Search results for "From ACP Hospitalist"
Clostridioides difficile order set increased appropriateness of testing, study finds
The smart order set, implemented in one health care system, put a hard stop on orders for Clostridioides difficile testing if patients admitted for more than four days had recently received laxatives or been treated or tested for C. difficile.
https://gastroenterology.acponline.org/archives/2024/07/26/6.htm
26 Jul 2024
A plan for paracentesis
A new clinic successfully reduced demand for paracentesis in the ED among patients with ascites.
https://gastroenterology.acponline.org/archives/2024/06/28/9.htm
28 Jun 2024
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
Risk for GI events in hospitalized patients similar with newer, older potassium binders
A retrospective study comparing outcomes in U.S. veterans found that risk for intestinal ischemia/thrombosis and a composite outcome of serious GI events was low and did not differ in those who received sodium zirconium cyclosilicate or patiromer and those who received sodium polystyrene sulfonate.
https://gastroenterology.acponline.org/archives/2024/08/23/7.htm
23 Aug 2024
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
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
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
Immediate catheter drainage not superior to delayed in infected necrotizing pancreatitis
A trial found that catheter drainage within 24 hours was associated with similar complications but a greater number of interventions compared to drainage that was delayed until the development of walled-off necrosis.
https://gastroenterology.acponline.org/archives/2021/10/22/6.htm
22 Oct 2021
Patients with discordant C. difficile test results had lower mortality with treatment
Patients who were positive for Clostridioides difficile on nucleic acid amplification testing but negative on toxin immunoassay had similar 30-day mortality to those with positive results on both tests, according to a review of observational studies.
https://gastroenterology.acponline.org/archives/2023/09/22/7.htm
22 Sep 2023
Surgery for malignant small bowel obstruction did not reduce 90-day mortality
A comparison in which some patients with malignant small bowel obstruction were randomized and some chose between surgery and nonsurgical management found no difference in mortality between treatments, but surgery was associated with more symptom improvement.
https://gastroenterology.acponline.org/archives/2023/08/25/9.htm
25 Aug 2023