Group Endeavor Research Articles

An outside individual option increases optimism and facilitates collaboration when groups form flexibly

Voluntary participation is a central yet understudied aspect of collaboration. Here, we model collaboration as people’s voluntary choices between joining an uncertain public goods provisioning in groups and pursuing a less profitable but certain individual option. First, we find that voluntariness in collaboration increases the likelihood of group success via two pathways, both contributing to form more optimistic groups: pessimistic defectors are filtered out from groups, and some individuals update their beliefs to become cooperative. Second, we reconcile these findings with existing literature that highlights the detrimental effects of an individual option. We argue that the impact of an outside individual option on collaboration depends on the “externality” of loners — the influence that those leaving the group still exert on group endeavors. Theoretically and experimentally, we show that if collaboration allows for flexible group formation, the negative externality of loners remains limited, and the presence of an individual option robustly aids collaborative success.

Optimal pedagogical strategies in research methodology: Insights from student experiences

This study embarked on an exploratory journey to understand the nuances of effective pedagogy within the context of a Research Methodology course. With a participant pool of 24 students, qualitative methodologies were employed to delve deep into their experiences, perceptions, and reflections. Several emergent themes underscored the dynamics of a successful learning environment. Collaborative learning stood out as a key facilitator of understanding, highlighting the value of peer interactions and group endeavors. The instructor’s mediatory role emerged as pivotal, acting as a bridge between content and comprehension. Participants highlighted the profound impact of integrating real-world applications to enhance conceptual clarity, making abstract concepts tangible and relevant. Reflective practices and feedback mechanisms were underscored as instrumental in deepening understanding and fostering growth, respectively. The intertwining of theory and practice, along with the instructor’s adaptability, were deemed essential for comprehensive learning. Furthermore, culturally relevant pedagogy emerged as a necessity, emphasizing the symbiotic relationship between culture and cognition. Lastly, the motivational and encouraging role of the instructor significantly influenced the students’ commitment and enthusiasm. While these findings shed light on the intricate dance of effective pedagogy, they also pave the way for future research to further refine our understanding of optimal educational strategies.

A Baker's Dozen of Top Antimicrobial Stewardship Intervention Publications in 2022.

Keeping abreast of the antimicrobial stewardship-related articles published each year is challenging. The Southeastern Research Group Endeavor identified antimicrobial stewardship-related, peer-reviewed literature that detailed an actionable intervention during 2022. The top 13 publications were selected using a modified Delphi technique. These manuscripts were reviewed to highlight actionable interventions used by antimicrobial stewardship programs to capture potentially effective strategies for local implementation.

The top 10 papers on the treatment of invasive fungal infections, 2018-2023.

Invasive fungal infections are responsible for a large number of infections in hospitalized patients annually and are responsible for high morbidity and mortality. Familiarity with novel agents or strategies in this area can be challenging. To identify the top 10 manuscripts on the treatment of invasive fungal infections from 2018 to 2023. Modified Delphi consensus-building technique. A three-stage consensus-building approach was used comprised of (1) identifying relevant articles; (2) voting by a panel of experts to establish consensus on the importance of these articles; and (3) finalizing the list of top articles by a small group. Members of the Southeastern Research Group Endeavor network served as content experts. Publications from 2018 to 2023 were evaluated if articles met the following inclusion criteria: (1) published between 2018 and 2023, (2) contained content related to fungal infections, and (3) included an actionable intervention. A total of 6518 potential publications were assessed. After applying inclusion and exclusion criteria, 82 articles were reviewed. The top 10 publications related to invasive fungal infections, selected by a panel of experts, are summarized in this manuscript and include publications related to the treatment of invasive aspergillosis, candidiasis, and cryptococcosis. This article highlights the selected publications and may serve as a key resource for teaching and training. Clinicians may also employ these reported interventions to identify new opportunities to optimize antifungal therapeutic strategies within one's institution.

TaxonWorks in its 10th Year: What’s new, what’s next?

TaxonWorks in its 10th Year: What’s new, what’s next?

RIRS with disposable or reusable scopes: does it make a difference? Results from the multicenter FLEXOR study.

