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In one of the more bizarre stories of the year, the FDA has uncovered files of counterfeit Procrit (epoetin alfaJohnson & Johnson) in routine surveillance. To make matters worse, the fake vials have been contaminated with bacteria and many contain no active ingredient.
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Since late February 2003, the CDC and WHO have been investigating a multicountry outbreak of an atypical pneumonia manifested by an illness referred to as severe acute respiratory syndrome (SARS). These initial reports in MMWR describe the scope of the outbreak, case definition, and interim infection control guidance for the United States.
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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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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.
