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Some infection preventionists have raised concerns about the unintended consequences of contact isolation in hospitals, which are often tied to active screening cultures to detect particular pathogens such as methicillin-resistant Staphylococcus aureus(MRSA).
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Infection preventionists and their employee health colleagues undertaking a mandated program to immunize health care workers against flu invariably will run into four groups of people:
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In reviewing the risk of seasonal influenza and the controversial question of health care worker immunization, Thomas Talbot, MD, MPH, paused on a mysterious case study an 'N of 1," if you will, that suggests patients come into hospitals and die of influenza contracted during treatment.
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Timsit et al conducted a 2x2 randomized, controlled trial comparing chlorhexidine-impregnated sponges in the dressing of vascular catheters with control dressings.
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With more hospitals in recent years considering mandatory seasonal flu immunizations for health care workers, the rise and highly anticipated seasonal resurgence of H1N1 influenza A raises a compelling question: Will the first pandemic in 41 years add momentum to increasing calls to make flu immunization a condition of health care employment?
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The ACTIVE Investigators. Effect of clopidogrel added to aspirin in patients with atrial fibrillation.
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The FDA has approved the first oral, selective vasopressin V2-receptor antagonist for the treatment of hypervolemic and euvolemic hyponatremia.
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A polypill consisting of low doses of thiazide, atenolol, ramipril, simvastatin, and aspirin administered to 2053 subjects in 50 centers in India was effective in reducing multiple risk factors and cardiovascular risk.
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A review of large randomized clinical trials for type 2 diabetes controlling HbA1c as low as 6.5-7.0% showed many consequences, but uncertain benefits. A new approach to type 2 diabetes should include individualized HbA1c targets along with cardiovascular risk reduction reflecting patients' values and preferences, and caution is urged in using these HbA1c values as performance measures to indicate inadequate care.