Search results for "From ACP Hospitalist"
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
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
New international guideline updates recommendations on managing patients with nonvariceal GI bleeding
The new guideline is “a step forward,” particularly with regard to new endoscopic therapies and management of upper gastrointestinal (GI) bleeding in patients on antiplatelet or anticoagulant drugs, an editorial noted.
https://gastroenterology.acponline.org/archives/2019/10/25/6.htm
25 Oct 2019
Catching C. diff cases, not colonization
Researchers have found innovative ways to improve hospital systems for diagnosing Clostridioides difficile.
https://gastroenterology.acponline.org/archives/2023/08/25/8.htm
25 Aug 2023
PPIs started for stress ulcer prophylaxis in critically ill patients often continued after ICU, hospital discharge
A study at one U.S. academic medical center found that nearly half of patients who started proton-pump inhibitors (PPIs) in the ICU without an indication for outpatient use continued them after transfer to the floor, and 27% continued them after discharge.
https://gastroenterology.acponline.org/archives/2020/12/18/7.htm
18 Dec 2020
Computerized clinical decision support may help reduce unnecessary C. diff testing
A two-year cohort study of nine academic and six community hospitals in the U.S. found that testing for Clostridioides difficile decreased when the electronic health record stopped a clinician from proceeding with a test order if the patient had already been tested or had recently received laxatives.
https://gastroenterology.acponline.org/archives/2022/02/25/7.htm
25 Feb 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
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
Problem of PPIs complicated by COVID-19
While recent studies have suggested that physicians should be careful when using proton-pump inhibitors (PPIs) in patients hospitalized with COVID-19, none have shown a causal relationship between PPIs and COVID-19 infection or severity.
https://gastroenterology.acponline.org/archives/2021/04/23/7.htm
23 Apr 2021
Facility-level antibiotic use associated with C. difficile rates in long-term care
Importation of Clostridium difficile was three times more common in long-term care than in acute care, leading the study authors to recommend better coordination of infection control across settings.
https://gastroenterology.acponline.org/archives/2017/06/23/7.htm
23 Jun 2017