Search results for "From ACP Hospitalist"
Two risk scores most accurately predict outcomes after lower GI bleeding
The Oakland score performed best for predicting safe discharge, major bleeding, and transfusion, while the Strate score performed best for hemostasis, according to a recent review and meta-analysis that assessed four scores.
https://gastroenterology.acponline.org/archives/2022/06/24/6.htm
24 Jun 2022
Procalcitonin algorithm reduced antibiotic use in patients with acute pancreatitis
A randomized trial assigned some patients to a treatment strategy of starting, stopping, or continuing antibiotics based on whether their procalcitonin test value was more or less than 1.0 ng/mL.
https://gastroenterology.acponline.org/archives/2022/08/26/8.htm
26 Aug 2022
Glycogenic hepatopathy
A 21-year-old man with type 1 diabetes presented to the hospital with nausea, vomiting, and abdominal pain. Physical exam showed hepatosplenomegaly.
https://gastroenterology.acponline.org/archives/2022/09/23/7.htm
23 Sep 2022
Aggressive fluid strategy didn't avert progression to severe pancreatitis
The randomized trial was stopped early due to lack of benefit and significantly higher risk of fluid overload in patients receiving an aggressive fluid resuscitation strategy compared to those getting moderate resuscitation.
https://gastroenterology.acponline.org/archives/2022/09/23/6.htm
23 Sep 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://gastroenterology.acponline.org/archives/2022/11/18/7.htm
18 Nov 2022
EBV monitoring after liver transplant may help reduce incidence of PTLD
A strategy that monitored Epstein-Barr virus (EBV) viral load after liver transplant in adults was associated with decreased incidence of post-transplant lymphoproliferative disease (PTLD), a retrospective Dutch study found.
https://gastroenterology.acponline.org/archives/2023/01/27/8.htm
27 Jan 2023
Stopping the cycle of C. diff
Microbiota therapies offer exciting potential to reduce the burden of recurrent Clostridioides difficile infection, experts say.
https://gastroenterology.acponline.org/archives/2023/02/24/8.htm
24 Feb 2023
Most asymptomatic C. difficile carriers in health care settings did not progress to infection
In a study at three U.S. hospitals and affiliated long-term care facilities, most patients who were found to be carriers of Clostridioides difficile had cleared the bacteria on subsequent testing, and only 13.4% were subsequently diagnosed with infection.
https://gastroenterology.acponline.org/archives/2023/03/24/8.htm
24 Mar 2023
Mandatory approval process for C. diff testing linked to lower hospital-onset infection rates
An intervention that required mandatory approval from an infectious diseases physician before testing for Clostridioides difficile was associated with a greater than 50% decrease in hospital-onset C. difficile infection rates at one hospital.
https://gastroenterology.acponline.org/archives/2023/05/26/6.htm
26 May 2023
Two-step testing for Clostridioides difficile appears safe in multicenter study
Using an enzyme immunoassay after a positive nucleic acid amplification test was associated with a decrease in hospital-onset Clostridioides difficile infections and a reduction in related antibiotic use but no change in emergent colectomies.
https://gastroenterology.acponline.org/archives/2023/06/23/7.htm
23 Jun 2023