#133 – Trash talk: Earth Day Special on Healthcare Sustainability and Stewardship

Climate change in the context of healthcare can feel overwhelming but it doesn’t have to be paralyzing. We’re diving into the intersection of climate change and antimicrobial resistance with a focus on practical, actionable steps healthcare organizations can take.   Drs. Shreya Doshi, Andrea Pallotta and Preeti Jaggi join Dr. Whitney Buckel to talk about what’s real, what matters for healthcare, and where stewardship teams can make a meaningful impact.

References:

  1. Sustainabil‑ID. https://sustainabil-id.com/
  2. National Academy of Medicine. Climate Collaborative.https://nam.edu/our-work/programs/climate-and-health/climate-collaborative/
  3. Medicine for a Changing Planet. https://www.medicineforachangingplanet.org
  4. Cascades Canada. https://cascadescanada.ca/
  5. EcoRxChoice. https://ecorxchoice.com
  6. Rx for Climate. https://www.rxforclimate.org/
  7. Practice Greenhealth. https://practicegreenhealth.org
  8. Healthcare Without Harm. https://healthcarewithoutharm.org
  9. Healthcare Sustainability and Infectious Diseases. _J Pediatric Infect Dis Soc._https://academic.oup.com/jpids/pages/healthcare-sustainability-and-infectious-diseases
  10. PubMed. PMID: 40434281. https://pubmed.ncbi.nlm.nih.gov/40434281/
  11. PubMed Central. PMC12616928. https://pmc.ncbi.nlm.nih.gov/articles/PMC12616928/
  12. Sustainable Healthcare Networks. Scale and spread quality improvement initiative promoting metronidazole IV‑to‑oral switch.https://networks.sustainablehealthcare.org.uk/resources/scale-and-spread-quality-improvement-initiative-promoting-metronidazole-iv-oral-switch-

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Guests

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Preeti Jaggi,  MD

Dr. Jaggi is currently a Professor of Pediatrics at Emory University and Medical
director of Antimicrobial Stewardship at the Children’s Healthcare of Atlanta. She
sees parallels between the advances in antimicrobial stewardship and healthcare
quality improvement that could be applied to decreasing emissions from the
healthcare delivery system. She has worked with her hospital system’s
administration with a working group to champion environmental sustainability
practices. She has completed training with the Climate Reality Project and is
completed the Climate Health Organizing Fellows Program through the Center
for Health Equity, Education and Advocacy/Cambridge Health alliance. Currently
she is partnering with local community groups to advance electric school buses
in order to decrease air pollution

image 1

Shreya Doshi MD, MPH

Dr. Doshi is an Attending Physician in Pediatric Infectious Diseases at Children’s National Hospital and Assistant Professor of Pediatrics at the George Washington University School of Medicine and Health Sciences. Her research efforts focus on integrating environmental stewardship into antimicrobial and diagnostic stewardship, global and public health and medical education in planetary health. Shreya completed her Pediatric Infectious Diseases fellowship at Children’s National and earned an MPH in Global and Environmental Health from the Milken Institute of Public Health at GWU. She is the co-founder of Sustainabil-ID and has received the Pediatric Infectious Diseases Society Antimicrobial Stewardship Fellowship Award for her study of follow up blood cultures in children with gram negative rod bacteremia as well as the Blair & Georgia Sadler Fellowship Award from Health Care Without Harm.

Bluesky: shreya-pedsid.bsky.social and sustainabil-id.bsky.social

image 2

Dr. Andrea Pallotta, PharmD, AAHIVP

Dr. Andrea Pallotta is the Clinical Coordinator for Infectious Diseases and HIV at Cleveland Clinic Main Campus in Cleveland, Ohio. She leads the enterprise Antimicrobial Stewardship efforts for the health system.  Andrea founded “Greening the Pharmacy Council” for health system as part of the enterprise sustainability team.

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