When can exercise supplant surgery for degenerative meniscal tears?

When can exercise supplant surgery for degenerative meniscal tears? PRACTICE CHANGER: Recommend supervised exercise therapy to your patients with a medial, degenerative meniscal tear and a minimal history of osteoarthritis because it is as effective as partial meniscectomy, entails little risk, and has the added benefit of increasing muscle strength. Stength of recommendation: B: Based on a single, good quality, randomized controlled trial

This adjunct medication can speed CAP recovery

This adjunct medication can speed CAP recovery: Adding prednisone to the antibiotic regimen can help patients hospitalized with community-acquired pneumonia to stabilize more quickly and leave the hospital sooner. PRACTICE CHANGER: Prescribe oral prednisone 50 mg/d to hospitalized patients with mild to moderate community-acquired pneumonia. It decreases time to clinical stability and length of hospital stay

A better approach to preventing active TB?

Review of: Menzies D, Adjobimey M, Ruslami R, et al. Four months of rifampin or nine months of isoniazid for latent tuberculosis in adults. N Engl J Med. 2018;379:440-453.A better approach to preventing active TB? Nine months of isoniazid prevents active TB in those with latent disease. But is there a shorter, less toxic option? PRACTICE CHANGER: Use 4 months of rifampin instead of 9 months of isoniazid to treat adults with latent tuberculosis; rifampin is associated with fewer adverse events and higher completion rates. STRENGTH RECOMMENDATION: B: Based on a randomized controlled trial and a previous Cochrane review.Sandra Sauereisen, MD, MPH; Gregory Castelli, PharmD, BCPS, BC-ADM UPMC; St. Margaret Family Medicine Residency, Pittsburgh, P