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Search Results for infection
Abstract Number: L10
SHM Converge 2022
Background: Clostridioides difficile infection (CDI) is a leading healthcare-associated infection causing debilitating diarrhea, life-threatening complications, 20,500 deaths and healthcare costs of up to $5.4 billion annually in the US. The main driver of CDI costs is hospitalizations, and patients with higher CDI recurrence rates have more hospitalizations and emergency department visits and longer hospital stays. […]
Abstract Number: L11
SHM Converge 2022
Background: As hospitals focus on central venous catheter associated bloodstream infections (CVC-BSI), the impact of peripheral venous catheter (PVC) associated bloodstream infections (PVC-BSI) may be underappreciated. There are conflicting recommendations on how to manage PVCs, including when to replace them (1)(2)(3), and inconsistencies in nursing practice in following PVC management guidelines (4). There are an […]
Abstract Number: L45
SHM Converge 2022
Case Presentation: A 54-year-old man with a past medical history of intravenous drug use and morbid obesity presented with worsening bilateral lower leg pain and swelling. The patient reported chronic bilateral leg edema after a car accident a year before and started noticing skin changes with multiple bumps on his legs for several months. He […]
Abstract Number: M26
SHM Converge 2022
Case Presentation: A 68-year-old man with a history of cryptogenic cirrhosis and hepatocellular carcinoma status post liver transplant with donor positive for cytomegalovirus (CMV), and recent treated CMV reactivation, was transferred from a nearby hospital with acute hypoxic respiratory failure requiring intubation secondary to Pneumocystis jirovecii pneumonia (PJP) identified on bronchoalveolar lavage. He was treated […]
Abstract Number: N17
SHM Converge 2022
Background: Tebipenem pivoxil hydrobromide (TBP-PI-HBr) is an orally bioavailable prodrug that is rapidly converted in plasma to the carbapenem, tebipenem. Tebipenem has in vitro activity against select multidrug-resistant Gram-negative pathogens, including fluoroquinolone-resistant and extended-spectrum ß-lactamase (ESBL)-producing Enterobacterales. TBP-PI-HBr is being developed in the United States as the first oral carbapenem for treatment of cUTI and […]
Abstract Number: N38
SHM Converge 2022
Case Presentation: A 48 year-old male presented Landstuhl Regional Medical Center with epigastric pain and fevers that had progressed to pain in the right lower quadrant. He lived in Cameroon until 30 years old and had recently deployed to West Africa. Computed Tomography (CT) of his abdomen demonstrated thickening of his right colon with extra-luminal […]
Abstract Number: O28
SHM Converge 2022
Case Presentation: A 52-year-old unvaccinated male with past medical history of asthma and uncontrolled obstructive sleep apnea presented to the ED ten days after receiving a diagnosis of COVID-19 with worsening dyspnea. He endorsed a cough, fever, chills, and non-bloody diarrhea, and denied chest pain, leg edema, and anosmia. His initial vitals were remarkable for an oxygen saturation of 65%. A CBC demonstrated leukopenia […]
Oral Presentations
Abstract Number: OP9
SHM Converge 2022
Background: Antibiotics are frequently prescribed—and overprescribed—at hospital discharge, leading to adverse-events and patient harm. Antibiotic overuse at discharge varies widely across hospitals, with rates of overuse differing up to 5-fold.(1) Our understanding of what approaches optimize prescribing at discharge is limited. Recently, we published the ROAD (Reducing Overuse of Antibiotics at Discharge) Home Framework which […]
Abstract Number: P10
SHM Converge 2022
Background: Cancer patients are at risk of higher readmission rates after hospitalization, which has been associated with increased comorbidity and mortality. Development of acute kidney injury (AKI) is associated with worse clinical outcomes. In the setting of the COVID-19 pandemic, we aim to look at the 30-day readmission rate in our institution’s cancer patients with […]
Abstract Number: 1005
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 28-year-old male with a recently diagnosed HIV infection presented to the hospital with dyspnea, pleuritic chest pain and fatigue for 4 days. Six weeks prior, he was found to have HIV infection with a CD4+ cell count of 17 cells/ul and an HIV viral load of 41,399 copies/mL. He was prescribed antiretroviral […]