Twitter Beğeni Hilesi

Providers find it difficult not to treat once they have a positive U/A or UCx, independent of whether it was appropriate to test and when they know the evidence doesn’t show a benefit in treating asymptomatic bacteriuria. Goal needs to be reducing testing. academic.oup.com/ofid/advance-a…

Timely paper from Vanderbilt Health on impact of interventions in response to national shortage of blood culture bottles. 58% reduction with education, hard stop on repeat BCx within 48hrs, and limiting to one set only except in patients presenting with sepsis. academic.oup.com/cid/advance-ar…

As XBB #COVID19 lineages were dominant in October-December 2023, the efficacy of the 2023-24 COVID vaccine was 54%. As JN.1 lineage became dominant in January 2024, vaccine efficacy dropped to 33% and down to 23% when >90 days after vaccine. academic.oup.com/cid/advance-ar…

“GPT4 [created] personalized treatment plans tailored to diverse clinical patient records and offered interactive patient education. It significantly improved SSI management strategies, infection prediction models, and identified emerging research trends.” academic.oup.com/jid/advance-ar…

Nice set of patient-centered outcome measures: ichom.org/patient-center…. Discussed in: hbr.org/2024/08/patien….

Is it time to start treating #COVID19 like other respiratory viruses? Stay home when sick, return to work when better, stop testing in ambulatory patients who will not receive treatment based on result, wash your hands, and wear a mask if you have a cough?

Can we all agree that the Z-pack is dead as monotherapy for community acquired pneumonia? Hey urgent care centers…please stop time prescribing if you actually want to help patients. And by the way, cefpodoxime and doxycycline aren’t great either. academic.oup.com/ofid/advance-a…

PO Vancomycin 125mg BID as prophylaxis in adults undergoing bone marrow transplant resulted in significant reduction in C. difficile (10.7% -> 1.2%, p 0.01). cambridge.org/core/journals/…

Saturday quote: “You are made for perfection, but you are not yet perfect. You are a masterpiece in the making.” Archbishop Desmond Tutu, “The Book of Joy”

1. “Drink[ing] sufficient fluids helps to reduce drowsiness, falls, confusion and UTI.” 2. Educate that “confusion and drowsiness [requires] a holistic, evidence-based assessment rather than a presumption of UTI.” qualitysafety.bmj.com/content/early/…

We are hiring for a new Manager of Infection Prevention Dartmouth Hitchcock Medical Center and Clinics (dartmouth-hitchcock.org). It says "RN," but we will consider non-RN applicants with strong leadership skills and a passion for infection prevention and control. Come join an amazing team!

Maybe you will attack me, maybe you will show empathy. Knowing this, I ask that you watch this video. Medical malpractice in the U.S. is a broken system. “There is a better way.” pbs.org/video/a-world-…

Data seem to be against prescribing #Paxlovid for strains of #COVID19 after Delta. academic.oup.com/ofid/advance-a…

36% reduction in urine cultures (although trending down before intervention) and 36% reduction in antibiotic use with no change in LOS, transfer to higher level of care, or mortality using BLADDER score in work-up of potential UTI. cambridge.org/core/journals/…

SEP-1 is a flawed metric for sepsis care. Here are some data on SEP-1 performance in U.S. hospitals.

There’s no perfect #sepsis screening tool.