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Antibiotic Food Interactions

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161. 2017 AHA/ACC Focused Update of the 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines

aortic root size for AVR (may preclude valve-in-valve procedure in future). AF indicates atrial fibrillation; AVR, aortic valve replacement; INR, International Normalized Ratio; and VKA, vitamin K antagonist. Downloaded from http://ahajournals.org by on March 27, 20192017 AHA/ACC VHD Focused Update Circulation. 2017;135:e1159–e1195. DOI: 10.1161/CIR.0000000000000503 June 20/27, 2017 e1173 CLINICAL STATEMENTS AND GUIDELINES tion vary with the specific drug, absorption, various foods, alcohol, other (...) : impact of the 2007 Ameri- can Heart Association Antibiotic Prophylaxis Guidelines? Am Heart J? 2012;163:894–9? 20? Pant S, Patel NJ, Deshmukh A, et al? Trends in infective endocar- ditis incidence, microbiology, and valve replacement in the United States from 2000 to 2011? J Am Coll Cardiol? 2015;65:2070–6? 21? Thornhill MH, Dayer MJ, Forde JM, et al? Impact of the NICE guideline recommending cessation of antibiotic prophylaxis for prevention of infective endocarditis: before and after study? BMJ

2017 American Heart Association

162. Clinical Practice Parameters for Hemodynamic Support of Pediatric and Neonatal Septic Shock

initiative to improve compliance with all five elements of the ACCM/PALS guidelines first-hour recommendations: 1) recognition, 2) establishing IV access, 3) starting IV fluids and resuscitation as needed, 4) administering antibiotics, and 5) starting vasoactive agents if needed. Achievement of 100% compliance required a number of human interaction interventions including use of time clocks set to have time going from 0 to 60 minutes rather than from 60 to 0 minutes that resulted in an increase in number (...) the lead of the previous guidelines making recommendations on hemodynamic support medications which may or may not be approved by the U.S. Food and Drug Administration, but which are approved and used in other nations, such as levosimendan, terlipressin, and enoximone. | RESULTS Evolution of the 2002, 2007, and 2014 Guidelines Many studies have tested the observations and recommendations of the 2002 and 2007 guidelines ( , ). Studies in the resource rich setting, where mechanical ventilators, IV

2017 Society of Critical Care Medicine

163. Safe Medication Use in the ICU

fatalities ranked between the fourth and sixth leading causes of death in the United States ( ). Therefore, drug-induced fatalities in the ICU are a pragmatic concern despite the paucity of data. Patient safety is a priority for several government agencies, nonprofit organizations, and regulatory bodies considering the detrimental and financial consequences associated with MEs and ADEs. The Institute of Medicine (IOM) has recommended government agencies such as the Food and Drug Administration (FDA (...) on hospital context and structure in addition to elements of the safety climate using the safety climate scale. The variable for effectiveness was the number of MEs per 1,000 inpatient days obtained from frequency reports for 6 consecutive months. The safety climate alone was not associated with MEs. Only the interaction between safety climate and unit capacity was statistically significant in their model. In particular, low levels of safety climate and higher unit capacity were associated with fewer MEs

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2017 Society of Critical Care Medicine

164. Obesity and Metabolism

are associated with reduced allergic airway in?ammation (25). The effect of dietary ?ber istheresult ofmicrobialproduction of short-chain fatty acids that enter the circulation from the gut and act on bone marrow to impact dendritic cell populations that participate in the allergic process, suggesting important microbiome– metabolome interactions in the regulation of allergic airway disease. Obesity also alters themicrobiome and impacts the metabolomes of a variety of tissues, including the blood. Dr (...) . Stephanie Shore(HarvardT.H.ChanSchoolofPublic Health, Boston, MA) discussed ways in which microbiome–metabolome interactions might contribute to asthma in obese individuals. Both in humans and in mice, obesity alters the distal gut microbiota, increasing the ratio of Firmicutes to Bacteroidetes, the two most abundant phyla in the gastrointestinal tract (26, 27). These shifts have profound in?uences on host physiology because the typical adipose tissue in?ammation observed with the induction of obesity

