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An Official Publication of
  • Clinical
    • In the Literature
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    • COVID-19
  • Practice Management
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Nita Shrikant Kulkarni, MD

Dr. Kulkarni is an assistant professor of hospital medicine at Northwestern University in Chicago. She is editor of the Journal of Hospital Medicine POEMs.

  • News

    National Program Reduces Catheter-Associated Urinary Tract Infections

    August 8, 2016

    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-ass

  • News

    Procalcitonin Guidance Safely Decreases Antibiotic Use in Critically Ill Patients

    August 8, 2016

    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 i

  • News

    What Is the Best Management Strategy for Postoperative Atrial Fibrillation?

    July 6, 2016

    Clinical question: What is the best management strategy for postoperative atrial fibrillation? Bottom line: For new-onset atrial fibrillation (AF) following cardiac surgery, both rate control and rhythm control are reasonable strategies. There is no a clear advantage of one over the other.

  • News

    Early Initiation of Renal Replacement Therapy Improves Mortality in Critically Ill Patients with Acute Kidney Injury

    July 6, 2016

    Clinical question: For critically ill patients with acute kidney injury, does early initiation of renal replacement therapy improve mortality? Bottom line: In this single-center study, early initiation of renal replacement therapy (RRT) in critically ill patients with acute kidney injury (AKI) de

  • News

    Long-Term Mortality Benefits With Coronary Artery Bypass Grafting for Ischemic Cardiomyopathy

    June 3, 2016

    Clinical question: Does coronary artery bypass grafting added to medical therapy decrease mortality in patients with coronary artery disease and systolic heart failure? Bottom line: Coronary artery bypass grafting (CABG) plus medical therapy decreases mortality as compared with medical therapy al

  • News

    Stent Retriever Therapy Added to tPA Effective for Treating Acute Ischemic Stroke

    June 3, 2016

    Clinical question: Does the use of stent retrievers in conjunction with tissue plasminogen activator improve outcomes in patients with acute ischemic stroke? Bottom line: The use of stent retriever devices in addition to tissue plasminogen activator (tPA) in patients with anterior circulation acu

  • News

    N-Acetylcysteine, Statins May Prevent Contrast-Induced Nephropathy, but Strength of Evidence is Low

    May 4, 2016

    Clinical question: What strategies are effective in reducing contrast-induced nephropathy? Bottom line: N-acetylcysteine plus intravenous fluids alone or in combination with a statin can prevent contrast-induced nephropathy (CIN).

  • News

    Short-Term High-Flow Oxygen Therapy for Low-Risk Patients Decreases Reintubation Rates

    May 4, 2016

    Clinical question: Does the use of high-flow oxygen therapy for 24 hours following extubation reduce the risk of reintubation in low-risk patients? Bottom line: Using high-flow nasal cannula oxygen therapy for 24 hours following extubation of patients who are already at low risk of reintubation f

  • News

    New Sepsis Definition, Bedside Screening to Identify Patients at High-Mortality Risk

    April 6, 2016

    Clinical question: What are the best criteria to identify sepsis and septic shock? Bottom line: An international task force of experts has updated the definitions of sepsis and septic shock and created a new bedside scoring tool to identify patients with suspected infection who may be at high ris

  • News

    Research Reaffirms Management of Hospitalized Patients with Community-Acquired Pneumonia

    April 6, 2016

    Clinical question: What is the best antibiotic strategy to improve outcomes in patients hospitalized with community-acquired pneumonia? Bottom line: For patients hospitalized with community-acquired pneumonia (CAP), start antibiotics early, use either fluoroquinolone monotherapy or beta-lactam/ma

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