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Overall, quinolone resistance among isolates of Campylobacter jejuni from returned Finnish travelers increased during a 5-year period. The countries at highest risk for quinolone resistance are Thailand, India, and China. These findings indicate a need to reconsider the choice of antibiotics for self-treatment of travelers diarrhea in some countries.
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Repeated injections of a monoclonal anti-IgE antibody markedly decreased the sensitivity of peanut-allergic patients to subsequent peanut exposure. Since fatal anaphylaxis to peanuts can occur following inadvertent ingestion of small amounts of peanut antigen, this treatment might be very useful for peanut-allergic travelers who will be exposed to foods of uncertain purity.
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With the threat of smallpox and anthrax looming, ED nurses now have one more thing to worry about: severe acute respiratory syndrome (SARS).
At press time, there were 115 cases in 27 U.S. states, including at least two health care workers.
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Here is the case definition of severe acute respiratory syndrome (SARS) from the Atlanta-based Centers for Disease Control and Prevention.
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If you dont follow recent guidelines, a patient may come into your ED with a spinal cord injury and leave paralyzed.
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Identifying signs of abuse in an injured child is one of the worst parts of any ED nurses job. But there is another frightening possibility that you may not be aware of: If you miss a case, choose not to report your suspicions, or make a judgment call that turns out to be wrong, you could face criminal charges.
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If you switch to a five-level triage system without examining your processes, the entire process could fail, warns Elisabeth K. Weber, RN, MA, CEN, a Chicago-based consultant who specializes in emergency services and process improvement.
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How do you make big changes when you lack major resources? It may be as simple as looking to your long-term ED nurses.
