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  1. Article ; Online: Behavioral Strategies in Diagnostic Stewardship.

    Advani, Sonali D / Claeys, Kimberly

    Infectious disease clinics of North America

    2023  Volume 37, Issue 4, Page(s) 729–747

    Abstract: Diagnostic stewardship refers to the responsible and judicious use of diagnostic tests to reduce low value care and improve patient outcomes. This article provides an overview of behavioral strategies, their relevance to diagnostic stewardship and ... ...

    Abstract Diagnostic stewardship refers to the responsible and judicious use of diagnostic tests to reduce low value care and improve patient outcomes. This article provides an overview of behavioral strategies, their relevance to diagnostic stewardship and highlights behavioral determinants that drive diagnostic testing behavior, drawing on theoretic frameworks. Additionally, we provide concrete examples of evidence-based behavioral strategies for promoting appropriate diagnostic testing while acknowledging associated challenges. Finally, we highlight the significance of evaluating these strategies and provide an overview of evaluation frameworks and methods.
    Language English
    Publishing date 2023-08-01
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1077676-x
    ISSN 1557-9824 ; 0891-5520
    ISSN (online) 1557-9824
    ISSN 0891-5520
    DOI 10.1016/j.idc.2023.06.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: Cefepime/Enmetazobactam for Complicated Urinary Tract Infections.

    Advani, Sonali D / Claeys, Kimberly

    JAMA

    2022  Volume 328, Issue 13, Page(s) 1299–1301

    MeSH term(s) Anti-Bacterial Agents/therapeutic use ; Azabicyclo Compounds/therapeutic use ; Bacterial Infections/drug therapy ; Cefepime/therapeutic use ; Humans ; Microbial Sensitivity Tests ; Triazoles/therapeutic use ; Urinary Tract Infections/complications ; Urinary Tract Infections/drug therapy
    Chemical Substances Anti-Bacterial Agents ; Azabicyclo Compounds ; Triazoles ; Cefepime (807PW4VQE3) ; enmetazobactam (80VUN7L00C)
    Language English
    Publishing date 2022-10-04
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 2958-0
    ISSN 1538-3598 ; 0254-9077 ; 0002-9955 ; 0098-7484
    ISSN (online) 1538-3598
    ISSN 0254-9077 ; 0002-9955 ; 0098-7484
    DOI 10.1001/jama.2022.15228
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Beyond implementation: Uncovering the parallels between de-implementation and antimicrobial stewardship.

    Advani, Sonali D / McKay, Virginia

    Antimicrobial stewardship & healthcare epidemiology : ASHE

    2023  Volume 3, Issue 1, Page(s) e73

    Abstract: De-implementation is defined as the process of discontinuing, removing, reducing, or replacing a harmful, ineffective, or low-value clinical practice or intervention. The goal of de-implementation strategies is to minimize patient harm, maximize use of ... ...

    Abstract De-implementation is defined as the process of discontinuing, removing, reducing, or replacing a harmful, ineffective, or low-value clinical practice or intervention. The goal of de-implementation strategies is to minimize patient harm, maximize use of resources, and reduce healthcare costs and inequities. Both antibiotic and diagnostic stewardship programs focus on reducing low-value interventions (tests or antimicrobials). Stewardship interventions commonly involve de-implementation and deprescribing strategies. This commentary explores unique aspects of deimplementing low-value testing and unnecessary antimicrobial use, similarities between de-implementation and stewardship approaches, multilevel factors that impact de-implementation, and opportunities for future research.
    Language English
    Publishing date 2023-04-17
    Publishing country England
    Document type Editorial
    ISSN 2732-494X
    ISSN (online) 2732-494X
    DOI 10.1017/ash.2023.150
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Chlorhexidine for skin antisepsis: making the case to keep peripheral venous catheters CLEAN.

