Publications by authors named "Preethi Patel"
Article Synopsis
- The use of advanced diabetes technology, like insulin pumps and continuous glucose monitors, is rapidly increasing among diabetes patients, especially those needing insulin.
- * As these devices become more common in preoperative and surgical settings, they can complicate diabetes management for healthcare providers unfamiliar with them.
- * This consensus statement provides guidance and education for perioperative clinicians to help them understand and effectively manage patients using these diabetes technologies.
Medication management in the perioperative period is a critical part of the decision-making prior to surgery. While randomized trial levels of evidence in this space are scant, retrospective data and expert consensus provide practical guidance for these decisions. Clinicians must understand risks and benefits of withholding versus continuing medications, stop medications based on pharmacokinetics and effect on primary disease and surgical risk, and resume medications after surgery in a timely manner.
View Article and Find Full Text PDFObjective: infection (CDI) is the most common cause of gastroenteritis, and community-acquired pneumonia (CAP) is the most common infection treated in hospitals. American Thoracic Society (ATS)/Infectious Diseases Society of America (IDSA) CAP guidelines recommend empiric therapy with a respiratory fluoroquinolone or cephalosporin plus macrolide combination, but the CDI risk of these regimens is unknown. We examined the association between each antibiotic regimen and the development of hospital-onset CDI.
View Article and Find Full Text PDFBackground: Acute kidney injury (AKI) is common among hospitalized patients with community-acquired pneumonia (CAP). We aimed to estimate and compare the risk of AKI for various antibiotic combinations in adults hospitalized for CAP.
Methods: We conducted a retrospective cohort study of the Premier Healthcare Database containing all admissions for 660 US hospitals from 2010 to 2015.
Article Synopsis
- - Pyogenic liver abscesses, though rare, can lead to serious health issues and are usually caused by a mix of bacteria, especially enteric and anaerobic types.
- - An unusual case involved a 69-year-old healthy woman who developed a pyogenic liver abscess from a Fusobacterium nucleatum infection, potentially linked to poor oral hygiene.
- - Treatment typically involves draining the abscess and using antibiotics, highlighting the need to consider F. nucleatum in similar cases.
Background: The incidence and severity of Clostridium difficile infection (CDI) in patients with inflammatory bowel disease (IBD) is increasing. CDI is diagnosed by toxin enzyme immunoassay (EIA) or real-time polymerase chain reaction (PCR) performed on stool samples. An earlier study evaluating EIA in IBD patients with CDI suggested that more than one stool sample be tested to increase diagnostic yield.
View Article and Find Full Text PDFBackground & Aims: Clostridium difficile infection (CDI) is a hospital-acquired infection with increasing incidence and severity. The most frequently used test to diagnose CDI is an enzyme immunoassay (EIA) for toxins A and B in stool samples. It is common to test 2 or more stool samples, based on the assumption that this detects CDI with greater sensitivity than analysis of 1 sample.
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