx for Success: Tackling Penicillin Allergy De-Labelling in our Hospitals
Episode Notes Dr. Melissa Johnson from DASON talks to us about removing incorrect penicillin allergy labels. There are lots of supplemental materials for this episode, and they can all be viewed on the episode's page on our website: https://dason.medicine.duke.edu/blog/rx-success-tackling-penicillin-allergy-de-labelling-our-hospitals The main article discussed today is: https://pubmed.ncbi.nlm.nih.gov/37354996/ For more information about DASON, please visit: https://dason.medicine.duke.edu/
2023-07-21
16 min
DASON Digest
SSI Compendium Update
Episode Notes In this episode, Infectious Diseases fellow Dr. Rey Perez chats with DCASIP Executive Director Dr. Dev Anderson about the latest surgical site infection compendium updates. The article reviewed can be found here: https://www.cambridge.org/core/journals/infection-control-and-hospital-epidemiology/article/strategies-to-prevent-surgical-site-infections-in-acutecare-hospitals-2022-update/2F824B9ADD6066B29F89C8A2A127A9DC To learn more about DASON, please visit: https://dason.medicine.duke.edu/
2023-06-09
34 min
DASON Digest
Antibiotic Spectrum Scores
Episode Notes This episode features Dr. April Dyer from DASON. The article reviewed in the episode can be found here: https://pubmed.ncbi.nlm.nih.gov/36999909/ For more information about DASON, please visit: https://dason.medicine.duke.edu
2023-05-26
18 min
DASON Digest
Pip-Tazo: A Pancreatic Panacea?
Episode Notes This Episode features Drs. Shaefer Spires and Rey Perez from DASON. The article reviewed in this episode is available here: https://jamanetwork.com/journals/jama/fullarticle/2804245. JAMA. 2023;329(18):1579-1588. doi:10.1001/jama.2023.5728 For more information about DASON please visit: https://dason.medicine.duke.edu Find out more at https://dason-digest.pinecast.co
2023-05-12
31 min
DASON Digest
Antimicrobial susceptibility testing: An updated primer for clinicians in the era of antimicrobial resistance: Insights from the Society of Infectious Diseases Pharmacists
Episode Notes This month, University of Kentucky HealthCare PGY2 Infectious Diseases Pharmacy Residents Becca and Kam are on their DASON rotation and are talking to DASON Digest listeners about antimicrobial susceptibility testing. The article reviewed in the episode is available here: https://pubmed.ncbi.nlm.nih.gov/36825480/ For more information about DASON, please visit: https://dason.medicine.duke.edu/
2023-04-28
26 min
DASON Digest
Hydrocortisone in Severe Community-Acquired Pneumonia
Episode Notes This month, University of Kentucky HealthCare PGY2 Infectious Diseases Pharmacy Residents Becca and Kam are on their DASON rotation and are talking to DASON Digest listeners about Hydrocortisone use in severe CAP. The article reviewed in this episode is available here: https://pubmed.ncbi.nlm.nih.gov/36942789/ For more information about DASON, please visit: https://dason.medicine.duke.edu/
2023-04-14
26 min
DASON Digest
Prophylaxis Progress Report
Episode Notes This episode features Drs. Libby Dodds Ashley and Rey Perez from DASON. The article reviewed in this episode is available here: https://pubmed.ncbi.nlm.nih.gov/36774539/ For more information about DASON, please visit: https://dason.medicine.duke.edu/
2023-03-31
27 min
DASON Digest
RSV vaccines coming: Its ok to be excited
Episode Notes This episode features Dr. Shaefer Spires, DASON Medical Director, and Dr. Ethan Brenneman, PGY2 Infectious Diseases Pharmacy Resident for Duke University Hospital. The documents reviewed in this episode are: https://duke.box.com/s/7zvupbr81euvcujzq20jbpbj0yuqnafy and https://duke.box.com/s/738zmcuz4voh2urm1j0o3v2i540ziczp For more information about DASON, please visit: https://dason.medicine.duke.edu Find out more at https://dason-digest.pinecast.co
2023-03-17
24 min
DASON Digest
A Guide to Diagnostic Stewardship
Episode Notes This episode features Dr. Angelina Davis from DASON. The article reviewed in this episode is available here: https://pubmed.ncbi.nlm.nih.gov/36786646/ For more information about DASON, please visit: https://dason.medicine.duke.edu Find out more at https://dason-digest.pinecast.co
2023-03-03
11 min
DASON Digest
Let's take a mindful pause before treating bacteriuria in older adults
Episode Notes This episode features Dr. April Dyer from DASON. The article reviewed in this episode is available here: https://pubmed.ncbi.nlm.nih.gov/36714291/ For more information about DASON, please visit: https://dason.medicine.duke.edu Find out more at https://dason-digest.pinecast.co
2023-02-17
11 min
DASON Digest
Discordant C. diff testing results - to treat or not to treat?
