Antimicrobial Stewardship Project Newsletter

New AMR Articles from Students Against Superbugs Africa

In new articles from Students Against Superbugs Africa's AMR Writers and Content Creators program, Jimmy Nkaiwuatei delves into the use of beneficial microbes to treat infections, Kosi Clementina explores the links between hospital-acquired infections and antimicrobial resistance (AMR), and Mandela Ncube considers the role of informed clinical decision-making in improving antibiotic use.

CIDRAP-ASP's Francesca Chiara, PhD, MPH, MRes, Chris Dall, MA, and Natalie Vestin, MPH, are serving as mentors and editors for the program.

Learn more


AMR in the News

This past week, CIDRAP News journalist Chris Dall, MA, reported on a study finding that pre-caesarean antibiotics do not raise children's risks for asthma, eczema, or other allergic conditions, and much more.

New AMR Read of the Week

In our latest weekly analysis of the literature on AMR and antimicrobial stewardship, Natalie Vestin, MPH, assesses a review of drug resistance in gonorrhea and Mycoplasma genitalium in sub-Saharan Africa over the last 20 years.

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

Continuity for TB Care in Ukraine and Refugee-Hosting Countries

The World Health Organization released an information note on ensuring continuity of essential tuberculosis services for people with or at risk of the disease in Ukraine or in refugee-hosting countries.

Water Monitoring Technology for AMR in Scotland

North Edinburgh News reports on "Technologies for Monitoring and Treatment of Antimicrobial Resistance in Water," the first review of potential solutions for monitoring and reducing AMR in Scotland's waters, carried out by James Hutton Institute and Heriot-Watt University and funded by Scotland's Centre of Expertise for Waters.

Diagnostics, Misinformation, and Antibiotic Use during COVID-19

In an interview for Contagion, Alexandra Ward, MA, speaks with Payal Patel, MD, MPH, about how misinformation, lack of access to rapid diagnostics, testing backlog, and cognitive biases have contributed to inappropriate antibiotic use during the pandemic.

Antimicrobial Use in Chilean Salmon Farming

On SeafoodSource, Christian Molinari reports on a 2021 increase in antimicrobial use in Chilean salmon farming, noting that until 2021, antimicrobial use had been decreasing steadily since 2015. Chile’s National Fisheries and Aquaculture Service (Sernapesca) attributes the higher antimicrobial use to algal bloom events, along with logistical delays and longer pathogen exposure times caused by the COVID-19 pandemic.

Cambodian AMR National Action Plan Progress

A Food and Agriculture Organization of the United Nations press release highlights progress in implementing Cambodia's National Action Plan on AMR.

Antimicrobial Stewardship Intervention for Cytoscopy

On MedPage Today, Mike Bassett summarizes research presented at the annual meeting of the American Urological Association that found a nearly 30% reduction in prophylactic antibiotic use for cytoscopy at a US medical center following an intervention comprising education, modification of electronic order sets, and audit and feedback. Infection rates also dropped slightly following the implementation of the intervention.

Fungal Infections and AMR-Focused Journalism

In an article for the Association of Health Care Journalists, Bara Vaida describes the need for journalists and other communicators to focus on fungal infections when reporting on AMR.

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 19 to May 25, 2022.

Daria S, Islam MR. Indiscriminate use of antibiotics for COVID-19 treatment in South Asian countries is a threat for future pandemics due to antibiotic resistance. Clin Pathol 2022 (published online May 18)

Floridia M, Giuliano M, Monaco M, et al. Microbiologically confirmed infections and antibiotic-resistance in a national surveillance study of hospitalised patients who died with COVID-19, Italy 2020-2021. Antimicrob Resist Infect Control 2022 (published online May 21)

Jacobs AC, Khosrowshahi L, Risi G, et al. Impact of bacterial infections and antibiotic use on hospitalized COVID-19 patients: an emerging infections network survey. COVID 2022 (published online May 20)

Lastinger LM, Alvarez CR, Kofman A, et al. Continued increases in HAI incidence during the second year of the COVID-19 pandemic. Infect Control Hosp Epidemiol 2022 (published online May 20)

Marcoux D, Etienne I, Van Muylem A, et al. A retrospective, monocentric study comparing co and secondary infections in critically ill COVID-19 and influenza patients. Antibiotics (Basel) 2022 (published online May 24)

Nakitanda AO, Karlsson P, Löfling L, et al. Antimicrobial use in Sweden during the COVID-19 pandemic: prescription fill and inpatient care requisition patterns. BMC Infect Dis 2022 (published online May 24)

Peghin M, Vena A, Graziano E, et al. Improving management and antimicrobial stewardship for bacterial and fungal infections in hospitalized patients with COVID-19. Ther Adv Infect Dis 2022 (published online May 14)

Rose AN, Baggs J, Kazakova SV, et al. Trends in facility-level rates of Clostridioides difficile infections in US hospitals, 2019-2020. Infect Control Hosp Epidemiol 2022 (published online May 19)

Şencan İ, Çağ Y, Karabay O, et al. Antibiotic use and influencing factors among hospitalized patients with COVID-19: a multicenter point-prevalence study from Turkey. Balkan Med J 2022 (published online May 24)

Shbaklo N, Corcione S, Vicentini C, et al. An observational study of MDR hospital-acquired infections and antibiotic use during COVID-19 pandemic: a call for antimicrobial stewardship programs. Antibiotics (Basel) 2022 (published online May 20)

Sinto R, Lie KC, Setiati S, et al. Blood culture utilization and epidemiology of antimicrobial-resistant bloodstream infections before and during the COVID-19 pandemic in the Indonesian national referral hospital. Antimicrob Resist Infect Control 2022 (published online May 19)

Smith AGC, Wilber E, Rebolledo PA, et al. Low rates of antibiotic use among ambulatory patients with coronavirus disease 2019 (COVID-19). Antimicrob Steward Healthc Epidemiol 2022 (published online Apr 11)

Søvik S, Barrat-Due A, Kåsine T, et al. Corticosteroids and superinfections in COVID-19 patients on invasive mechanical ventilation. J Infect 2022 (published online May 20)

Velásquez-Garcia L, Mejia-Sanjuanelo A, Viasus D, et al. Causative agents of ventilator-associated pneumonia and resistance to antibiotics in COVID-19 patients: a systematic review. Biomedicines 2022 (published online May 24)

Zembles TN, Ray KM, Kuhn E, et al. Antibiotic use in children with multisystem inflammatory syndrome associated with SARS-CoV-2. Acta Paediatr 2022 (published online May 23)


  • 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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