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Revised Guideline for Adult Bacterial Meningitis Improves Treatment, Outcome
July 6, 2015
Clinical question: Did revision of guidelines recommending computerized tomography (CT) scan before lumbar puncture (LP) reduce delayed treatment of acute bacterial meningitis (ABM)? Background: Guidelines were introduced in Sweden in 2004 identifying patients at risk for LP-induced brain herniat
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Precaution Guidelines Updated for Visitors of Inpatients with Infectious Diseases
May 29, 2015
Hospitalists may soon see changes in precaution protocols for some hospital visitors, thanks to a revised set of guidelines published by the Society for Healthcare Epidemiology of America (SHEA).
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Antibiotic Regimens Compared for Treating Uncomplicated Skin Infections
May 19, 2015
Clinical question: What are the efficacy and safety of clindamycin and trimethoprim-sulfamethoxazole (TMP-SMX) for treatment of uncomplicated soft tissue infections in adults and children? Background: Clindamycin and TMP-SMX are commonly used treatments for uncomplicated skin infections
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Children with Acute Hematogenous Osteomyelitis Have Similar Outcomes When Discharged with Oral Antibiotics versus Prolonged IV Antibiotics and Escape PICC Complications
March 3, 2015
Clinical question: After hospitalization for acute hematogenous osteomyelitis (AHOM), do children discharged with oral antibiotics have similar clinical outcomes compared to those discharged with home IV antibiotics? Background: AHOM occurs in one in 5,000 children yearly and makes up approximate
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Infectious Diseases Society of America 2014 Practice Guidelines To Diagnose, Manage Skin, Soft Tissue Infections
March 3, 2015
Background Surveillance studies in the U.S.
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Procalcitonin-Based Algorithm Does Not Reduce Antibiotic Use in the ICU
February 10, 2015
Clinical question Can a procalcitonin-based algorithm reduce antibiotic use in critically ill patients? Bottom line A procalcitonin-based algorithm using a 0.1 ng/mL cutoff does not significantly decrease the duration of antibiotic treatment in critically ill patients nor does it reduce length
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Antibiotic Therapy Guidelines for Pediatric Pneumonia Helpful, Not Hurtful
December 19, 2014
Hospitalists need not fear negative consequences when prescribing guideline-recommended antibiotic therapy for children hospitalized with community-acquired pneumonia (CAP), according to a recent study conducted at Cincinnati Children’s Hospital Medical Center (CCHMC). "Guideline-recommended ther
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Ebola Outbreak Reminds Hospitalists How To Prepare for Infectious Disease
December 2, 2014
When the outbreak first started, and in the months that followed, Ebola virus dominated American headlines.
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Antibiotic Overprescribing Sparks Call for Stronger Stewardship
December 2, 2014
Antibiotic overprescription remains a problem in the U.S. and abroad and shows no signs of slowing.
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When Should You Decolonize Methicillin-Resistant Staphylococcus aureus (MRSA) in Hospitalized Patients?
November 2, 2014
When Should You Decolonize Methicillin-Resistant Staphylococcus aureus (MRSA) in Hospitalized Patients?
