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
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
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
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
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
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
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
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
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
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