Osteomyelitis

In an 8-year study, researchers found that 14.4% of bloodstream infections identified in patients within 2 weeks of hospital discharge had been acquired during hospitalization and would have been misclassified as health care-associated community onset bloodstream infections — rather than hospital-onset infections — without the inclusion of their history.

A review of the initial use of seven new antimicrobial agents at six community hospitals in western Pennsylvania revealed that uptake occurred within 1 to 2 years of FDA approval, and researchers observed that ceftolozane-tazobactam and ceftazidime-avibactam were more frequently chosen for off-label use.

This case profiles a 46-year-old woman with no significant medical history who was referred by her infectious disease specialist to the ED in May for left arm pain and swelling.