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The Centers for Disease Control and Prevention recommends indicators to measure improvement in adherence to hand-hygiene guidelines.
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The first stage of smallpox vaccination has begun, even before the doses are released or a final plan formulated. Across the country, hospitals are educating health care workers about smallpox and the vaccinia vaccine.
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Health care workers with HIV or a history of atopic dermatitis are at real risk of serious complications if they receive smallpox vaccine. But can they be safely screened out if as appears imminent 500,000 hospital workers are offered smallpox immunization?
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The Centers for Disease Control and Preventions Advisory Committee on Immunization Practices cites these contraindications for receipt of smallpox vaccine.
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Hospitals will have considerable leeway to make their own decisions about who and how many health care workers will be immunized for smallpox if the government moves ahead as expected and offers the vaccine to medical personnel.
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The Atlanta-based Centers for Disease Control and Preventions (CDC) Advisory Committee on Immunization Practices (ACIP) recently approved a plan that calls for smallpox immunization of 510,000 health care workers.
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Latent tuberculosis infection (LTBI) is a common reason for referral to infectious disease specialists. For the past few decades the standard therapy in the United States has been isoniazid for 9 months.
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A 52-year-old woman with no significant past medical history presented to Stanford Hospital in July, 2014, with fever and progressive weakness. She had been in her usual state of health until the day prior to admission, when she began to feel fatigued with subjective fevers and “restless legs.”
