ACP becomes first organization in US to earn GRADE designation for guideline development

BOSTON — The ACP has been designated as a GRADE Center based on its developmental processes for guidelines, becoming the first organization in the U.S to receive such a designation.
GRADE, known as The Grading of Recommendations, Assessment, Development and Evaluation, is “widely considered as the gold standard when it comes to the development and methodology of clinical guidelines,” Eileen Barrett, MD, MPH, SFHM, MACP, chair of the ACP Board of Regents, said during a press briefing at the ACP Internal Medicine Meeting.
Barrett explained that the designation “recognizes

ID consult shortens antibiotics for uncomplicated gram-negative bacteremia

HOUSTON — Consulting with an infectious disease physician can shorten antibiotic prescriptions for uncomplicated gram-negative bacteremia and move patients from IV to oral antibiotics more quickly, according to a study.
The study, presented at the Society of Healthcare Epidemiologists of America Spring Conference, found that after instituting a mandatory ID consult for three types of gram-negative bacteremia (GNB), having the ID team develop consistent methods for treatment and management of patients is essential for its success.
ID consults have been shown to improve health outcomes and

Childhood adiposity could predict future PCOS

Childhood adiposity could predict future polycystic ovary syndrome in girls, according to a study published in Pediatrics.
According to Rachel C. Whooten, MD, attending pediatric endocrinologist at Mass General Hospital for Children in Boston, recent guidelines define polycystic ovary syndrome (PCOS) “as having irregular periods, along with having high levels of androgens, and that can either be high levels of androgens based on blood work or high levels of androgen based on clinical signs of that which would be either having excess hair growth or acne.”
“PCOS is pretty common

S. aureus screening program helps identify hospital transmissions

HOUSTON — A Staphylococcus aureus screening program paired with genomic sequencing and electronic health data improved a New York hospital’s ability to identify transmissions and patients at high risk, according to a study.
For more than a year, the hospital screened adults at admission and children weekly in the ICU and oncology unit, accounting for more than 6,500 surveillance isolates.
“S. aureus colonization of skin and mucous membranes precedes invasive infection, but the burden and impact of this cannot be assessed without surveillance for asymptomatic colonization,”

Fewer complications with normothermic regional perfusion vs. super rapid recovery LT

Recipients of livers recovered by normothermic regional perfusion vs. standard super rapid recovery experienced lower rates of ischemic cholangiopathy and biliary complications, with comparable patient and graft survival, data showed.
“The most immediate approach to increase access to liver transplant is to improve use of extended-criteria allografts,” Aleah L. Brubaker, MD, PhD, a transplant and hepatobiliary surgeon and assistant professor at the University of California, San Diego, and colleagues wrote in JAMA Surgery. “Normothermic regional perfusion (NRP) is an

Topol: AI-fueled ‘keyboard liberation’ will improve the medical encounter

BOSTON — “We should be embracing [AI] and trying to make this a priority to get this right, because I don’t know any alternative to get us out of this frustration right now outside of this technology,” Eric Topol, MD, said.
“The opportunity is vast ... and we must eke out the advantages,” Topol, who is the Founder and Director of the Scripps Research Translational Institute, said during the ACP Internal Medicine Meeting keynote.
AI has already shown promise in medicine, particularly in specialties with advanced diagnostics and screening.
“Every type of

Naked-eye 3-D vision training safe, effective in treating myopia in children

Naked-eye 3-dimensional vision training was safe and controlled progression of axial length and spherical equivalent refraction in children with myopia, according to a study conducted in China and published in JAMA Pediatrics.
“To prevent the occurrence and progression of myopia in children, many myopia intervention methods have been developed, including orthokeratology, soft contact lenses and low-concentration atropine eye drops,” Rui Xie, MM, of Sun Yat-sen University in China, and colleagues wrote. “For interventions used in children and adolescents, safety is a key

Survival rates, outcomes favorable for those given ECMO with neurosurgical intervention

DENVER —Extracorporeal membrane oxygenation therapy led to favorable survival and neurologic outcomes for patients who required neurosurgical intervention, according to a poster at the American Academy of Neurology annual meeting.
“We wanted to look at patients that underwent neurosurgical interventions either before or during [extracorporeal membrane oxygenation], as it’s usually a contraindication,” Samantha Marie Helmy, BA, from the University of Rochester School of Medicine and Dentistry, told Healio. “
Helmy and colleagues conducted a retrospective chart

Bausch + Lomb collects more than 510,000 pounds of used eye care materials for recycling

Bausch + Lomb has collected 84,343,540 million units, or 510,116 pounds, of used contact lenses, eye care and lens materials through its One by One and Biotrue Eye Care recycling programs, the company announced in a press release.
“Eye care professionals, patients and consumers have helped us collect hundreds of millions of these used materials through our recycling programs over the years, making a positive impact in the world,” Amy Butler, Bausch + Lomb’s vice president of global environment, health, safety and sustainability, said in the release. “In conjunction with

Antipsychotics may prevent relapse in first-episode psychosis with cannabis use disorder

Some antipsychotics other than olanzapine lowered the risk for hospitalization due to psychotic relapse among individuals with first-episode psychosis and co-occurring cannabis use disorder, according to a study in Schizophrenia Bulletin.
Cannabis use is common among patients with first-episode psychosis (FEP), with continued use being “associated with elevated severity of psychotic symptoms and increased frequency and duration of relapses,” Alexander Denissoff, MD, of the department of psychiatry at University of Turku in Finland, and colleagues wrote.
For this reason, “improving