Infectious Disease
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Tips for Successfully Implementing a Flu Vaccination Program
Pediatric ED leaders interested in implementing a screening protocol to boost flu vaccination rates in children should rely on quality improvement principles.
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Nurse-Driven Screening Protocol Seeks Flu Vaccine for Every Eligible Child in ED
Frustrated with low vaccination rates, the ED at Children’s Wisconsin in Milwaukee implemented a screening protocol to offer the flu vaccine to every eligible child who presents for care. Now in its third year, the nurse-driven intervention has proven successful, with leaders working to expand the approach ahead of an expected COVID-19 vaccine.
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State Support Could Improve HPV Vaccination Rates
Investigators researched three possible state-level programs to guide lawmakers on this public health issue.
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Infectious Disease Alert Updates
Fatal ESBL Infection from Fecal Microbiota Transplant; Second Joint Infection When One Prosthetic Gets Infected?
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Predictors of Therapy Outcomes for Cryptococcal Meningitis: Failure of In Vitro Susceptibility Testing, Success of Early Fungicidal Activity
Although in vitro susceptibility testing failed to have value in predicting therapeutic outcome in patients with cryptococcal meningitis, detection of a rapid decline in fungal density in cerebrospinal fluid was associated with improved outcomes in a separate study.
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Antibiotics for Traveler’s Diarrhea
International travel carries a risk of colonization by antimicrobial-resistant intestinal flora. The use of a quinolone, but not a macrolide, during travel further increases the risk of acquisition of extended-spectrum beta-lactamase-producing Enterobacteriaceae.
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Voriconazole vs. Itraconazole for Treatment of Histoplasmosis
A retrospective cohort study found that patients treated with voriconazole had increased mortality during the first 42 days after the start of treatment compared to patients who received itraconazole.
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Does MRSA Nares Colonization Predict Non-Respiratory MRSA Infections?
Nares screening for methicillin-resistant Staphylococcus aureus (MRSA) has a high negative predictive value to rule out MRSA infections at various sites.
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Virtual Visits and Antibiotic Prescribing
Compared to in-person visits, virtual visits were associated with improved antibiotic prescribing practices for women with uncomplicated urinary tract infections.
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Healthcare Personnel Hospitalizations and COVID-19 — with Possible Implications for Vaccine Prioritization
During the period of study, 5.9% of individuals hospitalized for COVID-19-related reasons were healthcare providers (HCP), with approximately one-third involving HCP who were not expected to have direct patient contact in the course of their work.