Episode Notes This episode features Drs. Shaefer Spires and Rey Perez from DASON. The article reviewed in this episode is available here: https://pubmed.ncbi.nlm.nih.gov/34325761/ For more information about DASON, please visit: https://dason.medicine.duke.edu/ Find out more at https://dason-digest.pinecast.co
2023-02-03
17 min
DASON Digest
Stewardship Secrets: Optimizing carbapenem use in our facilities
Episode Notes This episode features Dr. Melissa Johnson from DASON. The article reviewed in this episode is available here: https://pubmed.ncbi.nlm.nih.gov/36601545/ For more information about DASON, please visit: https://dason.medicine.duke.edu Find out more at https://dason-digest.pinecast.co
2023-01-20
09 min
DASON Digest
Spellcheck Stewardship: A Happy Holidays from DASON
Episode Notes This episode features Dr. Libby Dodds Ashley from DASON and Dr. Rey Perez, our current Duke ID Fellow. Libby and Rey talk about some upcoming changes to the podcast, as well as discuss the following article: https://doi.org/10.1136/bmj.o2946 For more information about DASON, please visit: https://dason.medicine.duke.edu Find out more at https://dason-digest.pinecast.co
2023-01-06
14 min
DASON Digest
A Decade of Fluoroquinolone Stewardship
This episode features Dr. April Dyer from DASON. The article reviewed in this episode is available here: https://doi.org/10.1017/ash.2022.326. For more information about DASON, please visit: https://dason.medicine.duke.edu. Find out more at https://dason-digest.pinecast.co
2022-12-09
09 min
DASON Digest
Review of the CDC's Antibiotic Use Report - 2022
This episode features Dr. Travis Jones from DASON. The CDC report reviewed in this episode is available here: https://www.cdc.gov/antibiotic-use/stewardship-report/current.html. For more information about DASON, please visit: https://dason.medicine.duke.edu. Find out more at https://dason-digest.pinecast.co
2022-11-24
17 min
DASON Digest
Streptococcal Bacteremia and the Risk of Infective Endocarditis
This episode features Dr. Shaefer Spires from DASON and Dr. Reinaldo (Rey) Perez from Duke Infectious Diseases. The article reviewed in this episode is available here: https://doi.org/10.1186/s12879-021-06391-2. For more information about DASON, please visit: https://dason.medicine.duke.edu. Find out more at https://dason-digest.pinecast.co
2022-11-11
18 min
DASON Digest
Stewardship Practices at US Hospitals
This episode features Dr. Melissa Johnson from DASON. The article reviewed in this episode is available here: https://doi.org/10.1017/ice.2022.241. For more information about DASON, please visit: https://dason.medicine.duke.edu. Find out more at https://dason-digest.pinecast.co
2022-10-28
17 min
DASON Digest
The DETOURS Study - A Chat with the Author
This episode features Dr. Libby Dodds Ashley and Dr. Rebekah Moehring from DASON. The article discussed in this episode is available here: https://doi.org/10.1093/cid/ciac787. For more information about DASON, please visit: https://dason.medicine.duke.edu. Find out more at https://dason-digest.pinecast.co
2022-10-14
00 min
DASON Digest
A Novel Metric to Measure Antibiotic Use and Spectrum of Activity
This episode features Dr. Angelina Davis from DASON. The article reviewed in this episode is available here: https://doi.org/10.1093/cid/ciab1034. For more information about DASON, please visit: https://dason.medicine.duke.edu. Find out more at https://dason-digest.pinecast.co
2022-09-30
18 min
DASON Digest
SSI Rates Among Patients Receiving Elective Colorectal Surgery with Beta-Lactam vs. Non-Beta-Lactam-Based Antimicrobial Prophylaxis
This episode features Dr. April Dyer from DASON. The article discussed in this episode is available here: https://doi.org/10.1017/ice.2022.192. For more information about DASON, please visit: https://dason.medicine.duke.edu. Find out more at https://dason-digest.pinecast.co
2022-09-09
14 min
DASON Digest
Let's Talk About Surgical Prophylaxis
This episode features Dr. Travis Jones from DASON. The article discussed in this episode is available here: https://doi.org/10.1001/jamasurg.2019.0569. For more information about DASON, please visit: https://dason.medicine.duke.edu. Find out more at https://dason-digest.pinecast.co
