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Abstract Number: 132
Hospital Medicine 2020, Virtual Competition
Background: Legionella pneumophilia is typically transmitted via inhalation aerosols derived from water or soil during outbreaks or be acquired sporadically, commonly causing community-acquired or nosocomial pneumonia1,2. Death occurs through progressive respiratory failure, shock and multiorgan failure3,4. Epidemiological data for in-patient Legionella in the United States (U.S.) is lacking. The objective of the study is to […]
Abstract Number: 140
SHM Converge 2023
Background: Even after successful treatment, many patients with tuberculosis (TB) suffer from post-TB sequelae. These may be structural complications (such as bronchiectasis, broncholithiasis, residual cavitation, COPD), infectious complications (such as COPD exacerbations, Aspergillus fumigatus infections, non-tubercular mycobacterial infections, pneumonia), or psychosocial morbidities (such as anxiety, depression, financial burden).[1] The impact of post-TB sequelae is not […]
Abstract Number: 142
Hospital Medicine 2020, Virtual Competition
Background: In the United States, 32 million people have a documented penicillin allergy and up to 20% of hospitalized patients’ records describe a penicillin allergy (PcnA). Less than 10% of patients with reported penicillin allergy have true clinically relevant PcnA when objectively tested through rigorous skin testing (1-3). Clinicians subsequently avoid appropriate penicillin or penicillin […]
Abstract Number: 155
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: The overall incidence of Clostridium difficile infection (CDI) is higher among patients with inflammatory bowel disease (IBD). The nature of this disease association is unknown but likely involves an altered gut microbiome and impaired host immune responses. Studies on CDI in IBD patients have yielded variable and conflicting results on outcome measures such as […]
Abstract Number: 171
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Though the advent of highly active anti-retroviral medications has improved survival in HIV infection, mortality from non-infectious complications such as pulmonary arterial hypertension (PAH) has increased. Also, studies have shown that PAH is the leading cause of hospitalization and death in patients with HIV associated PAH (HIV-PAH). However, not much is known about the […]
Abstract Number: 176
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Patients hospitalized with hematologic malignancy are particularly vulnerable to infection. Clostridium difficile infection (CDI) has become the most common cause of healthcare-associated infections in U. S. hospitals, and the excess healthcare costs related to CDI are estimated to be as much as 4. 8 billion dollars for acute care facilities alone. We sought to […]
Abstract Number: 183
SHM Converge 2023
Background: Patent Foramen Ovale (PFO) is a common abnormality that affects between 25% and 34% of the general population. For most people, it is a benign finding; however, in some, the PFO can be wider, allowing a paradoxical embolus to transit from the venous to the arterial circulation, which is associated with cryptogenic stroke, migraine, […]
Abstract Number: 188
SHM Converge 2024
Background: Inpatient stewardship has appropriately become a large focus of acute inpatient care. The Vizient™ Clinical Data Base contains hospital discharge data used for benchmarking, and we observed significantly elevated cardiac MRI (cMRI) use at our tertiary hospital, relative to other tertiary academic medical centers, with resource utilization percentile averaging in the top decile (figure […]
Abstract Number: 189
SHM Converge 2021
Background: Thirty-day readmission rates are increasingly used among hospitals as a quality of care indicator since research has shown that higher than expected readmission rates often lead to poor patient outcomes and high financial costs. Causes of readmission tend to be multifactorial and possibly variable dependent on systems. To investigate predictors of 30-day readmission rates, […]
Abstract Number: 190
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Data is emerging on the efficacy of fecal microbial transplantation (FMT) for recurrent clostridium difficile infection (CDI) management with success rates of 80-90% in general population. Immunocompromised patients continue to be excluded from randomized trials involving FMT due to concerns related to its safety and efficacy. Current guidelines recommend caution with FMT in immunocompromised […]