2017 American Thoracic Society

165. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient

energy requirement be determined in the absence of IC? Quality of evidence: very low R2B : If IC measurement of resting energy expenditure is not feasible, we suggest that the Schofield or Food Agriculture Organization / World Health Organization / United Nations University equations may be used without the addition of stress factors to estimate energy expenditure. Multiple cohort studies have demonstrated that most published predictive equations are inaccurate and lead to unintended overfeeding (...) reported ARDS, acute respiratory distress syndrome; BMR, basal metabolic rate; CRRT, continuous renal replacement therapy; DRI, Dietary Reference Intake; EN, enteral nutrition; FAO/WHO/UNU, Food Agriculture Organization / World Health Organization / United Nations University; IC, indirect calorimetry; IQR, interquartile range; MREE, measured resting energy expenditure; OR, odds ratio; PAL, physical activity level; PICU, pediatric intensive care unit; PN, parenteral nutrition; RQ, respiratory quotient

2017 American Society for Parenteral and Enteral Nutrition

166. 2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope

treatments. For these and all recommended drug treatment regimens, the reader should confirm the dosage by reviewing product insert material and evaluate the treatment regimen for contraindications and interactions. The recommendations are limited to drugs, devices, and treatments approved for clinical use in the United States. Class of Recommendation and Level of Evidence The Class of Recommendation (COR) indicates the strength of the recommendation, encompassing the estimated magnitude and certainty

2017 American Heart Association

167. Early pregnancy loss

indications • Haemodynamic instability • Persistent excess bleeding • Evidence of infected POC • Suspected GTD Cautions • Risk of haemorrhage or effects of haemorrhage • Previous uterine perforation Care provision • Misoprostol for cervical priming • Routine antibiotics not required • USS at time of suction curettage (if indicated) Follow-up • GP if ongoing concerns • ß-hCG not routinely indicated • USS not routinely indicated Surgical Give written information about: • Management option chosen • Expected (...) to MFM for follow-up— direct injection of potassium chloride may be indicated Advice for women • Refer to Section 1.2 for information/advice requirements • Provide information about usual cytotoxic precautions post treatment with methotrexate • Avoid: o Sun exposure (to limit skin inflammation) o Foods and vitamins containing folate/folic acid • Advise: o Pelvic examination and sexual intercourse carry risk of rupture in acute phase of resolution o Common side effects of methotrexate include: nausea

2017 Queensland Health

168. Normal birth

] · Ongoing birth preparation during pregnancy 40,47,48 [refer to Section 2.4 Continuity of care] · Maintaining the minimum level of birth intervention 6,7 compatible with safety · Food and fluid intake 49 · Freedom of movement 43 and position · Keeping mothers and babies together after birth with support for breastfeeding 50 · Asking two key questions: o Is the care woman centred? o Is the care safe? 2.1 Hormonal physiology The benefits of normal labour and birth for the woman and her baby include 35 (...) and equipment) available to assist the woman exit the water if this becomes necessary o Low risk pregnancy and labour, at term, singleton, cephalic 99,103 o Narcotic analgesia not administered within previous four hours o Active labour prior to entering water · Not excluded (if recommended antibiotics commenced): o Group B Streptococcus positive 93,104 § Refer to Queensland Clinical Guideline: Early onset Group B Streptococcal disease 105 o Prolonged rupture of membranes (more than18 hours) · Refer to local

2017 Queensland Health

169. Probiotics and Prebiotics

Organisation, 2017 Table 4 Mechanisms of probiotic and prebiotic host interaction. Symbiosis between microbiota and the host can be optimized by pharmacological or nutritional interventions in the gut microbial ecosystem using probiotics or prebiotics Probiotics Immunologic benefits ? Activate local macrophages to increase antigen presentation to B lymphocytes and increase secretory immunoglobulin A (IgA) production both locally and systemically ? Modulate cytokine profiles ? Induce tolerance to food (...) claims, and commerce 9 2.1 Understanding the marketplace 9 2.2 Products: dosages and quality 11 2.3 Product safety 11 3 Clinical applications 11 3.1 Colorectal cancer prevention 11 3.2 Diarrhea treatment and prevention 12 3.2.1 Treatment of acute diarrhea 12 3.2.2 Prevention of acute diarrhea 12 3.2.3 Prevention of antibiotic-associated diarrhea 12 3.2.4 Prevention of Clostridium difficile diarrhea 12 3.2.5 Prevention of radiation-induced diarrhea 12 3.3 Helicobacter pylori eradication 12 3.4 Hepatic

