[JAMA Intern Med发表论文]:胃肠道疾病的粪菌移植与多重耐药菌去定植已关闭评论
Original Investigation
Fecal Microbiota Transplant and Multidrug-Resistant Organism Decolonization in Gastrointestinal Disease: A Randomized Clinical Trial
Himanshu Narang, Daizee Talukdar, Bipul Kumar, et al
JAMA Intern Med Published Online: April 20, 2026
doi: 10.1001/jamainternmed.2026.0655
Key Points
Question Is fecal microbiota transplant (FMT) effective in achieving gut decolonization of...
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[JAMA发表论文]:革兰阴性杆菌菌血症的抗生素耐药快速检测已关闭评论
Original Investigation
Fast Antimicrobial Susceptibility Testing for Gram-Negative Bacteremia: The FAST Randomized Clinical Trial
Ritu Banerjee, Lauren Komarow, Yixuan Li, et al
JAMA Published Online: April 18, 2026
doi: 10.1001/jama.2026.5487
Key Points
Question Does use of rapid antimicrobial susceptibility testing directly from blood culture bottles positive for gram-negative bacteria impro...
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[JAMA发表论文]:阿莫西林-克拉维酸与阿莫西林治疗成人急性鼻窦炎已关闭评论
Original Investigation
Amoxicillin-Clavulanate vs Amoxicillin for Acute Sinusitis in Adults
Timothy J. Savage, Anne M. Butler, Matthew P. Kronman, et al
JAMA Published Online: April 18, 2026
doi: 10.1001/jama.2025.26902
Key Points
Question For acute sinusitis in adults younger than 65 years, is standard-dose amoxicillin-clavulanate associated with different risks of treatment failure and adver...
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[JAMA Netw Open发表论文]:高腺瘤检出率场景下对高危人群的计算机辅助结肠镜检查已关闭评论
Original Investigation
Gastroenterology and Hepatology
Computer-Assisted Colonoscopy in High–Adenoma Detection Rate Settings in a High-Risk Population: A Randomized Clinical Trial
Wen-Feng Hsu, Chen-Ya Kuo, Hsu-Heng Yen, et al
JAMA Netw Open 2026;9;(4):e264881. doi:10.1001/jamanetworkopen.2026.4881
Key Points
Question Does the use of computer-aided detection (CAD) during colonoscopy improve adenoma dete...
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[JAMA Netw Open发表论文]:择期结直肠手术的β-内酰胺与非β-内酰胺类抗生素预防已关闭评论
Original Investigation
Surgery
β-Lactam vs Non–β-Lactam Prophylaxis in Elective Colorectal Surgery
Curtis D. Collins, Eric Hartsfield, Robert K. Cleary, et al
JAMA Netw Open 2026;9;(4):e266708. doi:10.1001/jamanetworkopen.2026.6708
Key Points
Question Are surgical prophylaxis regimens containing β-lactam antibiotics associated with lower surgical site infections (SSIs) compared with non–β-lactam alternative regimens in patients undergoin...
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[JAMA Netw Open发表论文]:大语言模型表现与临床推理任务已关闭评论
Original Investigation
Health Informatics
Large Language Model Performance and Clinical Reasoning Tasks
Arya S. Rao, Kaiz P. Esmail, Richard S. Lee, et al
JAMA Netw Open 2026;9;(4):e264003. doi:10.1001/jamanetworkopen.2026.4003
Key Points
Question Can off-the-shelf large language models (LLMs) demonstrate reliable performance across the clinical workflow?
Findings In this cross-sectional study of 21 frontier LLMs tested on ...
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[NEJM发表论文]:头孢唑啉治疗MSSA菌血症已关闭评论
ORIGINAL ARTICLE
Cefazolin for Methicillin-Susceptible Staphylococcus aureus Bacteremia
The Staphylococcus aureus Network Adaptive Platform (SNAP) Trial Group
N Engl J Med 2026;394:2329-2339
DOI: 10.1056/NEJMoa2506905
Abstract
BACKGROUND
Staphylococcus aureus bacteremia is associated with high mortality. Whether cefazolin or an antistaphylococcal penicillin should be preferred for the treatment of methicillin-susceptible S. aureus&...
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[JAMA Surg发表论文]:美国外科医师学院全国质量改进协作计划提升肺癌手术质量已关闭评论
Original Investigation
An American College of Surgeons National Quality Improvement Collaborative to Enhance Lung Cancer Surgical Quality
Kelley Chan, Eileen M. Reilly, Ryan C. Jacobs, et al
JAMA Surg Published Online: April 15, 2026
doi: 10.1001/jamasurg.2026.0902
Key Points
Question Can a national quality improvement (QI) collaborative model increase compliance for a lung cancer operative standard?
Findings Among 354 accr...
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Intensive Care Medicine在线免费阅读已关闭评论
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PHYSIOLOGY IN CRITICAL ILLNESS
Understanding the Disease
Cardiac output and determinantsBhattacharjee, S., Ferrer, R. & Hamzaoui, O.
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Defining ECMO complications: a step towards improving clinical outcomes?Brown, A., Barbaro, R.
Update on long-term physical disability after critical illness: the burden of post-intensive care syndromeHermann, M., Karner, V. & Schaller, S.J.
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[JAMA发表论文]:切口内使用妥布霉素联合万古霉素预防胫骨骨折患者手术部位感染已关闭评论
Original Investigation
Intrawound Tobramycin Plus Vancomycin to Prevent Surgical Site Infection in Tibial Fractures: The TOBRA Randomized Clinical Trial
Major Extremity Trauma Research Consortium (METRC)
JAMA Published online: April 15, 2026
doi: 10.1001/jama.2026.4023
Key Points
Question Is the combination of intrawound tobramycin and vancomycin powder more effective than vancomycin powder alone to reduce deep surgical site infection in...
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