Primary Care/Hospitalist Topics
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Excessive Urine Testing Drives Unnecessary Antibiotic Use, Elongates Length of Stay
Investigators suspect this pattern may be related to the desire to establish an explanation for whatever symptoms have prompted patients to seek care. Clinicians and patients alike want clear diagnoses and definitive solutions to fix problems.
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Managing Appendicitis Medically
A multicenter, randomized trial showed that 10 days of antibiotics results in comparable outcomes as surgery. Three in 10 patients treated with antibiotics required surgery within 90 days.
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Tips for Successfully Implementing a Flu Vaccination Program
Pediatric ED leaders interested in implementing a screening protocol to boost flu vaccination rates in children should rely on quality improvement principles.
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Nurse-Driven Screening Protocol Seeks Flu Vaccine for Every Eligible Child in ED
Frustrated with low vaccination rates, the ED at Children’s Wisconsin in Milwaukee implemented a screening protocol to offer the flu vaccine to every eligible child who presents for care. Now in its third year, the nurse-driven intervention has proven successful, with leaders working to expand the approach ahead of an expected COVID-19 vaccine.
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State Support Could Improve HPV Vaccination Rates
Investigators researched three possible state-level programs to guide lawmakers on this public health issue.
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USPSTF Refrains from Definitive Blood Pressure Screening Recommendation
Panel says more research needed before clear judgments for or against screening children, adolescents can be made.
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Revised Policy on Organ Transplants for Children with Disabilities Targets Discrimination
Children with disabilities can be organ donors, contributing to the supply. Excluding these patients as organ recipients would not be fair. A new policy statement does not consider intellectual and developmental disabilities (IDD) completely irrelevant, but the authors do not consider IDD to be dispositive for listing decisions either.
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HHS Releases Latest Iteration of Antibiotic Resistance Action Plan
The five-point strategy crafted in previous years remains the same, but the tactics have improved to help execute the goals. The new plan includes details about stronger and more evidence-based activities that have reduced antibiotic resistance that public health officials can lean on to drive progress.
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Early Trial Results Suggest Many Acute Appendicitis Patients Could Safely Delay or Avoid Surgery
In a study, 70% of patients with appendicitis who were treated with antibiotics avoided surgery at 90 days. This creates possibilities for patients and providers for a common diagnosis in the ED.
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Study of Epidural Analgesia Stirs Controversy
Several groups stand in strong opposition to a group of researchers’ recent conclusion about possible connection to autism risk.