With several single-use ureteroscopes now available, our aim was to analyze and compare data obtained globally from high-volume centers using both disposable and reusable flexible ureteroscopes and see if indeed in real-world practice either scope has a distinct advantage. Retrospective analysis was performed on the FLEXOR registry, which was created as a TOWER group (Team of Worldwide Endourological Researchers, research wing of the Endourological Society) endeavor. Patients who underwent retrograde intrarenal surgery (RIRS) for renal stones from January 2018 to August 2021 were enrolled from 20 centers globally. A total of 6663 patients whose data were available for analysis were divided into Group 1 (Reusable scopes, 4808 patients) versus Group 2 (Disposable scopes, 1855 patients). The age and gender distribution were similar in both groups. The mean stone size was 11.8 mm and 9.6 mm in Groups 2 and 1, respectively (p < 0.001). Group 2 had more patients with >2 cm stones, lower pole stones and of higher Hounsfield unit. Thulium fiber laser (TFL) was used more in Group 2 (p < 0.001). Patients in Group 2 had a slightly higher stone-free rate (SFR) (78.22%) and a lower number of residual fragments (RFs) compared with Group 1 (p < 0.001). The need for further treatments for RF and overall complications was comparable between groups. On multivariate analysis, overall complications were more likely to occur in elderly patients, larger stone size, lower pole stones, and were also more when using disposable scopes with longer operative time. RFs were significantly higher (p < 0.001) for lower pole, larger, harder, multiple stones and in elderly. Our real-world practice observations suggest that urologists choose disposable scopes for bigger, lower pole, and harder stones, and it does indeed help in improving the single-stage SFR if used correctly, with the appropriate lasers and lasing techniques in expert hands.

408. Benchmarking the Use of New β-lactams Utilizing a Novel Metric of Microbiological Burden

Abstract Background Several methods are used to account for various hospital characteristics when comparing antimicrobial use (AU) between heterogenous hospitals. Recently, a new antimicrobial stewardship metric that adjusts AU by microbiological burden (a-AU) of the bacteria was proposed (Figure 1). It accounts for the resistant phenotypes observed at a given institution, allowing for a more balanced comparison of AU across hospitals. This multicenter retrospective cohort study examined the use of new β-lactams for Gram-negative bacteria (GNB) with difficult-to-treat resistance (DTR) by both AU and adjusted (a-AU) metrics in the southeastern United States. Methods AU of new β-lactams was determined in 9 hospitals within the Southeastern Research Group Endeavor (SERGE-45) between 2015 to 2020. New β-lactams included ceftolozane/tazobactam, ceftazidime/avibactam, meropenem/vaborbactam, imipenem/cilastatin/relebactam, and cefiderocol. AU was adjusted for prevalence of GNB with DTR including Enterobacterales, Pseudomonas aeruginosa, and Acinetobacter species. DTR was defined as nonsusceptibility to all of the following: cefepime or ceftazidime, levofloxacin or ciprofloxacin, meropenem or imipenem, and piperacillin/tazobactam if tested. Hospitals were ranked by AU and a-AU from lowest to highest. Descriptive statistics were utilized. Results The cumulative mean AU and a-AU from 2015 to 2020 were 1.96 (range 0.10 to 6.44) and 2.3 (range 0.20 to 8.05) days of therapy (DOT)/1000 patient days, respectively (Figure 2). After adjusting for the prevalence of GNB with DTR, 6 hospitals moved by at least 1 position in ranking (2 hospitals moved up; 4 hospitals moved down) and 1 hospital moved by at least 2 positions in ranking. Conclusion Overall, the AU of new β-lactams increased after adjusting for the local microbiological burden suggests a potential higher use of antibiotics in relationship to the observed prevalence of GNB with DTR. More than half of the hospitals had a shift in ranking after microbiological adjustment reflecting a more balanced comparison of antibiotic use across heterogenous hospitals. Disclosures P. Brandon Bookstaver, PharmD, Spero Therapeutics: Advisor/Consultant Julie Ann Justo, PharmD, MS, FIDSA, BCPS-AQ ID, bioMerieux: Honoraria|bioMerieux: Honoraria|Entasis Therapeutics: Advisor/Consultant|Entasis Therapeutics: Advisor/Consultant|Gilead Sciences: Advisor/Consultant|Gilead Sciences: Advisor/Consultant|Merck &amp; Co: Advisor/Consultant|Merck &amp; Co: Advisor/Consultant|Shionogi: Advisor/Consultant|Shionogi Inc.: Advisor/Consultant|Spero Therapeutics: Honoraria|Spero Therapeutics: Honoraria|Vaxart: Stocks/Bonds Julie Ann Justo, PharmD, MS, FIDSA, BCPS-AQ ID, bioMerieux: Honoraria|bioMerieux: Honoraria|Entasis Therapeutics: Advisor/Consultant|Entasis Therapeutics: Advisor/Consultant|Gilead Sciences: Advisor/Consultant|Gilead Sciences: Advisor/Consultant|Merck &amp; Co: Advisor/Consultant|Merck &amp; Co: Advisor/Consultant|Shionogi: Advisor/Consultant|Shionogi Inc.: Advisor/Consultant|Spero Therapeutics: Honoraria|Spero Therapeutics: Honoraria|Vaxart: Stocks/Bonds Bruce M. Jones, Pharm.D., FIDSA, BCPS, AbbVie: Advisor/Consultant|AbbVie: Honoraria|La Jolla: Honoraria|Melinta: Advisor/Consultant|Paratek: Honoraria|Regeneron: Honoraria.

