Clinical-spotlight

The U.S. Food and Drug Administration approved the emergency use of the molnupiravir pill for the treatment of mild-to-moderate coronavirus disease 2019 in nonhospitalized adult patients with positive results of direct SARS-CoV-2 viral testing who are at high risk for progressing to severe COVID-19, including hospitalization or death.Does molnu...
NICE guidelines:Take Home MessagesDo not offer an antibiotic for preventing or treating Pneumonia if SARS-CoV-2, another virus, or a fungal infection is likely to be the cause.Evidence as of March 2021 suggests that bacterial co-infection occurs in less than about 8% of people with COVID-19, and could be as low as 0.1% in people in hospital wit...
Nirmatrelvir and Ritonavir is the first oral agent authorized by FDA (Emergency Use Authorization) for treatment of mild-to-moderate coronavirus disease in adults and pediatric patients.  In a randomized, double-blind, placebo-controlled clinical trial, Nirmatrelvir and Ritonavir significantly reduced the proportion of people with COVI...
NICE guidelines:Antibiotic treatment in the communityRecommendationsDo not offer an antibiotic for preventing secondary bacterial pneumonia in people with COVID 19. If a person has suspected or confirmed secondary bacterial pneumonia, start antibiotic treatment as soon as possible. Advise people to seek medical help without delay if their sympt...
The U.S. Food and Drug Administration (USFDA) issued an emergency use authorization (EUA) for a new monoclonal antibody for the treatment of COVID-19 that retains activity against the omicron variant. The EUA for Bebtelovimab is for the treatment of mild to moderate COVID-19 in adults and pediatric patients (12 years of age and older we...
The American Journal of Gastroenterology Gastroesophageal reflux disease (GERD) continues to be among the most common diseases seen by gastroenterologists, surgeons, and primary care physicians. GERD is the condition in which the reflux of gastric contents into the esophagus results in symptoms and/or complications. GERD is defined b...
From The Journal of Infectious Diseases and The British Medical Journal: Sepsis mortality has improved following advancements in early recognition and standardized management, including emphasis on early administration of appropriate antimicrobials. However, guidance regarding antimicrobial duration in sepsis is surprisingly limited....
JAMA Surgery: Surgical site infections (SSIs) are infections of the incision or organ or space that occur after surgery. Surgical patients initially seen with more complex comorbidities and the emergence of antimicrobial-resistant pathogens increase the cost and challenge of treating SSIs. The prevention of SSI is increasingly important...
European Heart Journal: Published: 10 July 2022 Adding salt to foods (usually at the table) is a common eating behavior directly related to an individual's long-term preference to salty taste foods and habitual salt intake. Indeed, in western diet, adding salt at the table accounts for 6–20% of total salt intake. In addition, the com...
American Epilepsy Society issues guideline and treatment algorithm for convulsive status epilepticus. The guideline was endorsed by the Epilepsy Foundation, Child Neurology Society, and American College of Emergency Physicians.Status epilepticus – continuous or rapid sequential seizure activity for 30 minutes or more – is a medical emergency wi...
Hormone therapy is the most effective treatment for vasomotor symptoms (VMS) and other menopausal symptoms. Changing estrogen levels during menopause may impact multiple components involved in maintaining temperature homeostasis.Health care professionals should individualize therapy based on clinical factors and patient preference. They should...
Paracetamol has often been cited as a safer alternative to non-steroidal anti-inflammatory drugs (NSAIDs) with regards blood pressure and cardiovascular health. But now researchers have raised concerns about this, suggesting that those taking paracetamol long-term may be at greater risk of heart attack and stroke.Long-term paracetamol use could...