Search results for "From ACP Hospitalist"
Short course of antibiotics worked as well as long for Enterobacteriaceae bacteremia
Rates of mortality, recurrent bloodstream infections, and Clostridium difficile infections within 30 days were similar whether patients received eight or 15 days of antibiotics.
https://gastroenterology.acponline.org/archives/2017/10/27/9.htm
27 Oct 2017
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
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
Study identifies potential predictors of hospital-onset C. difficile infection
In patients colonized with Clostridioides difficile, risk factors for infection included longer length of stay, exposure to multiple classes of antibiotics, use of opioids, and cirrhosis, whereas use of laxatives was associated with a lower risk.
https://gastroenterology.acponline.org/archives/2019/07/26/8.htm
26 Jul 2019
GI bleeding prophylaxis recommended in high-risk critically ill patients
Proton-pump inhibitors appeared to reduce bleeding risk more than histamine-2 receptor antagonists.
https://gastroenterology.acponline.org/archives/2020/01/24/9.htm
24 Jan 2020
Beta-blocker choice may affect outcomes in cirrhosis and acute MI
Patients who took beta1-selective blockers had fewer major cardiac and cerebrovascular events within two years of an index myocardial infarction (MI) than those taking nonselective beta-blockers, a Taiwanese study found.
https://gastroenterology.acponline.org/archives/2018/09/28/7.htm
28 Sep 2018
High inpatient occupancy levels associated with lower risk of hospital-acquired C. diff
Researchers analyzed administrative data from 2008 to 2012 among Medicare recipients with a discharge diagnosis of acute myocardial infarction, heart failure, or pneumonia at 327 California hospitals.
https://gastroenterology.acponline.org/archives/2018/07/27/8.htm
27 Jul 2018
Manage meds to treat GI bleeding before, after endoscopy
Care of inpatients with GI bleeding is complicated and multidisciplinary, but hospitalists can contribute by starting and stopping the right drugs, according to conference coverage from Internal Medicine Meeting 2022.
https://gastroenterology.acponline.org/archives/2022/05/27/6.htm
27 May 2022
Review finds benefit to early feeding for mild to moderate pancreatitis
The results support feeding acute pancreatitis patients sooner than recommended by current guidelines, according to the review authors, but an accompanying editorial urged caution in applying the research to practice.
https://gastroenterology.acponline.org/archives/2017/05/26/9.htm
26 May 2017
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