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16

Antibiotic therapy for pneumonia

Stream Antibiotic therapy for pneumonia by BMJ talk medicine from desktop or your mobile device  
feeds.bmj.com
over 4 years ago
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8

Journal club: Raised glucose levels predict death for patients with pneumonia

Stream Journal club: Raised glucose levels predict death for patients with pneumonia by BMJ talk medicine from desktop or your mobile device  
feeds.bmj.com
over 4 years ago
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15

SGEM#36: Mac and CCBs (Macrolides and Calcium Channel Blockers)

Case Scenario: 67 year-old woman presents with a one week history of productive cough and no fever. She is a non-smoker and has no history of lung disease. Her past medical history is positive for hypertension and she is taking a calcium channel blocker. She has no allergies to medication. On exam she has no fever, oxygen saturation is 97% on room air, and has clear air entry. Xrays is reported as slight patchy infiltrate in right lower lobe possible early pneumonia.  
thesgem.com
over 4 years ago
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11

Drug firms must cut price of pneumonia vaccine, says MSF

The global drug companies GlaxoSmithKline and Pfizer are being urged to cut the price of the pneumonia vaccine in poor countries to less than $5 (£3.30; €4.61) a child.  
feeds.bmj.com
over 4 years ago
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Drug firms must cut price of pneumonia vaccine, says MSF

The global drug companies GlaxoSmithKline and Pfizer are being urged to cut the price of the pneumonia vaccine in poor countries to less than $5 (£3.30; €4.61) a child.  
feeds.bmj.com
over 4 years ago
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1

Drug firms must cut price of pneumonia vaccine, says MSF

The global drug companies GlaxoSmithKline and Pfizer are being urged to cut the price of the pneumonia vaccine in poor countries to less than $5 (£3.30; €4.61) a child.  
feeds.bmj.com
over 4 years ago
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6

Critical Care

Pseudomonas aeruginosa nosocomial pneumonia (Pa-NP) is associated with considerable morbidity, prolonged hospitalization, increased costs, and mortality.  
ccforum.com
over 4 years ago
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Critical Care

Acute respiratory distress syndrome (ARDS) is a major cause of mortality in intensive care units. As there is rising evidence about immuno-modulatory effects of lipid emulsions required for parenteral nutrition of ARDS patients, we sought to investigate whether infusion of conventional soybean oil (SO)-based or fish oil (FO)-based lipid emulsions rich in either n-6 or n-3 fatty acids, respectively, may influence subsequent pulmonary inflammation.  
ccforum.com
over 4 years ago
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13

SGEM#120: One Thing or Two for Community Acquired Pneumonia?

Guest Skeptics: Victor Tsang graduated from University of Waterloo School of Pharmacy and is currently doing a residency at London Health Sciences Centre in London, Ontario.  
thesgem.com
over 4 years ago
Www.bmj
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A woman with upper and lower airway symptoms

A 65 year old woman presented with a four week history of lethargy, cough, and feeling generally unwell. She had recently been treated for an ear infection and had occasional epistaxis but had no other medical history. She had never smoked. On examination she was did not have a fever and had crepitations in the base of her right lung. A chest radiograph showed right basal consolidation. Her blood tests showed: white blood cell count 17.5×109 cells/L (reference range 4-11), C reactive protein 3171 nmol/L (<47.6), urea 9.8 mmol/L (2.5-7.8), and creatinine 98 µmol/L (62-124). A diagnosis of community acquired pneumonia was made.  
feeds.bmj.com
over 4 years ago
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2

A woman with upper and lower airway symptoms

A 65 year old woman presented with a four week history of lethargy, cough, and feeling generally unwell. She had recently been treated for an ear infection and had occasional epistaxis but had no other medical history. She had never smoked. On examination she was did not have a fever and had crepitations in the base of her right lung. A chest radiograph showed right basal consolidation. Her blood tests showed: white blood cell count 17.5×109 cells/L (reference range 4-11), C reactive protein 3171 nmol/L (<47.6), urea 9.8 mmol/L (2.5-7.8), and creatinine 98 µmol/L (62-124). A diagnosis of community acquired pneumonia was made.  
feeds.bmj.com
over 4 years ago
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8

A woman with upper and lower airway symptoms

A 65 year old woman presented with a four week history of lethargy, cough, and feeling generally unwell. She had recently been treated for an ear infection and had occasional epistaxis but had no other medical history. She had never smoked. On examination she was did not have a fever and had crepitations in the base of her right lung. A chest radiograph showed right basal consolidation. Her blood tests showed: white blood cell count 17.5×109 cells/L (reference range 4-11), C reactive protein 3171 nmol/L (<47.6), urea 9.8 mmol/L (2.5-7.8), and creatinine 98 µmol/L (62-124). A diagnosis of community acquired pneumonia was made.  
feeds.bmj.com
over 4 years ago
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9

