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Antibiotic Use at Hospital Discharge and Outpatient Antimicrobial Stewardship
AbstractPurpose of ReviewInappropriate and unnecessary antibiotic prescriptions are common in the outpatient setting and as patients transition from inpatient to outpatient care. This review is designed to discuss effective strategies aimed to improve appropriate antibiotic use during transitions of care and in the outpatient setting for high-priority syndrome areas including acute respiratory infections (ARI), urinary tract infections (UTI), skin and soft tissue infections (SSTI), and bone and joint infections (BJI).Recent FindingsUnlike inpatient stewardship programs, outpatient stewardship practices are currently not st...
Source: Current Infectious Disease Reports - November 20, 2023 Category: Infectious Diseases Source Type: research

One Small Step (Down) for Antibiotics, One Giant Leap for Outpatient Therapy: The Role of Oral Antibiotics in Serious Bacterial Infections
AbstractPurpose of ReviewStepping down to oral antibiotic therapy after a period of IV lead-in would eliminate most of the untoward effects of long-term intravenous therapy, including lengthy hospital admissions, copays for ambulatory infusions, catheter-related adverse events, and missed work/school.Recent FindingsTwo randomized, controlled trials, POET and OVIVA, contribute significant support for oral stepdown regimens in endocarditis and osteomyelitis, disease states that are commonly caused by gram-positive organisms. In addition, a number of retrospective reviews comparing early oral switch to continued IV therapy fo...
Source: Current Infectious Disease Reports - October 31, 2023 Category: Infectious Diseases Source Type: research

A single-centre audit of specialist Bronchiectasis care and outcomes at 12 months
Conclusions: There was overall good adherence to the guidelines in all areas, leading to an improvement for the majority of patients. (Source: European Respiratory Journal)
Source: European Respiratory Journal - October 27, 2023 Category: Respiratory Medicine Authors: Tooth, G., Hanrahan, S., Monson, V., Grogono, D. Tags: Respiratory infections and bronchiectasis Source Type: research

Factitious disorder in IV therapy
Br J Nurs. 2023 Oct 26;32(19):S3. doi: 10.12968/bjon.2023.32.19.S3.NO ABSTRACTPMID:37883316 | DOI:10.12968/bjon.2023.32.19.S3 (Source: British Journal of Nursing)
Source: British Journal of Nursing - October 26, 2023 Category: Nursing Authors: Andrew Barton Source Type: research