Antimicrobial Stewardship Project Newsletter

New AMR Reads of the Week

In our latest weekly analysis of the literature on antimicrobial resistance (AMR) and antimicrobial stewardship, Francesca Chiara, PhD, MSc, MRes, Jamie Umber, DVM, MPH, and Natalie Vestin, MPH, assess resources for infection prevention in a neonatal unit in Malawi, the role of dogs as carriers of Clostridioides difficile in Austria, and the prevalence of AMR in Antarctica.

Read more


AMR in the News

This past week, CIDRAP News journalist Chris Dall, MA, reported on a link between antibiotics and inflammatory bowel disease in older adults, pharmacist-led review of antibiotic prescribing at discharge, and much more.

Antibiotic Use in Critical Care

Our May quiz allows you to test your knowledge on Gram stain-guided antibiotic therapy in patients with ventilator-associated pneumonia.

Global Policy and Projects

June Webinar: Agriculture and Drug-Resistant Fungi

The US National Academies of Sciences, Engineering, and Medicine will host a three-day workshop on "The Role of Plant Agricultural Practices on Development of Antimicrobial Resistant Fungi Affecting Human Health" on Jun 21, 22, and 27.

Antibiotic Prescribing and Co-infection in Children with COVID-19

In a summary of a study presented at the 40th Annual Meeting of the European Society for Pediatric Infectious Diseases, Nina Cosdon describes describes antibiotic prescribing among 299 children hospitalized with COVID-19, noting that 75 (25%) of children received at least one antimicrobial (most of which were narrow-spectrum) and that secondary bacterial infection or co-infection was reported in 26.6% of the children who received antimicrobials.

Diagnostics and AMR Data Collection in Kenya

On Health Business, Samwel Doe Ouma describes the state of microbiology diagnostics and AMR data collection and analysis in Kenya from the perspectives of clinicians and patients, also noting the importance of partnerships to connect diagnostics and susceptibility data with antimicrobial stewardship interventions.

Antimicrobial Stewardship Education for Nurses and Midwives

NHS Education for Scotland released updated versions of the "Raising Awareness of Antimicrobial Stewardship for Nurses and Midwives" educational materials.

One Health AMR Surveillance in Zimbabwe

In news from the World Health Organization, Tatenda Chimbwanda, MA, describes efforts taken by the government of Zimbabwe to strengthen One Health AMR surveillance in human healthcare, the food chain, and the environment through implementation of the Extended-Spectrum Beta-Lactamase Escherichia coli Tricycle protocol.

Infographics: STIs, AMR, and Ethnic/Socioeconomic Disparities

On Healthy Women, Deb Gordon, MBA, published a series of infographics that describe AMR, ethnic and socioeconomic disparities, and treatment options in sexually transmitted infections. The infographics were reviewed by Tom Sandora, MD, MPH, and created with support from Pfizer.

AMR National Action Plan Progress in Hong Kong

A press release from the Government of Hong Kong Special Administrative Region summarizes a meeting of the High Level Steering Committee on AMR to discuss the implementation of the Hong Kong Strategy and Action Plan on AMR (2017-2022), highlighting efforts to regulate illegal antimicrobial sales, establish microbial de-colonization programs in long-term care settings, set up a One Health Information System, increase the proportion of antibiotic supplies that fall under the World Health Organization's "Access" category, and more.

AMR and Health Resilience

In a commentary for the London School of Hygiene & Tropical Medicine Antimicrobial Resistance Centre, Gwen Knight, PhD, MRes, MSc, discusses the need to improve pandemic-related language about AMR, highlighting the importance of conveying timescales of microbial resistance, developing flexible and context-relevant surveillance methods, and focusing on health-system resilience.

New in the Literature: COVID-19 and Co-infections

The following articles represent a selection of literature added to the CIDRAP-ASP COVID-19 and Co-infections bibliography from May 12 to May 18, 2022.

Adil H, Walblay K, Daniel-Wayman S, et al. Outbreak investigation of CRAB at an acute-care hospital ICU during the COVID-19 pandemic—Chicago, Illinois, March 2020–September 2021. Antimicrob Steward Healthc Epidemiol 2022 (published online May 16)

Aly M. ARGs prevalence among hospitalized COVID-19 patients with bacterial infections and resistome abundance. FASEB J 2022 (published online May 13)

Cowman K, Rossi J, Gendlina I, et al. Elucidating the role of procalcitonin as a biomarker in hospitalized COVID-19 patients. Diagn Microbiol Infect Dis 2022 (published online May 4)

Danino D, Ben-Shimon S, Sharf A, et al. Remote versus in-person outpatient clinic visits and antibiotic use among children during the COVID-19 pandemic. Pediatr Infection Dis J 2022 (published online May 9)

Kothadia S, Wilson B, Perez F, et al. Coinfections in hospitalized COVID-19 patients are associated with high mortality: need for improved diagnostic tools. Antimicrob Steward Healthc Epidemiol 2022 (published online May 16)

Maro A, Asrat H, Qiu W, et al. Trends in Clostridioides difficile infection across a public health hospital system in New York City 2019-2021: a cautionary note. Am J Infect Control 2022 (published online May 12)

Potter P, Jaixin B, Villait A, et al. The impact of secondary bacterial infections in COVID-19 patients on mortality and the immune response in the state of Arizona. FASEB J 2022 (published online May 13)

Potter P, Lam M, Wright N, et al. Multisite clinical utilization of antibiotics among hospitalized patients with COVID-19. FASEB J 2022 (published online May 13)

Said KB, Alsolami A, Moussa S, et al. COVID-19 clinical profiles and fatality rates in hospitalized patients reveal case aggravation and selective co-infection by limited gram-negative bacteria. Int J Environ Res Public Health 2022 (published online Apr 26)

Stover C, Hitchingham E, McClanahan K, et al. Characteristics of patients positive for COVID-19 and multidrug-resistant organisms in Tennessee, 2020–2021. Antimicrob Steward Healthc Epidemiol 2022 (published online May 16)

Toc DA, Butiuc-Keul AL, Iordache D, et al. Descriptive analysis of circulating antimicrobial resistance genes in vancomycin-resistant Enterococcus (VRE) during the COVID-19 pandemic. Biomedicines 2022 (published online May 12)


  • We launched an AMR communication toolkit designed specifically for primary care settings in low- and middle-income countries, but free and appropriate for anyone to use. The design of the AMR Communication Toolkit was led by the communication agency BB Partners and supported by a grant from the Wellcome Trust. 

  • We recently published a report on efforts to address antimicrobial pollution in pharmaceutical manufacturing wastewater in India and a commentary on the 2-year anniversary of the CIDRAP-ASP COVID-19 and Co-infections Resource Hub.

  • Keep up with the latest by following @CIDRAP_ASP on Twitter.

  • We recently published a literature review on sustainability, access, and structural change in AMR work, which you can find on our ASP Research page.

  • We co-produce a podcast series—"Superbugs and You"—with the Antimicrobial Resistance Fighter Coalition that features stories of resilience and innovation from patients, clinicians, and researchers experiencing and finding solutions to drug-resistant infections. You can listen to the series online or on your podcast app of choice.

  • We update our diagnostics and surveillance resource hubs regularly. Learn more about antibiograms, laboratory capacity in low- and middle-income countries, AMR surveillance across the One Health spectrum, and tools to implement AMR and antibiotic use data collection in diverse settings.

  • Are you looking for an online course, a video or infographic, a webinar recording, or another tool to educate yourself or others about AMR and antimicrobial stewardship? Check out our vast collection of educational multimedia, which is updated monthly with new resources.
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