Publications by authors named "Stephen P Shemes"

Article Synopsis
  • Concerns have grown about the effectiveness of metronidazole for treating severe Clostridium difficile infections (CDI) over the past five years.
  • A study involving 118 patients showed that most were treated with metronidazole, with a clinical response in just over half of the cases within five days.
  • The study found a significant 30-day mortality rate associated with other health factors, but antibiotic resistance and strain type did not seem to play a crucial role in patient outcomes.
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OBJECTIVE This study aims to evaluate the effect of resident peer-to-peer education on knowledge of appropriate urinary catheter (UC) placement in the emergency department (ED) and to determine if this translates into further reduction in UC utilisation. Background Instituting guidelines for appropriate UC placement reduces UC utilisation in the ED. No study has explored if resident education in a teaching hospital would further reduce UC utilisation.

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Background: Many of the urinary catheters (UCs) placed in the emergency department (ED) might not be necessary. We evaluated compliance with our institutional UC utilization guidelines and assessed factors influencing utilization.

Methods: We conducted a 12-week retrospective observational study evaluating UC utilization in all admissions from the ED.

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