Sepsis Perspective

• AKI From Contrast CT Scans: Is There an Association? Dr Patel reviews a study, published in the Annals of Emergency Medicine, that compares outcomes between patients receiving contrast-enhanced CT and those receiving noncontrast CT.
  Medscape Emergency Medicine, March 2018
• Two Simple Ways to Improve Diagnosis of Infectious Diseases Recent data support taking a hard look at clinical practices surrounding diagnostic testing in C difficile and bloodstream infections.
  Society for Healthcare Epidemiology of America (SHEA), March 2018
• When Missing a 'Zebra' Can Land You in Court Physicians are generally unlikely to face a malpractice suit for misdiagnosing a rare disease, which affects about 1 in 10 people. But the results of a delayed or wrong diagnosis can be devastating or lethal.
  Medscape Business of Medicine, February 2018
• Therapy Duration and Follow-up Blood Cultures in Bacteremia Two recent studies can help streamline therapy of gram-negative bloodstream infections.
  Society for Healthcare Epidemiology of America (SHEA), February 2018
• To Err Is Homicide in Britain: The Case of Dr Bawa-Garba Saurabh Jha, a US-based, British-trained medic who worked in the NHS for 4 years, discusses the case of a UK trainee pediatrician convicted of homicide for the death of a child from sepsis.
  February 2018
• Combating Frailty's Fatal Impact in Liver Disease Dr Rowen Zetterman on the various ways in which frailty imperils outcomes in liver disease, and the most useful strategies for addressing them.
  Medscape Gastroenterology, January 2018
• Eric Topol's Top 10 Tech Advances Shaping Medicine Dr Eric Topol identifies the latest tech advances in medicine that set the stage for the coming year.
  Medscape, January 2018
• Blood Cultures in Children Hospitalized With CAP? Dr William Basco comments on a recent multicenter study looking at true rates of bacteremia in children hospitalized with community-acquired pneumonia.
  Medscape Pediatrics, December 2017
• What We Can Learn From Treating Sepsis in Low-Resource Settings Dr Martin reviews a study from Zambia that sought to determine whether early resuscitation with IV fluids, vasopressors, and blood transfusion would decrease mortality from sepsis vs usual care.
  Medscape Critical Care, December 2017
• Innovations Are Brightening Liver Transplantation Outcomes Dr William Balistreri recaps the breakthroughs that are increasing options for patients on the liver transplant waitlist.
  Medscape Gastroenterology, December 2017
• Does Rushing Kids to the OR Prevent Complicated Appendicitis? A large study seeks to answer the question: Does time to appendectomy influence the development of complicated appendicitis? Dr William Basco comments.
  Medscape Pediatrics, November 2017
• Can Ganciclovir Thwart CMV Reactivation in Critical Illness? Greg Martin, MD, comments on a study that sought to determine whether ganciclovir prophylaxis reduces IL-6 levels in CMV-positive critically ill patients.
  Medscape Critical Care, October 2017
• Angiotensin II: New Hope for Treating Septic Shock? Dr Martin reviews research on the safety and efficacy of angiotensin II for septic shock.
  Medscape Critical Care, October 2017
• COPD: Better Sepsis Outcomes With Reduced Inflammation? According to a recent study, patients with COPD who present with sepsis may do better when medication addresses inflammation.
  Medscape Pulmonary Medicine, October 2017
• Broad-Spectrum Antibiotics Reduce Hospital Mortality   Dr Andrew Shorr reports on promising data suggesting that broad-spectrum antibiotics reduce mortality, but will overly broad therapy cause antibiotic resistance?
  Medscape Pulmonary Medicine, October 2017
• A Better Way to Detect Sepsis in Kids in the ED   CHOP researchers, led by Dr Fran Balamuth, have developed a sepsis alert system that misses very few children presenting to the ED with septic shock.
  CHOP Expert Commentary, October 2017
• CMV Disease in the Non-immunosuppressed ICU Patient   Is CMV just a bystander or is it a contributor to critical illness in non-immunosuppressed ICU patients? A new study provides a few answers and raises new questions.
  Medscape Infectious Diseases, October 2017
• Is Bad Behavior Reason Enough to Deny Coverage? Insurer's attempt to cancel med-mal policy hits snag; Defendant cries 'uncle' after protracted settlement talks; New mother's death leads to mega award; Patient's foot-dragging sabotages his lawsuit.
  Medscape Business of Medicine, October 2017
• Septic Shock: Does Early, Goal-Directed Therapy Help? A new meta-analysis from the New England Journal of Medicine clarifies whether there are any benefits from early, goal-directed therapy for sepsis.
  Medscape Critical Care, September 2017
• CSF Cultures in Febrile Infants Conventional wisdom determines how long to keep febrile infants in the hospital under observation, but could we use better data?
  Medscape Pediatrics, August 2017