#135 – Stewie Struggles: Small Hospital Edition

#135 – Stewie Struggles: Small Hospital Edition

From Breakpoints by Society of Infectious Diseases Pharmacists

May 22, 2026 · 1h 3m · Episode 135

About this episode

The episode discusses the unique challenges and opportunities of antimicrobial stewardship in small and critical access hospitals.

Small hospitals bring unique stewardship challenges, but also unique opportunities. Dr. Tina Khadem and Dr. Ashley Cubillos join host Dr. Whitney Buckel to discuss the realities of antimicrobial stewardship in small and critical access hospitals. From navigating competing priorities and limited resources, to building strong provider relationships in close-knit communities, we have you covered! Join us as we unpack real-world strategies, challenge common perceptions, and highlight the practical pearls you can apply in your own setting. References: Implementation of Core Elements at Small and Critical Access Hospitals: https://www.cdc.gov/antibiotic-use/media/pdfs/core-elements-small-critical-508.pdf Stenehjem E, Hyun DY, Septimus E, Yu KC, Meyer M, Raj D, Srinivasan A. Antibiotic Stewardship in Small Hospitals: Barriers and Potential Solutions. Clin Infect Dis. 2017 Aug 15;65(4):691-696. Veillette JJ, May SS, Gabrellas AD, Gelman SS, Albritton J, Lyons MD, Stenehjem EA, Webb BJ, Dalto JD, Throneberry SK, Stanfield V, Grisel NA, Vento TJ. A Fully Integrated Infectious Diseases and Antimicrobial Stewardship Telehealth Service Improves Staphylococcus aureus Bacteremia Bundle…

People in this episode

Host: Dr. Whitney Buckel

Guests: Dr. Tina Khadem, Dr. Ashley Cubillos

Topics covered

  • antimicrobial stewardship
  • small hospitals
  • critical access hospitals
  • healthcare challenges
  • provider relationships
  • real-world strategies

Keywords

  • antimicrobial stewardship
  • small hospitals
  • critical access hospitals
  • healthcare
  • provider relationships
  • strategies
  • challenges

Mentioned in this episode

Organizations: Society of Infectious Diseases Pharmacists

Books & works: Implementation of Core Elements at Small and Critical Access Hospitals, Antibiotic Stewardship in Small Hospitals: Barriers and Potential Solutions, A Fully Integrated Infectious Diseases and Antimicrobial Stewardship Telehealth Service Improves Staphylococcus aureus Bacteremia Bundle Adherence and Outcomes in 16 Small Community Hospitals, Impact of Positive Blood Culture Antimicrobial Stewardship on Staphylococcus aureus Bloodstream Infection Management across Critical Access, Small, and Medium Communities

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