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This issue of ED Legal Letter is the second of a four-part series related to pitfalls associated with evaluating patients with abdominal pain. The series will analyze high-risk and life-threatening disease processes that ED physicians will encounter in their daily practice. Part two explores gastrointestinal (GI) bleeding and the necessity of Hemoccult testing; the diagnosis and treatment of aortic aneurysms and abdominal trauma; and extra-abdominal causes of abdominal pain.
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Noroviruses are a frequent cause of acute gastroenteritis. During the last 2 months of 2002 in a single health district in Washington state, 10 outbreaks of acute gastroenteritis attributable to norovirus were investigated. These events affected 354 patients in 6 long-term care facilities, a community hospital, an outpatient clinic, and the county jail.
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Despite many years of practice, a recent questionnaire about therapeutic drug monitoring of vancomycin revealed marked variability and a lack of consensus regarding postdose assay sampling times, target ranges, and what constituted a toxic level.
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KS Fails to Respond to Cidofovir; Acyclovir & Renal Dysfunction; Broad-Range Bacterial PCR in Meningitis; Why is BCG Less Virulent than MTb?.
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The Centers for Disease Control and Prevention published Smallpox Vaccination and Adverse ReactionsGuidance for Clinicians in the Jan. 24th edition of Morbidity and Mortality Weekly Report. The guidance is a thorough review of the smallpox vaccine with a well-illustrated compendium of complications.
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The study established a policy of routine susceptibility testing of linezolid and quinupristin/dalfopristin isolates of VRE from any sterile site.
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Indices have been developed to help assess the risk of neutropenic patients developing Gram-positive infections when they become febrile that might allow strategies to be developed for managing these infections.
