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The resurgence of vaccine preventable infections: Measles and Pertussis

Don't Forget the Bubbles

Since January 2024, measles cases in the UK have surged, reaching 2,563 reported casesthe highest level since 2012. Whooping Cough: A Cyclical but Preventable Disease Whooping cough, caused by the bacterium Bordetella pertussis , is another infectious disease experiencing a resurgence despite the availability of vaccines.

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Diagnostics: Inflammatory Markers

Taming the SRU

While PCT may be more specific for bacterial infections, it is flawed by still being rather non-specific and is not validated as a stand-alone diagnostic criteria for infection in the setting of the emergency department. In 7 studies with 4164 patients, PCT with a cut-off > 0.1 ng/mL (strongly recommended against antibiotics), 0.1-0.25

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REBEL Core Cast 107.0 – Vertebral Osteomyelitis

RebelEM

Executive Summary: 2015 Infectious Disease Society of America (IDSA) Clinical Practice Guidelines for the Diagnosis and Treatment of Native Vertebral Osteomyelitis in Adults. New Delhi: JP Brothers Medical Ltd; 2012 Della-Guistina, D. Evaluation and Treatment of Acute Back Pain in the Emergency Department.

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SAEM Clinical Images Series: A Serious Pain in the Neck

ALiEM

An otherwise healthy 34-year-old male presented to the Emergency Department with two weeks of anterior neck pain. Treatment includes parenteral antibiotics and prompt consultation of medical and surgical subspecialists to identify the infectious source as well as mitigate against systemic spread and/or thrombus propagation.

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EM@3AM: Total Hip Arthroplasty Complications

EMDocs

Infections For stable patients, obtain microbiologic samples prior to antibiotics (per the American Academy of Orthopedic surgery and The Infectious Diseases Society of America). 9,23 Disposition: Dislocation : If successfully reduced in the emergency department may discharge with strict mobility restrictions and Orthopedic follow up.

EMS 94
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EM@3AM: ESBL-Producing Organisms and Their Management

EMDocs

A 62-year-old female patient with a history of recurrent urinary tract infections (UTIs) presents to the emergency department with fever, chills, and dysuria. 4 The incidence of ESBL-E identified in bacterial cultures in the United States increased by 53% from 2012 to 2017. The Lancet Infectious Diseases.

EMS 93
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Choosing Wisely – Viral Respiratory Panels in children with respiratory symptoms

Don't Forget the Bubbles

The parents of two-year-old, previously healthy, Jamie bring him to the Emergency Department with coryzal symptoms, wheezing and difficulty breathing. Respiratory viral panel testing did not reduce antibiotic use in the emergency department. doi: 10.1136/eb-2012-100645. SpO2 is 88%. Pediatrics. J Clin Virol.