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Antibiotic Stewardship

Practice update to optimize the performance and interpretation of blood cultures.

6 Sep, 2022 | 14:31h | UTC

Practice update to optimize the performance and interpretation of blood cultures – South African Medical Journal

 


RCT | Maintaining continuous endotracheal cuff pressure control through an automated electronic device did not reduce the incidence of ventilator-associated respiratory infection.

5 Sep, 2022 | 14:25h | UTC

Effectiveness of Continuous Endotracheal Cuff Pressure Control for the Prevention of Ventilator-Associated Respiratory Infections: An Open-Label Randomized, Controlled Trial – Clinical Infectious Diseases

 


Systematic Review | Antifungal therapies for allergic bronchopulmonary aspergillosis in people with cystic fibrosis.

5 Sep, 2022 | 14:15h | UTC

Antifungal therapies for allergic bronchopulmonary aspergillosis in people with cystic fibrosis – Cochrane Library

Summary: Treatments to fight fungal infections that cause allergic bronchopulmonary aspergillosis in people with cystic fibrosis – Cochrane Library

 


AHA Scientific Statement | Management of infective endocarditis in people who inject drugs.

1 Sep, 2022 | 12:00h | UTC

Management of Infective Endocarditis in People Who Inject Drugs: A Scientific Statement From the American Heart Association – Circulation

News Release: Addiction management is key to treating heart infection in people who inject drugs – American Heart Association

Top Things to Know: Infective Endocarditis in People Who Inject Drugs – American Heart Association

Video: Management of Infective Endocarditis in People who Inject Drugs – American Heart Association

Commentaries:

Infective Endocarditis in People Who Inject Drugs: A Call for Patient-Centered, Multidisciplinary Care – American Heart Association

AHA Addresses Infective Endocarditis in Injection Drug Users – HealthDay

Related: Management of Infective Endocarditis in People Who Inject Drugs – American College of Cardiology (the original article is paywalled but has an informative infographic)

 


Study Commentary | Zinc for the prevention or treatment of respiratory tract infections: a new systematic review.

1 Sep, 2022 | 11:46h | UTC

Zinc for the prevention or treatment of respiratory tract infections: A new systematic review – Science-Based Medicine

Original Study: M-A: Zinc might help to stave off respiratory infection symptoms and cut illness duration – “But quality of evidence variable, and no clarity on optimal formulation or dose”.

 


Study shows dentists should give antibiotics to high-risk patients to help prevent infectious endocarditis.

1 Sep, 2022 | 11:43h | UTC

News Release: Dentists should give antibiotics to high-risk patients to help prevent life-threatening heart infection – The University of Sheffield

Original Study: Antibiotic Prophylaxis Against Infective Endocarditis Before Invasive Dental Procedures – Journal of the American College of Cardiology (link to abstract – $ for full-text)

Commentary: UK dentists should give antibiotics to patients at risk of heart infection – study – The Guardian

 


Meta-analysis of randomized trials | Antibiotic therapy vs. appendicectomy for uncomplicated acute appendicitis.

1 Sep, 2022 | 11:40h | UTC

Randomized clinical trials comparing antibiotic therapy with appendicectomy for uncomplicated acute appendicitis: meta-analysis – BJS Open

Related:

Nonoperative vs Operative Management of Uncomplicated Acute Appendicitis: A Systematic Review and Meta-Analysis – JAMA Surgery

Efficacy and Safety of Non-Operative Management of Uncomplicated Acute Appendicitis Compared to Appendectomy: An Umbrella Review of Systematic Reviews and Meta-Analyses – World Journal of Surgery

Cohort Study: Patient factors associated with appendectomy within 30 days of initiating antibiotic treatment for appendicitis – the presence of an appendicolith was associated with a nearly 2-fold increased risk of undergoing appendectomy within 30 days.

Review: Diagnosis of uncomplicated and complicated appendicitis in adults.

Another RCT evaluating the efficacy and quality of life of antibiotic-only treatment of acute uncomplicated appendicitis.

