American journal of hospital medicine, volume 3, issue 1 (2019 January-March)
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Item Conference calendar (AJHM, volume 3, issue 1, 2019)(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-01) Chela, HarleenItem Fluoroquinolones : more and more warnings(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-01) Rojas-Moreno, Christian"Fluoroquinolones can be the drug of choice in several clinical situations due to their antibacterial spectrum, good tissue penetration, and excellent oral bioavailability. However, side effects, drug interactions and the risk of C. difficile infections are making us think twice before prescribing fluoroquinolones."Item Dangerous use of loperamide to counteract withdrawal symptoms from prescription opiates(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-01) Smith, Clarissa; Velazquez, Salma; Hoang, Nguyen; Sharif, Mohamed; Sethi, RoopaIncreased awareness of opioid overuse in recent years has brought a new set of problems for both patients and clinicians. A 36-year-old woman with severe opioid use disorder began self-treating withdrawal symptoms with increasing amounts of Loperamide according to self-help information she obtained on YouTube. With dangerous "advice" so readily accessible on the internet, it is difficult to protect individuals from harmful physiologically-driven addiction behaviors. However, there are several possibilities for risk reduction including restricting access to loperamide or increasing accessibility to medication assisted treatment.Item Ask a pathologist : again. Faster. The impact of MALDI-TOF technology on rapid microbial identification and changes in hospital practice(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-01) Coberly, Jared S.; Burgeson, Harold M."Question: I've heard about a new technology called MALDI-TOF for rapid identification of microbial organisms. What is it and how will it impact hospital medicine?"