    Advani, Sonali D / Anderson, Deverick J

    The Lancet. Infectious diseases

    2021  Volume 21, Issue 7, Page(s) 902–903

    MeSH term(s) Anti-Infective Agents, Local ; Antisepsis ; Catheterization, Peripheral ; Catheters ; Chlorhexidine ; Humans
    Chemical Substances Anti-Infective Agents, Local ; Chlorhexidine (R4KO0DY52L)
    Language English
    Publishing date 2021-02-01
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 2061641-7
    ISSN 1474-4457 ; 1473-3099
    ISSN (online) 1474-4457
    ISSN 1473-3099
    DOI 10.1016/S1473-3099(20)30716-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 5743: Show issues Location:
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  5. Article ; Online: Beyond implementation

    Sonali D. Advani / Virginia McKay

    Antimicrobial Stewardship & Healthcare Epidemiology, Vol

    Uncovering the parallels between de-implementation and antimicrobial stewardship

    2023  Volume 3

    Abstract: De-implementation is defined as the process of discontinuing, removing, reducing, or replacing a harmful, ineffective, or low-value clinical practice or intervention. The goal of de-implementation strategies is to minimize patient harm, maximize use of ... ...

    Abstract De-implementation is defined as the process of discontinuing, removing, reducing, or replacing a harmful, ineffective, or low-value clinical practice or intervention. The goal of de-implementation strategies is to minimize patient harm, maximize use of resources, and reduce healthcare costs and inequities. Both antibiotic and diagnostic stewardship programs focus on reducing low-value interventions (tests or antimicrobials). Stewardship interventions commonly involve de-implementation and deprescribing strategies. This commentary explores unique aspects of deimplementing low-value testing and unnecessary antimicrobial use, similarities between de-implementation and stewardship approaches, multilevel factors that impact de-implementation, and opportunities for future research.
    Keywords Infectious and parasitic diseases ; RC109-216 ; Public aspects of medicine ; RA1-1270
    Language English
    Publishing date 2023-01-01T00:00:00Z
    Publisher Cambridge University Press
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: The next frontier of healthcare-associated infection (HAI) surveillance metrics: Beyond device-associated infections.

    Advani, Sonali D / Cawcutt, Kelly / Klompas, Michael / Marschall, Jonas / Meddings, Jennifer / Patel, Payal K

    Infection control and hospital epidemiology

    2024  , Page(s) 1–5

    Abstract: In recent years, it has become increasingly evident that surveillance metrics for invasive device-associated infections (ie, central-line-associated bloodstream infections, ventilator-associated pneumonias, and catheter-associated urinary tract ... ...

    Abstract In recent years, it has become increasingly evident that surveillance metrics for invasive device-associated infections (ie, central-line-associated bloodstream infections, ventilator-associated pneumonias, and catheter-associated urinary tract infections) do not capture all harms; they capture only a subset of healthcare-associated infections (HAIs). Although prevention of device-associated infections remains critical, we need to address the full spectrum of potential harms from device use and non-device-associated infections. These include complications associated with additional devices, such as peripheral venous and arterial catheters, non-device-associated infections such as nonventilator hospital-acquired pneumonia, and noninfectious device complications such as trauma, thrombosis, and acute lung injury. As authors of the device-associated infection sections in the
    Language English
    Publishing date 2024-01-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639378-0
    ISSN 1559-6834 ; 0195-9417 ; 0899-823X
    ISSN (online) 1559-6834
    ISSN 0195-9417 ; 0899-823X
    DOI 10.1017/ice.2023.283
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1714: Show issues Location:
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  7. Article ; Online: Navigating the 2021 update to the IDSA/SHEA

    Shoff, Christopher J / Spires, S Shaefer / Yen, Christina / Advani, Sonali D

    Antimicrobial stewardship & healthcare epidemiology : ASHE

    2022  Volume 2, Issue 1, Page(s) e70

    Abstract: The 2021 focused update to the Infections Diseases Society of America/Society for Healthcare Epidemiology of America (IDSA/SHEA) guidelines for management ... ...

