Cardiovascular Implantable Electronic Device Infections: The Surge Continues
SUMMARY AND COMMENT
The incidence of infection is increasing faster than the rate of implantation.
Reviewing:
Voigt A et al., Pacing Clin Electrophysiol 2009 Sep 30
Zanamivir (Relenza) Must Not Be Given by Nebulization
DRUG WATCH
Ventilator obstruction was blamed for the death of a woman who received zanamivir inhalation powder that was solubilized and administered by mechanical ventilation.
Reviewing:
Food and Drug Administration (FDA)., 2009 Oct 9
Genetic Susceptibility to Fungal Infections
SUMMARY AND COMMENT
October 28, 2009
Thomas Glück, MD
Immunologic and genetic studies in patients with chronic Candida infections revealed the critical roles played by the β-glucan receptor dectin-1 pathway and interleukin-17 release.
Reviewing:
Ferwerda B et al., N Engl J Med 2009 Oct 29; 361:1760
Glocker E-O et al., N Engl J Med 2009 Oct 29; 361:1727
HLA-DR Recovery and Risk for Secondary Infections in Sepsis
SUMMARY AND COMMENT
October 28, 2009
Thomas Glück, MD
Slow recovery of depressed HLA-DR was associated with increased risk for secondary infections.
Reviewing:
Lukaszewicz A-C et al., Crit Care Med 2009 Oct; 37:2746
Does a Retrovirus Cause Chronic Fatigue Syndrome?
SUMMARY AND COMMENT
A gammaretrovirus, XMRV, has been identified in peripheral blood mononuclear cells from patients with CFS.
Reviewing:
Lombardi VC et al., Science 2009 Oct 8
Low-Cost Oral Vaccine Efficacious in a Cholera-Endemic Area
SUMMARY AND COMMENT
Two doses of oral vaccine compliant with WHO standards had a protective efficacy of 67% against clinically significant cholera.
Reviewing:
Sur D et al., Lancet 2009 Oct 9
Sridhar S., Lancet 2009 Oct 9
Surgical Masks or N95 Respirators for the Flu?
SUMMARY AND COMMENT
In a randomized trial, surgical masks and N95 respirators provided healthcare workers with comparable protection against influenza.
Reviewing:
Loeb M et al., JAMA 2009 Oct 1
Mycobacterial Infections After Mesotherapy
SUMMARY AND COMMENT
October 21, 2009
Neil M. Ampel, MD
Rapidly growing mycobacteria were isolated in 12 of 16 patients who developed cutaneous abscesses after mesotherapy injections; antibiotics did not hasten improvement.
Reviewing:
Regnier S et al., Clin Infect Dis 2009 Nov 1; 49:1358
High Perioperative Oxygen Fraction and SSIs, Revisited
SUMMARY AND COMMENT
In a large, randomized, clinical trial, administration of 80% oxygen had no effect on surgical-site infections or pulmonary complications.
Reviewing:
Meyhoff CS et al., JAMA 2009 Oct 14; 302:1543
Immune Response from Bronchoalveolar Lavage Mononuclear Cells Diagnoses Active TB
SUMMARY AND COMMENT
October 21, 2009
Neil M. Ampel, MD
ELISpot performed on bronchoalveolar mononuclear cells had a sensitivity of 91% and a specificity of 79% in diagnosing active disease.
Reviewing:
Jafari C et al., Am J Respir Crit Care Med 2009 Oct 1; 180:666