Infectious Disease Alert – January 1, 2010

January 1, 2010

• New DHHS Guidelines for Antiretroviral Therapy

  The latest iteration of the DHHS guidelines was released December 1, 2009. The major changes to previous versions of the guidelines include a number of changes listed below:

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• Alternative Therapeutic Options for Pandemic Influenza A H1N1

  Since April 2009, pandemic influenza a (H1N1) virus isolates have been tested for resistance to adamantanes (amantadine, rimantadine) and have demonstrated 100% resistance to this class of antiviral agents.

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• Should Patients with Prosthetic Joints Routinely Receive Antibiotic Prophylaxis When Undergoing Dental Pocedures?

  In 2003, the american academy of orthopedic surgeons (AAOS) and the American Dental Association jointly published recommendations regarding antibiotic prophylaxis for dental patients who had had total joint replacements.

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• Updates By Carol A. Kemper, MD, FACP

  Watching my sniffling boy-friend boil six garlic cloves into tea the other day, he explained his Sicilian grandmother would do the same for them as kids when they had colds. Apparently, the Chief Medical Officer for the Moldovan Army agrees.

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• Pharmacology Watch: Niacin Beats Ezetimibe Head to Head

  In this issue: Statin and niacin increase HDL-C, omeprazole reduces effectiveness of clopidogrel, darbe-poetin increases risk of stroke, statins decrease risk of gallstone disease, FDA Actions.

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• Clinical Briefs in Primary Care supplement

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