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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.

Government highlights need for consent before exams on patients under anesthesia

In response to reports of intimate exams being performed by trainees on patients under anesthesia, officials called on academic hospitals and medical schools to always obtain and document informed consent.

Nursing homes, hospitals collaborated, reduced drug-resistant infections

A countywide program of chlorhexidine bathing and nasal iodophor antisepsis for residents in long-term care and hospitalized patients who were on contact precautions reduced colonization and related hospitalizations and deaths.

Patient-reported behavioral, economic factors predict mortality after cardiac hospitalization

Patients who reported being unemployed, retired, or unable to work due to disability at discharge from a cardiovascular hospitalization were significantly more likely to die during three-year follow up, a single-center study found.

Two in five HF patients not on guideline-directed medical therapy at discharge

A study of Veterans Affairs hospitals found that 42% of patients hospitalized for heart failure (HF) in 2013 to 2019 were not prescribed all guideline-recommended medications at discharge, and those receiving care at urban hospitals were even less likely to receive the treatments.

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Take a quiz about the April 3 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.

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Handling class and classes at once

Medical school poses hidden challenges for students from less privileged backgrounds. Experts discuss how to help.

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Brief Case | April 3, 2024 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

Disseminated varicella infection in an immunocompromised patient

A patient with a history of liver transplant presented with a progressive rash.

Few guidelines address inpatient blood pressure management

A search of current guidelines did not find any recommended goals for inpatient blood pressure or any recommendations on how to manage asymptomatic moderately elevated blood pressure in the hospital.

Delirium in the hospital may have a dose-response association with dementia

Hospitalized patients with delirium had three times the risk for incident dementia over 5.25 years of follow-up versus those without, and each additional delirium episode was associated with a 20% increase in dementia risk, an Australian study found.

Early dapagliflozin initiation in acute heart failure reduced diuretic doses for inpatients

An industry-funded trial found that patients hospitalized with acute heart failure who received early dapagliflozin treatment had no increase in diabetic, renal, or cardiovascular safety events compared with those undergoing usual care.

Thermal imaging of affected skin improves accuracy of cellulitis diagnosis

A combination of maximum temperature in the affected area and the ALT-70 (asymmetry, leukocytosis, tachycardia, and age ≥70 years) prediction model provided the greatest specificity for identifying cellulitis in ED patients, a study found.

A peek at your peers

A peer observation program offers lessons for both early-career and more experienced hospitalists.

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Clarifying criteria for acute respiratory failure

The diagnosis of acute respiratory failure is one of those most commonly denied by payers, so understanding the current documentation criteria is crucial.


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