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How to prevent central line infections

PulmCCM

per 1,000 central-line days between 2001 and 2009. There’s no randomized trial data to support this practice, and the Healthcare Infection Control Practices Advisory Committee (HICPAC, whose recommendations CDC generally adopts) has advised against routine replacement of central lines as an infection prevention strategy.

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Case Report: Toxic Hypoglycemic Syndrome

ACEP Now

Ackee fruit poisoning: an outbreak investigation in Haiti 2000–2001, and review of the literature. Centers for Disease Control (CDC). Clin Toxicol. 2006;44(3):267-73. Ajayi AM, Ayodele EO, et al. Toxicology Rep. 2019;6:656-65. Toxic hypoglycemic syndrome–Jamaica,1989-1991.

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How Many Diphtheria Vaccines are Currently Licensed in the US?

Pediatric Education

Specific testing for toxin is by an immunodiffusion assay called the Elek test which is only performed by the CDC in the U.S. To also note, thimersol was taken out of childhood vaccines in 2001, and a review of current components of vaccines can be found here. Diphtheria is a reportable disease in the U.S.

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Is Pip-Tazo Harming Sepsis Patients?

RebelEM

They analyzed the electronic health records of patients presenting to the ED who met modified Center for Disease Control and Prevention (CDC) sepsis surveillance criteria and received empiric treatment with either vancomycin/piperacillin-tazobactam or vancomycin/cefepime. 2001 Nov 8;345(19):1359-67. N Engl J Med. PMID: 11794168.

Sepsis 108
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Updates on Onchocerciasis: Approach to Diagnosis and Treatment

EMDocs

Open-access image reference: By Giovanni Maki, derived from a CDC image at [link] – Basáñez M-G, Pion SDS, Churcher TS, Breitling LP, Little MP, et al. Microfilariae persist in the human host for 3– 5 years, a much shorter period of time than the adult female worm. 13 Figure 1. volvulus life cycle. PLoS Med 3(9): e371. Image source: 1.

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EM@3AM: Neurosyphilis

EMDocs

IgG Predominant with low IgM and absent IgA CSF VDRL is the gold standard test and the only non-treponemal test recommended by the CDC [4] The test lacks sensitivity (27-98.3%); the specificity is somewhere between 74-100% [17] Visibly blood-stained CSF should not be used for assessment. stacks.cdc.gov/view/cdc/79370 Marra CM.

EMS 115