Tag: #LearnID
Inter-Professional Relationships in HIV Pre-exposure Prophylaxis
We’re excited to feature a recent publication borne from student-faculty collaboration that highlights the importance of interdisciplinary care! Dr. Jordan Broekhuis, the lead author, is one of our former HIV Enhanced Medical Education Track (EMET) students who is now a surgery resident at Beth Israel Deaconess. He completed his EMET work here at UNMC under […]
Apr 18, 2019
What to Expect in Antimicrobial Stewardship…Shorter is Better, Of Course!
The following was previously posted by Dr. Marcelin to SHEA Journal Club published online in February 2019. Electronic clinical decision support tools and rapid diagnostic testing have significantly impacted the way we practice Infectious Diseases. Despite these scientific gains, Antimicrobial Stewardship still requires an understanding of the behavioral science of prescribing. Prior studies have demonstrated […]
Feb 26, 2019
Prescribing in Pediatric Patients: Who is at Risk?
The following was previously posted by Dr. Marcelin to SHEA Journal Club published online in January 2019. In the inpatient setting, much of the broad-spectrum antibiotic prescribing occurs in the context of the sepsis syndrome, where uncertainty leads to overly broad empiricism. Development of antibiotic-resistant Gram-negative rods (high-risk GNRs) may complicate empiric treatment choices, and […]
Jan 31, 2019
Decisive De-labelling in Cancer Patients: Just what the Doctor Ordered
The following was previously posted by Dr. Marcelin to SHEA Journal Club published online in January 2019. Although 10% of Americans report penicillin allergies, 90% of those allergies are not substantiated. Up to 25% of patients living with cancer report penicillin allergies, but more than half of these are low risk and could tolerate beta-lactams. […]
Jan 16, 2019
SeptiCyte: Is It Ready for Prime-time?
The following is a summary of a recent ID Journal Club, presented and written by 2nd year ID Fellow Dr. Raj Karnatak: Sepsis defined as “life-threatening organ dysfunction due to the dysregulated host response to an infection” [1]. Sepsis most commonly results from a bacterial infection, or less frequently from a fungal or viral infection. […]
Jan 9, 2019
Does the Clostridium Smell Diffy? Even the Dogs Disagree…
The C. difficile sniffing dogs are back! There are several prior reports of individual dogs being trained to “sniff out” C. difficile. In a novel approach, the authors of this study trained two dogs simultaneously, and then compared interrater reliability between sniff attempts. They used toxigenic C. difficile frozen stool samples (GDH EIA and PCR […]
Nov 5, 2018
An Empiric Nudge in the Right Direction
The following review was originally posted by Dr. Marcelin to the September 2018 SHEA Journal Club and featured on Medscape’s SHEA Expert Commentary earlier this month. Use of empiric antimicrobial treatment in acute care settings is often the result of the “diagnosis momentum” heuristic, wherein the antibiotics started in one location for “sepsis” are continued for several […]
Oct 9, 2018
CRE or not CRE: A Question of Risky Business and Notes from the Field
The following was originally posted by Dr. Marcelin to the August 2018 SHEA Journal Club Carbapenem-resistant Enterobacteriaceae (CRE) are not as prevalent in the United States as they are in the Eastern Hemisphere; however travel within our global village means creates opportunity for movement of these organisms to our region. The following is a review of […]
Sep 21, 2018
What’s all the buzz about West Nile Virus?
This summer, we have seen several cases of West Nile infection, prompting many questions related to the infection. So, what’s all the buzz about West Nile? Drs. Jasmine Marcelin and Kelly Cawcutt compiled some answers to Frequently Asked Questions about West Nile. What is West Nile Virus? West Nile Virus is spread via mosquito bites. Mosquitos […]
Sep 17, 2018
At UNMC, ID fellows learn HIV from the experts
Over the course of their training, fellows in the UNMC’s Division of Infectious Diseases will receive dedicated clinical and didactic training in the area of HIV alongside faculty with expertise in the HIV clinical care and research. Clinical Training: Fellows will have their continuity clinic at UNMC’s HIV clinic one half day each week. The […]
Aug 30, 2018
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