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Hospital-acquired pneumonia (HAP) and ventilator-associated pneumonia (VAP)—which account for 20% to 25% of hospital-acquired infections—should be treated with shorter courses of antibiotics, according to new guidelines released by the Infectious Diseases Society of America and American Thoracic Society (Clin Infect Dis 2016 Jul 13. The new guidelines recommend seven days or less of antibiotics for most […]
Read MoreDrug-resistant ‘superbug’ could make antibiotics useless A drug-resistant “superbug” that doctors have been dreading has shown up in the U.S. for the first time, researchers reported Thursday. The bacteria has genetic changes that make it resistant to a last-ditch antibiotic called colistin and while it had been seen in Europe and China, no one in […]
Read MoreWith evidence on the detrimental effects of catastrophizing on chronic pain well documented and ever increasing, researchers are making headway in refining the tools needed to measure the highly subjective symptom. The current gold standard in measuring catastrophizing, the Pain Catastrophizing Scale (PCS), a validated 13-item instrument, considers factors including rumination, helplessness, and magnification, but […]
Read MoreAre low-dose ketamine infusions for analgesia safe for patients who are not in a setting with continuous monitoring? The answer is yes, according to a small retrospective study. Lt. Cmdr. Jeffrey M. Carness, MD, and his colleagues at the Naval Medical Center Portsmouth, in Virginia, have long recognized the efficacy of ketamine in subanesthetic doses […]
Read MoreAmong inpatients aged 45 years or older having noncardiac surgery, 9% will experience myocardial injury within the 30 days after the procedure. About 80% of these injuries are clinically silent, detected only by troponin elevation. Mortality, however, is nearly identical for symptomatic and asymptomatic troponin elevations. Within 30 days of surgery, 10% of patients with […]
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