Same-Day Start Contraception Common, Tied to Low Pregnancy Risk
Researchers obtained information on contraceptive method and oral emergency contraception use from clinical electronic health records. More than 70% of participants initiated a new method of contraception on the same day they presented for care. Same-day start contraception resulted in a low risk for pregnancy in the first month of initiation. Full Access: Helio
Which Emergencies Are Genuine Emergencies?
In this cross-sectional study, researchers examined the reasons why patients visit the emergency room. They interviewed 1175 patients in five hospitals and documented the medical diagnoses. About 41% of the patients visited the emergency room on their own initiative, 17% stated they were referred or entrusted by their general practitioner, and 8% were referred by a specialist in the emergency room. The reasons for visiting an emergency room are diverse and can be based on the perceived structural conditions and individual patient preferences in addition to the urgency of the health problem. Full Access: Medscape
WHO Redefines Airborne Transmission: What Does That Mean for Future Pandemics?
The World Health Organization (WHO) has changed how it classifies pathogens that spread through the air, such as SARS-CoV-2. The redefinition has been two years in the making and comes after criticism that during the COVID-19 pandemic, the WHO was too slow to acknowledge that COVID-19 was airborne. The World Health Organization (WHO) publishes a global technical consultation report introducing updated terminology for pathogens that transmit through the air. The publication is the result of an extensive, multi-year, collaborative effort and reflects shared agreement on terminology between WHO, experts and four major public health agencies. Full Access: WHO
Stewardship Prompts to Improve Antibiotic Selection for PneumoniaThe INSPIRE Randomized Clinical Trial
In a cluster-randomized trial of 59 hospitals (n = 44 780 adults in the intervention period), computerized provider order entry (CPOE) prompts promoting standard-spectrum antibiotics for patients at low risk of infection with multidrug-resistant organisms (MDROs) significantly reduced empiric extended-spectrum antibiotic use in hospitalized patients with pneumonia by 28.4%, without increasing intensive care unit transfers or length of stay. Real-time electronic health record–generated recommendations for standard-spectrum antibiotics using patient-specific risk for MDRO-associated infections can substantially and safely reduce empiric extended-spectrum antibiotic use in patients hospitalized for pneumonia. Full Access: JAMA