A Randomized trial comparing antibiotics with appendectomy for appendicitis

Antibiotics alone for uncomplicated appendicitis: Oral Moxifloxacin almost as good as intravenous Ertapenem + oral Levofloxacin

Observational study: 67.1% success rate with nonoperative management of children with uncomplicated appendicitis

Randomized Trial: Quality of Life and Patient Satisfaction at 7-Year Follow-up of Antibiotic Therapy vs. Appendectomy for Uncomplicated Acute Appendicitis

Meta-Analysis: Antibiotic Treatment vs. Appendectomy for Uncomplicated Acute Appendicitis in Adults and Children

Nonoperative treatment for nonperforated appendicitis in children: a systematic review and meta-analysis – Pediatric Surgery International

 

Commentary on Twitter

 


Meta-analysis of randomized trials | Efficacy and safety of Plazomicin in the treatment of Enterobacterales infections.

31 Aug, 2022 | 11:39h | UTC

Efficacy and safety of plazomicin in the treatment of Enterobacterales infections: A meta-analysis of randomized controlled trials – Open Forum Infectious Diseases

 


M-A | Adverse pregnancy and birth outcomes associated with Mycoplasma hominis, Ureaplasma urealyticum and Ureaplasma parvum.

29 Aug, 2022 | 12:06h | UTC

Adverse pregnancy and birth outcomes associated with Mycoplasma hominis, Ureaplasma urealyticum and Ureaplasma parvum: a systematic review and meta-analysis – BMJ Open

 


Cluster RCT | Effect of antiseptic bathing with chlorhexidine or octenidine on central line–associated bloodstream infections in intensive care patients.

24 Aug, 2022 | 14:02h | UTC

Effect of antiseptic bathing with chlorhexidine or octenidine on central line–associated bloodstream infections in intensive care patients: a cluster-randomized controlled trial – Clinical Microbiology and Infection (link to abstract – $ for full-text)

 

Commentary on Twitter

 


Study Commentary | Non-sterile gloves for suturing traumatic lacerations?

23 Aug, 2022 | 13:29h | UTC

Non-Sterile Gloves for Suturing Traumatic Lacerations? – RebelEM

Original Study: Non-sterile gloves and dressing versus sterile gloves, dressings and drapes for suturing of traumatic wounds in the emergency department: a non-inferiority multicentre randomised controlled trial – Emergency Medicine Journal (link to abstract – $ for full-text)

 


Review | The role of abdominal drain cultures in managing abdominal infections.

23 Aug, 2022 | 12:48h | UTC

The Role of Abdominal Drain Cultures in Managing Abdominal Infections – Antibiotics

 


Review | Drug regimens of novel antibiotics in critically ill patients with varying renal functions.

23 Aug, 2022 | 12:49h | UTC

Drug Regimens of Novel Antibiotics in Critically Ill Patients with Varying Renal Functions: A Rapid Review – Antibiotics

 


RCT | Ceftolozane/Tazobactam plus Metronidazole vs. Meropenem in patients with complicated intra-abdominal infections.

18 Aug, 2022 | 12:37h | UTC

A Phase 3, Multicenter, Double-blind, Randomized Clinical Trial to Evaluate the Efficacy and Safety of Ceftolozane/Tazobactam Plus Metronidazole Versus Meropenem in Chinese Participants With Complicated Intra-abdominal Infections – International Journal of Infectious Diseases

 


AAP Updated Clinical Report | The use of systemic and topical fluoroquinolones.

17 Aug, 2022 | 14:19h | UTC

The Use of Systemic and Topical Fluoroquinolones – Pediatrics

 


NICE Guideline | Urinary tract infection in under 16s: diagnosis and management.

15 Aug, 2022 | 12:34h | UTC

Urinary tract infection in under 16s: diagnosis and management – National Institute for Health and Care Excellence

 


M-A | Interventions to reduce infections in patients with hematological malignancies.