409. Temporal Trends in Antibiotic Use of New β-lactams for Gram-Negative Bacteria with Difficult-to-Treat Resistance in the Southeastern United States

Abstract Background Several new β-lactam antibiotics were recently developed for treatment of serious infections due to gram-negative bacteria (GNB) with difficult-to-treat resistance (DTR). This multicenter retrospective cohort study examined temporal trends in prevalence of GNB with DTR and the use of new β-lactams in the southeastern United States. Methods The prevalence of GNB with DTR, including Enterobacterales, Pseudomonas aeruginosa, and Acinetobacter species was determined in 9 hospitals geographically spread within the Southeastern Research Group Endeavor (SERGE-45) between 2015 to 2020. Antibiotic use (AU) of new β-lactams was also obtained from the 9 hospitals during the study period. New β-lactams included ceftolozane/tazobactam, ceftazidime/avibactam, meropenem/vaborbactam, imipenem/cilastatin/relebactam, and cefiderocol. Logistic regression analysis was utilized to examine temporal trends in prevalence of GNB with DTR and cumulative AU of new β-lactams. Results The overall prevalence of GNB with DTR in the 9 hospitals was 0.78% with a numerical increase from 0.67% to 0.97% between 2015 and 2020 (p=0.067) [Figure]. DTR was more prevalent among Acinetobacter spp., followed by P. aeruginosa, and Enterobacterales (11.8%, 3.5%, and 0.2%, respectively). There was a significant increase in the prevalence of DTR isolates among Acinetobacter spp. from 2.7% to 20.7% (p&amp;lt; 0.001) and Enterobacterales from 0.07% to 2.6% (p=0.025), but not P. aeruginosa (p=0.46) between 2015 and 2020. The cumulative AU of new β-lactams in the 9 hospitals was 2 days of therapy per 1000 patient-days. There was numerical increase in AU of these agents from 0.03 to 2.22 days of therapy per 1000 patient days during the 6-year study period (p=0.096) [Figure]. Conclusion The overall prevalence of GNB with DTR and cumulative use of new β-lactams remain relatively low in the southeastern United States. However, the upward trend in prevalence of DTR isolates, particularly among Acinetobacter spp. and Enterobacterales, is concerning and may drive future increased use of β-lactams. Additional efforts to benchmark the use and appropriateness of new β-lactams are crucial to preserve their efficacy against bacteria with DTR. Disclosures P. Brandon Bookstaver, PharmD, Spero Therapeutics: Advisor/Consultant Julie Ann Justo, PharmD, MS, FIDSA, BCPS-AQ ID, bioMerieux: Honoraria|bioMerieux: Honoraria|Entasis Therapeutics: Advisor/Consultant|Entasis Therapeutics: Advisor/Consultant|Gilead Sciences: Advisor/Consultant|Gilead Sciences: Advisor/Consultant|Merck &amp; Co: Advisor/Consultant|Merck &amp; Co: Advisor/Consultant|Shionogi: Advisor/Consultant|Shionogi Inc.: Advisor/Consultant|Spero Therapeutics: Honoraria|Spero Therapeutics: Honoraria|Vaxart: Stocks/Bonds Julie Ann Justo, PharmD, MS, FIDSA, BCPS-AQ ID, bioMerieux: Honoraria|bioMerieux: Honoraria|Entasis Therapeutics: Advisor/Consultant|Entasis Therapeutics: Advisor/Consultant|Gilead Sciences: Advisor/Consultant|Gilead Sciences: Advisor/Consultant|Merck &amp; Co: Advisor/Consultant|Merck &amp; Co: Advisor/Consultant|Shionogi: Advisor/Consultant|Shionogi Inc.: Advisor/Consultant|Spero Therapeutics: Honoraria|Spero Therapeutics: Honoraria|Vaxart: Stocks/Bonds Bruce M. Jones, Pharm.D., FIDSA, BCPS, AbbVie: Advisor/Consultant|AbbVie: Honoraria|La Jolla: Honoraria|Melinta: Advisor/Consultant|Paratek: Honoraria|Regeneron: Honoraria.

