Cop Human activities have vastly altered the Earth. Scientists posit that Earth has entered a new geological epoch, termed the ‘Anthropocene’. Yet, although physical conditions have changed, human socio-economic endeavors still proceed as in the past, on the basis of increasingly obsolete assumptions about natural systems and resources (‘business as usual’). As currently conceived, sustainable ...

Control of Clostridium difficile infection (CDI) outbreaks in health care facilities presents significant challenges to infection control specialists and other health care workers. C. difficile spores survive routine environmental cleaning with detergents and hand hygiene with alcohol-based gels. Enhanced cleaning of all potentially contaminated surfaces with 10% sodium hypochlorite reduces the...

We report the development of a collaborative relationship between antimicrobial stewardship and clinical microbiology that incorporates stewardship practices into daily laboratory rounds. Antimicrobial stewardship involvement on rounds was a welcomed and effective initiative with substantial rates of intervention. New opportunities to positively impact use of antimicrobials and laboratory resou...

The organisation-public relationship paradigm has frequently referenced Kelly’s (2001) stewardship strategies as possible methods for strengthening relationships with stakeholders; however, there have been no attempts to measure stewardship. A mailed survey of individual donors (n = 1,706) and fundraising team members (n = 124) at three non-profit hospitals asked participants to evaluate their ...

Antimicrobial stewardship involves a multifaceted approach aimed at combating the emergence of antibiotic resistance, improving patient outcomes, and controlling healthcare costs by optimizing antimicrobial use. Therefore, stewardship is of great importance and relevance in the ICU. The rapid pace of escalating antibiotic resistance and the widespread use of antibiotics in critical care require...

This article examines the scope for strategies to build natural assets in the hands of low-income individuals and communities. Natural assets include sources of raw materials such as forests and fisheries, and the airsheds, lands, and water bodies that provide environmental sinks for the disposal of wastes. These resources become assets when people have rights to access their benefits. Four str...

ver the past century, technological advances have greatly improved the standard of living in the United States. But these same advances have caused sweeping environmental changes, often unforeseen and potentially irreparable. Ethical stewardship of the environment requires that society monitor and assess environmental changes at the national scale with a view toward the conservation and wise ma...

BACKGROUND The Dutch Working Party on Antibiotic Policy is developing a national antimicrobial stewardship registry. This registry will report both the quality of antibiotic use in hospitals in the Netherlands and the stewardship activities employed. It is currently unclear which aspects of the quality of antibiotic use are monitored by antimicrobial stewardship teams (A-teams) and can be used ...

Antimicrobial stewardship is widely accepted as an efficient strategy to combat the growing threat of antimicrobial resistance. Education is one of the cornerstones of successful antimicrobial stewardship programs. There is also general agreement that antimicrobial stewardship is a team effort that must involve the whole continuum of healthcare workers. Providing adequate education for all diff...

The notion of stewardship, drawn from the literature of management and organization in the United States, may offer a useful window into this broader understanding of governance. Stewardship depends on a willingness to be accountable for results without using control as the means to reach them. This demands a choice for service with partnership and empowerment as basic governance strategies. St...