Search results for "Stewardship"
Nearly half of inpatients with pneumonia or urinary tract infection were overprescribed antibiotics after discharge
The most common types of antibiotic overuse after discharge included excess duration for pneumonia and unnecessary treatment of asymptomatic bacteriuria, a retrospective cohort study found.
https://acphospitalist.acponline.org/weekly/archives/2020/09/23/3.htm
23 Sep 2020
CMS sepsis measure associated with increases in antibiotic use
Use of broad-spectrum antibiotics, especially in sepsis patients, went up after SEP-1 was implemented, but rates of Clostridioides difficile infection decreased.
https://acphospitalist.acponline.org/weekly/archives/2020/09/02/5.htm
2 Sep 2020
New evidence on remdesivir, intubation timing, outcomes after COVID-19 hospitalization
Remdesivir showed limited benefits, antibiotics have been overused, and intubation timing doesn't matter, but postdischarge outcomes were reassuring and infectious diseases experts offered guidance on the use of antibody tests in recent COVID-19 news.
https://acphospitalist.acponline.org/weekly/archives/2020/08/26/1.htm
26 Aug 2020
Survey of general population found concerns regarding physicians and hospital fundraising
A survey study of the general population found that about 83% felt that physicians speaking with their patients about donating to their hospital could interfere with the patient-physician relationship.
https://acphospitalist.acponline.org/weekly/archives/2020/07/29/5.htm
29 Jul 2020
Inpatient antibiotic stewardship programs decreased antibiotic use but not infection rates
Although the nine studied hospitals successfully decreased their use of targeted antibiotics, rates of extended-spectrum beta-lactamase, vancomycin-resistant enterococci, carbapenem-resistant Enterobacteriaceae, and multidrug-resistant Pseudomonas aeruginosa did not improve.
https://acphospitalist.acponline.org/weekly/archives/2020/07/22/5.htm
22 Jul 2020
Postoperative antibiotic prophylaxis may not reduce risk of surgical-site infection
Findings from a systematic review and meta-analysis of 52 studies support World Health Organization recommendations against continuing surgical antibiotic prophylaxis postoperatively.
https://acphospitalist.acponline.org/weekly/archives/2020/06/03/4.htm
3 Jun 2020
Therapeutic hypothermia, HAI network, and more
Summaries from ACP Hospitalist Weekly.
https://acphospitalist.acponline.org/archives/2020/05/recent-research.htm
15 May 2020
Palliative care for a pandemic
COVID-19 increased the need for expertise in communication and palliation of symptoms.
https://acphospitalist.acponline.org/archives/2020/05/qa-palliative-care-for-a-pandemic.htm
15 May 2020
An extra step to reduce urine cultures
New containers allowed clinicians time to think before culturing.
https://acphospitalist.acponline.org/archives/2020/05/success-story-an-extra-step-to-reduce-urine-cultures.htm
15 May 2020
Dynamic measures to guide fluid resuscitation may improve outcomes in septic shock
A randomized trial assigned patients with sepsis-associated hypotension to usual care or to assessment of fluid responsiveness with a passive leg raise before a fluid bolus was given or the vasopressor dose was increased.
https://acphospitalist.acponline.org/weekly/archives/2020/05/06/3.htm
6 May 2020