Comparison of two testing strategies for Mycoplasma genitalium in emergency department patients across a statewide health system.

Purpose: Mycoplasma genitalium (Mgen) is a sexually transmitted infection (STI) that has an estimated prevalence in the general population of 2.3% in women and 1.1% in men aged 21-23 years.

Methohexital for procedural sedation of cardioversions in the emergency department.

Background: Procedural sedation for electrical cardioversion is a common practice in the emergency department (ED). Ideal sedative properties for this procedure are a short half-life and minimal hemodynamic effects. There is limited literature examining methohexital for this use.

Implementing a pharmacist-led emergency department microbiology follow-up collaborative practice agreement.

Objective: Describe the use of an emergency department (ED) pharmacist-driven microbiology follow-up collaborative practice agreement (CPA) at a community hospital ED.

Setting: A 297-bed community hospital that serves several counties in south-central Indiana.

Practice Description: The 40-bed ED had 48,550 visits in 2018.

Pyelonephritis treatment in the community emergency department: Cephalosporins vs. first-line agents.

Objective: The purpose of this study was to assess treatment with a fluoroquinolone or trimethoprim-sulfamethoxazole versus cephalosporins for pyelonephritis in discharged patients from a community hospital setting.

Methods: A retrospective chart review was completed for adult female patients who received a prescription for a cephalosporin, fluoroquinolone or trimethoprim-sulfamethoxazole for the treatment of pyelonephritis within the network of a large healthcare system. The primary endpoint evaluated the failure rate of each treatment group.