Publications by authors named "S E Shealy"
Opportunities and challenges in improving antimicrobial use during the era of telehealth expansion: A narrative review.
Antimicrob Steward Healthc Epidemiol
October 2021
Efforts to improve antimicrobial prescribing are occurring within a changing healthcare landscape, which includes the expanded use of telehealth technology. The wider adoption of telehealth presents both challenges and opportunities for promoting antimicrobial stewardship. Telehealth provides 2 avenues for remote infectious disease (ID) specialists to improve inpatient antimicrobial prescribing: telehealth-supported antimicrobial stewardship and tele-ID consultations.
View Article and Find Full Text PDFPurpose: Eravacycline (ERV) is often used for drug-resistant gram-negative and nontuberculous mycobacteria (NTM) infections, but infusion site reactions are a potential adverse effect. We report a case of severe hypoesthesia secondary to ERV infusion.
Summary: A 74-year-old man presented with dyspnea, shortness of breath, and hemoptysis after being treated for community-acquired pneumonia.
Article Synopsis
- * This study assessed the effectiveness of SAAR comparisons across three hospitals and found that transparency and competition among facilities helped reduce overall and broad-spectrum antimicrobial use.
- * Significant reductions were noted, particularly in Hospital B, which improved its SAAR metrics for various types of antimicrobials after implementing targeted interventions from October 2017 to June 2019.
In 2017, Mbeya Zonal Referral Hospital (MZRH) and the University of South Carolina (UofSC) agreed to collaboratively strengthen antimicrobial prescribing in the southern highlands of Tanzania and train a new generation of clinicians in responsible antimicrobial use. Key stakeholders and participants were identified and the Mbeya Antimicrobial Stewardship Team (MAST) was created. The team identified assets brought by the collaborators, and four investigations of baseline needs were developed.
View Article and Find Full Text PDFArticle Synopsis
- A pilot study implemented a pharmacist-driven culture and rapid diagnostic technology follow-up program in the emergency department (ED) to improve antibiotic management for discharged patients.* -
- The study found that introducing this program significantly reduced the time from ED discharge to culture/RDT data review by 36.3% and decreased fluoroquinolone prescriptions from 18.1% to 5.4%.* -
- However, there was no significant difference in repeat ED visits or hospital admissions within 30 days between patients in the pre- and post-implementation groups.*