Articles Tagged With: IDSA
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2019 Community-Acquired Pneumonia in Adults Guideline: Not Much New Under the Sun
One can quibble over a number of the guideline recommendations, but they provide a valuable touchstone for clinical management of patients with community-acquired pneumonia, despite the fact that so many of the recommendations are based on low- or very low-quality evidence.
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Antibiotic Decision-Making Between Medical and Surgical Teams
In an observational study conducted at an academic medical center in London, researchers looked at factors involved in decision-making. The presumptive diagnosis of infection by the emergency department (ED) influenced decision-making by both medical and surgical admitting teams. Medical teams tended to use a multidisciplinary approach to antibiotic decision-making. Surgical teams often delegated antibiotic decision-making to the most junior members of the surgical team.
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Why IDSA Did Not Support the Surviving Sepsis Campaign
The Infectious Diseases Society of America withheld its support for the Surviving Sepsis guidelines. The general concerns included vagueness and inconsistency in definition of sepsis, “one size fits all” prescription of time to administer antibiotics, lack of clarity around drawing blood cultures through IV catheters, recommendation of combination antibiotics, lack of definition around when to use procalcitonin levels, when and how to use pharmacokinetic and pharmacodynamic data effectively, prolonged antibiotic “prophylaxis,” and duration of therapy.
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Prosthetic Valve Endocarditis Due to Candida
Prosthetic valve endocarditis due to Candida spp. is associated with high mortality, but is curable — or at least controllable.
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Neuroimaging Before Lumbar Puncture?
The investigators retrospectively evaluated ESCMIID, IDSA, and Swedish guidelines for neuroimaging in 815 adults with acute bacterial meningitis. Swedish guidelines omit altered mental status and immunosuppression as indications for imaging prior to lumbar puncture. Adherence to Swedish guidelines resulted in decreased mortality and more favorable outcomes.
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Full July 1, 2007 Issue in PDF
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Full July 2007 Issue in PDF
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Advance directives issued in nationwide campaign
Aging with Dignity, the United Health Foundation, the American Hospital Association, and other national and local organizations will distribute 500,000 advance directives in the coming year in a campaign to help patients and families make important advance decisions about end-of-life care. -
Pandemic mask guidance frees up N95s for HCWs
If a pandemic strikes, masks can be used along with "social distancing" and hand hygiene to protect against community transmission, the Centers for Disease Control and Prevention (CDC) announced.