2022-08-26
16 min
DASON Digest
Antibiotic Effects on the Gut Microbiome & Resistome: It’s Worse than We Thought - An Interview with Dr. Jennie Kwon
This episode features Dr. Shaefer Spires from DASON and Dr. Jennie Kwon from Washington University School of Medicine. The article discussed in this episode is available here: https://doi.org/10.1016/j.celrep.2022.110649. For more information about DASON, please visit: https://dason.medicine.duke.edu. Find out more at https://dason-digest.pinecast.co
2022-08-12
16 min
DASON Digest
Less is More: Reducing Unnecessary Antibiotic Use for Asymptomatic Bacteriuria
This episode features Dr. Melissa Johnson from DASON. The article reviewed in this episode is available here: https://pubmed.ncbi.nlm.nih.gov/35877123/. For more information about DASON, please visit: https://dason.medicine.duke.edu. Find out more at https://dason-digest.pinecast.co
2022-07-29
14 min
DASON Digest
A Chat With the Author: Network- and Health System-guided Stewardship
This episode features Dr. Libby Dodds Ashley from DASON and Dr. Whitney Buckel from Intermountain Healthcare. The article reviewed in this episode is available here: https://doi.org/10.1093/cid/ciac515. For more information about DASON, please visit: https://dason.medicine.duke.edu. Find out more at https://dason-digest.pinecast.co
2022-07-15
16 min
DASON Digest
Antibiotic Overuse and Stewardship at Hospital Discharge
This episode features Dr. Angelina Davis from DASON. The article reviewed in this episode is available here: https://doi.org/10.1093/cid/ciab842. For more information about DASON, please visit: https://dason.medicine.duke.edu. Find out more at https://dason-digest.pinecast.co
2022-07-01
28 min
DASON Digest
Reducing Antibiotic Use for Upper Respiratory Infections in Outpatients
This episode features Dr. April Dyer from DASON. The article reviewed in this episode is available here: https://doi.org/10.1017/ice.2022.83. For more information about DASON, please visit: https://dason.medicine.duke.edu. Find out more at https://dason-digest.pinecast.co
2022-06-17
15 min
DASON Digest
Stewardship Opportunities Upon Hospital Discharge
This episode features Dr. Travis Jones from DASON. The article reviewed in this episode is available here: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2792123. For more information about DASON, please visit: https://dason.medicine.duke.edu. Find out more at https://dason-digest.pinecast.co
2022-06-03
16 min
DASON Digest
If you have to: Non-antibiotic prophylactic treatment for recurrent UTI
This episode features Dr. Shaefer Spires from DASON. The article reviewed in this episode is available here: https://doi.org/10.1136/bmj-2021-0068229. For more information about DASON, please visit: https://dason.medicine.duke.edu.
2022-05-20
21 min
DASON Digest
Outpatient Stewardship for UTIs: Reducing Fluoroquinolone Use
This episode features Dr. Melissa Johnson from DASON. The article reviewed in this episode is available here: https://pubmed.ncbi.nlm.nih.gov/35403600/. For more information about DASON, please visit: https://dason.medicine.duke.edu.
2022-05-06
09 min
DASON Digest
Antibiograms for Escalation: What’s the Application?
This episode features Drs. Jenni Thomas and Wes Johnson from University of Kentucky Healthcare. The article reviewed in this episode is available here: https://doi.org/10.1093/cid/ciac256. For more information about DASON, please visit: https://dason.medicine.duke.edu.
2022-04-22
27 min
DASON Digest
The Waiting Game: Time Between Blood Culture Sets
This episode features Drs. Jenni Thomas and Wes Johnson from University of Kentucky Healthcare. The articles reviewed in this episode are available here: https://doi.org/10.1017/ash.2022.27 https://doi.org/10.1128/jcm.01005-21 For more information about DASON, please visit: https://dason.medicine.duke.edu.
2022-04-08
24 min
DASON Digest
The Role of the Antimicrobial Stewardship Program in Pandemic Response
This episode features Dr. April Dyer from DASON. The article reviewed in this episode is available here: https://doi.org/10.1017/ash.2022.34. For more information about DASON, please visit: https://dason.medicine.duke.edu.
