Background: Antibiotics are frequently prescribed—and overprescribed—at hospital discharge, leading to adverse-events and patient harm. Antibiotic overuse at discharge varies widely across hospitals, with rates of overuse differing up to 5-fold.(1) Our understanding of what approaches optimize prescribing at discharge is limited. Recently, we published the ROAD (Reducing Overuse of Antibiotics at Discharge) Home Framework which [...]

Case Presentation: A 44-year-old man with multiple myeloma and cardiac amyloidosis on chemotherapy, and atrial fibrillation on apixaban, presented with three days of worsening shortness of breath and edema. He was admitted to the emergency room observation unit for treatment of a mild heart failure exacerbation. He was noted on admission to have rapidly developed [...]

Case Presentation: A 44-year-old male with a past medical history of psoriatic arthritis [on Guselkumab], asthma presented to the ED with worsening shortness of breath for 10 days and midsternal chest pain for 3 days. He tested positive for COVID-19 one week before and received monoclonal antibodies 2 days before presentation. He had COVID-19 infection [...]

Case Presentation: A 55-year-old man with a past medical history of poorly controlled diabetes and remote intravenous drug use was evaluated for a right chest wall infection. 1 week prior to presentation, he had chest wall erythema, pain resulting in decreased range of motion, fevers, chills, decreased appetite, and weight loss. He presented to an [...]

Case Presentation: 66 year old male with past medical history of hypertension presented with complains of tingling sensations & weakness involving his hands for 2 weeks. His initial symptoms began with weakness involving bilateral feet, legs & hamstrings that started about 10 weeks prior to this presentation. He received moderna vaccine 1 month prior to [...]

Background: Catheter Associated Urinary Tract Infections (CAUTI) and Central Line Associated Bloodstream Infections (CLABSI) carry a huge health care burden and is associated with increased length of stay and potential harm for the patient. There is an estimated total healthcare cost of $896 per infection for CAUTI and $45,814 per infection associated with CLABSI. The [...]

Case Presentation: A 56-year-old male with a past medical history of large B cell lymphoma on ibrutinib with recently diagnosed COVID pneumonia, and recurrent ascites due to portal hypertension, presented to the hospital due to shortness of breath, and fever for one week. Physical examination was unremarkable on admission except for fever. His initial labs [...]

Background: The ABIM Foundation’s Choosing Wisely Campaign and The Infectious Diseases Society of America recommend against screening and treating for suspected urinary tract infections (UTI) unless patients are symptomatic or meet specific clinical parameters (1). Inappropriate testing for UTIs with urinalysis and urine cultures is prevalent in healthcare and may lead to waste in resources, [...]

Case Presentation: A 25-year-old male with no significant past medical and family history presented with a one-week history of fever, productive cough, intermittent shortness of breath, diffuse muscle aches and one episode of syncope on the day of presentation. Initial workup in the emergency department was positive for COVID-19. Inflammatory markers, D-dimer and Fibrinogen levels [...]

Case Presentation: A 58-year-old man with type 2 diabetes, hypertension, peripheral arterial disease, and right fifth toe amputation for osteomyelitis presented to the emergency room with pain at the site of a non-healing right foot ulcer. When the pain started two years prior, the patient was diagnosed with a diabetic foot infection (DFI) from poorly [...]