NEW in ICHE: Implementation and assessment of a postreprocessing endoscope surveillance program
U Kentucky authors find ERCP scopes culture positive 25.9%; 5% carb-R cultures match the species of those recovered in patients
#IDSky
📄: doi.org/10.1017/ice....
New in ICHE from @jlsalinas.bsky.social and authors:
➡️ A large language model can adjudicate surgical site infections with 100% sensitivity
➡️ Infection Preventionists share their thoughts on use of this LLM in healthcare epidemiology
#IDSky
📃: doi.org/10.1017/ice....
Last night at #SHEASpring2026, the editorial boards for @ichejournal.bsky.social and ASHE met and we all (particularly the EIC!) expressed gratitude to the authors, the reviewers, the editors, and the @sheaepi.bsky.social staff that keep us running.
NEW in ICHE: Potential for misclassification of community-acquired respiratory virus infections as healthcare-associated respiratory virus infections at a pediatric healthcare system
➡️ Authors find 5%–14% classified as HAI were actually community acquired #IDSky
📃: doi.org/10.1017/ice....
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NEW in ICHE: 5-second rule for medical objects dropped in the OR?
In a new study from Duke, authors found chlorhexidine–alcohol & povidone-iodine ⏬ bioburden compared to ethanol or no intervention.
➡️ Replace it! Can't replace? Use sterile CHG or PI!
#IDSky
📃: doi.org/10.1017/ice....
Check out the newest episode of the ICHE Podcast!!
#IDSky
NEW in ICHE:
Are high residual chlorhexidine skin concentrations associated with improved clinical outcomes?
➡️ Authors used CLEAR trial and found no association among residual CHG skin concentrations and either MRSA carriage or infection
#IDSky
📃: doi.org/10.1017/ice....
NEW in ICHE: Rates of line associated bloodstream infections in self-administered OPAT compared to standard of care in safety net hospital
Authors find self-administered OPAT is a safe alternative to healthcare personnel OPAT during 2012-2023
#IDSky
📃: doi.org/10.1017/ice....
NEW in ICHE: Azithromycin use for common acute respiratory infections during a Mycoplasma pneumoniae national surge: results from the SHARPS-OP benchmarking collaborative
6 million pediatric ambulatory ARI encounters:
⏫ in azithromycin
⏬in amoxicillin
#IDSky
📃: doi.org/10.1017/ice....
NEW in ICHE: Comparing the effects of commercial to open initial specimen diversion techniques on clinical outcomes and institutional costs
#IDSky
📃: doi.org/10.1017/ice....
NEW in ICHE: Decrease in healthcare-associated infection rates in preterm infants
15 year surveillance in Germany
Sepsis, pneumonia, enterocolitis all decreased
#IDSky
📃: doi.org/10.1017/ice....
New in ICHE: Not everyone is "special" 🦠
Free text overrides in UA driven reflex urine culture protocols are frequently misused
▶️ 97% (816/839) of "other" indications inappropriate & 83% cultures were avoidable
▶️Removing the option: low-risk, high-yield
#IDSky
📄: doi.org/10.1017/ice.2026.10419
NEW in ICHE: Exploring AI-assisted cameras to assess use of contact precautions
AI-assisted camera technology able to detect HCP entry into a 'red-zone' around patient with sensitivity up to 0.98, specificity of 0.84
Next steps in use for gloves/gowns
#IDSky
📃: doi.org/10.1017/ice....
NEW: MDRO control practices - a @sheaepi.bsky.social research network survey
60 facilities responded
➡️ 70% perform active surveillance
➡️ 16% preemptive contact precautions
➡️ Barriers identified: training > private rooms > lack of evidence based strategies
#IDSky
📃: doi.org/10.1017/ice....
NEW in ICHE: modeling the impact of pathogen reduction on CRE BSIs and deaths in US
▶️ Used multiple healthcare facility types
▶️ Reduction of 69-75% of CRE BSIs if used in LTACH/vSNFs
▶️ 90% averted BSIs would have been in Pts w/o agent
#IDSky
📄: doi.org/10.1017/ice....
