Search results for "Antibiotic Therapy"
Disseminated varicella infection in an immunocompromised patient
A patient with a history of liver transplant presented with a progressive rash.
https://acphospitalist.acponline.org/archives/2024/04/03/free/disseminated-varicella-infection-in-an-immunocompromised-patient.htm
3 Apr 2024
Inappropriate CAP diagnosis common in hospitalized adults
A prospective cohort study of 48 hospitals in Michigan found that 12% of patients hospitalized with community-acquired pneumonia (CAP) appeared to have been diagnosed incorrectly and that of these, 87.6% received a full course of antibiotics.
https://acphospitalist.acponline.org/archives/2024/03/27/inappropriate-cap-diagnosis-common-in-hospitalized-adults.htm
27 Mar 2024
Cases from the Medical College of Wisconsin
A mycotic aneurysm, retroperitoneal hematoma, and more.
https://acphospitalist.acponline.org/archives/2024/02/28/free/cases-from-the-medical-college-of-wisconsin.htm
28 Feb 2024
Antibiotics with extended anaerobic coverage didn't improve outcomes in aspiration pneumonia
Patients with aspiration pneumonia who received extended anaerobic coverage had no reduction in mortality risk and a significantly higher risk of Clostridioides difficile than those prescribed limited anaerobic coverage.
https://acphospitalist.acponline.org/archives/2024/02/28/antibiotics-with-extended-anaerobic-coverage-didnt-improve-outcomes-in-aspiration-pneumonia.htm
28 Feb 2024
Risk factors may not accurately identify complicated Staphylococcus aureus bacteremia
The Infectious Diseases Society of America's criteria for determining complicated S. aureus bacteremia had low to moderate predictive value and could lead to unnecessary antibiotic treatment, according to a prospective cohort study in the Netherlands.
https://acphospitalist.acponline.org/archives/2024/01/10/risk-factors-may-not-accurately-identify-complicated-staphylococcus-aureus-bacteremia.htm
10 Jan 2024
Updated guidance issued on cardiovascular implantable device infections
The scientific statement from the American Heart Association covers prevention, diagnosis, and management of the infections, including what tests to use and when to transfer patients for subspecialty care.
https://acphospitalist.acponline.org/archives/2023/12/13/updated-guidance-issued-on-cardiovascular-implantable-device-infections.htm
13 Dec 2023
Costs for pneumonia hospitalization vary by comorbidity, care practices
Patients with chronic obstructive pulmonary disease (COPD) and/or heart failure on top of pneumonia have higher hospitalization costs, one study found, while another found that higher-cost hospitals didn't have better mortality rates among their pneumonia patients.
https://acphospitalist.acponline.org/archives/2023/10/18/costs-for-pneumonia-hospitalization-vary-by-comorbidity-care-practices.htm
18 Oct 2023
Hospital antibiograms may not be accurate for selecting initial empiric therapy
A retrospective cohort study of Veterans Health Administration facilities found that facility-level antibiograms had limited utility in predicting individual resistance for Escherichia coli and Klebsiella species in individual patients.
https://acphospitalist.acponline.org/archives/2023/08/16/hospital-antibiograms-may-not-be-accurate-for-selecting-initial-empiric-therapy.htm
16 Aug 2023
Asymptomatic bacteriuria treatment averted due to fewer urine cultures, study finds
Michigan hospitals successfully reduced their use of antibiotics in asymptomatic patients with positive urine cultures, and the difference could be tied to less culturing, since use of antibiotics among asymptomatic patients who got cultures didn't change significantly.
https://acphospitalist.acponline.org/archives/2023/07/12/asymptomatic-bacteriuria-treatment-averted-due-to-fewer-urine-cultures-study-finds.htm
12 Jul 2023
Study finds limited value to procalcitonin in identifying BSI on admission
Among patients with suspected bloodstream infections (BSIs) who had blood cultures and a procalcitonin test on admission, the sensitivity of procalcitonin at a cutoff of 0.5 ng/mL was 68%, and empiric antibiotic therapy use was not meaningfully different with positive or negative results.
https://acphospitalist.acponline.org/archives/2023/07/12/study-finds-limited-value-to-procalcitonin-in-identifying-bsi-on-admission.htm
12 Jul 2023