Coding Bias for "Sinusitis" to Justify Antibiotic Prescribing

Coding Bias for "Sinusitis" to Justify Antibiotic Prescribing

Physicians who wrote for the most antibiotics were also the ones who diagnosed sinusitis most often.  To justify writing for an antibiotic, there was a coding bias to call it “sinusitis” when in fact, it probably was just a cold.

Fluoroquinolones and Sudden Death

Fluoroquinolones and Sudden Death

Fluoroquinolone (FQ) antibiotics were associated with an increased odds of serious arrhythmic event (SAE) from 7 up to 90 days after taking them.

Do All Children Admitted with CAP Need a Blood Culture?

Do All Children Admitted with CAP Need a Blood Culture?

Overall yield of blood culture for pediatric community acquired pneumonia (CAP) was low; 91 blood cultures were needed to get one positive result. But in children admitted to the ICU, one child had bacteremia for every 24 cultures obtained; one for every 12 in children with parapneumonic effusion.

Do We Still Need Annual TB Skin Testing?

Do We Still Need Annual TB Skin Testing?

The CDC no longer recommends* annual TB screening of health care providers in the absence of a known exposure or ongoing transmission.

Door-to-Antibiotic And Mortality in Sepsis

Door-to-Antibiotic And Mortality in Sepsis

Mortality was higher when door-to-antibiotic time was > 3 h. However, there was no difference when comparing mortality in those given antibiotics within the first hour to those after the first hour.

Lemierre's Syndrome - Sore Throat Gone Wrong

Lemierre's Syndrome - Sore Throat Gone Wrong

Sometimes sore throat isn’t just sore throat - it could be a life threatening complication. Learn about Lemierre’s syndrome with this quick-hitter teaching case from NEJM.

New IDSA Guideline on Asymptomatic Bacteriuria

New IDSA Guideline on Asymptomatic Bacteriuria

The IDSA now only recommends screening for and treating asymptomatic bacteriuria (ASB) in pregnant women and those undergoing an invasive urologic procedure.

Understanding Lactate in Sepsis - Implications for Early Management

Understanding Lactate in Sepsis - Implications for Early Management

Hyperlactatemia appears to arise from impaired oxygen utilization more often than decreased O2 delivery but doesn’t cause acidemia unless there is impaired renal function. The novel “alactic base excess” may give us an early way to tell when the kidneys are failing to compensate.

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