This systematic review and bayesian meta-analysis investigated whether administration of β-lactam antibiotics by prolonged infusion reduces 90-day mortality compared with intermittent infusion in adult patients with sepsis or septic shock.
Risultati per: Terapia antibiotica: breve durata vs. lunga durata
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Continuous vs Intermittent β-Lactam Antibiotic Infusions in Critically Ill Patients With Sepsis
This clinical trial compares the efficacy of continuous vs intermittent infusion of a β-lactam antibiotic (piperacillin-tazobactam or meropenem) in decreasing all-cause mortality at 90 days in critically ill patients with sepsis.
Resolving the Dilemma on Continuous vs Intermittent β-Lactam Antibiotics in Sepsis
The Surviving Sepsis Campaign guidelines recommend that adults with sepsis or septic shock should receive prolonged infusion of β-lactams (after an initial bolus) vs conventional intermittent infusion. However, this is only a weak recommendation based on moderate quality of evidence. In this issue of JAMA, 2 major new contributions strengthen the evidence for this recommendation.
Malattia rara bambini, studio clinico Urbino migliora la terapia
Tecnologia dell’Università Carlo Bo esplora uso di globuli rossi
Povidone Iodine vs Chlorhexidine Gluconate in Alcohol for Preoperative Skin Antisepsis
This multicenter, cluster-randomized, noninferiority trial investigates the effectiveness of povidone iodine vs chlorhexidine gluconate in alcohol as preoperative skin antisepsis in preventing surgical site infections in adults undergoing abdominal or cardiac surgery.
Comparing Cardiovascular and Kidney Outcomes with Tirzepatide vs. GLP-1 Agonists
This retrospective study showed lower incidence for several adverse outcomes with tirzepatide, with some caveats.
In MI with preserved LVEF, long-term β-blocker use vs. no use did not reduce all-cause death or MI at 3.5 y
Annals of Internal Medicine, Ahead of Print.
After PCI and 1 mo of DAPT for ACS, ticagrelor alone vs. continued DAPT for 11 mo reduced bleeding without increasing MACCE
Annals of Internal Medicine, Ahead of Print.
In adult inpatients with pneumonia, CPOE-based vs. routine stewardship reduced extended-spectrum antibiotic use
Annals of Internal Medicine, Ahead of Print.
After PCI in older adults, DAPT for 3 vs. 6 or 12 mo reduces bleeding without increasing NACE or MACE
Annals of Internal Medicine, Ahead of Print.
In ILD, a step-up diagnostic strategy vs. immediate surgical biopsy reduced need for unexpected chest tube drainage
Annals of Internal Medicine, Ahead of Print.
In adult inpatients with a UTI, CPOE-based vs. routine stewardship reduced extended-spectrum antibiotic use
Annals of Internal Medicine, Ahead of Print.
Electronic Cigarettes vs Varenicline for Smoking Cessation in Adults
This randomized clinical trial examines the relative effectiveness of electronic cigarettes in smoking cessation.
Evaluating COVID-19 Vaccines in the Era of Endemicity—Recency vs Reformulation
Vaccines have proven to be the single most effective weapon in the global fight against COVID-19, substantially reducing COVID-19–related illness, hospitalization, and death. As antigenically distinct strains of SARS-CoV-2 emerge seasonally and geographically, it is critical to evaluate the importance of regular boosting and updating vaccines to match dominant circulating variants.
Fluorine-18 PSMA-1007 PET/CT vs Multiparametric MRI for Locoregional Staging of Prostate Cancer
This study assesses the accuracy of fluorine-18 prostate-specific membrane antigen–1007 positron emission tomography (PET)/computed tomography (CT) compared to multiparametric magnetic resonance imaging (MRI) in locoregional staging of prostate cancer.
Tumore al pancreas,passi avanti verso una terapia personalizzata
Studio identifica i pazienti a rischio di chirurgia inefficace