Tue, May 2 – 10 Medical Stories of The Day!
2 May, 2017 | 00:38h | UTC
1 – Use of antibiotics during pregnancy and risk of spontaneous abortion – Canadian Medical Association Journal (free) (RT @CMAJ see Tweet)
Commentary: Use of Certain Antibiotics in Pregnancy Tied to Spontaneous Abortion – Physician’s First Watch (free)
In this nested case-control study, use of common antibiotics such as macrolides (excluding erythromycin), quinolones, tetracyclines, sulfonamides and metronidazole during early pregnancy was associated with an increased risk of spontaneous abortion.
2 – Effect of Using the HEART Score in Patients With Chest Pain in the Emergency Department: A Stepped-Wedge, Cluster Randomized Trial – Annals of Internal Medicine (link to abstract – $ for full-text)
See also: HEART Score for Major Cardiac Events – MdCalc (free)
Commentaries: HEART Score for Chest Pain in ED Found to Be Safe, Cost-Effective – Physician’s First Watch (free) AND HEART Score Safely Informs Chest Pain Decisions in ED – Medscape (free registration required) AND HEART score to risk stratify patients with chest pain is safe but underutilized in the ED – ScienceDaily (free)
3 – Just started. Essentials of Global Health – Free Online Course from the Yale University and Coursera (RT @glassmanamanda)
4 – Expert consensus document: Echocardiography and lung ultrasonography for the assessment and management of acute heart failure – Nature Reviews Cardiology (free)
Source: Critical Care Reviews Newsletter
5 – Short review: CPAP Use in Obstructive Sleep Apnea: What a Cardiologist Needs to Know – American College of Cardiology, Latest in Cardiology (free)
6 – Review: Acute Respiratory Distress Syndrome – European Respiratory Review (free)
7 – Women with symptoms of a urinary tract infection but a negative urine culture: PCR-based quantification of Escherichia coli suggests infection in most cases – Clinical Microbiology and Infection (link to abstract – Free and legal PDF here – via @unpaywall)
Sources: The most reliable test and predictive entity for uncomplicated UTI is the patient’s symptoms – Emergency Literature of Note Blog (free) AND Negative Urine Culture + Symptoms = UTI in Most Women – MedPage Today (free registration required)
This study suggests that women with symptoms of uncomplicated cystitis and a negative urinary culture should be treated nonetheless.
Sources: Study: Resistant gram-negative bacteria common in nursing homes – CIDRAP (free) (RT @IDSAInfo see Tweet) AND A quarter of nursing home residents are colonized with drug-resistant bacteria – EurekAlert (free)
9 – For Pregnant Women, Getting Serious About Whooping Cough – The New York Times (10 articles per month are free)
Related: Effectiveness of Vaccination During Pregnancy to Prevent Infant Pertussis – Pediatrics (free) AND Study: Pertussis shot in pregnant moms protects newborns – CIDRAP (free) AND Get the Whooping Cough Vaccine While You Are Pregnant – Centers for Disease Control and Prevention (CDC) (free)
Original article abstract ($ for full-text): Achieved blood pressure and cardiovascular outcomes in high-risk patients: results from ONTARGET and TRANSCEND trials – The Lancet
See more about this article in our April 11 issue, see #8.