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Global Health

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  • Response changes as gram neg HAIs rise

    The U.S. public health system is trying to catch up with the explosion of infections with multidrug resistant gram negative rods (MDR-GNR) by standardizing surveillance definitions and changing laboratory breakpoints.
  • Critical Care 1509

    As the U.S. Occupational Safety and Health Administration moves deliberatively toward an infectious diseases standard, two paradigms could spell very different fates for a proposed rule.
  • CMS cutbacks get catheters out quicker, but spur questionable testing policies

    The Centers for Medicare and Medicaid Services controversial 2008 policy to cut reimbursement for selected health care associated infections (HAIs) has led to some positive prevention measures while fulfilling some predicted unintended consequences, according to an unpublished national survey of infection preventionists.
  • Reporting skyrockets, will prevention follow?

    The continuing state and federal mandates requiring hospitals to report healthcare associated infections threatens to outstrip their original justification, raising questions about whether the labor-intensive efforts will result in true reductions of HAIs, warned Patricia Stone, PhD, FAAN, professor of nursing and director of the Center for Health Policy at Columbia University in New York City.
  • New Dracunculiasis Cases in Chad: A Setback in Global Eradication

    During april-june of 2010, 2 new cases of dracunculiasis were confirmed by extracted worm identification of Dracunculus medinensis and polymerase chain reaction (PCR) in Chad, Africa. Chad's National Guinea Worm Eradication Program (NGWEP) initiated an outbreak investigation and with the help of the World Health Organization (WHO) uncovered 8 additional cases, all confirmed by worm collection.
  • Fever in Travelers After Visiting Malaria-endemic Areas

    Authors from the Helsinki University Central Hospital, a tertiary hospital in Finland, retrospectively reviewed patient records from 2005 to 2009 to define the causes of fever in returned travelers and to evaluate the diagnostic approach.
  • Imported Pediatric Malaria

    A retrospective review of pediatric malaria at a Washington, DC, children's hospital identified 98 cases over 8 years from 1999 to 2006. Their mean age was 9.6 years. Approximately half of the children were long-term U.S. residents who had visited friends or relatives in their country of origin, and most of the others were recent immigrants.
  • Plasmodium knowlesi: The Newest Human Malaria Parasite

    Malaria continues to be a global scourge, causing more than 200 million annual symptomatic cases and nearly a million annual deaths worldwide.
  • Pharmacology Watch: Apixaban is Heating Up the Anticoagulation Market

    In this issue: Apixaban could soon join the anticoagulation market; Chinese herbs for flu; chronic medication and discontinuation after hospitalization; and FDA actions.
  • Bacterial Meningitis: Rarer in Older Patients, but Equally Deadly

    Bacterial meningitis is a feared medical illness that has a high morbidity and mortality rate. Meningitis can present in any age group, although the predominant pathogenic organisms do vary by age.