338. Epidemiology and Treatment of Invasive Bartonella spp. Infections

Abstract Background Serology and PCR testing methods have increased ability to diagnose Bartonella spp. invasive infections. Current treatment recommendations are based primarily on case series and aging data published before newly available diagnostic techniques. These recommendations are limited in safety and effectiveness outcomes. This multicenter, retrospective cohort study describes the epidemiology and treatment outcomes of invasive bartonellosis among patients in the U.S. Methods Collaborating sites were selected from SERGE-45 (Southeastern Research Group Endeavor) research network. Data were collected through REDCap. Subjects were screened from adult patients with invasive bartonellosis diagnosis codes, positive Bartonella spp. serologies, PCR, 16/18S tests, cultures, and Karius® tests from blood or tissue between January 1, 2014, and September 1, 2021. Eligible patients had at least one positive test result, evidence of invasive bartonellosis, and received treatment for bartonellosis. Treatment failure was defined as admission or readmission while on treatment, mortality during treatment or within 30 days after end of treatment, required escalation or extended duration of therapy, premature discontinuation of therapy, or necessitated change in regimen. Those not meeting treatment failure criteria were considered treatment success. Results Of the 169 patients screened, 32 were included, with 19 having treatment success. Bartonella henselae was the most common causative pathogen (n = 31, 97%). Endocarditis was the most common invasive manifestation (n = 18, 56%). Treatment regimens are displayed in Table 1. Primary reasons for treatment failure included necessitated escalation of therapy during treatment course (n = 4, 30.8%) and discontinuation of therapy due to adverse effect (n = 4, 30.8%). Conclusion Doxycycline with rifampin was the most common treatment regimen for invasive bartonellosis, with extended durations used compared to often referenced 6-week courses for invasive infections. It is important to consider adverse drug effects, toxicities, and tolerability in patients being treated for invasive bartonellosis. Disclosures P. Brandon Bookstaver, PharmD, Spero Therapeutics: Advisor/Consultant.

A Baker's Dozen of Top Antimicrobial Stewardship Intervention Publications for Hospitalized Patients in 2021.

Keeping abreast of the antimicrobial stewardship-related articles published each year is challenging. The Southeastern Research Group Endeavor (SERGE-45) identified antimicrobial stewardship-related, peer-reviewed literature that detailed an "actionable" intervention among hospitalized populations during 2021. The top 13 publications were selected using a modified Delphi technique. These manuscripts were reviewed to highlight "actionable" interventions used by antimicrobial stewardship programs in hospitalized populations to capture potentially effective strategies for local implementation.

A Baker's Dozen of Top Antimicrobial Stewardship Intervention Publications in Non-Hospital Care Settings in 2021.

The scope of antimicrobial stewardship programs has expanded beyond the acute hospital setting. The need to optimize antimicrobial use in emergency departments, urgent, primary, and specialty care clinics, nursing homes, and long-term care facilities prompted the development of core elements of stewardship programs in these settings. Identifying the most innovative and well-designed stewardship literature in these novel stewardship areas can be challenging. The Southeastern Research Group Endeavor (SERGE-45) network evaluated antimicrobial stewardship-related, peer-reviewed literature published in 2021 that detailed actionable interventions specific to the nonhospital setting. The top 13 publications were summarized following identification using a modified Delphi technique. This article highlights the selected interventions and may serve as a key resource for expansion of antimicrobial stewardship programs beyond the acute hospital setting.

