Search results for "Antibiotic use"
Multipart primary care intervention reduces unnecessary use of antibiotics for UTIs in women
A trial in Germany found that primary care practices where patients and physicians received information on guideline recommendations and antibiotic resistance and physicians received feedback were less likely to use antibiotics for uncomplicated urinary tract infections (UTIs).
https://immattersacp.org/weekly/archives/2023/11/07/1.htm
7 Nov 2023
MKSAP Quiz: 5-month history of bloating, diarrhea
A 70-year-old man is evaluated for a 5-month history of bloating and nonbloody diarrhea. Diarrhea occurs three times daily. Following a physical exam, lab tests, colonoscopy, and abdominal CT, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2023/06/13/3.htm
13 Jun 2023
Antibiotic stewardship improved prescribing for suspected UTI in frail older adults
Inappropriate antibiotic prescribing for suspected urinary tract infections (UTIs) was reduced in practices and facilities assigned to use a decision tool instead of usual care, particularly for patients with dementia, a randomized trial in Europe found.
https://immattersacp.org/weekly/archives/2023/02/28/5.htm
28 Feb 2023
New ACP living practice points, mortality data on COVID-19
The College offered recommendations on outpatient COVID-19 treatments. Three studies looked at shifts in mortality from COVID-19 at different times and places. An international study compared infections in health care workers with medical masks versus N95s.
https://immattersacp.org/weekly/archives/2022/11/29/2.htm
29 Nov 2022
A new approach to diverticulitis
Evidence is fueling new guidelines suggesting internists treat most cases of uncomplicated diverticulitis in an outpatient setting, without antibiotics.
https://immattersacp.org/archives/2022/04/a-new-approach-to-diverticulitis.htm
1 Apr 2022
Applying ACP's advice for shorter courses of antibiotics
ACP's recent Best Practice Advice for antibiotic stewardship, the College's second guidance on the topic, is meant to improve patient care and combat antibiotic resistance.
https://immattersacp.org/archives/2021/10/applying-acps-advice-for-shorter-courses-of-antibiotics.htm
1 Oct 2021
Clinician education, feedback led to fewer inappropriate antibiotics for respiratory tract infections
A stepped-wedge cluster randomized study in 31 primary care practices found that the proportion of visits with an antibiotic prescription decreased from 35.2% to 23.0% after an intervention involving clinician education and monthly peer comparison feedback.
https://immattersacp.org/weekly/archives/2021/07/13/5.htm
13 Jul 2021
MKSAP Quiz: Chronic intermittent nonbloody diarrhea
A 25-year-old woman is evaluated for chronic intermittent nonbloody diarrhea with associated abdominal cramping, burping, and bloating. Symptoms began several months ago. Following a physical exam and stool testing, what is the most likely cause of this patient's diarrheal illness?
https://immattersacp.org/weekly/archives/2021/05/18/3.htm
18 May 2021
Guideline addresses viral testing in patients with community-acquired pneumonia
The new American Thoracic Society guideline opposes routine use of nucleic acid-based testing for noninfluenza viral pathogens in outpatients with community-acquired pneumonia but identifies some uses for the tests in inpatients.
https://immattersacp.org/weekly/archives/2021/05/11/4.htm
11 May 2021
Advice from ACP supports short courses of antibiotics for several common infections
Because at least 30% of antibiotic use is considered unnecessary, best practices were issued on treatment of chronic obstructive pulmonary disease exacerbation and uncomplicated bronchitis, community-acquired pneumonia, uncomplicated urinary tract infection, and cellulitis.
https://immattersacp.org/weekly/archives/2021/04/06/1.htm
6 Apr 2021