Tag: Antibiotics

FDA issues warning on azithromycin

Editor's Note The Food and Drug Administration (FDA) on August 3 issued a warning for azithromycin, saying the antibiotic should not be given long-term to prevent an inflammatory lung condition in patients with cancers of the blood or lymph nodes who undergo a donor stem cell transplant. A clinical trial…

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By: Judy Mathias
August 3, 2018
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FDA requires new labeling for fluoroquinolone antibiotics

Editor's Note The Food & Drug Administration announced on July 10 that it was requiring labeling changes for fluoroquinolone antibiotics because they may cause significant decreases in blood sugar and mental health side effects. The labels will add that low blood sugar levels can lead to coma and make the…

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By: Judy Mathias
July 11, 2018
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MRSA more transmissible in OR than methicillin-sensitive S aureus

Editor's Note In this study, methicillin-resistant Staphylococcus aureus (MRSA) had a greater risk of transmission in the OR than methicillin-sensitive S aureus. Researchers collected 173 S aureus isolates from 274 randomly selected ORs (first and second cases of the day in each OR) at three hospitals. The isolates underwent systematic-phenotypic…

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By: Judy Mathias
April 30, 2018
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Patient preference for surgery, antibiotics to treat appendicitis

Editor's Note In this survey, most respondents chose surgical rather than nonsurgical treatment for acute appendicitis. Of 1,728 respondents, 85.8% chose laparoscopic appendectomy, 4.9% chose open appendectomy, and 9.4% chose antibiotics alone as treatments for themselves. For their child, 79.4% chose laparoscopic appendectomy, 6.1% chose open appendectomy, and 14.5% chose…

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By: Judy Mathias
January 16, 2018
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Preop antibiotics significantly lower SSI risk in left colorectal surgery

Editor's Note Adding oral antibiotics to mechanical bowel preparation for left colorectal cancer surgery significantly lowered the rate of surgical site infections (SSIs), but the effect was marginal in right-colon resections, this study finds. For 89 patients having left colorectal resections, the rate of SSIs was 27% with mechanical bowel…

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By: Judy Mathias
October 23, 2017
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Penicillin allergy linked to SSI risk

  Editor's Note In this study from the Massachusetts General Hospital, Boston, patients with penicillin allergies had a 50% increased odds of developing surgical site infections (SSIs), which the researchers attributed to the second-line antibiotics administered to them.  A total of 8,385 patients who had surgery between 2010 and 2014…

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By: Judy Mathias
October 19, 2017
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Study: Antibiotic prophylaxis not linked to postop antibiotic-resistant infections

Editor's Note Surgical patients who received antibiotic prophylaxis before low-risk procedures did not have an increased risk for postoperative antibiotic-resistant infections, this study finds. Of 22,138 patients included in the analysis, 689 developed an infection within 30 days after surgery. Of these, 550 (80%) had received antibiotic prophylaxis, and 338…

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By: Judy Mathias
October 11, 2017
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Joint Commission deletes Medication Management EP

Editor's Note The Joint Commission announced on October 4 that it is deleting element of performance (EP) 3 for Medication Management 09.01.01 for hospitals and critical access hospitals, effective October 1. The standard states: “The [critical access] hospital educates patients, and their families as needed, regarding the appropriate use of…

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By: Judy Mathias
October 5, 2017
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Risk assessment system from private industry identifies SSI risks in ASCs

Editor's Note A risk-assessment system designed to avoid harm in private industry (ie, Socio-Technical Probabilistic Risk Assessment [ST-PRA]), was used by Agency for Healthcare Research and Quality (AHRQ)-funded researchers to identify practices likely to pose infection risks in ambulatory surgery centers (ASCs). The ST-PRA ranks failure points (events) according to…

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By: Judy Mathias
September 20, 2017
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Effect of antibiotic duration on colorectal SSIs

Editor's Note When colorectal surgical patients, who were given a single dose of antibiotic before surgery and re-dosing if the procedure lasted longer, were compared to patients given additional antibiotics for 24 hours postoperatively, infection rates were identical, this study finds. A total of 965 patients were included in this…

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By: Judy Mathias
August 14, 2017
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