A woman with upper and lower airway symptoms

A 65 year old woman presented with a four week history of lethargy, cough, and feeling generally unwell. She had recently been treated for an ear infection and had occasional epistaxis but had no other medical history. She had never smoked. On examination she was did not have a fever and had crepitations in the base of her right lung. A chest radiograph showed right basal consolidation. Her blood tests showed: white blood cell count 17.5×109 cells/L (reference range 4-11), C reactive protein 3171 nmol/L (<47.6), urea 9.8 mmol/L (2.5-7.8), and creatinine 98 µmol/L (62-124). A diagnosis of community acquired pneumonia was made.  
feeds.bmj.com
over 4 years ago
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20

Pneumonia, BiPAP, secretions, and HFNC: New lessons from FLORALI

Introduction 0 Pneumonia is extremely common.  Nonetheless, there is surprisingly little evidence about supporting pneumonia patients using bi-level positi  
pulmcrit.org
over 4 years ago
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14

Haemophilus influenzae type B and viral influenza vaccinations during pregnancy for improving maternal, neonatal and infant health outcomes | Cochrane

Maternal immunisation with Haemophilus influenzae type B (Hib) and viral influenza vaccines may reduce the risk of infections in mothers and infants, however, this is an area of controversy. Both infections can cause severe pneumonia and deaths among children under five years of age, particularly in developing countries. Rates of influenza-associated complications and consequent hospitalisations are substantially higher among pregnant women, infants and newborns. Pregnant women who are vaccinated against influenza have protective levels of anti-influenza antibodies, which can be passively transferred to the infant to improve their health outcomes. Infants of immune mothers usually have influenza symptoms that are delayed in onset and of shorter duration. This review investigated whether vaccinating pregnant women with Hib and viral influenza vaccinations during pregnancy could reduce the risk of infection among mothers and babies and improve health outcomes for both.  
cochrane.org
over 4 years ago
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Short-course versus long-course intravenous treatment with the same antibiotic for severe community-acquired pneumonia in children aged 2 to 59 months | Cochrane

We conducted this review to see if there are any differences in the outcomes of treatment with a short (two to three days) compared to a long (five days) course of intravenous antibiotics for severe pneumonia.  
cochrane.org
over 4 years ago
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Pneumonia Phenotypes by Feldman - Intensive Care Network

Charles Feldman discusses the alphabet soup that represent pneumonia phenotypes and clarifies what it's all about. Recorded live at an ICN Victoria meeting  
intensivecarenetwork.com
about 4 years ago
Sinaiem dark
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respiratory-failure

As we all know, NiPPV is a well established practice and therapy of choice in patients with COPD and CHF exacerbations.  It is typically used in patients with hypercarbic respiratory failure.  But for those patients who come to the ED with pure hypoxemic respiratory failure (in say, someone with pneumonia) is there a better way to oxygenate them when standard nasal cannula isn’t doing the trick and you want to avoid intubation?  According to 2 recent studies high flow nasal cannula may provide the answer.  In comparing NiPPV to standard oxygen delivery therapy to high flow nasal cannula the intubation rates did not differ significantly, but appear to be lower in the high flow NC group.  Additionally, the 90 day mortality rate was significantly lower and ventilator free days were increased in the the high flow NC group compared to the other two.  The other benefit is that there was less patient discomfort in the high flow NC group.  
sinaiem.org
about 4 years ago
Sinaiem dark
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legion-umbrella-ella-ella

Yesterday, the 7th mortality from legionella in NYC occurred. There have been 71 cases since July 10, all of them in the South Bronx after Legionella was found in cooling towers. This bacteria typically live in reservoirs of water or humidified spaces. It is a common cause (2 to 9 percent) of community-acquired and hospital-acquired pneumonia known as Legionnaire’s disease. The NYC Department of Health has issued suggestions on diagnosis and management of these patients; new cases should be reported to 866-NYC-DOH1 (1-866-692-3641).  
sinaiem.org
about 4 years ago
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Proposal: Most community acquired pneumonias with extensive ultrasonographic consolidation are pneumococcus

Introduction with a case . A 45-year-old man was transferred to the Genius General Hospital ICU for management of pneumonia.  His chest radiograph is shown  
pulmcrit.org
about 4 years ago