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Default Antibiotic Order Durations for Skin and Soft Tissue Infections in Outpatient Pediatrics: A Cluster Randomized Trial.
J Pediatric Infect Dis Soc
December 2024
Division of Pediatric Infectious Diseases, Department of Pediatrics, Center for Clinical Excellence, Nationwide Children's Hospital and The Ohio State University College of Medicine, Columbus, OH, USA.
Background: Antibiotic durations for uncomplicated skin/soft tissue infections (SSTI) often exceed the guideline-recommended 5-7 days. We assessed the effectiveness of a default duration order panel in the Electronic Health Record (EHR) to reduce long prescriptions.
Methods: Cluster randomized trial of a SSTI order panel with default antibiotic durations (implemented 12/2021), compared to a control panel (no decision support) in 14 pediatric primary care clinics.
Innovating Indwelling Catheter Design to Counteract Urinary Tract Infection.
Eur Urol Focus
September 2024
School of Health Sciences, University of Southampton, Southampton, UK.
Background And Objective: Bacteriuria is anticipated in long-term indwelling catheter (IDC) use, and urinary tract infections (UTIs) and related issues are common. Defence mechanisms against infection are undermined by the presence of a Foley catheter, and adjustments to design could influence UTI risk.
Methods: We reviewed the various aspects of IDCs and ureteric stent designs to discuss potential impact on UTI risk.
Multiple Spinal Epidural Abscesses with Concomitant Multifocal Systemic Abscesses and Multi-joint Septic Arthritis:, A Case Report.
J Orthop Case Rep
May 2024
Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.
Article Synopsis
- Multiple spinal epidural abscesses and systemic infections can lead to severe complications like sepsis and organ failure, necessitating complex surgical interventions.
- A 69-year-old woman with multiple abscesses underwent pre-operative resuscitation and targeted surgery, resulting in her recovery without neurological deficits.
- Successful management of such serious infections relies on a multidisciplinary team to coordinate care and prioritize less invasive surgical options for the patient's safety.
Management of ERCP complications.
Best Pract Res Clin Gastroenterol
March 2024
Medical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India. Electronic address:
Managing complications of ERCP poses a significant clinical challenge to endoscopists. ERCP complications can occur even after all preventive measures, which can lead to significant morbidity and even mortality. Major complications include pancreatitis, bleeding, perforation, cholangitis, and sedation-related adverse events.
View Article and Find Full Text PDFClassification of Post-pancreatectomy Readmissions and Opportunities for Targeted Mitigation Strategies.
Ann Surg
June 2024
Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX.
Article Synopsis
- This study analyzed readmission reasons for patients who underwent pancreatectomy to find ways to improve post-surgery care.
- A total of 835 patients were evaluated, with 24% experiencing readmissions mainly due to technical issues, followed by infections and medical complications.
- Key risk factors linked to readmissions included specific complications during initial hospitalization, increasing white blood cell counts, and the presence of undrained fluids; highlighting the need for better pre-discharge assessments.
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