Search results for "From ACP Hospitalist"


 
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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

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

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

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

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

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

Antibiotic stewardship programs reduce incidence of C. difficile, multidrug-resistant infections, review finds

The systematic review also found that antibiotic stewardship programs were significantly more effective when implemented along with infection control measures.
https://gastroenterology.acponline.org/archives/2017/07/28/12.htm
28 Jul 2017

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

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

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