Search results for "Antibiotic therapy"
Diabetic foot care begins with bare feet
Internists can head up a care team that intervenes early and often in preventing the ulcerations, pressure points and neuropathies that can progress to infection and possibly amputation.
https://immattersacp.org/archives/2013/10/diabetes.htm
1 Oct 2013
MKSAP Quiz: ED evaluation for a painful body rash
A 64-year-old man is evaluated in the ED for a rash that first developed 3 days ago and has rapidly spread to cover most of his body. He has a history of mild psoriasis, well controlled with topical corticosteroids, and asthma. One week ago, he completed a 10-day course of oral corticosteroids for an acute exacerbation of asthma. On physical examination, more than 90% of his body surface area is erythematous. There are widespread coalescing erythematous patches and plaques, many with pinpoint pustules coalescing into lakes of pus. What is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2014/04/29/3.htm
29 Apr 2014
More things you shouldn't do based on the lack of evidence
Unwarranted testing and use of resources make up the biggest chunk of unnecessary health care costs, estimated at between $250 and $325 billion per year, and include such items as folic acid tests for patients with altered mental status, creatine kinase muscle-brain testing, and 24-hour patient observation after switching from IV to oral antibiotics.
https://immattersacp.org/archives/2014/05/evidence.htm
1 May 2014
Fecal transplant pills, other innovations in C. difficile treatment
Speakers at IDWeek 2014 discussed the latest developments in treating Clostridium difficile, including more patient-friendly forms of fecal transplantation.
https://immattersacp.org/archives/2014/11/c-diff.htm
1 Nov 2014
Guideline updates recommendations to manage adult rhinosinusitis
A new guideline updated recommendations to improve diagnosis, testing, and treatment of adult acute rhinosinusitis.
https://immattersacp.org/weekly/archives/2015/04/07/2.htm
7 Apr 2015
Need grows for antimicrobial stewardship
Internists looking for a career in a growth field could consider antimicrobial stewardship. One internist recounts the ups and downs of his chosen profession.
https://immattersacp.org/archives/2015/07/antimicrobials.htm
1 Jul 2015
MKSAP Quiz: 5-day history of rhinitis, nasal congestion, and sneezing
An 84-year-old man is evaluated for a 5-day history of rhinitis, nasal congestion, sneezing, and nonproductive cough. The symptoms began with a sore throat, which resolved after 24 hours. He has mild ear pain when blowing his nose or coughing. He has a history of coronary artery disease and hypertension. Medications are aspirin, metoprolol, and hydrochlorothiazide. Following a physical exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2015/07/21/3.htm
21 Jul 2015
Chronic sinusitis treatments compared in systematic review
Saline irrigation improved symptom scores compared with no treatment, and topical corticosteroid therapy improved overall symptom scores, improved polyp scores, and reduced polyp recurrence after surgery.
https://immattersacp.org/weekly/archives/2015/09/15/4.htm
15 Sep 2015
MKSAP Quiz: 2-day history of increasing pain
A 30-year-old woman is evaluated for a 2-day history of increasing pain in the right antecubital fossa and biceps. She reports daily injection drug use. Medical history is otherwise unremarkable, and she takes no prescription medications. The right biceps area is extremely tender and warm, with multiple track marks, woody induration, edema, and overlying ecchymotic bullous lesions. In addition to emergent surgical evaluation, which of the following is the most appropriate empiric treatment?
https://immattersacp.org/weekly/archives/2016/03/01/4.htm
1 Mar 2016
Non-first-line antibiotics prescribed half the time for otitis media, sinusitis, pharyngitis
There is evidence of substantial overuse of non-first-line antibiotics for 3 of the most common conditions in ambulatory care that collectively account for more than 40 million antibiotic prescriptions annually.
https://immattersacp.org/weekly/archives/2016/11/01/2.htm
1 Nov 2016