Journal Feed Weekly Wrap-Up

We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. 

Originally published at JournalFeed, a site that provides daily or weekly literature updates. 

Follow Dr. Clay Smith at @spoonfedEM, and sign up for email updates here.


#1: Do Infants with Omphalitis Need a Full Sepsis Workup?

Spoon Feed
Serious bacterial infection was rare in well appearing, afebrile infants with omphalitis, suggesting that routinely obtaining cultures may not be needed.

Source
Omphalitis and Concurrent Serious Bacterial Infection.Pediatrics. 2022 Apr 20;e2021054189. doi: 10.1542/peds.2021-054189. Online ahead of print.


#2: What’s the Risk of DVT or PE at 1, 2, and 3 Months After Hospital Discharge?

Spoon Feed
Risk for venous thromboembolism (VTE) was highest during hospitalization, but the risk remained elevated 3-fold at 3 months post-discharge.

Source
Venous Thrombosis Risk during and after Medical and Surgical Hospitalizations: The Medical Inpatient Thrombosis and Hemostasis (MITH) Study. J Thromb Haemost. 2022 Apr 15. doi: 10.1111/jth.15729. Online ahead of print.

Spoon Feed
Nonoperative management (NOM) for uncomplicated appendicitis has become more common over the past 10 years in the pediatric population. Although many children do well, those who have recurrences have higher rates of surgical complications and hospitalizations.

Source
Nonoperative Management of Uncomplicated Appendicitis. Pediatrics. 2022 Apr 18;e2021054693. doi: 10.1542/peds.2021-054693. Online ahead of print.

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