Articles Tagged With:
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Infectious Disease Alert Updates
Jump in Cocci Cases, Winter 2017; Who Knew the Ink Was Not Sterile? Homeless Population Requires Hepatitis A Vaccination
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Wrongful Delegation Can Happen Easily; Consequences Are Serious
Risk managers should educate nurses about the potential liability risks from wrongful delegation, which could threaten the nurse’s career and expose the hospital.
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Tough Topics Addressed in Educational Rounds
A Massachusetts hospital has found that interprofessional educational rounds can be an effective way to discuss adverse events and other topics that might be difficult for some clinicians to address openly in the normal course of their work.
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IV to Oral Conversion of Antibiotic Therapy for Bacteremia Due to Enterobacteriaceae
Oral step-down antibiotic therapy (IV to oral conversion) is safe and effective in patients with bloodstream infection due to Enterobacteriaceae.
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Evolution of Healthcare Industry Poses New and Ongoing Compliance Risks in 2019
The changing face of American healthcare is bringing new challenges for regulatory compliance. Value-based care is clashing with laws that were written to discourage fee-for-service fraud.
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Eravacycline (Xerava)
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Infection After Placement of Antibiotic Spacers in Prosthetic Joints
Researchers reviewed a case series of 51 patients who received retained “destination spacers” after resection of infected joint prostheses. The researchers noted a significant association between the presence of preoperative sinus drainage and re-infection. Longterm antimicrobial suppression after retention of a destination spacer did not result in significant prevention of re-infections.
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The Downsides of High Vancomycin Troughs: No Longer ‘Mississippi Mud,’ but Still Hazardous
A retrospective cohort study from a large healthcare system found that elevated vancomycin troughs were common and associated with a higher body mass index and reduced baseline renal function, and led to more acute kidney injury and a longer hospital length of stay.
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Pediatric Pneumonia — Evolving Diagnosis and Management
Tachypnea has long been considered to identify which children with acute fever and cough might benefit from antibiotic treatment, especially in resource-limited parts of the world. Now, with declining rates of vaccine-preventable infections with Haemophilus influenzae and pneumococcus, new data suggest that approximately 90% of febrile, tachypneic, coughing (but still well enough for outpatient treatment) preschoolers do fine without antibiotics.
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Left Ventricular Unloading During Venoarterial ECMO in Cardiogenic Shock
In a series of patients with cardiogenic shock, the use of venoarterial extracorporeal membrane oxygenation with a percutaneous left ventricular unloading device was associated with better-than-expected outcomes.