Session Type
Meeting
Search Results for infection
Abstract Number: 70
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Evidence suggests that risk of central line-associated bloodstream infection (CLABSI) between patients with traditional central venous catheters (CVC) vs. peripherally inserted central catheters (PICC) is similar. However, how best to predict CLABSI in patients with PICCs is not known. Methods: We used data from the Michigan Hospital Medicine Safety (HMS) Consortium, a 51-hospital Blue […]
Abstract Number: 95
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: The Center for Disease Control and Prevention estimates that 1.7 million patients per year develop hospital-associated infections (HAI), of whom 99,000 die. HAIs financially impact the United States healthcare system with an estimated cost of $6 billion per year. At Platte Valley Medical Center (PVMC) in 2013, the urinary catheter utilization ratio and rates […]
Abstract Number: 118
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Guidelines for peripherally inserted central catheters (PICCs) recommend avoiding insertion if the anticipated use is 5 or fewer days. However, short-term PICC use is common in hospitals. We sought to identify patient-, provider- and device-characteristics associated with short-term PICC use. Methods: Between January 2014 and June 2016, trained abstractors at each of 51 Michigan […]
Abstract Number: 141
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Despite detailed Infectious Disease Society of America (IDSA) skin and soft tissue infection guidelines, patients with cellulitis at our institution consistently receive antibiotics with high local resistance or that are inappropriate based on IDSA guidelines. Our baseline data showed that 55 percent of patients receive antibiotics per IDSA guidelines and only 33 percent of […]
Abstract Number: 143
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Multi-lumen (ML) peripherally inserted central catheters (PICCs) are associated with increased risk of central line associated blood stream infection (CLABSI), venous thromboembolism (VTE) and increased cost compared to single lumen (SL) PICCs. Current guidelines recommend minimizing the number of PICC lumens. However, there is a paucity of literature to guide the selection of SL […]
Abstract Number: 410
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 39 year old male with a history of alcohol abuse and recurrent methicillin resistant Staphylococcus aureus bacteremia was referred for tertiary evaluation of recurrent bacteremia and diffuse eczematous eruption. He reported chronic diarrhea and long standing eczema with significant worsening of his rash in the last few months. A scaly and painful […]
Abstract Number: 418
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: This is a 21 year old male with no significant past medical history presenting with shortness of breath and fever. Five days prior to presentation, he noted sore throat, fevers, and heart burn so he presented to an acute care clinic. He had a positive rapid strep screen, so he was given azithromycin […]
Abstract Number: 439
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 68 year old woman with a past history notable for recurrent urinary tract infections presents with one day of confusion, odd postures, mutism, and subjective fever. In the Emergency Department, she was febrile to 103o, tachycardic, and appeared restless, with odd purposeless movements of her extremities. She was only able to follow […]
Abstract Number: 537
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: Pneumonia in an immunocompromised individual has a broad differential; the initial work-up and selection of antimicrobials can be challenging. We present a case of concomitant pulmonary nocardiosis and Pneumocystis jirovecii pneumonia (PJP). A 60-year-old male with hepatitis C infection status-post treatment with a negative viral load and chronic kidney disease (CKD) due to […]
Abstract Number: 557
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: Our patient was a 56 year-old immunocompromised male with a history of active CML (Chronic Myelocytic Leukemia) on active chemotherapy who was undergoing treatment with doxycycline and fluconazole for actinomycosis and coccidioidomycosis diagnosed via BAL (bronchoalveolar lavage) and sputum culture respectively during a recent hospitalization two weeks prior. He presented with persistent non-productive […]