Do Steroids Benefit Influenza Pneumonia?
Unless there is compelling alternative reason to do so (i.e. asthma), giving a glucocorticoid to treat influenza pneumonia was associated with increased risk of mortality.
Can CURB-65 Predict ICU-Level Care for Pneumonia?
CURB-65 was a poor predictor of the need for critical care intervention in adult patients with community acquired pneumonia.
Why SEP-1 CMS “Quality” Metrics Are Dumb
Sepsis bundles like the CMS SEP-1 guidelines are too restrictive, requiring an all-or-nothing approach to achieve compliance. These bundles fail to prioritize the most important bundle components while penalizing providers for meaningless omissions that have no impact on mortality.
Hidden Risk of Penicillin Allergy Might Surprise You
Patients with a penicillin allergy were 69% more likely to develop MRSA infection and 26% more likely to contract C. difficile.
Antibiotic Resistance – The Problem and Solution
Most doctors and clinicians think someone else is the problem when it comes to antibiotic resistance and stewardship. We are the problem. And we are the solution.
Flu Tests in Summer and Other Bad Ideas
Why is it a bad idea to test for flu during the summer, in a time of low prevalence? Because the PPV decreases as prevalence decreases. Any positive test you get is more likely than not to be a false positive.
Who’s Giving Inappropriate Antibiotics – Urgent Care, Retail, Emergency, or Medical Office?
Urgent care centers wrote the most inappropriate antibiotic prescriptions for viral respiratory illnesses. They were followed by the ED, medical offices, and finally by retail health clinics.
Infective Endocarditis – Spoon Feed
JAMA recently covered infective endocarditis (IE). I thought the JF readers would be well served by a Spoon Feed version. This thing is 12 pages long with 117 references. Let's miniaturize it, shall we?
Amazing Tool, UTICalc – When to Check UA in Kids
This is amazing! UTICalc is an online tool that can both reduce unnecessary testing and missed UTIs.
No POCUS Hate Train
JournalFeed week in review - was it a POCUS hate train this week? Maybe not…