Effective use of antibiotics starts with a complete allergy history

Effective antibiotic use starts with allergy history
PHOTO: ADOBE STOCK

This week is Antibiotic Awareness Week, a week focused on using antibiotics appropriately to provide the best clinical outcomes and avoid antibiotic resistance.

As physicians who care for patients with antibiotic resistant infections and those with antibiotic allergies, we know that there are real clinical advantages to being able to use “narrow” beta-lactam antibiotics such as amoxicillin. In fact, for many diagnoses, patients have better outcomes when they are treated with beta-lactam antibiotics that are targeted to their specific bacteria.  …Read More

Gender discrimination in health care spaces: What clinicians and staff should know

People may face discrimination in health care spaces, such as this exam room, because of their gender
PHOTO: ADOBE STOCK

Public accommodation laws aim to help protect minority groups against discrimination. In the case of transgender people, such laws protect access to sex-segregated spaces including public restrooms, changing rooms and locker rooms. In a health care setting, rooming assignments and other sex-segregated environments are affected by accommodation laws, which can raise questions for staff. …Read More

Quick Note: Previsit screening checklist improves teamwork and access

Doctor uses previsit screening checklistI am sure many colleague primary care providers are familiar with the soaring feeling of frustration when at the end of a visit, hand on the doorknob and ready to move on to the next patient, you are unexpectedly halted by your patient’s one last question. Often the one last question — aka the “doorknob” question — is in fact so important to your patient’s health and one you wish you’d been asked earlier in the encounter. …Read More

Cerebral palsy: How a team approach benefits spasticity

two children with spasticity from cerebral palsy
PHOTO ILLUSTRATION: DAVID CHRISOM/BOSTON CHILDREN’S HOSPITAL

Cerebral palsy (CP) is an umbrella term that can refer to several different types of brain injury and that can affect many aspects of a child’s health. For these reasons, CP is best treated by a team of clinicians from multiple disciplines, who can address the full array of related concerns. In the Cerebral Palsy and Spasticity Center at Boston Children’s Hospital, patients receive care from multiple providers in one day, which makes managing care easier on families and encourages collaboration and communication between caring physicians. …Read More