NEW in ICHE: Local public health response to first Candida auris outbreak spanning 28 healthcare facilities
10 months in Arizona
▶️ 39 clinical cases
▶️ 17.6% (158/899) contacts colonized with C. auris
▶️ 9.5% (15/158) developed infection
#IDSky
📄: doi.org/10.1017/ice....
New in ICHE: 4-year pseudo-outbreak of NTM
Increase of M. mucogenicum in BAL (6.1% ▶️ 18.6%)
--Non-sterile ice baths contaminated samples
--No true infections
--458 hours of FTEs
--$88,426 of laboratory costs
#IDSky
📄: doi.org/10.1017/ice....
New episode of The ICHE Podcast! Dr. Barbara Jones and Dr. Sheryl Kluberg discuss their recent publications that evaluate the impact of oral care and in-hospital mobility on non–ventilator-associated hospital-acquired pneumonia.
Listen here: on.soundcloud.com/E8RR2No5ZT4u...
🆕 New in ICHE: Can we predict MDRO carriers on admission?
A model using prior healthcare exposures (SNF, LTACH) had varying performance:
▶️ AUC = 0.76-0.82 for HAI-associated pathogens
▶️ AUC = 0.59, 0.61 for community-based pathogens
#IDSky
📃: doi.org/10.1017/ice....
🆕 New in ICHE: Can LLMs help identify cardiovascular implantable device infxs?
Researchers used LLM to review EMR notes & flag likely cases across 3 VA hospitals
▶️ High agreement w/ expert review
▶️ Manual adjudication still needed
#IDSky
📃: doi.org/10.1017/ice....
Did you know you may be able to publish open access at no cost in SHEA’s journals?
Check whether your institution has an open access publishing agreement with Cambridge using the eligibility checker: www.cambridge.org/core/eligibi...
NEW in ICHE: An interdisciplinary infectious disease support team with longitudinal process interventions is associated with lower 28-day mortality in bacteremia #IDSky
📄: doi.org/10.1017/ice....
New in ICHE: Clinical utility of serial plasma cell-free DNA metagenomic next-generation sequencing assays
▶️ Authors find that only 5/173 cases of serial plasma metagenomic next-generation sequencing had significant clinical impact
#IDSky
📃: doi.org/10.1017/ice....
New in ICHE: Optimizing facility-specific urinary weighted-incidence syndromic antibiograms for nursing homes
🦠 5097 urine cultures from 59 nursing homes
➡️2 years weighted-incidence syndromic antibiogram (WISCA) = valid antibiogram
#IDSky
📃: doi.org/10.1017/ice....
NEW in ICHE: Trends of bloodstream infection incidence rates among patients on outpatient hemodialysis, NHSN, 2012–2021
⏫ facilities reporting
BSI Rates:
2012-2020 ⏬ 8.9%
2020-2021 ❌ no change
#IDSky
📃: doi.org/10.1017/ice....
New in ICHE: Risk factors for progression from Clostridioides difficile colonization (NAAT+/toxin–) to infection (toxin+) following symptomatic retesting
High-risk antibiotics aOR 2.70 for CDI
#IDSky
📃: doi.org/10.1017/ice....
New in ICHE: Healthcare worker long-sleeved attire contamination: a prospective observational study
280 samples:
▶️ 81.1% (n = 227) any bacterial growth
▶️ 20.7% (n = 58) ≥1 potential pathogen
#IDSky
📃: doi.org/10.1017/ice....
New from @jonathanrydermd.bsky.social et al:
Are SEP-1 and blood culture stewardship at odds? Retrospective review of SEP-1 failures pre- and during a blood culture bottle shortage
BCs avoided without patient harm!
#IDSky @kcawcutt.bsky.social
📄: doi.org/10.1017/ice....
Excited to share our latest publication about SEP-1 metrics during the BCx shortage in the setting of enhanced BCx stewardship efforts
@kcawcutt.bsky.social @ichejournal.bsky.social #IDSky
www.cambridge.org/core/journal...