Search results for "From ACP Hospitalist"
Choices in C. diff care
An infectious diseases expert gave an overview of the latest drugs and diagnostics at Internal Medicine Meeting 2025.
https://gastroenterology.acponline.org/archives/2025/04/25/8.htm
25 Apr 2025
Hospital finds multiple cases of C. diff with reduced susceptibility to fidaxomicin
Clostridioides difficile isolates with a clinically relevant reduced susceptibility to fidaxomicin were found in six patients at one facility, indicating the potential of such isolates to spread in health care settings, according to the authors of a recent study.
https://gastroenterology.acponline.org/archives/2025/03/28/9.htm
28 Mar 2025
Improving palliative care in cirrhosis
Educating patients and acknowledging their existential distress are just two ways hospitalists can better meet the needs of patients with decompensated cirrhosis.
https://gastroenterology.acponline.org/archives/2024/12/20/6.htm
20 Dec 2024
Low-risk patients can continue GLP-1 receptor agonists perioperatively, guideline says
Decision making about perioperative use of glucagon-like peptide-1 (GLP-1) receptor agonists should be collaborative and balance patients' metabolic need for the medication with their risk of delayed gastric emptying and aspiration, according to a new multisociety guideline.
https://gastroenterology.acponline.org/archives/2024/11/22/8.htm
22 Nov 2024
Hospitalizations, liver transplants linked to alcohol on the rise across age, gender groups
Between 2005 and 2021, liver transplants associated with alcohol-induced liver disease saw a relative increase of more than 2,000% among women younger than 40 years of age in the U.S., and their liver disease hospitalization rate more than doubled, according to data from the National Inpatient Sample.
https://gastroenterology.acponline.org/archives/2024/11/22/7.htm
22 Nov 2024
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
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
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
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
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
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
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
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
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
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
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
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