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Derivation of a risk-adjusted model to predict antibiotic prescribing among hospitalists in an academic healthcare network.
Antimicrob Steward Healthc Epidemiol
October 2024
Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Background: Among inpatients, peer-comparison of prescribing metrics is challenging due to variation in patient-mix and prescribing by multiple providers daily. We established risk-adjusted provider-specific antibiotic prescribing metrics to allow peer-comparisons among hospitalists.
Methods: Using clinical and billing data from inpatient encounters discharged from the Hospital Medicine Service between January 2020 through June 2021 at four acute care hospitals, we calculated bimonthly (every two months) days of therapy (DOT) for antibiotics attributed to specific providers based on patient billing dates.
Potentially effective antimicrobial treatment for pneumonia caused by isolates of carbapenem-resistant and extensively drug-resistant complex species: what can we expect in the future?
Expert Rev Anti Infect Ther
December 2024
Departments of Laboratory Medicine and Internal Medicine, China Medical University Hospital, China Medical University, Taichung, Taiwan.
Article Synopsis
- * The review covers in vitro data and pharmacokinetics of key antibiotics, emphasizing the importance of how these drugs penetrate lung tissues.
- * Expert recommendations include increasing dosages of tigecycline and minocycline, considering nebulized polymyxin E and novel antibiotics for combination therapy, and exploring the potential of new treatments like sulbactam-durlobactam and zofusbactam.
Healthcare worker attitudes on routine non-urological preoperative urine cultures: a qualitative assessment.
Infect Control Hosp Epidemiol
September 2024
Center for Comprehensive Access and Delivery Research and Evaluation (CADRE), Iowa City VA Healthcare System, Iowa City, IA, USA.
Article Synopsis
- - The study examines the value and potential harms of ordering preoperative urine cultures, particularly in non-urological surgeries, by interviewing a diverse group of medical professionals at Veterans Affairs hospitals.
- - Key findings show that surgeons are anxious about missing signs of infection and perceive risks associated with not conducting urine cultures, which complicates the potential for changing these practices.
- - Suggestions for improving acceptance of de-implementing urine cultures include leadership support and engagement from peers to counteract concerns about perceived risks.
Public health trends in neurologically relevant infections: a global perspective.
Ther Adv Infect Dis
September 2024
Program in Neuroinfectious Diseases, Division of Critical Care and Hospitalist Neurology, Department of Neurology, Columbia University Irving Medical Center, New York, NY, USA.
Neuroinfectious diseases represent a growing threat to public health globally. Infections of the central nervous system remain challenging to diagnose and treat, partially driven by the fact that a high proportion of emerging pathogens are capable of causing neurological disease. Many of the trends driving the emergence of novel pathogens, including climate change, ecological degradation, urbanization, and global travel, have accelerated in recent years.
View Article and Find Full Text PDFClinical guideline highlight for the hospitalist: Diagnosis and management of acute bacterial arthritis in children.
J Hosp Med
December 2024
Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Article Synopsis
- The 2023 Clinical Practice Guideline outlines the recommended diagnosis and management strategies for acute bacterial arthritis in children, developed by the Pediatric Infectious Diseases Society (PIDS) and the Infectious Diseases Society of America (IDSA).
- Released on January 1, 2024, this guideline serves as a comprehensive resource for healthcare providers dealing with this condition in pediatric patients.
- It is specifically aimed at children who are suspected to have or have been confirmed to have acute bacterial arthritis, addressing both diagnostic techniques and treatment protocols.
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