Top Myths of Diagnosis and Management of Infectious Diseases in Hospital Medicine

Am J Med. 2022 Jul;135(7):828-835. doi: 10.1016/j.amjmed.2022.03.019. Epub 2022 Mar 31.

Abstract

Antimicrobial agents are among the most frequently prescribed medications during hospitalization. However, approximately 30% to 50% or more of inpatient antimicrobial use is unnecessary or suboptimal. Herein, we describe 10 common myths of diagnosis and management that often occur in the hospital setting. Further, we discuss supporting data to dispel each of these myths. This analysis will provide hospitalists and other clinicians with a foundation for rational decision-making about antimicrobial use and support antimicrobial stewardship efforts at both the patient and institutional levels.

Keywords: Antibacterial agents; Antibiotics; Antimicrobial stewardship; Decision-making; Drug-related side effects and adverse reactions; Fluoroquinolones; Hospitalists; Hypersensitivity; Inpatients; Penicillins; Urinary tract infections.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Anti-Infective Agents* / therapeutic use
  • Antimicrobial Stewardship*
  • Communicable Diseases* / drug therapy
  • Communicable Diseases* / therapy
  • Hospital Medicine*
  • Humans

Substances

  • Anti-Bacterial Agents
  • Anti-Infective Agents