Implementation of a unique in-person pediatric antimicrobial stewardship program was associated with a significant increase in infectious disease consultations at a quaternary care children's hospital. This study demonstrates that antimicrobial stewardship programs support, and do not compete with, infectious disease programs.
Rates of the demand for transplantation continue to rise and exceed the supply of available organs. 1 To maximize the successful transplantation of a limited number of available organs, research has highlighted the importance of identifying and treating psychosocial factors, including substance use, present at the pre-transplant evaluation, due to their association with poor post-transplant outcomes (ie, nonadherence, increased risk for rejection, and graft failure). [2][3][4] Studies have examined risk by organ type, but the existing literature largely focuses on marijuana and alcohol use within predominantly adult transplant populations. 5 Though less data exist on substance use rates in pediatric transplant patients, youth substance use in the general population remains a public health concern. 6 Several large longitudinal studies highlight increases in marijuana use as adolescent age increases,
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