Search results for "Antibiotics"
New drugs for C. diff, type 1 diabetes
The FDA recently approved the first fecal microbiota product for preventing Clostridioides difficile recurrence and an injection to delay progression of type 1 diabetes, among other actions.
https://acphospitalist.acponline.org/archives/2022/12/21/new-drugs-for-c-diff-type-1-diabetes.htm
21 Dec 2022
Owning OUD in the hospital
Less than 15% of patients with opioid use disorder (OUD) receive treatment with buprenorphine or methadone during hospitalization. New recommendations for hospitalists aim to change that.
https://acphospitalist.acponline.org/archives/2022/11/02/free/owning-oud-in-the-hospital.htm
2 Nov 2022
Selective digestive tract decontamination assessed in ventilated ICU patients
A systematic review found that mechanically ventilated ICU patients had lower in-hospital mortality rates with selective digestive tract decontamination versus standard care or placebo, while a trial found improvement in rates of positive blood cultures and antibiotic-resistant organisms, but not mortality, with the intervention.
https://acphospitalist.acponline.org/archives/2022/11/02/selective-digestive-tract-decontamination-assessed-in-ventilated-icu-patients.htm
2 Nov 2022
Stewardship project in U.K. hospitals reduced average antibiotic dose duration at one year
The intervention included a decision aid that prompted clinicians prescribing antibiotics to classify inpatients' infection risk as possible or probable and then choose between stopping or continuing the prescription at 48 to 72 hours. They also received audit and feedback.
https://acphospitalist.acponline.org/archives/2022/10/12/free/stewardship-project-in-uk-hospitals-reduced-average-antibiotic-dose-duration-at-one-year.htm
12 Oct 2022
Inpatient diagnoses of cellulitis by generalists frequently incorrect, review finds
Dermatology or infectious diseases specialists reversed more than a third of generalist physicians' diagnoses of cellulitis in the hospital, with statis dermatitis being the most common alternative diagnosis.
https://acphospitalist.acponline.org/archives/2022/10/12/inpatient-diagnoses-of-cellulitis-by-generalists-frequently-incorrect-review-finds.htm
12 Oct 2022
Opt-out protocol increased antibiotic discontinuations in suspected sepsis
Inpatients on broad-spectrum antibiotics despite negative blood cultures were screened with a 23-item safety check and then randomized to usual care or messages to their prescribing clinicians encouraging discontinuation of antibiotics.
https://acphospitalist.acponline.org/archives/2022/10/05/opt-out-protocol-increased-antibiotic-discontinuations-in-suspected-sepsis.htm
5 Oct 2022
Oral antibiotics after incomplete IV therapy showed benefit in patients with history of injection drug use
Among persons who inject drugs who were hospitalized with complicated Staphylococcus aureus bloodstream infections, those who received oral antibiotics after an incomplete IV antibiotic course were significantly less likely to experience microbiologic failure or death than patients discharged without oral antibiotics.
https://acphospitalist.acponline.org/archives/2022/09/14/oral-antibiotics-after-incomplete-iv-therapy-showed-benefit-in-patients-with-history-of-injection-drug-use.htm
14 Sep 2022
Forehead thermometers may be less accurate than oral thermometers in Black patients
Compared with oral thermometry, temperature measurement with a temporal artery thermometer was associated with significantly lower odds of detecting fever in Black patients but not in White patients, a retrospective cross-sectional study found.
https://acphospitalist.acponline.org/archives/2022/09/14/free/forehead-thermometers-may-be-less-accurate-than-oral-thermometers-in-black-patients.htm
14 Sep 2022
Do documentation improvement queries help?
Learn why you get so many queries these days and share your thoughts on them in a reader poll.
https://acphospitalist.acponline.org/archives/2022/09/07/free/do-documentation-improvement-queries-help.htm
7 Sep 2022
AHA offers guiding principles to treat infective endocarditis in patients who inject drugs
In patients who inject drugs, management of infective endocarditis without addiction treatment “is failing to treat the underlying cause of illness, an ideal that is a principal tenet in all other medical conditions,” the American Heart Association (AHA) said in a scientific statement.
https://acphospitalist.acponline.org/archives/2022/09/07/aha-offers-guiding-principles-to-treat-infective-endocarditis-in-patients-who-inject-drugs.htm
7 Sep 2022