15 Aug, 2022 | 11:51h | UTC

Interventions to reduce infections in patients with hematological malignancies: a systematic review and meta-analysis – Blood Advances

Commentary: Prophylactic Immunoglobulin, Vaccinations May Reduce Infections in Hematologic Malignancies – AJMC

 


Age–sex differences in the global burden of lower respiratory infections and risk factors, 1990–2019: results from the Global Burden of Disease Study 2019.

12 Aug, 2022 | 14:58h | UTC

Age–sex differences in the global burden of lower respiratory infections and risk factors, 1990–2019: results from the Global Burden of Disease Study 2019 – The Lancet Infectious Diseases

Invited Commentary: Trends in the global burden of lower respiratory infections: the knowns and the unknowns – The Lancet Infectious Diseases

 

Commentary on Twitter (thread – click for more)

 


M-A | Diagnostic accuracy of urinary antigen tests for pneumococcal pneumonia among patients with acute respiratory failure suspected pneumonia.

12 Aug, 2022 | 14:28h | UTC

Diagnostic accuracy of urinary antigen tests for pneumococcal pneumonia among patients with acute respiratory failure suspected pneumonia: a systematic review and meta-analysis – BMJ Open

 


Podcast | Meningitis pearls.

12 Aug, 2022 | 14:25h | UTC

#346 Meningitis – The Curbsiders

 


RCT | Tobramycin inhalation solution is effective in adults with bronchiectasis with pseudomonas aeruginosa infection.

11 Aug, 2022 | 12:15h | UTC

A Double-blind Randomized Placebo-controlled Phase-3 Trial of Tobramycin Inhalation Solution in Adults with Bronchiectasis with Pseudomonas aeruginosa Infection – CHEST

Commentary: Tobramycin Tames Infection in Bronchiectasis – Medscape (free registration required)

Related Study: Testing the effects of combining azithromycin with inhaled tobramycin for P. aeruginosa in cystic fibrosis: a randomised, controlled clinical trial – Thorax

 


Retrospective cohort study | In patients with recurrent prosthetic joint infection after attempted surgical eradication, chronic antibiotic suppression may be a reasonable strategy in patients who lack or refuse further surgical treatment options.

10 Aug, 2022 | 12:17h | UTC

Predictors of Success with Chronic Antibiotic Suppression for Prosthetic Joint Infections – The Journal of Arthroplasty (link to abstract – $ for full-text)

Commentary: Chronic antibiotic suppression may successfully treat periprosthetic joint infections – Healio (free registration required)

 


Guideline Synopsis | Treatment of Clostridioides difficile infection.

9 Aug, 2022 | 12:54h | UTC

Treatment of Clostridioides difficile Infection – JAMA (free for a limited period)

Original Guideline: ACG Clinical Guidelines: Prevention, Diagnosis, and Treatment of Clostridioides difficile Infections – American Journal of Gastroenterology

Related Guidelines:

Clinical Practice Guideline by the Infectious Diseases Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA): 2021 Focused Update Guidelines on Management of Clostridioides difficile Infection in Adults – Clinical Infectious Diseases

Prevention of Clostridioides difficile in hospitals: A position paper of the International Society for Infectious Diseases – International Journal of Infectious Diseases

Clostridioides difficile infection: antimicrobial prescribing – National Institute for Health and Care Excellence

Japanese Clinical Practice Guidelines for Management of Clostridioides (Clostridium) difficile infection – Journal of Infection and Chemotherapy

 

Commentary on Twitter

 


Inhaled antibiotics in critical care: state of the art and future perspectives.

9 Aug, 2022 | 12:30h | UTC

Inhaled antibiotics in critical care: State of the art and future perspectives – Infectious Diseases Now

 


Antimicrobial dosing recommendations in pediatric continuous renal replacement therapy: a critical appraisal of current evidence.

5 Aug, 2022 | 13:58h | UTC

Antimicrobial Dosing Recommendations in Pediatric Continuous Renal Replacement Therapy: A Critical Appraisal of Current Evidence – Frontiers in Pediatrics

 


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