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Evidence-based updates in primary care medicine By Louis Kuritzky, MD
Supplement to Clinical Cardiology Alert, Clinical Oncology Alert, Critical Care Alert, Hospital Medicine Alert, Infectious Disease Alert, Neurology Alert, OB/GYN Clinical Alert, Primary Care Reports.
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An 11-year prospective screening trial in 4051 menopausal women (age 50-74).
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Infants of women initiating either a combined oral contraceptive, the levonorgestrel IUS, the etonogestrel implant, or a copper IUD at 42 days postpartum ingested similar volumes of breast milk and displayed similar growth.
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In this retrospective, cohort study, a see-and-treat protocol resulted in only a 4.5% overtreatment rate.
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A recent review of the literature evaluating methods to decrease preterm birth in twins has shown little or no benefit of bed rest, cerclage, or 17 alpha-hydroxy progesterone.
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The installation of copper objects and surfaces in patient rooms reduced infections by two major nosocomial pathogens by more than half, suggesting the antimicrobial metal could provide a powerful yet completely passive weapon for prevention.
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Some health care employers are failing to take even the most basic steps to protect against bloodborne pathogen exposures, and the U.S. Occupational Safety and Health Administration is beginning to take notice.
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With strong evidence emerging that infection control interventions and pristine catheter care could prevent thousands of bloodstream infections annually in hemodialysis settings, the Centers for Disease Control and Prevention is urging freestanding and hospital-based dialysis centers to adopt its core collaborative measures nationally.
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Whether through high-tech innovation or sheer elbow grease, reducing the bioburden of a host of pathogens in the health care environment is taking on unprecedented importance in infection prevention.
