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Pharmacology

  • Article

    Piperacillin-tazobactam Doesn’t Increase Risk of AKI Compared to Cefepime

    May 1, 2024

    Dr. Rhodes Clinical question: Do piperacillin-tazobactam and cefepime have similar risks of acute kidney injury (AKI)? Background: Observational studies have shown an association between...

  • Article

    Back Off the Baclofen: Increased Risk of Encephalopathy

    May 1, 2024

    Dr. Sata Clinical question: Compared to other muscle relaxants, does baclofen increase the risk of encephalopathy? Background: Baclofen is a GABAergic muscle relaxant that is useful for patients...

  • Article

    Can Pentoxifylline Improve Healing of Lower Extremity Ulcers?

    May 1, 2024

    Case The patient, Mr. D, has been experiencing swelling in his legs for several years, and seven months prior, he noticed that his skin had started to develop ulcers. He has class 3 obesity, type 2...

  • Article

    Cefepime Versus Piperacillin-tazobactam in Adults Hospitalized with Acute Infection

    April 1, 2024

    Clinical question: Are there increased adverse outcomes with the utilization of cefepime or piperacillin-tazobactam? Background: Hospitalists frequently prescribe cefepime or piperacillin-tazobactam...

  • Article

    Moderate-intensity Statin With Ezetimibe Combination Therapy Versus High-intensity Statin Monotherapy in Patients at Very High Risk of ASCVD

    April 1, 2024

    Clinical question: Can you use a moderate-intensity statin with ezetimibe combination therapy for very high-risk (VHR) patients with ASCVD? Background: The ACC/AHA guidelines recommend the use of...

  • Article

    Aspirin or LMWH for Thromboprophylaxis After a Fracture

    April 1, 2024

    Clinical question: Can you use aspirin as a safe alternative to low-molecular-weight heparin (LMWH) for thromboprophylaxis in patients with an extremity fracture? Background: Many guidelines...

  • Article

    No Clear Benefit to the Use of Haloperidol for ICU Delirium

    February 1, 2024

    Dr. Leventhal Clinical question: Does the use of haloperidol versus placebo for delirium in ICU patients improve mortality and increase the chance of hospital discharge at 90 days? Background:...

  • Article

    Abatacept and Infliximab May Improve Mortality in Patients Hospitalized with COVID-19 Pneumonia

    February 1, 2024

    Dr. Rose Clinical question: What immunomodulatory drugs should we use in hospitalized patients with COVID-19 in addition to corticosteroids? Background: Inflammation is a key driver of morbidity...

  • Article

    Clinical Update: RSV Vaccines for Adults

    December 7, 2023

    Respiratory syncytial virus (RSV) is a common seasonal virus that can cause serious illness in children and adults alike. It was first isolated in a group of chimpanzees in 1956 and was originally...

  • Article

    Questions Remain About Nirsevimab’s Impact

    November 16, 2023

    The new monoclonal antibody nirsevimab may radically change incidence and outcomes for respiratory syncytial virus (RSV) infections in young pediatric patients, especially when combined with the...

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