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Meeting
Search Results for Antibiotics
Oral Presentations
Abstract Number: OP2
SHM Converge 2022
Background: Clostridioides difficile infection (CDI) is a common, often nosocomial infection associated with substantial morbidity and mortality. Antibiotics are the most important modifiable risk factor, but empiric antibiotics remain appropriate for many patients with severe acute illness. Which antibiotics minimize the risk of CDI remains an important unanswered question. Because protective equipment and isolation were […]
Abstract Number: 18
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Third International Consensus Definitions for Sepsis and Septic Shock (SEP-3) defines Sepsis as life-threatening organ dysfunction due to a dysregulated host response to infection. In United States about 1.5 million Americans are diagnosed with Sepsis each year and about 250,000 of them die each year. It is also the costliest single diagnosis to treat […]
Abstract Number: 81
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Overuse of urine testing may result in downstream events that impact antibiotic use and hospital length of stay (LOS). The aims of this study were to examine the impact of inpatient urine culture testing on inpatient antibiotic use and hospital length of stay using a national administrative dataset. Methods: We performed a retrospective cohort […]
Abstract Number: 96
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Sepsis, which is life-threatening organ dysfunction occurring in response to systemic infection, is a frequently fatal syndrome for which early recognition and treatment are paramount. While there are some reports that female and black patients with sepsis experience greater delays in time to antibiotics, there is an overall paucity of published data on whether […]
Abstract Number: L7
SHM Converge 2022
Background: Timely identification and treatment are integral to sepsis management in emergency department (ED) and inpatient settings. Increasingly, automated alerts embedded in electronic health records (EHRs) are used to expedite sepsis detection but may lead to false alarms and increased alarm fatigue. Additionally, recent data have demonstrated that the EPIC Sepsis Model—a proprietary sepsis alert […]
Abstract Number: 146
SHM Converge 2021
Background: Infants ≤ 60 days of age with a urinary tract infection (UTI) are a challenging population. Without clear guidelines for management, there is variability in renal imaging and antibiotic use. Our study examined patterns of renal imaging and antibiotic use in infants ≤ 60 days of age with UTI at a tertiary care children’s […]
Abstract Number: 158
SHM Converge 2021
Background: Community acquired pneumonia (CAP) is one of the leading causes of hospitalization in the United States.[1] In an effort to improve the quality of care for this resource-intensive disease, our institution implemented a clinical decision support (CDS) pathway for CAP comprised of three phases: (1) education on best practices, (2) education and a CDS […]
Abstract Number: 159
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Spontaneous Bacterial Peritonitis (SBP) is associated with high mortality. A recent article[1] showed that, in the setting of SBP, delayed paracentesis was associated with increased mortality. Because of the clinical ramifications of this association, we attempted to recreate this finding using our local patient population. Methods: Similar to the study that prompted this inquiry, […]
Abstract Number: 159
Hospital Medicine 2020, Virtual Competition
Background: Sepsis is one of the most common causes for adult emergency department admissions and carries high morbidity and mortality. Appropriate and timely administration of intravenous (IV) antibiotics is one of the cornerstones of initial management of sepsis. Indeed, mortality has been shown to increase by 7-14% for each hour of delay in antibiotic administration. […]
Abstract Number: 206
SHM Converge 2023
Background: Closing the gap between evidence-supported antibiotic use and prescribing patterns among clinicians is a vital component of curbing excessive antibiotic use, a practice that fosters antimicrobial resistance and exposes patients to the side effects of antimicrobial agents. Providing medication prescribing information via scorecard has been shown to improve clinician adherence to quality metrics in […]