Search results for "From ACP Hospitalist Weekly"
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
Studies examine impact of hospital policies on C. difficile infection rates
While one study found that participation in an antibiotic stewardship program from the Agency for Healthcare Research and Quality led to reductions in hospital-onset Clostridioides difficile infection rates, a simulation study found that visitor contact precautions may not be as helpful.
https://gastroenterology.acponline.org/archives/2021/03/26/7.htm
26 Mar 2021
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
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
C. diff-related bloodstream infection seen less often with FMT vs. antibiotics
While fecal microbiota transplantation (FMT) was associated with fewer bloodstream infections than antibiotics in one study, a brief report described two cases of drug-resistant bacteremia transmitted by FMT.
https://gastroenterology.acponline.org/archives/2019/11/22/9.htm
22 Nov 2019
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
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
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
H2 blockers prevented clinically important GI bleeding better than PPIs in ICU patients
The retrospective study included 70,093 ICU patients who had at least one risk factor for stress ulcers and therefore had received a proton-pump inhibitor (PPI) or histamine H2-receptor antagonist (H2 blocker) for three or more days.
https://gastroenterology.acponline.org/archives/2018/06/22/9.htm
22 Jun 2018