Exploring the role of infection preventionists in antimicrobial stewardship programs through several lenses: A brief report.

This study explored perceptions of the role of infection preventionists (IPs) in antimicrobial stewardship programs (ASPs) among IPs, pharmacists, infectious diseases physicians, and hospital executives. Expert telephone interviews, using a validated survey tool, were conducted from November 1, 2016 to December 12, 2016 (n = 28). Participants with clinical responsibilities reported modest expectations of the IP in ASPs. Competing IP job responsibilities and limited ASP role clarity were cited as common barriers to IP engagement.

A highly sensitive, PCR-based method for the detection of Plasmodium falciparum clones in microtiter plates.

BACKGROUND: Cloning of parasites by limiting dilution is an essential and rate-limiting step in many aspects of malaria research including genomic and genetic manipulation studies. The standard Giemsa-stained blood smears to detect parasites is time-consuming, whereas the more sensitive parasite lactate dehydrogenase assay involves multiple steps and requires fresh reagents. A simple PCR-based method was therefore tested for parasite detection that can be adapted to high throughput studies. METHODS: Approximately 1 microL of packed erythrocytes from each well of a microtiter cloning plate was directly used as template DNA for a PCR reaction with primers for the parasite 18s rRNA gene. Positive wells containing parasites were identified after rapid separation of PCR products by gel electrophoresis. RESULTS: The PCR-based method can consistently detect a parasitaemia as low as 0.0005%, which is equivalent to 30 parasite genomes in a single well of a 96-well plate. Parasite clones were easily detected from cloning plates using this method and a comparison of PCR results with Giemsa-stained blood smears showed that PCR not only detected all the positive wells identified in smears, but also detected wells not identified otherwise, thereby confirming its sensitivity. CONCLUSION: The PCR-based method reported here is a simple, sensitive and efficient method for detecting parasite clones in culture. This method requires very little manual labor and can be completely automated for high throughput studies. The method is sensitive enough to detect parasites a week before they can be seen in Giemsa smears and is highly effective in identifying slow growing parasite clones.