Sidst opdateret 08.01.2020
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6 ud af 6 tidsskrifter valgt, ingen søgeord valgt, emner højest 7 dage gamle, sorteret efter nyeste først. Opdateret for 8 dage siden.66 emner vises.
Nathalie Thilly, Ouarda Pereira, Jeroen Schouten, Marlies EJL Hulscher and Céline Pulcini
In most countries, including France, data on clinical indications for outpatient antibiotic prescriptions are not available, making it impossible to assess appropriateness of antibiotic use at prescription level.
Our objectives were to: (i) propose proxy indicators (PIs) to estimate appropriateness of antibiotic use at general practitioner (GP) level based on routine reimbursement data; and (ii) assess PIs’ performance scores and their clinimetric properties using a large regional reimbursement database.
A recent systematic literature review on quality indicators was the starting point for defining a set of PIs, taking French national guidelines into account. We performed a cross-sectional study analysing National Health Insurance data (available at prescriber and patient levels) on antibiotics prescribed by GPs in 2017 for individuals living in north-eastern France. We measured performance scores of the PIs and their case-mix stability, and tested their measurability, applicability, and room for improvement (clinimetric properties).
The 3,087 GPs included in this study prescribed a total of 2,077,249 antibiotic treatments. We defined 10 PIs with specific numerators, denominators and targets. Performance was low for almost all indicators ranging from 9% to 75%, with values
Julien Beauté, Bruno Christian Ciancio and Takis Panagiotopoulos
To tailor a surveillance system to its objectives and to evaluate its fitness for purpose, an accurate description of its structural elements is essential. Existing recommendations for setting up a system seldom offer a comprehensive list of all surveillance elements to be considered. Moreover, there is sometimes confusion in the way terms describing these elements are interpreted. The objective of this paper is to propose a comprehensive set of surveillance system descriptors that can delineate the important elements and clarify the meaning of the terms used. We identified 20 descriptors that we classified in five categories: (i) surveillance scheme; (ii) population and cases; (iii) supplementary data; (iv) information flow; and (v) period of time. We tried to make the definitions of these descriptors as clear and simple as possible to avoid confusion or misinterpretation of the terms used. The relative importance of each element may vary depending on the objectives of the surveillance scheme. Surveillance descriptors should be reviewed periodically to document changes and to assess if the system continues to be fit for purpose. Together with the minimum requirements for variables and the planned outputs for disseminating the data, the surveillance descriptors can be used to define surveillance standards.
Veerle Matheeussen, Victor M Corman, Oliver Donoso Mantke, Elaine McCulloch, Christine Lammens, Herman Goossens, Daniela Niemeyer, Paul S Wallace, Paul Klapper, Hubert GM Niesters, Christian Drosten, Margareta Ieven and on behalf of the RECOVER project and collaborating networks
Laboratory preparedness with quality-assured diagnostic assays is essential for controlling the current coronavirus disease (COVID-19) outbreak. We conducted an external quality assessment study with inactivated severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) samples to support clinical laboratories with a proficiency testing option for molecular assays. To analyse SARS-CoV-2 testing performance, we used an online questionnaire developed for the European Union project RECOVER to assess molecular testing capacities in clinical diagnostic laboratories.
COVID-19 -- Worldwide/UnknownNew York: 424 263 / 770California: 296 075 / 8561Texas: 229 619 / 10 199Florida: 223 783 / 9989New Jersey: 177 461 / 247Illinois: 150 554 / 980Massachusetts: 110 602 / 264Arizona: 108 614 / 3520Georgia: 103 890 / 3420Pennsylvania: 96 917 / 931North Carolina: 77 610 / 1028Michigan: 74 551 / 651Maryland: 70 861 / 465Louisiana: 70 151 / 1888Virginia: 67 375 / 635Ohio: 60 217 / 1250Tennessee: 55 986 / 2472Indiana: 49 063 / 437South Carolina: 48 909 /
Japanese Encephalitis -- MalaysiaToday [Wed 8 Jul 2020], 3 more cases of Japanese encephalitis (JE) were detected in Penang [Pulau Pinang], bringing to 6 the total number of cases so far [this year (2020)].State Agriculture, Agro-based, Rural Development and Health Committee chairman Dr Norlela Ariffin said 2 new cases were detected in Sungai Bakap, Seberang Perai Selatan (SPS), and one case in Balik Pulau, Barat Daya district."I was informed by the Penang Health Department that the 3 cases have been confirmed
Ebola -- DR Congo
Other Animal Disease -- Italy
These are the coronavirus stories you need to know about today.
