Study: Early sodium supplementation boosts weight in preemies | Study: Stewardship program may lead to better antibiotic use | Longer hospital LOS may increase risk of resistant infections
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November 21, 2014
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Critical Care Update
Study: Early sodium supplementation boosts weight in preemies
Premature infants who received early sodium supplementation gained more weight at a faster rate compared with those who did not receive the intervention, according to a study in the Journal of Parenteral and Enteral Nutrition. Science World Report (11/21)
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Study: Stewardship program may lead to better antibiotic use
Canadian research found an antibiotic self-stewardship program that has time-outs to review and possibly change medications may reduce costs and the use of certain drugs. The study in the Annals of Internal Medicine did not find a statistically significant reduction in nosocomial C. difficile infections, ICU transfers, average lengths of stay or mortality rates per 10,000 patient-days. Medscape (free registration) (11/19)
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Medicine in the News
Hospitals get creative in building special Ebola units
U.S. hospitals have spent millions of dollars and have had to get creative in preparing to treat Ebola patients. A hospital in Newark, N.J., lacked space for a special containment unit so it used a mobile medical shelter designed for natural disasters. Three Dallas hospital systems created an Ebola center in an ICU that no longer was being used, and a Kansas hospital built walls and hung plastic sheeting to create a new isolation suite. Associated Press (11/19)
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Report: U.S. hospitals make progress on heart care quality
U.S. hospitals made progress on heart care measures in 2013, recording an overall 1.3% improvement since 2009, according to a report from The Joint Commission. The report identifies eight heart care measures that hospitals improved on, including an 8.6% increase in percutaneous coronary interventions occurring within 90 minutes of the patient's arrival and a 5.1% boost in cases involving administration of fibrinolytic therapy within 30 minutes. (11/19)
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Trends and Technology
Injectable nanomaterial developed to treat internal bleeding
Researchers at Texas A&M University and the Massachusetts Institute of Technology are working on a cutting-edge material intended to seal battlefield-injured troops' internal wounds. The material, a gel embedded with synthetic silicate nanoplatelets, decreased blood clotting time by as much as 77% in animal tests, according to a study in the journal ACS Nano. (11/19)
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FDA clears rapid test for MRSA
The FDA has given AdvanDx 510(k) clearance to market its mecA XpressFISH assay for detecting methicillin-resistant and methicillin-susceptible Staphylococcus aureus. The assay, which uses peptide nucleic acid probes, generates results within an hour, the company said. GenomeWeb Daily News (free registration) (11/18)
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Men stumble over pebbles, never over mountains."
-- H. Emilie Cady,
American author
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