Critical Care News

Researchers detected carbapenem-resistant Acinetobacter baumannii, or CRAB, in the air adjacent to ventilated patients with CRAB respiratory colonization or infection, suggesting a risk for aerosol transmission, especially during patient care activities.

Almost 40% of the American Thoracic Society’s recommendations in clinical practice guidelines are designated as strong, but less than one in 10 are supported by high-quality evidence, according to findings published in JAMA Internal Medicine.

Who “owns” the psychiatric patient in the ED? Is it the ED physicians or psychiatry/behavioral health? How does ownership change after they have been admitted to the inpatient ward but are waiting on a bed?

Patients with influenza who received steroids after ICU admission, have a white blood count greater than 10 x 109/L on ICU admission, and have multiple nodules and cavities detected via CT imaging are at a higher risk for developing invasive pulmonary aspergillosis coinfection.

Over the past 15 years, there was a 12.5% increase in the number of liver transplantations for patients with alcohol-associated liver disease, according to findings published in JAMA Internal Medicine.

Nearly 7 million antibiotic prescriptions are made for children every year in both pediatric and nonpediatric EDs throughout the United States. According to research published in Pediatrics, children who presented to nonpediatric EDs were more likely to receive prescriptions for conditions for which antibiotics were not indicated and were more likely to receive broad-spectrum antibiotics.

Researchers identified a contaminated tea dispenser as the cause of a pediatric outbreak of metallo-beta-lactamase-producing Enterobacteriaceae at a children’s hospital in Japan.

A recent study determined that hospitals should prioritize IV to oral conversion programs for antibiotics with high oral bioavailability, or HOB, as potential high-impact targets for antimicrobial stewardship.

Neurologic manifestations of influenza, including seizures and encephalopathy, occurred in nearly 20% of children presenting to a Colorado hospital during the 2016-2016 season, according to research published in the Journal of the Pediatric Infectious Diseases Society. Most of these children were infected with influenza A(H3N2), and they were 10 times more likely to require hospitalization, researchers wrote.

Clinicians can more accurately identify children with cellulitis who need IV antibiotic administration using a score that includes the child’s systemic features, swelling, eye involvement, tenderness, and whether the condition affects 1% or more of the child’s body, according to research published in Pediatrics.