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One in 5 Americans dies in or shortly after discharge from an intensive care unit (ICU), an outcome that exposes critical care clinicians to frequent discussions that concern end-of-life care.
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Mueller and colleagues at the University Hospital in Basel, Switzerland, investigated the clinical utility and cost-effectiveness of immediately measuring the serum level of B-type natriuretic peptide (BNP) in patients presenting to the emergency department with acute dyspnea.
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Artinian and colleagues performed a retrospective analysis on a large prospectively acquired database from ICUs across the United States to examine the effect of initiating early enteral feeding on outcomes in non-surgical, mechanically ventilated ICU patients.
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Two leading infection control and immunization advisory committees at the Centers for Disease Control and Prevention have jointly endorsed new guidelines to give the new Tdap vaccine to health care workers to protect them and their patients from pertussis.
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With reports of more than 100 health care workers infected with mumps during a Midwest outbreak that now exceeds 4,000 cases, the Centers for Disease Control and Prevention is recommending that all health care workers should have immunity to mumps and even those born before 1957 should receive one dose of vaccine.
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Voluntary annual influenza immunization programs that use educational efforts and other incentives to vaccinate health care workers have been an abject failure, a leading proponent of mandatory flu shots said recently in Tampa at the annual conference of the Association for Professionals in Infection Control and Epidemiology.
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After some pointed discussion and one dissenting vote, the Centers for Disease Control and Prevention's Healthcare Infection Control Practices Advisory Committee (HICPAC) recently endorsed recommendations to immunize health care workers with the new pertussis vaccine.
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The Centers for Disease Control and Prevention's division of healthcare quality promotion recently posted updated guidance on mumps and infection control on its web site. Key points regarding health care worker exclusion from work include the following: