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Conceding that the effectiveness of risk-based hepatitis C virus testing has plateaued, public health officials are rolling the dashboard dice to capture the grand-daddy of all birth cohorts: Baby Boomers.
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As the nation faces the largest outbreak of pertussis in 50 years, the rate of vaccination of health care workers languishes at about 20%.
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This influenza immunization season may be one of the most challenging for the nation's hospitals as they face a new requirement to track every employee, licensed practitioner, student and volunteer.
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The Department of Health and Human Services (HHS) appears to be taking a step back from its recent emphasis on injection safety issues in ambulatory care and surgical settings (ASCs), though noting that some 3,200 inspections done in fiscal years 2010 and 2011 "found that deficient infection control practices are widespread in ASCs," according to a report by the Government Accountability Office (GAO).
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David MZ, Medvedev S, Hohmann SF, et al. Increasing burden of methicillin-resistant Staphylococcus aureus hospitalizations at US Academic Medical Centers 2003-2008. Infect Control Hosp Epidemiol 2012;33:782-9.
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A North Carolina hospital's program to restrict ciprofloxacin use in intensive care units was associated with a significant decreasing trend of Pseudomonas aeruginosa resistant isolates.
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An 84-year-old community-dwelling retired physician who maintains an active lifestyle and regularly attends community hospital meetings and lectures is seen for advice regarding management. He has a longstanding history of mild hypertension currently controlled by diet and hydrochlorothiazide.
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Potentially operable patients with Stage I non-small cell lung cancer who were treated with stereotactic ablative radiotherapy (SABR) between 1993-2010 were retrospectively identified in a prospectively collected database. Despite the median age of 76 years and the median comorbidity score of 2 in these 177 potentially operable patients, the 3-year survival was 85%. Post-SABR 30-day mortality was 0%, while predicted 30-day mortality for a lobectomy, derived using the Thoracoscore predictive model, would have been 2.6%. Local control at 3 years was 93%.
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Host-related immunoproliferation may contribute to the pathogenesis of certain clonal myeloid disorders such as myelofibrosis and myelodysplasia.