Written By: Lewis Greenstein ‘17
Over the summer I started working with Dr. Sabine von Preyss-Friedman (Max Friedman ‘08, Sam Friedman ‘11, and Sarah Friedman ‘15) in order to analyze the effectiveness of a protocol that she had implemented in a local nursing home. One problem faced by many hospitals and nursing homes is a certain type of gastro-intestinal infection caused by a bacteria called Clostridium difficile that is relatively common in medical facilities. Because it is widely accepted that antibiotic use greatly increases the risk of this kind of infection, the protocol implemented in this nursing home involved giving probiotics whenever antibiotics were prescribed in order to keep a more healthy balance of gut bacteria. This was extremely effective in that facility.
With the help of Dr. von Preyss-Friedman, I wrote a short abstract and submitted it to the Journal of the American Medical Directors Association, and it was accepted and published in the March 2017 issue. I also created a poster with more in-depth data, which was presented at The Society for Post-Acute and Long-Term Care Medicine 2017 Annual Conference (#PALTC17) in Phoenix, Arizona where it was very well received. It drew quite a bit of interest, and inspired a few people to change their own protocols.