2022-03-25
13 min
DASON Digest
Oral Cephalosporins vs First-line Agents for Outpatients with Pyelonephritis
This episode features Dr. Travis Jones from DASON. The article reviewed in this episode is available here: https://doi.org/10.1016/j.ijantimicag.2022.106560. For more information about DASON, please visit: https://dason.medicine.duke.edu.
2022-03-11
13 min
DASON Digest
Vancomycin Monitoring: Are We Below the Curve? A Discussion with Experts
This episode features Dr. Shaefer Spires from DASON and Drs. Katie Olney and Katie Wallace from University of Kentucky Healthcare. The article reviewed in this episode is available here: https://doi.org/10.1002/phar.2670. For more information about DASON, please visit: https://dason.medicine.duke.edu.
2022-02-25
34 min
DASON Digest
Systems Say Go: Assessing Antibiotic Prescribing After Removal of a Penicillin Allergy Alert
This episode features Dr. Melissa Johnson from DASON. The articles reviewed in this episode are available using the following links: https://doi.org/10.1001/jamanetworkopen.2021.8367 https://doi.org/10.1016/j.jaip.2021.06.059 For more information about DASON, please visit: https://dason.medicine.duke.edu.
2022-02-11
13 min
DASON Digest
Engaging Nurse Stewards
This episode features Dr. Libby Dodds Ashley from DASON. The articles reviewed in this episode are available here: https://doi.org/10.1017/ash.2021.216 https://doi.org/10.1017/ice.2018.362 https://doi.org/10.1016/S0140-6736(21)02724-0 For more information about DASON, please visit: https://dason.medicine.duke.edu.
2022-01-28
15 min
DASON Digest
Simplifying the Management of Neurosyphilis
This episode features Dr. Angelina Davis from DASON. The article reviewed in this episode is available here: https://doi.org/10.1016/s1473-3099(20)30857-4. For more information about DASON, please visit: https://dason.medicine.duke.edu.
2022-01-14
12 min
DASON Digest
COVID Vaccines - Let's Keep Myocarditis in Perspective
This episode features Dr. Shaefer Spires from DASON. The article reviewed in this episode is available here: https://doi.org/10.1038/s41591-021-01630-0. For more information about DASON, please visit: https://dason.medicine.duke.edu.
2021-12-17
13 min
DASON Digest
Molnupiravir – Finally, an Oral Option for Outpatients with COVID-19
This episode features Dr. Travis Jones from DASON. Details regarding the FDA meeting on molnupiravir are available here: https://www.fda.gov/advisory-committees/advisory-committee-calendar/november-30-2021-antimicrobial-drugs-advisory-committee-meeting-announcement-11302021-11302021. For more information about DASON, please visit: https://dason.medicine.duke.edu.
2021-12-09
16 min
DASON Digest
The Status of Antimicrobial Stewardship in the US
This episode features Dr. Melissa Johnson from DASON. The CDC's 2021 report on antibiotic use in the United States is available here: https://www.cdc.gov/antibiotic-use/pdfs/stewardship-report-2021-H.pdf. For more information about DASON, please visit: https://dason.medicine.duke.edu.
2021-12-09
15 min
DASON Digest
Race to Start: Beta-lactams or Vancomycin First for Bacteremia?
This episode features Dr. Travis Jones from DASON and Dr. Elizabeth Keil, current PGY2 Infectious Diseases Resident at Duke University Hospital. The article reviewed in this episode is available here: https://doi.org/10.1093/cid/ciab865. For more information about DASON, please visit: https://dason.medicine.duke.edu.
2021-12-09
17 min
DASON Digest
MSSA Bacteremia: Cefazolin, Final Answer
This episode features Dr. Travis Jones from DASON. The article reviewed in this episode is available here: https://doi.org/10.1093/ofid/ofab476. For more information about DASON, please visit: https://dason.medicine.duke.edu.
2021-12-09
12 min
DASON Digest
Just for Men: An Update on the Management of UTI
This episode features Dr. Angelina Davis from DASON. The article reviewed in this episode is available here: https://doi.org/10.1001/jama.2021.9899. For more information about DASON, please visit: https://dason.medicine.duke.edu.
2021-12-09
16 min
DASON Digest
7 Day Treatment Over 14 Days for Enterobacterales Bacteremia, Not Just Non-inferior Anymore!
This episode features Dr. Shaefer Spires from DASON. The article reviewed in this episode is available here: https://doi.org/10.1016/j.cmi.2021.09.001. For more information about DASON, please visit: https://dason.medicine.duke.edu.
