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Infectious disease medical home

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https://www.readbyqxmd.com/read/27995270/schnelltest-diagnostik-sexuell-%C3%A3-bertragbarer-infektionen-in-niedrigschwelligen-einrichtungen-gemeinsame-stellungnahme-des-rki-pei-und-der-dstig
#1
Thomas Meyer, Christian G Schüttler, Eberhard Straube, R Stefan Roß, Martin Stürmer, Klaus Jansen, Susanne Buder, Sigrid Nick, Hans-Jochen Hagedorn, Viviane Bremer, Norbert H Brockmeyer
On February 5th, 2016 an expert meeting on rapid diagnostic tests (RDT) for sexually transmitted infections (STI) was held in Berlin at the Robert-Koch-Institute. The aim of the conference was to update a former evaluation of RDTs for diagnosis of HIV, HBV, HCV, T. pallidum, C. trachomatis and N. gonorrhoeae in low-threshold counseling services for STI that had been published after the previous meeting in 2012. According to the strategy to control HIV, hepatitis B and C and other STI, recently adopted by the German Government, there is a lack of test capabilities and a demand for more testing services as well as improved access to testing...
December 19, 2016: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://www.readbyqxmd.com/read/27960212/severity-assessment-and-the-immediate-and-long-term-prognosis-in-community-acquired-pneumonia
#2
Martin Kolditz, Dionne Braeken, Santiago Ewig, Gernot Rohde
Severity assessment is a crucial step in the initial management of patients with community-acquired pneumonia (CAP). While approximately half of patients are at low risk of death and can be safely treated as outpatients, around 20% are at increased risk. While CURB-65 (confusion, respiratory rate, blood pressure, urea) and pneumonia severity index (PSI) scores are equally useful as an adjunct to clinical judgment to identify patients at low risk, the so-called minor American Thoracic Society/Infectious Diseases Society of America criteria are predictive of patients in need of intensified treatment (i...
December 2016: Seminars in Respiratory and Critical Care Medicine
https://www.readbyqxmd.com/read/27876477/current-prescribing-practices-for-skin-and-soft-tissue-infections-in-nursing-homes
#3
Diana Feldstein, Philip D Sloane, David Weber, Kimberly Ward, David Reed, Sheryl Zimmerman
OBJECTIVES: Antibiotic stewardship has been called for across all sites of health care, including nursing homes (NHs). Skin and soft tissue infections (SSTIs) are the third most common indication for antibiotics in the NH, and so should be a focus of stewardship. This study audited medical records to identify signs and symptoms of SSTIs treated with antibiotics in relation to the McGeer criteria for surveillance, the Loeb minimum criteria for antibiotic initiation, and prescribing recommendations of the Infectious Disease Society of America...
November 18, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27815108/evaluation-and-management-of-the-nursing-home-resident-with-respiratory-symptoms-and-an-equivocal-chest-x-ray-report
#4
Mallory McClester Brown, Philip D Sloane, Christine E Kistler, David Reed, Kimberly Ward, David Weber, Sheryl Zimmerman
OBJECTIVES: Pneumonia is a leading cause of morbidity and mortality in nursing home (NH) residents. Chest x-ray evidence is considered a key diagnostic criterion for pneumonia by the Infectious Disease Society of America (IDSA) diagnostic guidelines, the modified McGeer diagnostic criteria, and the Loeb criteria for initiating antibiotics; however, x-ray interpretation is often equivocal. We conducted chart audits of patients in NHs who had chest x-rays for new respiratory symptoms to determine the degree of ambiguity in the radiology reports and their relationship to antibiotic prescription decisions...
December 1, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27813140/factors-affecting-patient-presentation-at-a-national-dermatology-referral-clinic-in-kampala-uganda
#5
Eunice S Song, Patrick Musinguzi, Kevin D Dieckhaus
BACKGROUND: This study sought to gain a better understanding of the patient population in Kampala and was further designed to elucidate barriers that may delay individuals from receiving proper dermatologic care. METHODS: The study took place at the dermatovenereology clinic of a tertiary care hospital in Kampala. New adult patients were surveyed in July and August of 2013. The primary dependent variable was time from reported onset of symptoms to presentation to the clinic...
