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Search Results for Resistance
Abstract Number: 18
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: 158
Hospital Medicine 2020, Virtual Competition
Background: Ceftriaxone or cefotaxime has been the drug of choice to treat spontaneous bacterial peritonitis (SBP) for many years, but little is known about microbiology, resistance rate to cephalosporines, and clinical outcomes over the last few decades. Our study aimed to describe the clinical and microbiological characteristics of culture-positive SBP at University of Kentucky Hospital. […]
Abstract Number: 159
SHM Converge 2024
Background: Methicillin-resistant Staphylococcus aureus (MRSA) colonization of hospitalized patients is associated with higher readmission rates and increased morbidity. Depending on the mechanisms of transmission, numerous potential control interventions exist to reduce the burden of disease. These interventions include decolonization, improving hand-washing adherence, and enhanced environment cleaning. To evaluate the impact of various types of control, […]
Abstract Number: 252
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Curbing antibiotic overutilization has become a priority in hospitals attempting to address the growing problem of antimicrobial resistance. One strategy being endorsed by Antibiotic Stewardship Programs is the adoption of an “antibiotic timeout,” during which the pharmacist reviews the appropriateness of the regimen every 72 hours. We elected to challenge hospitalists to perform a […]
Abstract Number: 572
SHM Converge 2023
Case Presentation: A 54 year-old man with a history of opioid use disorder, housing insecurity and hypoplastic myelodysplastic syndrome presented with one month of shortness of breath, productive cough, fever, and chills. He also endorsed a twenty pound weight loss over the course of three months. He had presented to an outside hospital three weeks […]
Abstract Number: 580
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 67 year old African American male with history of chronic hepatitis B virus (HBV) infection on entecavir therapy [HBV viral load (VL)=64 copies/ml] since 2013 was hospitalized for evaluation of six week history of generalized weakness, thirty pound weight loss and progressive dyspnea. Physical exam was significant for decreased breath sounds and […]
Abstract Number: 683
Hospital Medicine 2020, Virtual Competition
Case Presentation: 48-year-old African American (AA) male with history of Non-ischemic cardiomyopathy on milrinone (EF: 15%), after CHOP therapy for his lymphoma, diabetes mellitus, polysubstance abuse was admitted with an acute exacerbation of chronic systolic heart failure with cardiogenic shock. He was being managed with milrinone drip and lasix in the CCU and considered a […]
Abstract Number: 752
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 29-year-old African American man presented as a transfer from an outside hospital for uncontrolled diabetic ketoacidosis. Two months prior to admission he was diagnosed with ketosis prone type 2 diabetes mellitus. On presentation he had a BMI 22.6, a rash around his nose, acanthosis nigricans under his arms, Raynaud’s phenomenon and intermittent […]
Abstract Number: 780
SHM Converge 2024
Case Presentation: A 68-year-old male with a history of heavy cigarette smoking and COPD presented with a six-month-long hacking cough with sputum production, night sweats, weight loss, and malaise. He was treated with multiple courses of azithromycin for community-acquired pneumonia without improvement. He had a history of asbestos exposure as a shipyard worker. He did […]
Abstract Number: 818
SHM Converge 2024
Case Presentation: A 70-year-old man with a history of adenoid cystic carcinoma initially presented with a 1-2 week history of olfactory and auditory hallucinations in the setting of intermittent fever. He reported that in addition to those symptoms he had diarrhea, which he attributed to having eaten undercooked meat. His auditory hallucinations involved hearing African […]