Home E-Weekly April 11, 2017

News & Notes

Published: April 10, 2017

  • Downside to dexamethasone? Dexamethasone's antiemetic and anti-inflammatory effects are well chronicled, but it can cause significant post-operative hyperglycemia in diabetic patients when undergoing functional endoscopic sinus surgery (FESS), according to a team of researchers from Thomas Jefferson University Hospital in Philadelphia, Pa.
  • Gastric acid suppressants may contribute to recurrent C diff infections Clostridium difficile infections, according to a study published in JAMA Internal Medicine. Of the 7,703 patients with C diff infections observed, 1,525 (19.8%) developed recurrent C diff infections. The rate of recurrence in patients with gastric acid suppression was 22.1% (892 of 4,038 patients), compared with 17.3% (633 of 3,665) in patients without gastric acid suppression.
  • New surgical standards for older patients The American College of Surgeons has released a comprehensive set of hospital-level surgical care standards for older adults that, it says, reflect the shift toward interdisciplinary care while taking into account the unique physiological changes related to aging and chronic diseases that sometimes leave such patients at risk for complications. The report, "Hospital Standards to Promote Optimal Surgical Care of the Older Adult," is available on the Annals of Surgery website in advance of print publication.
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