November 4, 2016: International Journal of Dermatology
https://www.readbyqxmd.com/read/27747899/safety-and-efficacy-of-outpatient-parenteral-antibiotic-therapy-in-an-academic-infectious-disease-clinic
#6
G Suleyman, R Kenney, M J Zervos, A Weinmann
WHAT IS KNOWN AND OBJECTIVE: Outpatient parenteral therapy (OPAT) has become a safe and effective modality for patients requiring intravenous or prolonged antimicrobial therapy since the 1970s. It is being increasingly utilized in various settings; however, studies evaluating the safety and efficacy of clinic-based OPAT are limited. Since 2012, patients being considered for OPAT have required an infectious disease (ID) consultation at our institution. Candidates receiving once-daily antimicrobials who were ineligible for home infusion or nursing home placement as determined by their insurance companies and those who preferred the clinic over nursing home or home infusion were referred to the ID clinic...
February 2017: Journal of Clinical Pharmacy and Therapeutics
https://www.readbyqxmd.com/read/27573469/one-health-parasites-and-beyond
#7
Damer P Blake, Martha Betson
The field of parasitism is broad, encompassing relationships between organisms where one benefits at the expense of another. Traditionally the discipline focuses on eukaryotes, with the study of bacteria and viruses complementary but distinct. Nonetheless, parasites vary in size and complexity from single celled protozoa, to enormous plants like those in the genus Rafflesia. Lifecycles range from obligate intracellular to extensive exoparasitism. Examples of parasites include high-profile medical and zoonotic pathogens such as Plasmodium, veterinary pathogens of wild and captive animals and many of the agents which cause neglected tropical diseases, stretching to parasites which infect plants and other parasites (e...
August 30, 2016: Parasitology
https://www.readbyqxmd.com/read/27536676/peritoneal-dialysis-in-western-countries
#8
REVIEW
Dirk G Struijk
BACKGROUND: Peritoneal dialysis (PD) for the treatment of end-stage renal failure was introduced in the 1960s. Nowadays it has evolved to an established therapy that is complementary to hemodialysis (HD), representing 11% of all patients treated worldwide with dialysis. Despite good clinical outcomes and similar results in patient survival between PD and HD, the penetration of PD is decreasing in the Western world. SUMMARY: First the major events in the history of the development of PD are described...
December 2015: Kidney Diseases
https://www.readbyqxmd.com/read/27355220/-the-offer-of-medical-diagnostic-self-tests-on-german-language-websites-results-of-a-systematic-internet-search
#9
P Kuecuekbalaban, S Schmidt, H Muehlan
Aim of the study: The aim of the current study was to provide an overview of medical-diagnostic self-tests which can be purchased without a medical prescription on German language websites. Method: From September 2014 to March 2015, a systematic internet research was conducted with the following search terms: self-test, self-diagnosis, home test, home diagnosis, quick test, rapid test. Results: 513 different self-tests for the diagnostics of 52 diverse diseases or health risks were identified, including chronic diseases (e...
June 29, 2016: Das Gesundheitswesen
https://www.readbyqxmd.com/read/27337183/antimicrobial-stewardship-in-the-post-acute-long-term-care-setting-case-discussion-and-updates
#10
Nicole J Brandt, Emily Heil
Improving the use of antimicrobial medications in the post-acute long-term care setting is critical for combating resistance and reducing adverse events in older adults. Antimicrobial stewardship refers to a set of commitments and actions designed to optimize the treatment of infectious diseases while minimizing the adverse effects associated with antimicrobial medication use. The Centers for Disease Control and Prevention recommend all nursing homes take steps to improve antimicrobial prescribing practices and reduce inappropriate use...