Salmonella -- United KingdomAlmost 40 people are part of a _Salmonella_ outbreak traced to eggs from the United Kingdom. A spokesman for Public Health England told Food Safety News that it does not have information on the date of onset of illness for all the patients. "There have been 38 reported cases linked to this incident through analysis of whole genome sequencing data. Cases range in age from 6 months to 85 years; 19 are female and 19 are male. We are aware of 2 cases having been hospitalized," the spokesman
Avian Influenza H5N6 -- VietnamInformation received on [and dated] 8 Jul 2020 from Dr. Dong Pham Van, director general, chief veterinary officer, Department of Animal Health, Ministry of Agriculture and Rural Development, Hanoi, Viet NamSummaryReport type: immediate notificationDate of start of the event: 25 Jun 2020Date of confirmation of the event: 27 Jun 2020Reason for notification: recurrence of a listed diseaseDate of previous occurrence: 6 Jun 2020Manifestation of disease: clinical diseaseCausal
Plague -- MongoliaRussian authorities have warned people near the country's border with Mongolia not to hunt or eat marmots after an outbreak of bubonic plague.Two cases of the plague were recorded in the Khovd province in western Mongolia, reported Russian state media agency TASS on [Tue 7 Jul 2020].Officials from the Republican Ministry of Agriculture and Food told citizens in the border area not to hunt marmots or eat marmot meat, and take preventive measures against insect bites.Marmots are
Court records show the federal government gave $20 million in contracts to a company partly controlled by a man with a history of shady business practices.
Despite skyrocketing coronavirus cases, most hospitals around the country are not canceling elective surgeries this time around.
On 22 June 2020, the International Health Regualtions (IHR) Focal Point (FP) of Brazil shared a preliminary report with the Panamerican Health Organization, the WHO Regional Office for the Americas of a human infection with Influenza A(H1N2) variant virus (A(H1N2)v). According to the report, the patient, a 22-year-old female, with no comorbidities, worked in a swine slaughterhouse in Ibiporã Municipality, Paraná State, and developed an influenza-like illness on 12 April 2020. The patient initially sought medical care on 14 April and a respiratory specimen was obtained on 16 April as part of routine surveillance activities. The patient was treated with oseltamivir, was not hospitalized and has recovered. A real-time RT-PCR test conducted at the public health laboratory identified a non-subtypable influenza A virus. In May 2020, the specimen was forwarded to the Laboratory of Respiratory Virus and Measles, Oswaldo Cruz Institute (FIOCRUZ per its acronym in Portuguese), a national influenza reference laboratory, in Rio de Janeiro. On 22 June, genetic sequencing characterized this virus as an influenza A(H1N2)v virus.
Erratum: Vol. 69, No. 21
This report describes the percentage of adults aged ≥65 years who received care at home from a nurse or other health care professional during the past 12 months in 2018.
This report describes falls and fall-related injuries among older adults and how health care providers can help reduce their risk of falling.
This report describes the rate of emergency department visits among children due to contact sports-related traumatic brain injuries during 2001-2018.
This report describes COVID-19 patients treated during March-May 2020 at an urban safety-net hospital serving predominantly low-income racial/ethnic minority populations.
This report describes findings from a May 2020 survey of practices participating in the Vaccines for Children program offering immunization services to pediatric patients.
This report describes the risks and concerns surrounding occupational transmission of SARS-CoV-2.
Use of proton pump inhibitors was associated with increased risk for COVID-19 in a large survey of US adults.
