Sepsis and other inpatient emergencies
An intensivist offered hot tips for hospitalists during a precourse at Internal Medicine Meeting 2024.
Malaria, dengue, and traditionally tropical threats
Clinicians far outside the tropics should now keep an eye out for diseases that used to be limited to tropical areas, an expert advises.
Newer antibiotics for gram-negative infections not widely used in years after approval
An analysis of hospitalized patients with gram-negative infections with difficult-to-treat resistance found that more than 40% were treated with only older antibiotics, despite the approval of seven new antibiotics between 2014 and 2019.
Later appendectomies only slightly more common with oral antibiotics for appendicitis
Patients with uncomplicated acute appendicitis who were randomized to oral antibiotic monotherapy instead of combined IV and oral antibiotics had an increase of less than 2 percentage points in risk of surgery or recurrence at three years, according to a Finnish study.
Systematic review looks at effects of transitional care clinics
Implementation of transitional care clinics for recently hospitalized patients without a primary care clinician appeared to be associated with reductions in ED visits and readmissions, but no change in mortality, compared to usual care, according to a review.
New scientific statement covers diagnosis, treatment of cardiac sarcoidosis
The American Heart Association addressed the increasing prevalence of cardiac sarcoidosis and recommended corticosteroids as first-line treatment in a new statement.
Take a quiz about the April 17 issue!
Every week, ACP Hospitalist posts a question about the previous week's issue. See how well you remember what you've read compared to other readers.
Climbing to the C-suite
Hospital executives offered hard-won tips on mentorship, networking, interviewing, and negotiating at CONVERGE 2024.
Where's your niche?
Academic hospitalists explain how to build a fulfilling career by focusing on a small, specific area of education or research.
Patients with low-risk S. aureus bacteremia may not need routine imaging
In a retrospective cohort study in the Netherlands, relapse-free survival at 90 days was similar in patients with low-risk S. aureus infection who received additional imaging and those who did not.
In-hospital insulin pump use associated with less hyperglycemia
Patients with type 1 diabetes who continued using their insulin pumps while hospitalized had fewer hyperglycemic events than those who got multiple daily insulin injections, according to a small retrospective study.
Early minimally invasive surgery may improve outcomes for certain intracerebral hemorrhages
An industry-sponsored trial found that functional outcomes at 180 days were better with minimally invasive hematoma evacuation plus guideline-based medical management than medical management alone, if surgery could be done within 24 hours.
Current tools insufficient to guide anticoagulation decisions for new-onset AF in sepsis
The most commonly used stroke risk calculator does not predict postsepsis stroke and should not be used to guide decisions about anticoagulation among patients with new-onset atrial fibrillation (AF) and sepsis, a new study concluded.
The limited evidence for IV albumin
An expert explains recent guidelines on IV albumin that recommended against the blood product in the settings where it is most commonly used.
Antibiotic OKed for pneumonia, bloodstream, skin infections
In addition to approving ceftobiprole medocaril sodium for three different types of infection, the FDA authorized the first generic version of fidaxomicin, among other actions.
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