Infectious Disease Topics
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Echinococcosis — Who Cares, and What’s New?
Echinococcosis continues to cause significant disease in much of the world, and a new form is emerging in Latin America. Combinations of medical, procedural, and surgical treatment usually are effective, but long-term albendazole may be required.
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Restricting Fluoroquinolone Use Reduces Clostridium difficile Infection More Than Infection Control Methods
An observational study from England showed that restricting fluoroquinolone use reduced incidence of Clostridium difficile infection more than would be predicted by improved infection control methods alone.
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TB in the United States: Better, but Still a Long Way to Go
The incidence of tuberculosis in the United States continues to decrease, but not at a rate sufficient to achieve elimination during this century.
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Medical Treatment of Acute Appendicitis in Children
A meta-analysis demonstrated a 90.5% success rate of medical treatment compared to appendectomy for acute uncomplicated appendicitis in children 5-15 years of age. There was a nearly nine-fold higher risk of failure with antibiotic treatment, indicating that appendectomy remains the standard of care.
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Infectious Disease Alert Updates
Ebola Preparedness in Hospitals; Meningococcal Vaccine Recommended for HIV+ Persons
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Adult Immunizations — 2017 Changes
Significant changes in recommendations for adult immunization for 2017 have been made or influenza, meningococcal infection, human papillomavirus, and hepatitis B.
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Listeria Monocytogenes: Maternal-fetal Infection, Bacteremia, and Meningoencephalitis
Infection with Listeria monocytogenes in pregnancy is associated with frequent fetal loss. In others, bacteremia and central nervous system infections are associated with significant mortality.
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Antibiotic Treatment in Community-acquired Pneumonia
In patients with newly diagnosed community-acquired pneumonia, basing the duration of antibiotic treatment on clinical stability criteria led to a significant reduction in duration of antibiotic treatment without an increased risk of adverse outcomes.
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Does Tonsillectomy Decrease Throat Infections?
For children with recurrent throat infections, tonsillectomy leads to fewer throat infections and less school absence during the first post-operative year (as compared to similar children who did not undergo tonsillectomy). However, beneficial effects of surgery do not persist over time.
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Inflammation in HIV Also Is Mediated by CD8+ T-cells and Platelets
CX3CR1+ CD8+ T-cells home to vascular endothelium and are enriched in ART-treated patients with HIV. These cells may play an important role in CVD risk in HIV-infected patients.