July 1, 2016: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/27097620/an-approach-to-the-management-of-pleural-empyema-with-early-video-assisted-thoracoscopic-surgery-and-early-transition-to-oral-antibiotic-therapy
#11
Claudia M Espinosa, Mary E Fallat, Charles R Woods, Kathryn E Weakley, Gary S Marshall
Practice variation exists in the management of children with bacterial pneumonia complicated by empyema. The success of video-assisted thoracoscopic surgery (VATS) versus chest tube insertion for drainage and fibrinolysis may be dependent on the stage of disease. There is little published experience with early transition to oral (PO) antibiotics, and many children are treated with intravenous (IV) antibiotics at home. To describe a cohort of children with pneumonia and empyema in a primarily rural state managed with early VATS and transition to PO antibiotics...
April 2016: American Surgeon
https://www.readbyqxmd.com/read/27079735/detecting-delirium-in-elderly-outpatients-with-cognitive-impairment
#12
Anne J M Stroomer-van Wijk, Barbara W Jonker, Rob M Kok, Roos C van der Mast, Hendrika J Luijendijk
BACKGROUND: Delirium may be more prevalent in elderly outpatients than has long been assumed. However, it may be easily missed due to overlap with dementia. Our aim was to study delirium symptoms and underlying somatic disorders in psycho-geriatric outpatients. METHODS: We performed a case-control study among outpatients that were referred to a psychiatric institution between January 1st and July 1st 2010 for cognitive evaluation. We compared 44 cases with DSM-IV delirium (24 with and 20 without dementia) to 44 controls with dementia only...
August 2016: International Psychogeriatrics
https://www.readbyqxmd.com/read/27028990/acute-exacerbation-of-copd
#13
REVIEW
Fanny W Ko, Ka Pang Chan, David S Hui, John R Goddard, Janet G Shaw, David W Reid, Ian A Yang
The literature of acute exacerbation of chronic obstructive pulmonary disease (COPD) is fast expanding. This review focuses on several aspects of acute exacerbation of COPD (AECOPD) including epidemiology, diagnosis and management. COPD poses a major health and economic burden in the Asia-Pacific region, as it does worldwide. Triggering factors of AECOPD include infectious (bacteria and viruses) and environmental (air pollution and meteorological effect) factors. Disruption in the dynamic balance between the 'pathogens' (viral and bacterial) and the normal bacterial communities that constitute the lung microbiome likely contributes to the risk of exacerbations...
October 2016: Respirology: Official Journal of the Asian Pacific Society of Respirology
https://www.readbyqxmd.com/read/26926704/inactivation-of-airborne-bacteria-and-viruses-using-extremely-low-concentrations-of-chlorine-dioxide-gas
#14
Norio Ogata, Miyusse Sakasegawa, Takanori Miura, Takashi Shibata, Yasuhiro Takigawa, Kouichi Taura, Kazuhiko Taguchi, Kazuki Matsubara, Kouichi Nakahara, Daisuke Kato, Koushirou Sogawa, Hiroshi Oka
Infectious airborne microbes, including many pathological microbes that cause respiratory infections, are commonly found in medical facilities and constitute a serious threat to human health. Thus, an effective method for reducing the number of microbes floating in the air will aid in the minimization of the incidence of respiratory infectious diseases. Here, we demonstrate that chlorine dioxide (ClO2) gas at extremely low concentrations, which has no detrimental effects on human health, elicits a strong effect to inactivate bacteria and viruses and significantly reduces the number of viable airborne microbes in a hospital operating room...
2016: Pharmacology
https://www.readbyqxmd.com/read/26902231/a-review-of-research-on-health-outcomes-for-workers-home-and-host-communities-of-population-mobility-associated-with-extractive-industries
#15
REVIEW
Jason G Carney, Brian D Gushulak
With a growing awareness of the association between extractive industries, the nature of work in remote locations, population mobility and health status, there is a need to advance an evidence-based approach to ensuring the health of migrant and mobile populations, and the home and host communities with whom they interact. Through a narrative synthesis of peer-reviewed and grey literature, this review examines what is known, and the nature of research activity concerning the range of health impacts determined by the social conditions inherent with population mobility alongside mining and extractive industries; and the extent to which health outcomes impact on workers, and home and host communities...
