Successful use of dalbavancin in the treatment of gram positive blood stream infections: a case series.

Background: Dalbavancin is a semisynthetic antibiotic used as an alternative to vancomycin for skin infections and osteomyelitis. Its long half-life decreases length of hospitalizations. This study analyzes the effectiveness of Dalbavancin for bacteremia and infective endocarditis.

Exercise Counseling in Pregnancy: Do Women Perceive Receiving the Information They Need?

The American College of Obstetricians and Gynecologists recommends that women exercise throughout pregnancy unless they have a condition-related contraindication. This study's purpose was to determine if pregnant women perceive receiving exercise counseling by their providers with details of frequency, intensity, type, and time (FITT principle). Women in 2 postpartum care units of a large health care system were invited to complete a voluntary, anonymous survey regarding whether they received exercise counseling during their prenatal care.

Community-Acquired, Extended-Spectrum β-Lactamase-Producing and Extensively Drug-Resistant in a 28-Year-Old Pyelonephritis Patient Lacking Risk Factors.

While is a common cause of urinary tract infections and pyelonephritis, there are few documented cases of extended-spectrum β-lactamase (ESBL)-producing and extensively drug-resistant (XDR) isolates from the community resulting in infection requiring hospitalization, especially in individuals lacking risk factors. In the United States, exposure to ESBL-producing is typically nosocomial, whereas patients from developing countries often encounter ESBL-producing in the community through the consumption of contaminated food or water. Considering the rarity at which XDR isolates are encountered, there is also a scarcity of literature describing the successful treatment of ESBL-producing XDR Here we present a case of an otherwise healthy 28-year-old female delicatessen worker infected with ESBL-producing and XDR without recent travel, antibiotic use, or healthcare contact, who required admission to the intensive care unit (ICU) with pyelonephritis and septic shock.

Point-of-care ultrasound to evaluate volume status in severe hyponatremia.

A 51-year-old man was hospitalised for severe hyponatremia. Initial history and physical examination suggested hypovolemia, and he was treated with normal saline at 100 mL/hour. After several days, his hyponatremia failed to improve, and then worsened without resolution of presenting ataxia and fatigue.