Mycobacterium abscessus is a rapidly growing mycobacterium (RGM) known to be abundant in soil, dust and water. Unlike other non-tuberculous mycobacteria, RGM is typically resistant to first-line anti-tuberculosis drugs. These organisms are known to cause community and hospital-acquired infections; however, central nervous system (CNS) infections caused by these pathogens have not been abundantly reported. As the use of vascular catheters and prosthetic devices is becoming more common, a rise in CNS infections secondary to M. abscessus has been noted. Here, we present such a case where the removal of a ventricular catheter was necessary to guarantee source control and eradication of the infection.

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INTRODUCTION:The Stanford Emergency Critical Care Program (ECCP), in which a dual-boarded EM/CCM physician serves as an embedded consultant during hours of peak ED census, was initiated in 2017. We investigated the association between the ECCP intervention and critical care utilization in ED patients with Diabetic Ketoacidosis (DKA).METHODS: This is a retrospective cohort analysis of adult DKA patients in the ED who were admitted to critical care between 2017-2019. Duration of critical care and ICU bed utilization by patients admitted during ECCP hours were compared to patients admitted during non-ECCP hours. Stata was used for all analyses.

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