COVID-19 -- United StatesA Tarrant County dog was confirmed to be infected with SARS-CoV-2, the virus causing COVID-19 in humans, on 7 Jul 2020 by the U.S. Department of Agriculture (USDA) National Veterinary Services Laboratories (NVSL). The Texas Animal Health Commission (TAHC) and the Texas Department of State Health Services (DSHS) are working together using a One Health approach by providing guidance in accordance with the Centers for Disease Control and Prevention (CDC).The private veterinarian chose to test
Anthrax -- ItalyInformation received on [and dated] 7 Jul 2020 from Dr. Silvio Borrello, Chief Veterinary Officer, Food Safety and Collegial Bodies for Health Protection, Ministry of Health, Department for Veterinary Public Health, Rome, ItalySummaryReport type: Immediate notificationDate of start of the event: 26 May 2020Date of confirmation of the event: 1 Jun 2020Reason for notification: Recurrence of a listed diseaseDate of previous occurrence: 12 Nov 2019Manifestation of disease:
COVID-19 -- NetherlandsIn Gemert [North Brabant], the infection was officially established at the mink farm where SARS-CoV-2 had previously been suspected. The farm has 12 000 dams. The contamination has been revealed through the early warning monitoring system with which animals are tested weekly for the virus. Another farm was found infected a day earlier.In total, 20 mink farms in the Netherlands have now been declared infected. All animals were culled at the 18 farms where SARS-CoV-2 has previously been
COVID-19 -- ItalyAbstractSince the emergence of coronavirus disease 2019 (COVID-19), unprecedented movement restrictions and social distancing measures have been implemented worldwide. The socioeconomic repercussions have fueled calls to lift these measures. In the absence of population-wide restrictions, isolation of infected individuals is key to curtailing transmission. However, the effectiveness of symptom-based isolation in preventing a resurgence depends on the extent of presymptomatic and asymptomatic
The coronavirus stories Medscape's editors around the globe think you need to know about today.
Medical professionals are exerting their social media influence to send a clear message on how mask wearing can prevent the spread of coronavirus.
In recent days, five death row inmates have died after contracting COVID-19 at San Quentin State Prison, north of San Francisco.
The United States is the only developed nation unable to balance cost, efficacy and social good in setting prices.
'Health care workers are scared, but we show up to work every single day,' Nilu Patel, RN, said. Wearing masks, she said, 'is a very small thing to ask.'
The stresses of the COVID-19 pandemic have spurred some healthcare workers to protest their working conditions, with the backing of their unions.
COVID-19 -- SpainNew York: 422 851 / 583California: 277 433 / 14 210Texas: 210 006/ 9054Florida: 206 447 / 6336New Jersey: 177 384 / 417Illinois: 148 987 / 614Massachusetts: 110 137 / 163Arizona: 101 441/ 3352Georgia: 97 064 / 1548 Pennsylvania: 95 187 / 882North Carolina: 74 834 / 1851Michigan: 73 267 / 326Maryland: 69 904 / 262Louisiana: 66 327 / 1101Virginia: 66 102 / 354Ohio: 58 013 / 819Tennessee: 52 155 / 724Indiana: 48 331 / 323Connecticut: 46 976 / 259South
Botulism -- ChinaThe Centers for Disease Control (CDC) yesterday [6 Jul 2020] reported the nation's 1st case of infant botulism in 2020, a 4-month-old boy in northern Taiwan.The boy was introduced to homemade solid food in the middle of May 2020, but began to experience constipation and loss of appetite on 23 Jun 2020, CDC Epidemic Intelligence Center Deputy Director Guo Hung-wei said, adding that he was taken to the hospital when he developed a fever and shortness of breath on 25 Jun 2020.In the
Surges are planned around three cities with rising COVID-19 cases, including the site of the 2020 GOP convention. HHS also stressed the need for use of masks and social distancing to combat the virus.
Evidence suggests COVID-19 transmission could be expanded to include viral particles that remain airborne for longer than noted in previous guidance.
As more jurisdictions mandate facial coverings in public, questions have arisen about whether it's safe for everyone, including those with lung disease, to wear masks.
It was March 3, and no one had an inkling yet of just how bad the COVID-19 pandemic would become in the US.
West Nile Virus -- United StatesHealth officials in Miami-Dade County, Florida, on Saturday [4 Jul 2020] confirmed that at least 18 people living in the county have contracted the West Nile virus.The latest figures followed the county's mosquito-control chief's comments last week that this summer's  resurgence of West Nile probably reflected the heavy rains that have caused mosquito populations to explode, the Miami Herald reported. More mosquitoes have meant more mosquito bites, increasing the odds of
Undiagnosed -- KenyaFarmers contracted to grow certified maize seeds in Baringo are staring at losses following [an] outbreak of maize rust disease. There are 8 farmer-managed schemes contracted to plant seed maize on 3000 acres [1214 hectares].[One farmer] said the crop germinated evenly, but was hit by the fungal disease at the flowering stage and [the disease] was spreading fast. "Several varieties of maize were grown, but the disease affected one variety that we fear might cause us more losses," [he]
This report describes COVID-19 outbreaks in meat and poultry processing facilities reported among 23 states with 87% occurring among racial or ethnic minorities.