    Abstract The 2021 focused update to the Infections Diseases Society of America/Society for Healthcare Epidemiology of America (IDSA/SHEA) guidelines for management of
    Language English
    Publishing date 2022-04-25
    Publishing country England
    Document type Editorial
    ISSN 2732-494X
    ISSN (online) 2732-494X
    DOI 10.1017/ash.2022.49
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Striving to Reach the Optimal Measure for Catheter-Associated Urinary Tract Infection (CAUTI): Moving to Catheter Harm.

    Fakih, Mohamad G / Advani, Sonali D

    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

    2020  Volume 72, Issue 9, Page(s) e424

    MeSH term(s) Catheter-Related Infections/prevention & control ; Catheters ; Humans ; Urinary Tract Infections/diagnosis
    Language English
    Publishing date 2020-10-05
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 1099781-7
    ISSN 1537-6591 ; 1058-4838
    ISSN (online) 1537-6591
    ISSN 1058-4838
    DOI 10.1093/cid/ciaa1005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1505: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (1.OG)
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    Zs.MO 480: Show issues

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  9. Article ; Online: Clin-Star corner: What's new at the interface of geriatrics, infectious diseases, and antimicrobial stewardship.

    Advani, Sonali D / Schmader, Kenneth E / Mody, Lona

    Journal of the American Geriatrics Society

    2022  Volume 70, Issue 8, Page(s) 2214–2218

    Abstract: Antibiotics are among the leading causes of adverse drug events in older adults. Short-course antibiotic therapy has been shown to work as well as the traditional longer durations for many types of infections. Antibiotic stewardship interventions ... ...

    Abstract Antibiotics are among the leading causes of adverse drug events in older adults. Short-course antibiotic therapy has been shown to work as well as the traditional longer durations for many types of infections. Antibiotic stewardship interventions including deprescribing strategies have shown a reduction in patient readmissions and mortality among older adults. We identified practice-changing clinical trials focusing on three major domains of overprescribing antibiotics in older adults - community-acquired pneumonia, urinary tract infections, and gram-negative bacteremia. The selected articles underscore the safety and effectiveness of shorter durations of antibiotic treatment for infections in older adults, thus highlighting an opportunity for deprescribing in the aging population. By optimizing antibiotic use, we stand to reduce adverse events and enhance overall health outcomes in older adults.
    MeSH term(s) Aged ; Anti-Bacterial Agents/therapeutic use ; Antimicrobial Stewardship ; Communicable Diseases/drug therapy ; Community-Acquired Infections ; Geriatrics ; Humans
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2022-06-15
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 80363-7
    ISSN 1532-5415 ; 0002-8614
    ISSN (online) 1532-5415
    ISSN 0002-8614
    DOI 10.1111/jgs.17907
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Deconstructing the urinalysis: A novel approach to diagnostic and antimicrobial stewardship.

    Advani, Sonali D / Polage, Christopher R / Fakih, Mohamad G

    Antimicrobial stewardship & healthcare epidemiology : ASHE

    2021  Volume 1, Issue 1

    Abstract: The extensive use of the urinalysis for screening and monitoring in diverse clinical settings usually identifies abnormal urinalysis parameters in patients with no suspicion of urinary tract infection, which in turn triggers urine cultures, inappropriate ...

    Abstract The extensive use of the urinalysis for screening and monitoring in diverse clinical settings usually identifies abnormal urinalysis parameters in patients with no suspicion of urinary tract infection, which in turn triggers urine cultures, inappropriate antimicrobial use, and associated harms like
    Language English
    Publishing date 2021-06-28
    Publishing country England
    Document type Journal Article
    ISSN 2732-494X
    ISSN (online) 2732-494X
    DOI 10.1017/ash.2021.167
    Database MEDical Literature Analysis and Retrieval System OnLINE

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