June 2016: Journal of Immigrant and Minority Health
https://www.readbyqxmd.com/read/26888643/doctor-diagnosed-health-problems-in-a-region-with-a-high-density-of-concentrated-animal-feeding-operations-a-cross-sectional-study
#16
Mariëtte Hooiveld, Lidwien A M Smit, Femke van der Sman-de Beer, Inge M Wouters, Christel E van Dijk, Peter Spreeuwenberg, Dick J J Heederik, C Joris Yzermans
BACKGROUND: There is growing interest in health risks of residents living near concentrated animal feeding operations (CAFOs). Previous research mostly focused on swine CAFOs and self-reported respiratory conditions. The aim was to study the association between the presence of swine, poultry, cattle and goat CAFOs and health of Dutch neighbouring residents using electronic medical records from general practitioners (GPs). METHODS: Data for the year 2009 were collected of 119,036 inhabitants of a rural region with a high density of CAFOs using information from GIAB (high exposed population)...
February 17, 2016: Environmental Health: a Global Access Science Source
https://www.readbyqxmd.com/read/26837837/impact-of-providing-in-home-water-service-on-the-rates-of-infectious-diseases-results-from-four-communities-in-western-alaska
#17
T K Thomas, T Ritter, D Bruden, M Bruce, K Byrd, R Goldberger, J Dobson, K Hickel, J Smith, T Hennessy
Approximately 20% of rural Alaskan homes lack in-home piped water; residents haul water to their homes. The limited quantity of water impacts the ability to meet basic hygiene needs. We assessed rates of infections impacted by water quality (waterborne, e.g. gastrointestinal infections) and quantity (water-washed, e.g. skin and respiratory infections) in communities transitioning to in-home piped water. Residents of four communities consented to a review of medical records 3 years before and after their community received piped water...
February 2016: Journal of Water and Health
https://www.readbyqxmd.com/read/26819440/-epidemic-cholera-and-american-reform-movements-in-the-19th-century
#18
Seohyung Kim
The 19th century was the age of great reform in American history. After constructing of the canal and railroads, the industrialization began and American society changed so rapidly. In this period, there were so many social crisis and American people tried to solve these problems within the several reform movements. These reform movements were the driving forces to control cholera during the 19th century. Cholera was the endemic disease in Bengal, India, but after the 19th century it had spread globally by the development of trade networks...
December 2015: Ŭi Sahak
https://www.readbyqxmd.com/read/26807147/a-mental-health-needs-assessment-of-children-and-adolescents-in-post-conflict-liberia-results-from-a-quantitative-key-informant-survey
#19
Christina P C Borba, Lauren C Ng, Anne Stevenson, Oriana Vesga-Lopez, Benjamin L Harris, Lindsey Parnarouskis, Deborah A Gray, Julia R Carney, Silvia Domínguez, Edward K S Wang, Ryan Boxill, Suzan J Song, David C Henderson
Between 1989 and 2004, Liberia experienced a devastating civil war that resulted in widespread trauma with almost no mental health infrastructure to help citizens cope. In 2009, the Liberian Ministry of Health and Social Welfare collaborated with researchers from Massachusetts General Hospital to conduct a rapid needs assessment survey in Liberia with local key informants (n = 171) to examine the impact of war and post-war events on emotional and behavioral problems of, functional limitations of, and appropriate treatment settings for Liberian youth aged 5-22...
January 2, 2016: International Journal of Culture and Mental Health
https://www.readbyqxmd.com/read/26748393/management-of-infectious-diseases-in-remote-northwestern-ontario-with-telemedicine-videoconference-consultations
#20
Jai Mashru, Michael Kirlew, Raphael Saginur, Yoko S Schreiber
Northwestern Ontario in Canada provides a unique clinical challenge for providing optimal medical care. It is a large geographic area (385,000 km(2)) and is home to 32 remote First Nations communities, most without road access. These communities suffer a heavy burden of infectious disease and specialist consultations are difficult to obtain. The Division of Infectious Diseases at the Ottawa Hospital and the Sioux Lookout Meno Ya Win Health Centre established a telemedicine-based infectious disease consultation service in July 2014...
January 2017: Journal of Telemedicine and Telecare
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