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Changing Human Behavior on Antibiotic Stewardship
Infection preventionists are turning to social scientists to better understand why it is so difficult to get people to consistently wash their hands or, in a more recent example, stop them from overprescribing drugs or inappropriately using broad-spectrum antibiotics that will select out resistant organisms.
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Zika Virus: Not Gone, Certainly Not Forgotten
A mosquito bite, typically a mere nuisance, becomes something else entirely when the mosquito carries Zika. It sets off a series of risks and variables that reach their most dire consequence if the virus reaches a human fetus, particularly during the first trimester of pregnancy. -
CDC: At-Risk Flu Patients Should Receive Antivirals
Neuraminidase inhibitor (NAI) antiviral medications should be brought to bear early and often to stave off severe and fatal flu infections due to a vaccine mismatch this season, the CDC recommends.
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Severe Flu Season a Call to Action for Infection Preventionists
With public health officials giving clinicians essentially a standing order to administer antivirals to high-risk patients with influenza due to a vaccine mismatch, infection preventionists are stepping up to play critical roles in response to a severe flu season.
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Rehabilitation From Neurological Insults: The Role of Music-based Interventions
This large-scale review study brings promising direction to the field; understanding the effect of specific musical interventions on specified outcomes could and should lead to a more targeted and efficacious approach. -
Thrombectomy Is Effective Up to 24 Hours After Stroke – the DAWN Trial
Among a group of ischemic stroke patients last known to be well six to 24 hours earlier and who had a mismatch between clinical deficit and infarct size, outcomes regarding disability and functional independence were better if treated with mechanical thrombectomy, rather than standard care alone.
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Implementing Noninvasive Ventilation: If You Build It, They Will Come
This study affirmed that giving allied health professions autonomy to execute care within well-structured, supervised protocols/guidelines is an efficient solution to many of the current obstacles in providing patient care in an increasingly fractured environment. -
More ICU Care Does Not Equal Better Survival for Elderly Patients
With an aging population and growing numbers of ICU beds, the question arises as to whether the ICU truly is beneficial for this vulnerable population. To explore this question, a cluster-randomized, clinical trial was designed to determine whether a method of systematic ICU admission in critically ill elderly patients reduced six-month mortality.
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Noninvasive Ablation of Ventricular Tachycardia: A Paradigm Shift?
In five patients with recurrent ventricular tachycardia refractory to conventional therapies, relatively short treatments with electrophysiology-guided stereotactic body radiation therapy were highly effective at reducing arrhythmia burden.
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Follow-up Blood Cultures in Gram-negative Bacteremia — Don’t Order Them
Not only does ordering routine follow-up blood cultures in patients with GNR bacteremia seldom produce helpful information, but common false-positive results can lead to longer length of stay, additional inappropriate antibiotic therapy, and increased healthcare costs.