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Clinicians and public health officials in Michigan have identified both the fifth and sixth cases of vancomycin-resistant Staphylococcus aureus (VRSA), meaning four of the first six cases of the emerging pathogen have occurred in a single state.
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Anesthesiologists in hospitals with some of the best infection control programs in the country are reusing needles and contaminated multiple dose vials on multiple patients, according to survey results presented in Chicago at the annual meeting of the Society for Healthcare Epidemiology of America (SHEA).
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Though human transmission of avian influenza A (H5N1) is extremely rare, there are two published investigations that strongly suggest the emerging virus was transmitted to health care workers in 1997, and from a patient to family contacts in 2004.
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As the nations hospitals scramble to implement pandemic plans, avian influenza A (H5N1) continues to wing its seemingly inevitable way toward North America in the flight of migratory birds. Those televised images of garbed decontamination teams and piles of dead chickens soon could be emanating from the United States.
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Alternative Therapy for Depression?; FDA Actions
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A 58-year-old woman presented with 3 days of dyspnea and was shown by CT scan to have pulmonary thromboemboli. She was anticoagulated with low-molecular-weight heparin and was stable for 2 days, but then developed acute respiratory failure, was intubated, and transferred to the ICU.
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A 53-year-old woman with a history of splenectomy 15 years ago for idiopathic thrombocytopenic purpura and no chronic medical problems awoke with headache, myalgias, and fever. She was seen at her local urgent care that evening where she had a temperature of 102°F with mild tachycardia but otherwise normal vital signs.
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Infection control practices often target clinician behaviors, eg, improving adherence to hand washing hygiene and other infection control practices.