Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Decreasing Incidence of SSTIs at US EDs

Clin Infect Dis; ePub 2018 Jun 15; Morgan, et al

There was a decline in skin and soft tissue infections (SSTIs) at 86 US emergency departments (EDs) from 2009-2014, noted as an epidemiologic shift from the increase in STTIs after 2000, a recent study found. Data were obtained for patient encounters at all academic medical center EDs affiliated with the Vizient clinical data warehouse who had an SSTI-associated ICD-9 code between January 1, 2009 and December 31, 2014. The rate was calculated per 1,000 ED encounters by year and stratified by SSTI, HIV, and both; and by age group, race, payer type, and region of care. Researchers found:

  • In 2009-2014, 47,317 HIV-associated and 820,440 SSTI-associated encounters were recorded among 25,239,781 ED patient encounters.
  • The rate of SSTIs among all patients as well as among those with HIV decreased 8% and 14.6%, respectively.
  • The SSTI incidence overall decreased from 32.0 to 29.7/1,000 ED encounters between 2009 and 2014.
  • HIV-infected patients had a significantly higher rate of SSTIs.

Citation:

Morgan E, Hohmann S, Ridgeway J, Daum R, David MZ. Decreasing incidence of skin and soft tissue infections at 86 U.S. emergency departments, 2009-2014. [Published online ahead of print June 15, 2018]. Clin Infect Dis. doi:10.1093/cid/ciy509.

This Week's Must Reads

New IDSA Guideline for Management of OPAT, Clin Infect Dis; ePub 2018 Nov 13; Norris, et al

Immunocompromised Children with Influenza, J Pediatric Infect Dis Soc; ePub 2018 Oct 25; Collins, et al

OPAT Outcomes in SNFs vs HHCs, Open Forum Infect Dis; ePub 2018 Oct 24; Townsend, et al

HIV-associated Cryptococcal Meningitis at Higher CD4 Counts, J Infect Dis; ePub 2018 Oct 16; Tugume, et al

Mycoplasma Genitalium Infections & STIs, Clin Infect Dis; ePub 2018 Oct 23; Lillis, et al

Must Reads in HIV

HIV-associated Cryptococcal Meningitis at Higher CD4 Counts, J Infect Dis; ePub 2018 Oct 16; Tugume, et al

Sex Differences in HIV-associated Cognitive Impairment, AIDS; ePub 2018 Oct 4; Sundermann, et al

Parenting Desires in Men & Women Living with HIV, Open Forum Infect Dis; ePub 2018 Sep 15; Cohn, et al

Mobile Health Intervention for PrEP in Young MSM, Clin Infect Dis; ePub 2018 Sep 15; Liu, et al

Food Insecurity & Inflammation in Women Living with HIV, J Infect Dis; ePub 2018 Aug 27; Leddy, et al