2017 World Gastroenterology Organisation

170. Clinical Practice Guidelines for Clostridium difficile Infection in Adults and Children

unless other infectious or noninfectious causes have been excluded (weak recommendation, low quality of evidence) . In children ≥2 years of age, C. difficile testing is recommended for patients with prolonged or worsening diarrhea and risk factors (eg, underlying inflammatory bowel disease or immunocompromising conditions) or relevant exposures (eg, contact with the healthcare system or recent antibiotics) (weak recommendation, moderate quality of evidence) . Infection Prevention and Control (...) carriage and placing asymptomatic carriers on contact precautions (no recommendation) . XXV. What is the role of antibiotic stewardship in controlling CDI rates? Minimize the frequency and duration of high-risk antibiotic therapy and the number of antibiotic agents prescribed, to reduce CDI risk (strong recommendation, moderate quality of evidence) . Implement an antibiotic stewardship program (good practice recommendation) . Antibiotics to be targeted should be based on the local epidemiology

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2017 Infectious Diseases Society of America

171. 2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Hea

, and pharmacological and procedural treatments. For these and all recommended medication treatment regimens, the reader should confirm the dosage by reviewing product insert material and evaluate the treatment regimen for contraindications and interactions. The recommendations are limited to medications, devices, and treatments approved for clinical use in the United States. Class of Recommendation and Level of Evidence The Class of Recommendation (COR) indicates the strength of the recommendation, encompassing

2017 American Heart Association

173. Identification and Symptom Management of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome

Rather than an allergic response, the patient’s sensitivity is to low levels of specific odors or chemicals, which cause an exacerbation of symptoms. For example, perfumes worn by others may cause problems. These patients may need advice on how to avoid the environmental chemicals which trigger symptoms. Patients with multiple food sensitivities who avoid food groups may need dietary counselling to rotate their foods to avoid malnutrition. By avoiding interactions and locations with volatile (...) ; exertional dyspnea; urinary frequency; irritable bowel syndrome (IBS); nausea b) Neuroendocrine Yes ? No ? b) Neuroendocrine: Low body temperature; cold extremities; sweating; intolerance to heat or cold; reduced tolerance for stress; other symptoms worsen with stress; weight change; abnormal appetite c) Immune Yes ? No ? c) Immune: Recurrent flu-like symptoms; sore throats; tender lymph nodes; fevers; new sensitivities to food, medicines, odors or chemicals Table 1: Validated ME/CFS Symptom Checklist

2016 Toward Optimized Practice

174. Urotrauma

interactive web site. These details are first reviewed by the Guidelines Oversight Committee (GOC), a member sub-committee from the PGC consisting of the Vice Chair of the PGC and two other members. The GOC determines whether the individual has potential conflicts related to the guideline. If there are no conflicts, then the nominee's COI is reviewed and approved by the AUA Judicial and Ethics (J&E) committee. A majority of panel members may not have relationships relevant to the guideline topic. The AUA

2017 American Urological Association

175. Management of Osteoarthritis of the Hip

devices referenced or described in this Clinical Practice Guideline may not have been cleared by the Food and Drug Administration (FDA) or may have been cleared for a specific use only. The FDA has stated that it is the responsibility of the physician to determine the FDA clearance status of each drug or device he or she wishes to use in clinical practice. Copyright All rights reserved. No part of this Clinical Practice Guideline may be reproduced, stored in a retrieval system, or transmitted, in any

2017 American Academy of Orthopaedic Surgeons

176. Platelet Transfusion for Patients With Cancer

the Food and Drug Administration term for this component is platelets, apheresis, the component is often called single-donor platelets. If histocompatible platelets are required for patients who are refractory to random-donor transfusions, apheresis platelets from donors selected by HLA typing or cross-matching should be used if available. Donors usually undergo two venipunctures, and blood pumped from one vein passes through a blood-cell separator centrifugation system (apheresis instrument (...) be discontinued, cultures obtained from the platelet bag and blood, and strong consideration given to treatment with antibiotics, particularly in neutropenic recipients. To address this fortunately uncommon but potentially serious and occasionally fatal complication, commercial methods of pathogen reduction using UV irradiation after incubation with a photosensitizer have been developed and recently approved in the United States and the European Union. Platelets and plasma treated in this fashion are now

