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
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.
Who’s Doing LP in Infants 29-60 Days Old?
There is large practice variation in performance of a lumbar puncture (LP) in infants 29-60 days old, with overall LP rate of 69.5%, but a range across centers from 35-90%.
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
The IDSA now only recommends screening for and treating asymptomatic bacteriuria (ASB) in pregnant women and those undergoing an invasive urologic procedure.
RIFTS RCT – Restrictive Fluid in Septic Shock
A restrictive fluid approach (<60mL/kg/72h) vs standard care had no impact on 30-day mortality or other adverse secondary outcomes in this pilot study of patients with severe sepsis or septic shock.
Counterpoint: Pelvic Exam Is Necessary
This letter to the editor presents compelling reasons why a pelvic exam is needed to diagnose cervicitis or pelvic inflammatory disease.
Measles Spoon Feed – What You Need to Know
The U.S. is currently in a measles outbreak. So, don’t miss this quick spoon-feed refresher. You will learn something new.
POCUS for Abscess – Is It Accurate?
Point of care ultrasound (POCUS) wasn’t better than physician judgment when they were certain an abscess was present, but it was of some value in equivocal cases, though far from a gold standard.
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.