Search results for "Antibiotics"
Broad-spectrum antibiotics dispensed to almost half of healthy adult outpatients with CAP
An analysis of oral antibiotic regimens dispensed to healthy outpatients with community-acquired pneumonia (CAP) in 2007 through 2019 found that 48% got broad-spectrum drugs and that they had significantly higher rates of adverse drug events than patients who got macrolide monotherapy.
https://immattersacp.org/weekly/archives/2024/10/29/4.htm
29 Oct 2024
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
MKSAP Quiz: H. pylori eradication
A 45-year-old man is evaluated after a positive result on fecal antigen testing for Helicobacter pylori, obtained 2 months after he completed eradication therapy for H. pylori gastritis, and duodenal ulcer documented by upper endoscopy. What is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2024/11/05/3.htm
5 Nov 2024
Antibiotics more frequently prescribed in virtual versus in-person urgent care visits
More than half (58%) of virtual urgent care visits for respiratory infection resulted in an antibiotic prescription compared with 43% of in-person visits, with prescriptions largely driven by sinusitis diagnoses, a review within a single health system found.
https://immattersacp.org/weekly/archives/2024/08/06/1.htm
6 Aug 2024
CAP presents challenges for clinicians
While not treating patients with pneumonia could be catastrophic, giving antibiotics to those who don't have it also causes harm.
https://immattersacp.org/archives/2024/06/cap-presents-challenges-for-clinicians.htm
1 Jun 2024
Inappropriate outpatient antibiotics linked to adverse drug events, excess health care costs
Prescriptions of antibiotics to U.S. adults with viral respiratory infections were associated with diarrhea, vulvovaginal candidiasis/vaginitis, and allergies, while use of an inappropriate antibiotic for bacterial infections was associated with nausea, vomiting, and abdominal pain.
https://immattersacp.org/weekly/archives/2022/11/15/4.htm
15 Nov 2022
MKSAP Quiz: New lesion on the side of the face
A 29-year-old woman is evaluated for a 6-month history of acne that worsens during menses. She has been using topical benzoyl peroxide wash and topical tretinoin cream, but there has been no improvement. What is the most appropriate management?
https://immattersacp.org/archives/2024/04/mksap-quiz-new-lesion-on-the-side-of-the-face.htm
1 Apr 2024
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
Meta-analysis compares oral antibiotic regimens for mild to moderate CAP
No statistically significant differences were found, but the results suggested favoring nemonoxacin, levofloxacin, telithromycin, and clarithromycin over penicillin and amoxicillin for outpatients with mild to moderate community-acquired pneumonia (CAP).
https://immattersacp.org/weekly/archives/2024/02/27/1.htm
27 Feb 2024
Pearls for lower-extremity cellulitis
A simple hands-on physical test can help rule out cellulitis in favor of other diagnoses.
https://immattersacp.org/archives/2024/05/pearls-for-lower-extremity-cellulitis.htm
1 May 2024