Internal medicine journal
-
Internal medicine journal · Apr 2021
Impact of a model of care for heart failure in-patients to reduce variation in care: a quality improvement project.
We identified variation in delivery of guideline recommended care at our institution, and undertook a project to design a heart failure (HF) model of care. ⋯ This model of care resulted in overall trends of reductions in 30- and 90-day readmissions, without increasing emergency department representations, mortality and length of stay. This model will be adapted as the electronic medical record is introduced at our institution.
-
Internal medicine journal · Apr 2021
Group A streptococcal bacteraemia at a tertiary hospital in Melbourne: concern of an under-reported risk group in Australia.
Invasive group A streptococcal (iGAS) infections are increasing worldwide with at-risk groups being children, pregnant women and the elderly. In 2017, there was a rise in iGAS cases in Victoria, prompting a Chief Health Officer advisory. ⋯ GAS bacteraemia resulted in significant morbidity and prolonged hospitalisation. In contrast to the at-risk groups identified in the Victorian Government health advisory, the commonest risk group in this series were people who inject drugs and most commonly middle-aged men. Invasive GAS should be considered if a person who injects drugs presents with acute severe sepsis.
-
Internal medicine journal · Apr 2021
Letter Case ReportsAn unusual presentation of neuro-ophthalmic syphilis.