Non-Operative Management for Incisional Hernias: Lessons Learned from a Large Single-Institution Descriptive Analysis (Reza) and What to recommend when you’re recommending: an investigation into antibiotic prescription guidelines (Lauren)
Incisional hernias are one the most common complications of any abdominal surgery. Given the lack of knowledge of the natural history of the unrepaired incisional hernia, guidelines regarding which patients would benefit most from repair remain elusive. In this study, we partnered with our data warehouse to perform the largest incisional hernia retrospective cohort study to date, and share key lessons learned in the process.
Antibiotic stewardship is an initiative embraced worldwide to mitigate the unnecessary and inappropriate prescribing of antibiotics. The accrediting institution for hospitals in the United States made antimicrobial stewardship programs (ASPs) mandatory in 2017. Partially due to the relatively nascent state of ASPs, standards surrounding the content produced by these programs are still in their infancy. Here, I will describe our analysis of 70 antibiotic prescription guidelines, which are a primary product of hospital antibiotic stewardship programs. We assessed guidelines’ empiric therapy recommendations for three common bacterial infections: community-acquired pneumonia, urinary tract infections, and cellulitis. Our analysis provides a baseline of current practices for future comparison, and highlights the necessity of a more developed evidence base behind empiric therapy recommendations.