Infectious Disease
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The Growing Threat of Pyelonephritis Caused by Antibiotic-resistant Escherichia coli
In patients with acute pyelonephritis due to Escherichia coli presenting to one of 10 EDs, the prevalence of fluoroquinolone resistance ranged from 6.3% to 19.9%, and the prevalence of extended-spectrum beta-lactamase production was 2.6% to 12.2%.
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Effects of Aspirin on Risk of Early Recurrent Stroke After Transient Ischemic Attack and Ischemic Stroke
Aspirin administered early after the onset of transient ischemic attack symptoms substantially reduces the risk of developing a stroke.
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Lab Efficacy of Respirators over Masks Undermined by Real-World Use
The notion that surgical masks provide the same protection from respiratory viruses in a hospital is commonly refuted by lab studies, which show the greater effectiveness of a well-fitted N95 in filtering out aerosols and particles that could go through a standard mask.
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Did Prostate Cancer Treatment Lead to Fatal Zika Infection?
Most Zika infections are asymptomatic and non-consequential unless the infected person is pregnant or has had unprotected sex while the virus was circulating in the blood or persisting in a human reservoir like semen. Thus, we have seen tragic birth defects, failed or terminated pregnancies, transmission to sexual partners both male and female, and Zika infection following a needlestick.
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Injection Safety Lapses All Too Common in Ambulatory Care
Injection safety issues related to the improper use of needles, syringes, and vials continue to put patients at risk of bloodborne and bacterial infections in ambulatory care clinics and outpatient surgery centers.
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Recent Studies Complicate Flu Shot Message
Children are at risk of flu complications and can spread the virus to vulnerable populations like the elderly, so they are an important target for annual vaccination. However, a recent study1 found some parents do not seek vaccination for their children based on the perception that it is not needed or their kids don’t get the flu.
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Dropping Live Nasal Flu Vaccine Leaves Some Disappointed
Some pediatricians and their patients were taken aback by the decision to drop the live attenuated influenza vaccine (LAIV) nasal spray as a recommended flu vaccine for the 2016-2017 season in the U.S.
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Mandates Work: Hospitals Hit 91% Flu Vaccination Rate
It's a far cry from the lagging levels of the voluntary flu shot era.
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What If Beats 5 and 8 Had Children?
The easiest way to approach the interpretation of more challenging arrhythmias such as this one is to begin with the part of the tracing that is most evident and save the most difficult part for last.
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Clinical Briefs
In this section: water aerobics for overweight and hypertensive women; topicals for atopic dermatitis; removing ticks successfully.