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By Malcolm Robinson, MD, FACP, FACG
Emeritus Clinical Professor of Medicine, University of Oklahoma College of Medicine, Oklahoma City, OK
Disclosure; Dr. Robinson serves as a consultant for TAP, Pfizer, Janssen, Eisai, J&J-Merck, and Procter & Gamble, is on the speakers bureau of Janssen, Eli Lilly, Solvay, TAP, and Aventis, and does research for Forest Labs, Wyeth-Ayerst, AstraZeneca,and Centocor.
Synopsis: Rifaximin, a newly released nonabsorbed antibiotic, appears to safely and effectively prevent the onset and substantial morbidity of travelers diarrhea.
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By William T. Elliott, MD, FACP, and James Chan, PharmD, PhD
Dr. Elliott is Chair, Formulary Committee, Northern California Kaiser Permanente; Asst. Clinical Professor of Medicine, University of California, San Francisco; Dr. Chan is Pharmacy Quality and Outcomes Manager, Kaiser Permanente, Oakland, CA
Drs. Chan and Elliott report no financial relationships to this field of study.
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In cold fact, some unknown number of hospital patients and nursing home residents die of influenza year in, year out because they were treated by health care workers who declined flu vaccination.
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The authors of a recently published provocative paper advocating mandatory influenza vaccinations for health care workers underscored seven primary truths to support the controversial recommendation.
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Initially sensationalized as a mystery bug, the pathogen that caused a recent outbreak that claimed 17 lives in an Toronto nursing home turned out to be one of the usual suspects: Legionella pneumophila.
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Soldiers who served in Iraq and Afghanistan have acquired a drug-resistant bacteria that is fueling nosocomial outbreaks in military hospitals, an epidemiologist recently reported in San Francisco at the annual meeting of the Infectious Diseases Society of America.
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Health care-associated transmission of influenza has been documented in many different patient populations and clinical settings.
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Surveillance indicates that community-associated MRSA (CA-MRSA) strains are beginning to appear with increasing frequency in certain parts of Europe.
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