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Search2020-05-20T12:01:36-05:00
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Search Results for stewardship
Abstract Number: 18
REMOVING FALSELY REPORTED PENICILLIN AND BETA LACTAM ALLERGIES OF HOSPITALIZED PATIENTS IN 21 HOSPITAL RURAL HEALTH SYSTEM – BALLAD HEALTH
Hospital Medicine 2020, Virtual Competition
Background: Penicillin discovered in 1928 by Sir Alexander Fleming, beginning of the antibiotic revolution. Penicillin as helped increase average life Span in USA from 47 years to 78.8 years. Beta lactam account to about 40% of total antibiotic use every year. 10% of patients in U.S. report penicillin allergy, but 9 out of 10 patients […]
Abstract Number: 18
REMOVING FALSELY REPORTED PENICILLIN AND BETA LACTAM ALLERGIES OF HOSPITALIZED PATIENTS IN 21 HOSPITAL RURAL HEALTH SYSTEM – BALLAD HEALTH
Hospital Medicine 2020, Virtual Competition
Background: Penicillin discovered in 1928 by Sir Alexander Fleming, beginning of the antibiotic revolution. Penicillin as helped increase average life Span in USA from 47 years to 78.8 years. Beta lactam account to about 40% of total antibiotic use every year. 10% of patients in U.S. report penicillin allergy, but 9 out of 10 patients […]
Abstract Number: 21
DIAGNOSTIC STEWARDSHIP INTERVENTIONS FOR CLOSTRIDIOIDES DIFFICILE INFECTION
Hospital Medicine 2020, Virtual Competition
Background: Our institution’s rate of hospital acquired Clostridioides difficile (C. diff) infection (CDI) is higher than expected based on documented severity of illness of our patients. The C. diff testing algorithm at our institution utilizes a multi-step approach. It begins with two tests (antigen EIA and toxin A/B EIA). If the results of these two […]
Abstract Number: 21
DIAGNOSTIC STEWARDSHIP INTERVENTIONS FOR CLOSTRIDIOIDES DIFFICILE INFECTION
Hospital Medicine 2020, Virtual Competition
Background: Our institution’s rate of hospital acquired Clostridioides difficile (C. diff) infection (CDI) is higher than expected based on documented severity of illness of our patients. The C. diff testing algorithm at our institution utilizes a multi-step approach. It begins with two tests (antigen EIA and toxin A/B EIA). If the results of these two […]
Abstract Number: 184
ANTIBIOTIC OVERUSE AT DISCHARGE AND OUTCOMES IN HOSPITALIZED PATIENTS WITH BACTERIURIA OR TREATED FOR PNEUMONIA: A MULTI-HOSPITAL COHORT STUDY
Hospital Medicine 2020, Virtual Competition
Background: Nearly half of hospitalized patients with bacteriuria or treated for pneumonia receive unnecessary antibiotics (non-infectious/non-bacterial syndrome, e.g., asymptomatic bacteriuria), excess duration (antibiotics prescribed for longer than necessary), or avoidable fluoroquinolones (safer alternative available) at hospital discharge.1-3 However, it is unknown whether antibiotic overuse at discharge varies between hospitals or is associated with patient outcomes. […]
Abstract Number: 184
Copd 30‐Day Readmission Reduction Initiative
Hospital Medicine 2020, Virtual Competition
Background: Chronic obstructive pulmonary disease (COPD) is a major public health problem. The Global Burden of Disease Study has projected that COPD will become the third‐leading cause of death worldwide by 2020. In developed countries, COPD exacerbations account for the greatest burden in the health care system, costing the United States billions of dollars annually. […]
Abstract Number: 186
Academic Hospitalists On‐Boarding Mentor Program Evaluation
Hospital Medicine 2020, Virtual Competition
Background: Mentoring relationships among physicians in academic medicine have been implemented to facilitate scholarly productivity, faculty development, and retention. Mentorships have been shown to encourage productive activity (e.g., peer‐reviewed publications), drive career advancement (e.g., faculty promotion), and enhance attitudes toward work (e.g., reduced burnout). Yet few studies have examined mentorships' impact at critical points along […]
Abstract Number: 186
INPATIENT AND DISCHARGE FLUOROQUINOLONE PRESCRIBING IN VETERANS AFFAIRS HOSPITALS BETWEEN 2014 AND 2017
Hospital Medicine 2020, Virtual Competition
Background: Between 2007 and 2015, inpatient fluoroquinolone use declined in U.S. Veterans Affairs (VA) hospitals. Whether fluoroquinolone use at discharge has also declined, in particular since antibiotic stewardship programs became mandated at VA hospitals in 2014, is unknown. Methods: In this retrospective cohort study of hospitalizations with infection between January 1, 2014 and December 31, […]
Abstract Number: 187
MISDIAGNOSIS OF URINARY TRACT INFECTION AND MISDIAGNOSIS OF PNEUMONIA LINKED AT THE HOSPTIAL LEVEL: A MULTI-HOSPITAL COHORT STUDY
Hospital Medicine 2020, Virtual Competition
Background: Clinicians often diagnose bacterial infections such as urinary tract infection (UTI) and pneumonia in patients who are asymptomatic or have non-bacterial causes of their symptoms. Misdiagnosis of infection leads to unnecessary antibiotic use and potentially delays correct diagnoses. Interventions to improve diagnosis often focus on infections separately. However, if misdiagnosis is linked at the […]
Abstract Number: 187
Ultrasound for Thoracentesis and Paracentesis: Can You Teach a Hospitalist a New Trick?
Hospital Medicine 2020, Virtual Competition
Background: Paracentesis and thoracentesis are among the most common procedures performed by hospitalists. Though many hospitalists feel comfortable with these procedures, there are several reasons to use ultrasound for these procedures: (1) the literature supports increased patient safety and operator success; (2) ultrasound has become increasingly accessible due to decreased cost, increased portability, and documented […]
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  • All Time

  • Cellulitis or DVT: Do Any Clinical Features Help to Differentiate
  • A Newborn with Bilateral Shoulder Dimples: Case Report and a Review of Literature
  • “Weight Loss or Brain Loss?”: Long Term Use of Phentermine Possibly Increases Risk for Ischemic Stroke
  • Bc Powder Causing Intracerebral Bleed: Pitfalls of Overlooking Dosage of Seemingly Innocuous Otc Formulations
  • A Case of Jamaican Stone
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