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Bacterial resistance to antibiotic treatment has concerned the medical community since the introduction of the first antibiotics in the 1920s. Development of new anti-infective agents has been precipitated by increasing resistance to older agents and classes of agents. While high rates of resistant organisms have been particularly problematic in hospital intensive care units, serious resistance now is being encountered in community-acquired infections. This review will focus on the clinical aspects of antibiotic resistance in community-acquired respiratory infections, pharyngitis, skin infections, and urinary tract infections.
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Nouwen and colleagues at Erasmus University in Rotterdam, have a long and sophisticated interest in staphylococcal infection and, in particular, the role of carriage, and subsequent infection with S. aureus.
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Of 405 Israeli travelers followed for 6 months after return, 84% had visited Asia, while the remainder had been to Africa or South America. Traveler's diarrhea was experienced by 118 (28.6%), and 16 (13.6%) of these subsequently developed symptoms suggestive of irritable bowel syndrome (IBS).
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As of June 25, 2006, India had reported 60 polio cases for 2006; 57 being wild poliovirus type 1 (WPV1) and 3 wild poliovirus type 3 (WPV3). Of these cases, 46 were from Uttar Pradesh (UP) state, 12 from Bihar state, one from Madhya Pradesh state bordering UP, and one from Jharkhand state bordering Bihar.
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Dr. Fischer reports no financial relationship relevant to this field of study.This article originally appeared in the August 2006 issue of Travel Medicine Advisor. It was edited by Frank Bia, MD, MPH, and peer reviewed by Mary-Louise Scully, MD.
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New Hope for Macular Degeneration?; Can Cialis be Used for Edema?; FDA Actions
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The optimal time to initiate antiretroviral therapy (ARV) in chronically-infected asymptomatic patients is now felt to be when the CD4+ lymphocyte count falls to approximately 350 cells/uL, based on the probability of developing an AIDS-defining illness within a relatively short period of time, as shown in a meta-analysis of cohort studies.
