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UTI - Inpatient vs Outpatient care Urinary tract infections (UTIs) are commonly treated on an outpatient basis with oral antibiotics. However, there are situations where UTIs should be treated as an inpatient acute care admission. Here are some scenarios in which hospitalization for UTI may be necessary: 1. Severe Symptoms: If the patient exhibits severe symptoms such as high fever, chills, severe pain, and vomiting, hospitalization may be necessary for closer monitoring and more intensive treatment. In the worst-case scenario, if the UTI has progressed to sepsis (UTI with organ dysfunction/s due to an extreme immune response), sepsis from the UTI becomes the reason for the acute inpatient admission and becomes the principal diagnosis. 2. Complicated UTI: In cases where the UTI is considered complicated, such as in individuals with anatomical abnormalities, urinary retention, or underlying medical conditions like diabetes or kidney disease, inpatient treatment may be necessary to ensure appropriate management. 3. Recurrent UTIs: If the patient has a history of recurrent UTIs that have not responded to outpatient treatment or if the infection is caused by multidrug-resistant bacteria, hospitalization for intravenous antibiotics and further evaluation may be needed. 4. Compromised Immune System: Individuals with a weakened immune system, such as those undergoing chemotherapy, organ transplant recipients, or HIV/AIDS patients, are at higher risk of developing severe complications from UTIs and may require inpatient treatment. 5. Pregnancy: Pregnant women with UTIs, especially those at risk of complications such as pyelonephritis, should receive prompt and thorough treatment, which may involve hospitalization to prevent adverse outcomes for the mother and the fetus. In these circumstances, healthcare providers may opt for inpatient acute care admission to ensure the appropriate management of the UTI and prevent potential complications. #MedicalNecessity #InpatientvsObservation #UtilizationManagement #CDI #AHIMA #ACDIS #PhysicianAdvisors

There is limited evidence, consensus and guidance yet on the appropriate use of suppressive antimicrobial therapy as part of treatment strategies of prosthetic joint infection. If this topic interests you than check out this paper published in jbji by Hanssen et. al https://lnkd.in/gUgUvMDK

After a surgical procedure, the body goes through several stages of post-operative care. However, neglecting proper care can lead to severe complications, such as infection, blood clots, delayed wound healing, and worse. Our professionals share the nine common issues that can occur with post-operative care. https://ow.ly/Eik550QRGje #GladiatorTherapeutics #PostOperationCare #Complications #PostOp #PostOperationRecovery #SurgicalProcedure

Vein viewers can help lower discomfort and pain when attempting to find a vein. They can improve the accuracy and speed of vein locations while reducing the risk of infection, hematoma or more invasive procedures. #medtech, #healthcareimprovement

This comprehensive guide covers the essential aspects of intestinal obstruction, from its causes and symptoms to diagnosis, treatment, and prevention. Understanding these critical points can help you stay informed and take proactive steps in managing

Effectiveness of conservative management versus laparoscopic cholecystectomy in the prevention of recurrent symptoms and complications in adults with uncomplicated symptomatic gallstone disease (C-GALL trial): pragmatic, multicentre randomised controlled trial https://lnkd.in/e89-MZiE

Negative pressure wound therapy (NPWT) is a method of drawing out fluid and infection from a wound to help it heal. A special dressing (bandage) is sealed over the wound and a gentle vacuum pump is attached. Why do I need it? Your doctor may recommend NPWT if you have a burn, pressure ulcer, diabetic ulcer, chronic (long-lasting) wound, or injury. This therapy can help your wound heal faster and with fewer infections. NPWT is a good choice for some patients, but not all. Your doctor will decide if you are a good candidate for this therapy based on your type of wound and your medical situation. How does it work? This therapy involves a special dressing (bandage), tubing, a negative pressure device, and canister to collect fluids. Your healthcare providers will fit layers of foam dressing to the shape of the wound. The dressing will then be sealed with a film. The film has an opening where a tube is attached. The tube leads to a vacuum pump and canister where fluids are collected. The vacuum pump can be set so that it is ongoing, or so it starts and stops intermittently. The vacuum pump pulls fluid and infection from the wound. This helps pull the edges of the wound together. It also helps the wound heal by promoting the growth of new tissue. When needed, antibiotics and saline can be pushed into the wound.

Attended a webinar online hosted by IDA and sponsored by Pfizer today. The topic was,"Management of surgical complications in implants".The basic concepts were clear and I liked the differentiation between sequelae and complications theory,the intraoperative and postoperative management of Pain, Inflammation, Hemorrhage, Infection and Ecchymosis with the injectable and orally administered medications.A short review in proper positioning of implants in anterior maxilla.

Please check out our recent publication in Cureus regarding the effects of COVID-19 infection on the clinical outcomes of patients undergoing surgical repair of humerus fractures!

Factors that Delay Implant Treatment ⬇️ While most patients are keen to complete their treatment in a timely fashion, there are several factors which can delay or slow treatment... 👉 Treatment of an infected failing tooth: If you have a failing tooth with an associated infection, it usually needs to be treated and allowed to heal prior to placing the implant, as pre-existing infection will increase the risk of the bone not healing around the implant. Once signs of healing are present, we can place our implant. 👉 Additional bone is required: We may need to increase the amount of bone present before placing an implant, as this is fundamental for the long-term success of the treatment. While small amounts can sometimes be added when the implant is placed, if we need to add a larger volume of bone, it might need to be done as a prior procedure, which usually delay implant placement by 4-9 months. 👉 An increase in gum is required: We need thick, fibrous gum around both teeth and implants and sometimes this is absent. It's necessary to increase this gum as it provides a bacterial seal and helps prolong the life of implants. This will require a procedure that is often performed after implant placement and before the teeth are added to the implant(s). Generally, a minimum of 3 months are required for healing before completing treatment. Find out more and enquire > https://bit.ly/48JDTV2