Do frailty assessment tools aid in predicting post-discharge outcomes?
What hospital characteristics are associated with 30-day all-cause readmission rates?
Does transitioning to oral antibiotics to treat infective endocarditis increase rates of relapse and death?
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]
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]
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]
The proposed update from AAP stresses the need to separate individual components of serious bacterial infections as the incidence and clinical course can vary
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]