In this large cohort, researchers determined the microbiology of community versus health-care associated native valve endocarditis, as well as the differences between nosocomial and non-nosocomial endocarditis (non-nosocomial were those that acquired the disease outside the hospital, but had significant health-care contact, such as long term care, home health, or dialysis). They found 66% were community acquired, and 34% were health-care associated. They found no significant differences between nosocomial and non-nosocomial (of which 45% was staph aureus, 47% MRSA, 15% enterococci, 13% coag-negative staph, and 18% other). This compared to community acquired (of which 20% was staph aureus, 12% MRSA, 28% viridans, and 27% other). Health-care associated native valve endocarditis is a growing problem, the microbiology of which is similar between nosocomial and non-nosocomial (abstract).
Fill in the Blanks: Q: “The diagnosis of type 2 MI is associated with a _____ prognosis. ___% of patients will live five years after their diagnosis.” The answer is a) POOR and b) a staggering 40%. I did not know that. However, what I am aware of is the ambiguity around Type 2 MIs and […]
What comes to mind when you think of getting CME? I bet most of you would say sitting in an auditorium, whether that be during your local grand rounds or at our professional society meeting, like Hospital Medicine 16 in sunny San Diego this past March. Hanging out in the Twitterverse? Probably not so much… […]
As a nurse practitioner in hospital medicine I have multiple opportunities to interact with all sorts of physician hospitalist colleagues, hospital medicine group leaders, quality officers etc. Often their interactions with me take on a certain wary curiosity, like I am some exotic monkey or another creature that is unfamiliar to them. If I am […]