Browse Internal Medicine Articles by Topic

Antibiotics for Traveler’s Diarrhea

International travel carries a risk of colonization by antimicrobial-resistant intestinal flora. The use of a quinolone, but not a macrolide, during travel further increases the risk of acquisition of extended-spectrum beta-lactamase-producing Enterobacteriaceae.

Voriconazole vs. Itraconazole for Treatment of Histoplasmosis

A retrospective cohort study found that patients treated with voriconazole had increased mortality during the first 42 days after the start of treatment compared to patients who received itraconazole.

Does MRSA Nares Colonization Predict Non-Respiratory MRSA Infections?

Nares screening for methicillin-resistant Staphylococcus aureus (MRSA) has a high negative predictive value to rule out MRSA infections at various sites.

Virtual Visits and Antibiotic Prescribing

Compared to in-person visits, virtual visits were associated with improved antibiotic prescribing practices for women with uncomplicated urinary tract infections.

Arterial Ischemic Stroke Prevention and Risk Factor Management

Stroke prevention is complex because of the varied stroke etiologies and the multifactorial approach necessary for optimal stroke prevention and risk factor management. Inevitably, primary care providers will be part of every aspect of stroke care and, with a thorough understanding of key aspects, can greatly assist in the management of these patients.

Fruits and Vegetables Lower the Risk of Type 2 Diabetes

A multicenter, multinational prospective case-cohort study concludes that an increase in dietary consumption of fruits and vegetables is beneficial in reducing the risk of diabetes mellitus type 2 regardless of the current level of consumption.

Childhood Sleep Difficulties and Adolescent Mental Health

This prospective United Kingdom study involving 13,488 children shows an association between specific early childhood sleep problems and symptoms of psychosis in adolescence. Another specified early childhood sleep problem is associated with symptoms of borderline personality disorder in adolescence.

Air Pollution and Cognitive Decline

SYNOPSIS: In this large prospective cohort study of subjects in Manhattan, researchers demonstrated an association between exposure to air pollution and decline in cognitive function over time in one cohort, but not the other.

Healthcare Personnel Hospitalizations and COVID-19 — with Possible Implications for Vaccine Prioritization

During the period of study, 5.9% of individuals hospitalized for COVID-19-related reasons were healthcare providers (HCP), with approximately one-third involving HCP who were not expected to have direct patient contact in the course of their work.

Norepinephrine Infusion Through Peripheral Intravenous Lines: Is it Safe?

In a large perioperative patient population, norepinephrine infusion through peripheral intravenous lines did not result in any significant adverse events. However, the specific patient population, limited duration of infusion, and hospital setting may limit the generalizability of these findings.