2021-12-09
16 min
DASON Digest
From the Front Lines: Impact of Handshake Stewardship in the ICU
This episode features Dr. Elizabeth Dodds Ashley and Dr. Shaefer Spires from DASON, Dr. Jessica Seidleman from Duke Infectious Diseases, and Dr. Christina Sarubbi from UNC Rex Healthcare. The article reviewed in this episode is available here: https://doi.org/10.1093/cid/ciab747. For more information about DASON, please visit: https://dason.medicine.duke.edu.
2021-12-09
23 min
DASON Digest
Addition By Subtraction: Optimizing Antibiotic Durations at Hospital Discharge
This episode features Dr. Melissa Johnson from DASON. The articles reviewed in this podcast are available here: https://doi.org/10.1093/ofid/ofab399 https://doi.org/10.1017/ice.2019.118 For more information about DASON, please visit: https://dason.medicine.duke.edu.
2021-12-09
17 min
DASON Digest
Real Talk with DASON: COVID-19 Vaccines
This episode features Dr. Travis Jones and Dr. Shaefer Spires from DASON. For more information about DASON, please visit: https://dason.medicine.duke.edu.
2021-12-09
30 min
DASON Digest
Ideas for Antimicrobial Stewardship in the ED
This episode features Dr. Angelina Davis from DASON. The articles reviewed in this episode are available using the following links: https://doi.org/10.2146/ajhp090552 https://doi.org/10.1016/j.cmi.2020.10.028 For more information about DASON, please visit: https://dason.medicine.duke.edu.
2021-12-09
17 min
DASON Digest
Duration of therapy for Prosthetic Joint Infections, review of a potential game changer study with Dr. Ted Hendershot
This episode features Dr. Shaefer Spires from DASON and Dr. Ted Hendershot from the Division of Infectious Diseases at Duke University. The article reviewed in this episode is available here: https://www.nejm.org/doi/full/10.1056/NEJMoa2020198. For more information about DASON, please visit: https://dason.medicine.duke.edu.
2021-12-09
25 min
DASON Digest
Metronidazole-associated Neurologic Events
This episode features Dr. April Dyer from DASON. The article reviewed in this episode is available here: https://doi.org/10.1093/cid/ciaa395. For more information about DASON, please visit: https://dason.medicine.duke.edu.
2021-12-09
14 min
DASON Digest
Estimated Clinical and Economic Impact of Reducing Blood Culture Contamination
This episode features Dr. Travis Jones from DASON and Dr. Kevin Garey from the University of Houston College of Pharmacy. The articles reviewed in this episode are available for download using the following links: https://doi.org/10.1128/CMR.00009-19 https://doi.org/10.1016/j.ajic.2018.12.020 https://doi.org/10.1128/JCM.01015-18 For more information about DASON, please visit: https://dason.medicine.duke.edu.
2021-12-09
13 min
DASON Digest
Preoperative Beta-lactam Allergy Intervention
This episode features Dr. Elizabeth Dodds Ashley from DASON and Dr. Shaina Kwiatkowski from Henry Ford Macomb Hospital in Clinton Township, MI. The article by Kwiatkowski and colleagues reviewed in this episode is available here: https://doi.org/10.1093/ajhp/zxab218. For more information about DASON, please visit: https://dason.medicine.duke.edu.
2021-12-09
22 min
DASON Digest
Strategies to Optimize Outpatient Antibiotic Prescribing for UTIs
This episode features Dr. Travis Jones from DASON and Dr. Jason Funaro from the Antimicrobial Stewardship Evaluation Team (ASET) at Duke. The article by Dr. Funaro and colleagues reviewed in this episode is available here: https://doi.org/10.1093/ofid/ofab214. For more information about DASON, please visit: https://dason.medicine.duke.edu.
2021-12-09
19 min
DASON Digest
De-Escalation of Broad-Spectrum Antibiotics After Negative Cultures in Patients Admitted with Pneumonia – We Have Work to Do
This episode features Dr. Melissa Johnson from DASON. The article reviewed in this episode is available here: https://doi.org/10.1093/cid/ciaa212. For more information about DASON, please visit: https://dason.medicine.duke.edu.
2021-12-09
17 min
DASON Digest
Short-Course Antibiotics: Best Practice Advice from The American College of Physicians
This episode features Dr. April Dyer from DASON. The Best Practice Advice from the American College of Physicians is available here: https://doi.org/10.7326/M20-7355. For more information about DASON, please visit: https://dason.medicine.duke.edu.