2017 American Society of Clinical Oncology Guidelines

177. Acute and Chronic Heart Failure

indications for cardiac resynchronization therapy (CRT); the concept of an early initiation of appropriate therapy going along with relevant investigations in acute HF that follows the ‘time to therapy’ approach already well established in acute coronary syndrome (ACS); a new algorithm for a combined diagnosis and treatment approach of acute HF based on the presence/absence of congestion/hypoperfusion. This document is the result of extensive interactions between the Task Force, the review team (...) multivariable prognostic risk scores have been developed for different populations of patients with HF, and some are available as interactive online applications. Multivariable risk scores may help predict death in patients with HF, but remain less useful for the prediction of subsequent HF hospitalizations. , A systematic review examining 64 prognostic models along with a meta-analysis and meta-regression study of 117 prognostic models revealed only a moderate accuracy of models predicting mortality

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2016 European Society of Cardiology

178. Cancer treatments & cardiovascular toxicity 2016 (Position Paper)

interruption of a potentially lifesaving cancer treatment. The complex issue of CVD as a consequence of previous cancer treatment requires the creation of multidisciplinary teams involving specialists in cardiology, oncology and other related fields. The mutual interest to provide optimal care for patients with cancer and cancer survivors is an important motivation for the development of cardio-oncology teams. However, the extent of care and the interaction between the disciplines involved has not yet been (...) cardiomyopathy, while others may cause transient cardiac dysfunction without long-term consequences. The prediction of long-term cardiovascular prognosis is frequently challenging because patients with cancer typically receive multiple cancer drugs and sometimes radiation, with the potential for cardiotoxic effects from interactions among the different therapeutic modalities. Left ventricular (LV) dysfunction and HF are relatively common and serious side effects of cancer treatment. Survivors of paediatric

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2016 European Society of Cardiology

179. Vitamin K1 Prophylaxis

) – infant interaction. 3. Administer Vitamin K 1 as a single intramuscular dose of: • 0.5 mg if birth weight is 1500 grams or less • 1 mg if birth weight is greater than 1500 grams 4. For infants whose parents refuse an intramuscular injection, three 2 mg oral doses of Vitamin K 1 are recommended at: • the time of the first feeding • repeated at 2 to 4 weeks and • again at 6 to 8 weeks of age Oral prophylaxis is contraindicated in infants who are ill, on antibiotics, have cholestasis or diarrhea (...) your baby from VKDB. What is vitamin K? Vitamin K is a vital nutrient that our body needs for blood to clot and stop bleeding. We get vitamin K from the food we eat. Some vitamin K is also made by the good bacteria that live in our intestines. Babies have very little vitamin K in their bodies at birth because: Why does my baby need a vitamin K shot? 1. Vitamin K from the mom is not easily shared with the developing baby during the pregnancy 2. The intestine of the newborn baby has very little

2016 British Columbia Perinatal Health Program

180. Guideline for Primary Antifungal Prophylaxis for Pediatric Patients with Cancer or Hematopoietic Stem Cell Transplant Recipients

than 10 years, receipt of long term antibiotics and relapsed disease. 16 Following a detailed review of these risk factors, a risk stratification system was developed by Prentice et al. in 2000 17 for use in adults and was subsequently validated by McLintock et al. in 2004. 18 However, no risk stratification tool has been developed for or validated in children. The use of a risk stratification tool may be important to incorporate into prophylactic antifungal strategies. This is especially true (...) considerations including drug toxicities, drug interactions, resistance, administration issues and lack of pediatric experience may limit their use. Therefore, a narrower agent may be more appropriate in situations where the risk of Candida infection is high. The risk for yeast and mold infections differ depending on several factors including patient-related (i.e. underlying malignancy), treatment-related (i.e. type of chemotherapy, timing post transplant), complication-related (i.e. GVHD) and institution

2016 SickKids Supportive Care Guidelines

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