Clinical

National Program Reduces Catheter-Associated Urinary Tract Infections

Clinical question: Can a program of education, feedback, and proper training reduce catheter-associated urinary tract infections in hospitalized patients? Bottom line: The Comprehensive Unit-based Safety Program, or CUSP, is a national program in the United States that aims to reduce catheter-associated urinary tract infections (CAUTIs) by focusing on proper technical skills, behavioral changes, education, and… [Read More]

Procalcitonin Guidance Safely Decreases Antibiotic Use in Critically Ill Patients

Clinical question: Can the use of procalcitonin levels to determine when to discontinue antibiotic therapy safely reduce the duration of antibiotic use in critically ill patients? Bottom line: For patients in the intensive care unit (ICU) who receive antibiotics for presumed or proven bacterial infections, the use of procalcitonin levels to determine when to stop… [Read More]

How Should a Hospitalized Patient with Newly Diagnosed Cirrhosis Be Evaluated and Managed?

The Case A 50-year-old man with no known medical history presents with two months of increasing abdominal distension. Exam is notable for scleral icterus, telangiectasias on the upper chest, abdominal distention with a positive fluid wave, and bilateral pitting lower-extremity edema. An abdominal ultrasound shows large ascites and a nodular liver consistent with cirrhosis. How… [Read More]

PHM16: American Academy of Pediatrics Issues New Clinical Practice Guideline for Evaluating, Managing Fever in Infants

At PHM16, Dr. Kenneth Roberts provided a sneak peak at the upcoming and yet-to-be finalized new clinical practice guideline on the evaluation and management of well-appearing febrile infants aged 7-90 days.  The guideline will provide decision support to clinicians faced with well-appearing, full-term febrile infants with suggested workup based on age, as well as summary… [Read More]

PHM16: Tips on Meeting Needs of Children with a Medical Complexity

Presenters: Mary L Ehlenbach, MD, FAAP; Megan Z Cardoso, MD, FAAP; and Christina Kleier, ARNP, PNP This session at PHM16 was focused on logistical tips on how to build a pediatric complex care program.  Presenters opened with a discussion of how to define children with medical complexity going through a variety of different methods including… [Read More]

PHM16: Visual Clues Can Help Establish a Diagnosis

PHM16’s Visual Diagnosis: Signs and Why They Matter session led by Dr. Kenneth Roberts and guest presenters was a review of case presentations in which visual clues were vital to establishing a diagnosis. Though much of the content was presented with pictures, the emphasis was placed on the importance of correct diagnosis to avoid both… [Read More]

PHM16: The New AAP Clinical Practice Guideline on Evaluating, Managing Febrile Infants

One of PHM16’s most highly-attended sessions was an update on the anticipated AAP guidelines for febrile infants between ages 7-90 days given by Dr. Kenneth Roberts. The goal is to give evidence-based guidelines, not rules, from the most recent literature available. It also stresses the need to separate individual components of serious bacterial infections (UTI,… [Read More]

Genetic Makeup Influences Risk of Diabetes: Study

CHICAGO – A study examining the genes of more than 120,000 people from Europe, Asia, Africa and the Americas has offered the clearest picture yet of the genes that drive type 2 diabetes. The study, published July 11 in the journal Nature, puts to rest a decades-long debate over the genetics that influence the risk of diabetes, which affects one… [Read More]

Australia Declares AIDS No Longer a Public Health Issue

SYDNEY – Australia declared on Monday the AIDS epidemic is no longer a public health issue there, a month after the United Nations adopted an ambitious target to eliminate the threat globally by 2030. The government-backed Australian Federation of AIDS Organisations (AFAO) and top scientists said the number of people being diagnosed with AIDS in Australia was now so small it… [Read More]