Cryptococcal infection has taken another new twist. For years before the HIV epidemic, infection with C. neoformans mostly occurred in immunosuppressed individuals who also had some defined zoonotic exposure, often to birds or pigeons.
A physician in new York notified relevant county and state public health authorities in August 2009, of a patient from Rochester with suspected dengue, subsequently confirmed by CDC, whose only travel had been to Key West, FL. Confirmation at the CDC included both serum antibody testing and detection of dengue virus serotype 1 in cerebrospinal fluid.
From about 7 a.m. to 7 p.m. Monday to Friday a hospital is a busy place with a host of clinical and administrative staff and department chairs and chiefs. But on nights and weekends, it's often quite different.
Whether it's over-alerting or under-alerting, it's a problem. A number of studies have taken on computerized physician order entry (CPOE), but the latest findings from a Leapfrog Group study made public June 28 shows CPOE problems can lead to harmful or even fatal errors.
The traditional hospital system in which physicians are staffed during the day and on call at night is not the only model. And certainly, as the health care industry becomes more aware of the quality of care for the traditional off-peak shifts, that model could change quite radically in the future.
