Infectious Disease Alert – May 1, 2015
May 1, 2015
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Clindamycin vs. Trimethoprim-Sulfamethoxazole for Uncomplicated Skin Infections
Five hundred twenty-four children and adults with either cellulitis or abscesses larger than 5 cm (smaller for children) were enrolled in a multisite prospective study of clindamycin vs. trimethoprim-sulfamethoxazole dosed for 10 days. Cure rates did not differ between the treatments, and rates of adverse events were similar in the two groups.
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The Response to Ebola in the United States — Current Status and Lessons Learned
Much was learned in the United States in dealing with the fear of Ebola virus infection — but can we avoid wasteful panic with the next outbreak of a novel pathogen?
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Rectal Colonizing E. coli Cause Most Infections Following Transrectal Biopsy of the Prostate
An observational cohort study found that rectal colonizing strains of E. coli are the source for most fluoroquinolone-resistant post-transrectal prostate biopsy infections. Pre-procedure screening cultures should be considered.
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Typhoid Vaccination
Vaccination against typhoid continues to be important for many travelers to at-risk countries in Asia, Africa, and Latin America.
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Pneumonia in U.S. Children Requiring Hospitalization
Two thousand six hundred thirty-eight children with a clinical diagnosis of community-acquired pneumonia (CAP) were enrolled in a prospective surveillance study. Eighty-nine percent had radiographic evidence of pneumonia. The median age of children hospitalized was 2 years, with the highest rates seen in children younger than 2 years. Respiratory viruses were the most commonly detected pathogens.
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Caring for Unaccompanied Central American Immigrant Children
Physicians can improve the health of unaccompanied Central American immigrant children by ensuring appropriate vaccination, by identifying culturally and linguistically appropriate community resources, and by becoming involved in patient advocacy.
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Infectious Disease Alert Updates
Legionella Revisited; Treatment of Latent Tuberculosis; Transmission of Clostridium difficile from Asymptomatic Carriers