- Call to action: ambulatory infection prevention. [Journal Article]Infect Control Hosp Epidemiol. 2026 Aug; 47(8):757-760.IC
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- From bottlenecks to better practices: systemwide electronic clinical decision support for blood culture stewardship. [Journal Article]Infect Control Hosp Epidemiol. 2026 Jul 27; :1-3. [Online ahead of print]IC
- A systemwide electronic clinical decision support (CDS) tool for blood culture ordering reduced utilization by 12% across three hospitals (IRR 0.88, P < .01), but the effect waned over time. Low-yield ordering persisted, and contamination rates increased. Sustained diagnostic stewardship likely requires multimodal strategies beyond CDS alone.
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- Hospital characteristics associated with healthcare-associated viral respiratory infection rates in a Canadian acute care network. [Journal Article]Infect Control Hosp Epidemiol. 2026 Jul 22; :1-9. [Online ahead of print]IC
- CONCLUSIONS: In a large surveillance network, lower HA-VRI rates were seen in pediatric hospitals, teaching hospitals, and in hospitals with higher proportions of single-bed rooms.
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- Pediatric gastrointestinal surgical site infections: a case-control study. [Journal Article]Infect Control Hosp Epidemiol. 2026 Jul 22; :1-9. [Online ahead of print]IC
- CONCLUSIONS: These findings highlight the importance of language-concordant care and consideration of other social vulnerabilities in pediatric GI surgical care. Adult-based SIR models may not be applicable to children, highlighting the need for pediatric-specific measures that ensure equitable access to preventive care.
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- Evaluation of the impact of a novel surgical handwashing method on reformation of microbial flora on surgeons' hands. [Journal Article]Infect Control Hosp Epidemiol. 2026 Jul 21; :1-4. [Online ahead of print]IC
- CONCLUSIONS: Compared with the conventional surgical handwashing technique, reapplication of povidone-iodine without a final rinse resulted in significantly reduced bacterial recolonization on surgeons' hands at 1 and 2 hours after hand antisepsis. These findings suggest that this modified technique may provide prolonged antimicrobial activity during surgical procedures. Further large-scale studies are warranted to confirm its clinical utility.
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- Does AI know how to choose wisely? Do not trust and definitely verify when using generative AI in stewardship operations. [Journal Article]Infect Control Hosp Epidemiol. 2026 Jul 17; :1-3. [Online ahead of print]IC
- Antimicrobial stewardship programs (ASP) serve as a valuable resource to healthcare institutions. This commentary explores a real world demonstration of the potential advantages and pitfalls of using artificial intelligence (AI) in ASP, both in supporting the development of institutional guidelines and in providing a cost-effectiveness analysis of these protocols, as well as the caution that shou…
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- Shifting surveillance: the federalization of healthcare-associated infection reporting in the U.S. [Journal Article]Infect Control Hosp Epidemiol. 2026 Jul 17; :1-6. [Online ahead of print]IC
- CONCLUSIONS: The majority of states have adopted HAI legislation, with state-level reporting laws and policies demonstrating continuous development from 2002 to 2024. Early HAI surveillance efforts, while guided by emerging federal government influences, were primarily based on state policy. However, since 2009, new state laws and policies have increasingly adopted federal policies. Over time, state reliance on federal standards has created a policy shift: state HAI reporting frameworks have expanded and adapted to federal policy, creating a legal environment marked by growing federal-state integration.
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- Sustained reduction in blood culture utilization following a crisis-driven diagnostic stewardship intervention. [Journal Article]Infect Control Hosp Epidemiol. 2026 Jul 17; :1-4. [Online ahead of print]IC
- Following a global 2024 blood culture bottle shortage, we implemented a multidisciplinary stewardship intervention to reduce utilization. Upon supply normalization in 2025, a durable 34.8% reduction in utilization was maintained without increasing sepsis-related mortality, demonstrating that crisis-driven shifts can successfully establish a sustainable "new steady state."
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- Complications in patients with midlines compared to peripherally inserted central catheters for outpatient parenteral antimicrobial therapy. [Journal Article]Infect Control Hosp Epidemiol. 2026 Jul 17; :1-3. [Online ahead of print]IC
- In this single-center, retrospective cohort study of 1169 patients requiring outpatient parenteral antimicrobial therapy, complications (i.e., bloodstream infections or venous thrombosis) occurred more frequently in patients with midlines (6.4 per 1,000 line-days) than peripherally inserted central catheters (1.1 per 1,000 line-days), adjusted hazard ratio 3.60 (95% confidence interval 1.66-7.81).
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- Parent and caregiver preferences toward antibiotic allergy delabeling in children. [Journal Article]Infect Control Hosp Epidemiol. 2026 Jul 16; :1-4. [Online ahead of print]IC
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- Natural ventilation performance for airborne diseases management in a deployable treatment facility. [Journal Article]Infect Control Hosp Epidemiol. 2026 Jul 16; :1-7. [Online ahead of print]IC
- CONCLUSIONS: Under favorable wind conditions and optimized configurations, the IDTM can achieve ventilation rates consistent with the 160 L/s recommendation for airborne precautions. While this provides substantial protection for healthcare workers, individual-room isolation remains essential for patient management. Operationally, removing window-mounted nets is the most effective way to ensure safety targets are met; hybrid ventilation measures should be considered during low-wind conditions.
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- The SCANNED rule: derivation and validation of a two-step rule for blood culture stewardship in patients presenting with suspected infection. [Journal Article]Infect Control Hosp Epidemiol. 2026 Jul 14; :1-7. [Online ahead of print]IC
- CONCLUSIONS: The SCANNED rule represents a practical diagnostic stewardship intervention that can reduce unnecessary blood cultures by 15-19% while maintaining >95% sensitivity for bacteremia. It requires no electronic health record integration and can be applied at triage. Prospective validation is needed before clinical implementation.
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- PATHogen PREValence on paper-packaged supplies in PICU bedside supply carts: the PATH-PREV study. [Journal Article]Infect Control Hosp Epidemiol. 2026 Jul 14; :1-7. [Online ahead of print]IC
- CONCLUSIONS: Bacterial pathogen detection on supplies, a necessary step in transmission, was extremely low. Viral NAAT detection on supplies was low and likely exaggerated the risk of fomite transmission, as whether there was viable virus at sufficient concentration to transmit infection is unknown.
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- The impact on airborne isolation duration utilizing GeneXpert versus acid-fast bacilli smears to guide discontinuation among individuals with suspected pulmonary tuberculosis: a systematic review and meta-analysis. [Journal Article]Infect Control Hosp Epidemiol. 2026 Jul 13; :1-9. [Online ahead of print]IC
- CONCLUSIONS: Compared to serial microscopy, GeneXpert done on a single unconcentrated respiratory specimen reduces airborne infection isolation duration by over 1.5 days, on average, making it an attractive strategy for optimizing healthcare facility resources while evaluating persons for pulmonary tuberculosis.Protocol Registration (PROSPERO, CRD42024538644).
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- Evaluating a nurse-led, audit-based antimicrobial stewardship in the medical emergency unit of a tertiary level hospital. [Journal Article]Infect Control Hosp Epidemiol. 2026 Jul 10; :1-7. [Online ahead of print]IC
- CONCLUSIONS: This nurse-driven antimicrobial stewardship intervention was associated with more rational antimicrobial use, improved diagnostic utilization, and strengthened infection control practices. Integrating stewardship activities into nursing workflows represents a feasible approach to strengthening AMS in high-volume acute care settings.
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