Misalignment Management in Joint Ventures: Drafting JV Agreements to Prevent, De‐escalate, and Resolve Disputes

As with any group endeavor, joint ventures and partnerships are inherently prone to misalignment, deadlock, and disputes, given the constant evolution of partner strategies, interests, and constraints. Ideally, JV contractual agreements would be structured to manage those misalignments as they emerge, but the typical JV agreement utilizes boilerplate dispute resolution language without considering a fulsome slate of contractual paths to creatively prevent, de‐escalate, or resolve such misalignments. This article offers a range of practical insights, benchmarks, and contractual terms to better manage misalignment in JVs, leveraging the authors' analysis of dispute‐related terms in 137 JV agreements and experience working on hundreds of JV and other partnership transactions around the world.

Research Cum Training: Assumptions, Balint's Method, and Future Directions.

Michael Balint conducted several multi-year training programs for general practitioners designed to teach lessons from a psychoanalytic perspective on the relationships doctors have with their patients and contribute to their healing skills. This group process evolved, and it was described along with an elaboration of significant researched observations of interferences in those relationships. There were several other similar multi-year experiential group endeavors conducted and/or inspired by Michael and Enid Balint which were designed to further investigate the subtleties in relationships between doctors and patients. However, none have been done since the late 1990's. Instead, research about the impact of Balint group impact has been dominated by the evidence-based approach to all medical research, and it has been typified by variations on randomized controlled, double blind research methodologies. A recent literature review has highlighted the limited results of such studies along with questions about methodological approach. However, the authors continue to support the search for appropriate dependent variables to validate the value of Balint groups for physicians. This paper identifies and examines the implicit assumptions that underly current research efforts. In addition, there is an exploration of Michael Balint's approach to "research cum training" along with describing his assumptions and the results of his research approach. In addition, recommendations are made to extend the work of the work of uncovering healing dynamics in doctor patient relationships.

Reevaluating Diversity and the History of Women in Soil Science: A Necessary Step for a Real Change

Over the last decades, diversity in science has focused on the inclusion of individuals from formerly under-represented backgrounds. While this is important, it can result in reducing the topic to a game of numbers and quotas, but individuals are not numbers. Science today must include all that a human can be, and this means both to include the under-represented and the represented. As a group endeavor, science can only be as good and innovative as the sum of its individuals’ brilliance, because of this, science needs to ensure it has the largest pool of individuals to choose from. In the same sense, now more than ever, soil science faces problems that come from complex causes and require interdisciplinary equally complex solutions, meaning that it requires minds with different perspectives, different skills, and different life histories. Minds that contribute diverse knowledge and visions to the soil’s preservation so that it maintains its properties and ecosystem benefits over time: minds capable of making soil’s sustainable use. While only two aspects of diversity (the recognition of Women and Traditional Knowledge in soil science) were analyzed in this document, is an attempt of broadening the understand of diversity and their fundamental importance to achieve soil sustainability and contribute to reach the UN sustainable development goals (SDGs) as has been widely documented in FAO (2010), mentioned in Reyes-Sánchez (2018) and discussed in Dawson et al. (Eur J Soil Sci, 2021, 72, 1929–1939).

A Baker's Dozen of Top Antimicrobial Stewardship Intervention Publications in 2020.

The number of articles related to antimicrobial stewardship published each year has increased significantly over the last decade. Keeping up with the literature, particularly the most innovative, well-designed, or applicable to one’s own practice area, can be challenging. The Southeastern Research Group Endeavor (SERGE-45) network reviewed antimicrobial stewardship–related, peer-reviewed literature from 2020 that detailed actionable interventions. The top 13 publications were summarized following identification using a modified Delphi technique. This article highlights the selected interventions and may serve as a key resource for teaching and training, and to identify novel or optimized stewardship opportunities within one’s institution.

A Baker's Dozen of Top Antimicrobial Stewardship Intervention Publications in 2019.

Staying current on literature related to antimicrobial stewardship can be challenging given the ever-increasing number of published articles. The Southeastern Research Group Endeavor (SERGE-45) identified antimicrobial stewardship–related peer-reviewed literature that detailed an actionable intervention for 2019. The top 13 publications were selected using a modified Delphi technique. These manuscripts were reviewed to highlight the actionable intervention used by antimicrobial stewardship programs to provide key stewardship literature for teaching and training and to identify potential intervention opportunities within one’s institution.