2021-12-09
12 min
DASON Digest
Community Acquired Pneumonia: It's All About the Numbers
This episode features Dr. Angelina Davis from DASON. The article reviewed in this episode is available here: https://doi.org/10.1016/S0140-6736(21)00313-5. For more information about DASON, please visit: https://dason.medicine.duke.edu.
2021-12-09
12 min
DASON Digest
Vancomycin vs Daptomycin – An Old Rival – The Battle Continues
This episode features Dr. Shaefer Spires from DASON. The article by Schweizer and colleagues is available here: https://doi.org/10.1093/cid/ciaa1572. The article by Dionne and Lee is available here: https://doi.org/10.1093/cid/ciab247. For more information about DASON, please visit: https://dason.medicine.duke.edu.
2021-12-09
15 min
DASON Digest
The Nose Knows: Using Nasal MRSA PCR to De-Escalate Vancomycin
This episode features Dr. Elizabeth Dodds Ashley from DASON. The article reviewed in this episode is available here: https://doi.org/10.1093/ofid/ofab099. For more information about DASON, please visit: https://dason.medicine.duke.edu.
2021-12-09
13 min
DASON Digest
Discussing the DRIP Score
This episode features Dr. Cara Nys, a former PGY2 Infectious Diseases Resident at Duke, and Dr. Meredith Oliver, the lead author of the article reviewed in this episode and a Pediatric Infectious Diseases Pharmacist at the University of Minnesota Masonic Children's Hospital. The article reviewed by Meredith Oliver and colleagues is available here: https://doi.org/10.1128/AAC.01482-20. For more information about DASON, please visit: https://dason.medicine.duke.edu.
2021-12-09
17 min
DASON Digest
Cefiderocol: Seeking Another Option for Serious Gram-Negative Infections
This episode features Dr. Angelina Davis from DASON. The CREDIBLE-CR study is available here: https://doi.org/10.1016/S1473-3099(20)30796-9. The APEKS-NP study is available here: https://doi.org/10.1016/S1473-3099(20)30731-3. For more information about DASON, please visit: https://dason.medicine.duke.edu.
2021-12-09
27 min
DASON Digest
Antibiotics for Appendicitis: Ready for Prime Time?
This episode features Dr. Melissa Johnson from DASON. The CODA Trial reviewed in this podcast is available here: https://www.nejm.org/doi/10.1056/NEJMoa2014320. The APPAC II Trial is available here: https://jamanetwork.com/journals/jama/fullarticle/2775227. For more information about DASON, please visit: https://dason.medicine.duke.edu.
2021-12-09
14 min
DASON Digest
Antimicrobial Stewardship Guidance for COVID-19 Patients
This episode features Dr. April Dyer and Dr. Shaefer Spires from DASON. The article reviewed in this episode is available here: https://doi.org/10.1016/j.cmi.2020.09.041. In addition, the systematic review and meta-analysis of secondary co-infection in patients with COVID-19 is available here: https://www.tarrn.org/covid. For more information about DASON, please visit: https://dason.medicine.duke.edu.
2021-12-09
14 min
DASON Digest
COVID-19 mRNA Vaccine: Myths and Common Questions
This episode features Dr. Elizabeth Dodds Ashley and Dr. Shaefer Spires from DASON. The DASON newsletter on the topic of COVID-19 Vaccine Q&As referenced in this episode is available for download here: https://dason.medicine.duke.edu/newsletters. For more information about DASON, please visit: https://dason.medicine.duke.edu.
2021-12-09
19 min
DASON Digest
A Preview of the Upcoming Changes to the IDSA C. difficile Treatment Guidelines
This episode features Drs. Elizabeth Dodds Ashley and Travis Jones from DASON and Dr. Kevin Garey from the University of Houston College of Pharmacy in Houston, Texas. The latest IDSA/SHEA C. difficile guidelines are available here: https://doi.org/10.1093/cid/ciab549. For more information about the Duke Antimicrobial Stewardship Outreach Network (DASON), please visit: https://dason.medicine.duke.edu.
2021-12-09
25 min
DASON Digest
Optimizing Treatment for ESBL-Producing Pathogens
Episode Notes This episode features Dr. Elizabeth Dodds Ashley and Dr. Shaefer Spires. The article discussed in this podcast is available here: https://doi.org/10.1093/cid/ciaa1479. For more information about the Duke Antimicrobial Stewardship Outreach Network (DASON), please visit: https://dason.medicine.duke.edu.
2021-12-09
17 min