Plague -- DR CongoNews from a WeChat notice from China's embassy in Congo on 6 Jul 2020. On 3 Jul 2020, the Ituri Provincial Government announced that bubonic plague has occurred in the province's Djugu region. 36 cases have been confirmed with 8 deaths. According to a report from the World Health Organization, Ituri Province is the world's most active region for plague with about 1000 cases per year. Bubonic plague can be spread by infected fleas. Clinical manifestations are swelling of lymph nodes, fever,
Other Plant Disease -- ArgentinaDue to findings of citrus black spot (CBS) in Argentinian lemons in European ports, Argentina declared an export ban for at least 15 days. The country is putting rigorous measures into place. A plan of action is being developed which is to include additional measures to minimise the risk of CBS spreading before the end of the 2020 export season. After regulations were tightened for South African [see ProMED-mail post http://promedmail.org/post/20140603.2516043] and Brazilian citrus imports
Foot and Mouth -- RwandaInformation received on Thu 2 Jul 2020 from Dr Fabrice Ndayisenga, Head of Department, Animal Resource Research and Technology Transfer, Ministry of Agriculture and Animal Resources, Kigali, RwandaSummaryReport type: Immediate notificationDate of start of the event: 22 Jun 2020Date of confirmation of the event: 24 Jun 2020Report date: 2 Jul 2020Date submitted to OIE: 2 Jul 2020Reason for notification: Recurrence of a listed diseaseDate of previous occurrence: October
COVID-19 -- Worldwide/UnknownWHO said that it was discontinuing its trials of the malaria drug hydroxychloroquine and combination HIV drug lopinavir/ritonavir in hospitalised patients with COVID-19 after the medications failed to reduce mortality.African Region--------------MadagascarMadagascar has placed its capital Antananarivo under a fresh lockdown following a new surge in coronavirus infections, 2 months after the restrictions were eased, the presidency announced. No traffic will be allowed in or out of the
Fostemsavir (Rukobia) is indicated for heavily treatment-experienced patients living with multidrug-resistant HIV infection.
Mesenchymal stem cells are being reimagined to tackle COVID-19-associated acute respiratory distress syndrome.
Each of the 828 opioid and 2,737 systemic steroid prescriptions in the data set represent a potentially inappropriate prescription.
International Liver Congress (ILC) 2020
27.08.2020 - 29.08.2020
World Sepsis Day
Det 8. videnskabelige nationale møde om infektiøs endokarditis
International Congress for Tropical Medicine and Malaria (ICTMM) 2020
20.09.2020 - 24.09.2020
Meeting of the European Society for Immunodeficiencies (ESID) 2020
14.10.2020 - 17.10.2020
COVID-19 retningslinje (2020)
National handlingsplan for antibiotika til mennesker (2017)
Retningslinjer til sundhedsprofessionelle vedr. håndtering af infektion med zikavirus (2019)
Infections in Patients Colonized with Extended-Spectrum Beta-Lactamase-Producing Enterobacterales – a Retrospective Cohort Study
30.07.2020Clinical Infectious Diseases Advance Access
Effectiveness of Cloth Masks for Protection Against Severe Acute Respiratory Syndrome Coronavirus 2
22.07.2020Emerging Infectious Diseases Journal
Coronavirus Disease among Persons with Sickle Cell Disease, United States, March 20–May 21, 2020
22.07.2020Emerging Infectious Diseases Journal
COVID-19: the worst may be yet to come
First step in a new era for treatment of patients with vitiligo
Hvad tænker Professor Jens Lundgren om"Dolutegravir plus Two Different Prodrugs of Tenofovir to Treat HIV."?
Hvorfor synes Professor Troels Lillebæk, at du bør læse"The global prevalence of latent tuberculosis: a systematic review and meta-analysis."?
Hvad tænker Professor Lars Østergaard om"Efficacy of antibiotic treatment in patients with chronic low back pain and Modic changes (the AIM study): double blind, randomised, placebo controlled, multicentre trial."?
Hvad synes Professor Thomas Benfield om"Oral versus Intravenous Antibiotics for Bone and Joint Infection."?
Hvad tænker Professor Niels Obel om"Early, Goal-Directed Therapy for Septic Shock - A Patient-Level Meta-Analysis."?
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