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Search Results for Antibiotic
Abstract Number: 435
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Most patients hospitalized with community-acquired pneumonia (CAP) can be safely treated with 5-days of antibiotic therapy. However, many are not. We aimed to determine whether a hospitalist-focused collaborative could reduce excessive antibiotic use in patients hospitalized with CAP through a combination of collaboration with antibiotic stewardship, data feedback, pay-for-performance, and sharing best practices. Methods: […]
Abstract Number: 468
Hospital Medicine 2020, Virtual Competition
Background: On January 1st, 2017, the Joint Commission antibiotic stewardship accreditation standard came into effect, requiring hospital wide antibiotic stewardship programs. In West Virginia, per the CDC, in 2014, less than 28% had a stewardship program that met all 7 of the CDC core elements. In a May 2017 article of Clinical Infectious Diseases, authors […]
Abstract Number: 502
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 55 year old male with past medical history significant for congestive heart failure, severe persistent asthma and eosinophilic pneumonia on chronic prednisone and status post bronchial thermoplasty presented with fever, cough, shortness of breath and chest pain of 2 weeks and hemoptysis of 3 days duration. He also had two recent hospitalizations […]
Abstract Number: 506
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 55-year-old man with a history of asthma, chronic kidney disease and hypocalcemia presented with dyspnea and hypoxemia to the Emergency Room. The patient reported cough, purulent sputum production, and fever. His symptoms began 3 weeks prior and he was diagnosed with pneumonia by his outpatient pulmonologist. He completed a 10 day course […]
Abstract Number: 607
SHM Converge 2024
Case Presentation: A healthy 61-year-old woman residing in New York City presented with fever, fatigue, and decreased urinary output for four days. She was ill-appearing, jaundiced and hypotensive. Laboratory results were notable for WBC of 5.2/µl, hemoglobin 9 g/dl, platelet count 46,000/mm3, BUN 43 mg/dl, creatinine 4.36 g/dl, total bilirubin 4.6 mg/dl, direct bilirubin 1.5 […]
Abstract Number: 632
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 55 year old male with a known history of sarcoidosis, hypertension, and penicillin allergy (anaphylaxis) presented with complaints of right swollen testicle associated with pain and dysuria for 2 weeks. Few days prior to the admission, the patient went to an urgent care facility and was treated with Ceftriaxone and Azithromycin. The […]
Abstract Number: 700
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: An 80 year old man in ESRD receiving peritoneal dialysis who had suffered several days of nausea, vomiting, and diarrhea came to his nephrologist after his dialysate became a yellow, milky color. The nephrologist cultured his peritoneal fluid, and gram positive cocci in clusters were seen on gram stain. He underwent treatment with […]
Abstract Number: 702
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 54-year old female was hospitalized for 3-week history of abdominal pain, chills, nausea and diarrhea. Her past medical history was significant for multiple self-reported antibiotic allergies, Roux-en-Y gastric bypass complicated by gastrojejunostomy leak, and prior perisplenic abscess requiring percutaneous drainage. On admission, blood pressure was 137/79, heart rate of 80, respirations 20, […]
Abstract Number: 708
SHM Converge 2021
Case Presentation: A 54-year-old male was admitted for six weeks of progressive lower extremity weakness and bowel and bladder incontinence. Work-up revealed an epidural abscess at T12-S1 with severe spinal stenosis at L1 and L2. He was started in empiric vancomycin and ceftriaxone before undergoing a T12-L5 hemilaminectomy and abscess drainage. During the surgery, absorbable […]
Abstract Number: 781
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 24-year-old female with a history of IV drug abuse and MRSA tricuspid native valve endocarditis was treated for lobar pneumonia 4 months prior to readmission for non-bloody cough and pleuritic chest pain. Recurrence of lobar pneumonia was suspected but workup instead revealed Mycobacterium abscessus bacteremia. She denies any fevers, chills, nausea, vomiting, […]