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 […]

Case Presentation: A ten month old male born at term with a past medical history of pneumonia diagnosed at six months of age presented with fever, cough and respiratory distress. His exam was notable for decreased breath sounds and crackles over the entire left lung. A chest x-ray was obtained and demonstrated near complete opacification […]

Background: Hospital-at-Home (HaH) is a safe and effective alternative to high-cost, traditional hospitalization in patients with a range of medical conditions, such as non-severe community-acquired pneumonia (CAP). The COVID-19 pandemic created a unique situation with favorable policy changes, hospital resource constraints, and a clearly defined patient population that helped to increase HaH program deployment and […]

Case Presentation: A 56-year-old male with a past medical history of large B cell lymphoma on ibrutinib with recently diagnosed COVID pneumonia, and recurrent ascites due to portal hypertension, presented to the hospital due to shortness of breath, and fever for one week. Physical examination was unremarkable on admission except for fever. His initial labs […]

Background: Pneumonia is one of the most common conditions seen in hospitalized patients. While utilization of inhaled bronchodilators would be a consideration in the treatment of patients with exacerbations of underlying lung disease (ULD; i.e. asthma, COPD), their role in the absence of such underlying pathologies is not well defined. There is very little information […]

Case Presentation: 41yo unvaccinated male diagnosed and treated with COVID-19 pneumonia eleven days prior represents six days after discharge for productive cough with hemoptysis. Patient was hemodynamically stable on room air with normal chemistries. CT chest demonstrated a new cavitary lesion in the left lower lobe and he empirically began antibiotics for post-viral pneumonia. When […]

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 […]