Religion and Human Security: The Christian Perspective

The prevalent security problems the modern state faces justify the current theme for discussion. In the academic circle such that we are witnessing, security or the state of being secured is a necessity for every human being and indeed every living organism. Each organization or group endeavours to provide security for its members be it financial, position, situation, moral, spiritual etc. Security is the most pertinent of all national priorities and plans. However, security as a national programme is not exactly the same in the religious sphere, especially in Christianity. This does not mean that security in Christianity completely runs a parallel line with the security of the nation. In times past people’s values were based upon traditional religion and moral principles. However, things are changing fast and despite the proliferation of churches all over the country, values are changing and much emphasis are now placed on the accumulation of physical wealth, injustice, corruption and very high competitive society with lesser religious values and principles especially Christian principles. These have greatly affected the people to the detriment of traditional moral values, resulting in insecurity and peace in our society. The study made use of analytical method for its findings.

The Evolution of Human Culture: Some Notes Prepared for the National Humanities Center, Version 2

The study of cultural evolution requires a comprehensive approach to les sciences de l’homme using methods and insights from researchers trained in both the humanities and the sciences. Only humanists have the wide ranging knowledge of cultural phenomena necessary for effective analytic and descriptive control of the primary phenomena; without such control model building and theory testing are pointless. Scientists, on the other hand, are beginning develop tools for thinking about population-wide maintenance, propagation, and incremental change of cultural codes. At the micro-scale we need to understand, not only perceptual and cognitive processes, but, most critically, the negotiation of meaning through interaction. At the macro-scale we need to see how changes in cultural codes supports the emergence of new mentalities. Taken in sum these efforts will show us how the design of cultural codes emerges from the collective efforts of populations where each individual negotiates his or her life transaction by transaction.Individual performances are the objects of cultural selection. Performances, in this sense, are the brain events that mediate cultural processes. Individuals and groups endeavor to repeat performances the like, but not performances they don’t like. The “genetic” elements of cultural processes are those properties of cultural objects and events which allow individuals to share in those objects and events. In music, for example, so-called Rhythm Changes is an example of a complex of such memetically active properties. Note, however, that word meanings cannot, in principle, be memetically active, as they are not “inscribed” in the physical substance of linguistic communication - whether by speech, gestures, or writing. Linguistic meanings are negotiated through interaction.

IDC theory: creation and the creation loop

The interest-driven creator (IDC) theory is being developed as a group endeavor by Asian researchers to articulate a holistic learning design theory for future education in Asia. The theory hypothesizes that students, driven by interest, can be engaged in the creation of knowledge (generating ideas and artifacts). By repeating this creation process in their daily learning routines, they will excel in learning performance, develop twenty-first-century competencies, and form creation habits. We hope that with such practices in education, our future generations will ultimately become lifelong interest-driven creators. In IDC Theory, there are three anchored concepts, namely, interest, creation, and habit. Each anchored concept comprises three component concepts which form a concept loop. For example, the creation loop consists of three component concepts—imitating, combining, and staging. Imitating is concerned with taking in (or inputting) an abundant amount of existing knowledge from the outside world to form one’s background knowledge. Combining refers to delivering (or outputting) new ideas or artifacts prolifically by synthesizing existing information encountered in the world and thoughts arising from the students’ background knowledge. Staging relates to frequently demonstrating the generated ideas or artifacts to the relevant communities and receiving feedback from these communities to improve the novelty and value of the demonstrated outcomes while gaining social recognition and nurturing positive social emotions. This paper focuses on describing the three components of the creation loop. We provide three case studies to illustrate the creation loop at work, as well as how it intertwines with both the interest and habit loops in supporting students to develop their creation capabilities. In presenting this iteration of the creation concept, an anchored concept in IDC theory, we acknowledge the roles played of imitation, combination, and staging in different learning and education contexts—indeed, there are multiple theories that inform and intersect with it.

A Baker's Dozen of Top Antimicrobial Stewardship Intervention Publications in 2018.

With an increasing number of antimicrobial stewardship–related articles published each year, attempting to stay current is challenging. The Southeastern Research Group Endeavor (SERGE-45) identified antimicrobial stewardship–related peer-reviewed literature that detailed an actionable intervention for 2018. The top 13 publications were selected using a modified Delphi technique. These manuscripts were reviewed to highlight the actionable intervention used by antimicrobial stewardship programs to provide key stewardship literature for teaching and training as well as to identify potential intervention opportunities within one’s institution.