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Quarantine is depressing and anxiety provoking
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New draft patient isolation guidelines by the Centers for Disease Control and Prevention include the following performance measures.
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Rather than a dreaded, unnecessary task, a new requirement to conduct a root-cause analysis (RCA) for fatal and impairing infections is an idea whose time has come in the new era of patient safety, said Denise Murphy, RN, MPH, CIC, chief of patient safety at Barnes Jewish Hospital at Washington University Medical Center in St. Louis.
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In an increasingly small infectious-disease world characterized by speed, connectivity, and globalization, infection control professionals are emerging as the critical link between clinical care and public health, said Julie Gerberding, MD, director of the Centers for Disease Control and Prevention (CDC).
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Despite calls for aggressive action by some epidemiologists, new draft federal guidelines on multidrug-resistant organisms (MDROs) argue against adoption of the most comprehensive methods as the sole approach to this problem.
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Denise Murphy, RN, MPH, CIC, chief of patient safety at Barnes Jewish Hospital at Washington University Medical Center in St. Louis, and colleagues developed the following scenarios to assist infection control professionals in identifying sentinel events related to infections.
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The NIH has halted the estrogen-alone wing of the Womens Health Initiative a year before its scheduled end.
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The ECG shown in the Figure was obtained in the emergency department (ED) from a 61-year-old woman with a history of significant hypertension. She was alert, oriented, and not in acute distress at the time this tracing was recorded, although she was markedly hypertensive and experiencing some chest pain. No prior ECG was available. The patient was treated in the ED with several doses of Adenosine and eventually converted to sinus rhythm. Your thoughts on the rhythm and the management?
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The FDA has approved a combination product of amlodipine and atrovastatin for the treatment of patients with comorbid hypertension and hypercholesterolemia.
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Although regular aspirin use reduces the risk for colorectal adenoma formation as shown in previous randomized-controlled trials, the protective effect now seems to be greatest at substantially higher doses (> 14 standard tablets/week) than currently recommended for cardiovascular prophylaxis.
