Infectious Disease Alert – September 1, 2019
September 1, 2019
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When Did You Last Take an Antibiotic?
Approximately half of U.S. residents with health insurance filled an antibiotic prescription over a two-year period.
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No Antibiotic Prescription Required
Acquisition of antibiotics without a prescription can be easy in the United States.
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Prophylactic Antibiotics Significantly Reduce the Risk of Infection Following Operative Vaginal Delivery
In a multicenter, randomized clinical trial, researchers found that a single dose of intravenous amoxicillin/clavulanic acid significantly reduced the risk of infection following operative vaginal birth (forceps or vacuum extraction) compared to placebo (180 of 1,619 [11%] vs. 306 of 1,606 [19%], respectively; P < 0.0001).
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Mycobacterium chimaera Granulomatous Encephalitis
Lau and colleagues describe a novel infectious problem — diffuse granulomatous encephalitis due to Mycobacterium chimaera infection occurring after cardiac surgery.
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HIV Prevention Strategies in Africa
Several strategies have proven effective in reducing transmission of HIV, including access to confidential testing and counseling, early introduction of HIV medications, and male circumcision. Three new studies show what actually affects the spread of HIV in populations, and results vary between different African settings.
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CRP and Reduction of Antibiotic Use in Acute Exacerbations of Chronic Obstructive Pulmonary Disease
Point-of-care C-reactive protein testing can safely and effectively reduce antibiotic use in patients with acute exacerbations of chronic obstructive lung disease.
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Infectious Disease Alert Updates
Should We Be Looking for ESBL? Close the Door to That OR!