Practice Guidelines

Practice Guidelines summarize important clinical recommendations from major medical organizations and the federal government.

Dec 15, 2011 Issue
CDC Updates Recommendations for Contraceptive Use in the Postpartum Period
Initiating appropriate contraception in the postpartum period is important to avoid negative outcomes related to short birth intervals. The Centers for Disease Control and Prevention (CDC) recently reevaluated the safety of contraceptive use in the postpartum period.

Dec 1, 2011 Issue
Updated Guidelines on Management of Atrial Fibrillation from the ACCF/AHA/HRS
The American College of Cardiology Foundation (ACCF), the American Heart Association (AHA), and the Heart Rhythm Society (HRS) have released updated guidelines for the management of atrial fibrillation. Since the previous guidelines were issued in 2006, new data have become available on strict versus lenient heart rate control, the combined use of antiplatelet and anticoagulation therapy, and the use of dronedarone (Multaq).

Nov 15, 2011 Issue
CDC Releases Best Practices for the Use of PCR Testing for Diagnosing Pertussis
Diagnosing pertussis in the early stages can be difficult, because early signs and symptoms are often nonspecific. Polymerase chain reaction (PCR) testing, a technique used to detect DNA sequences specific for Bordetella pertussis, is used for diagnosis; however, results should be cautiously interpreted, because they can often be false positive or false negative. The Centers for Disease Control and Prevention (CDC) has developed best practices to help optimize the use of PCR testing for the diagnosis of pertussis.

Nov 1, 2011 Issue
ACP Releases Guideline on Intensive Insulin Therapy in Hospitalized Patients
The American College of Physicians (ACP) has issued a clinical guideline on the use of intensive insulin therapy in hospitalized patients with or without diabetes mellitus to achieve glycemic control and improve health outcomes.

Oct 15, 2011 Issue
ACIP Updates General Immunizations Guidelines
The Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention provides general guidelines for the administration of its recommended routine vaccinations, which are aimed at preventing 17 diseases in children and adults. Sections of this guideline were recently updated, including revisions to contraindications and precautions, stricter criteria for selecting an adequate storage unit for vaccines, additional guidance for maintaining the cold chain in case of an unavoidable temperature deviation, and updated recommendations for vaccinations after hematopoietic cell transplant.

Oct 1, 2011 Issue
ACIP Updates Guideline on Influenza Vaccination for 2011-2012 Season
The Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention has issued its annual guideline on vaccination against influenza. It includes information on a newly licensed intradermal vaccine, a change in the number of vaccine doses required in children six months to eight years of age, and recommendations on vaccination in persons allergic to eggs.

Sep 15, 2011 Issue
ACOG Guideline on Sexual Dysfunction in Women
The American College of Obstetricians and Gynecologists (ACOG) has released guidelines on sexual dysfunction in women. Sexual dysfunction is common in U.S. women but is underdiagnosed and undertreated, partly because patients are not likely to discuss it with their physician unless they are asked. In addition to patients' reluctance to initiate a conversation about sex, obstacles for physicians include a lack of adequate training and confidence, a perception that there are few treatment options, inadequate time to obtain a sexual history, and underestimation of the prevalence of sexual dysfunction.

Sep 1, 2011 Issue
AAO-HNS Guidelines for Tonsillectomy in Children and Adolescents
Although tonsillectomy is common and improves patients' quality of life, there are possible risks and practice variations in the care of patients undergoing tonsillectomy. Recent guidelines from the American Academy of Otolaryngology–Head and Neck Surgery (AAO–HNS) aim to provide physicians with evidence-based guidance on identifying patients one to 18 years of age who would most benefit from the procedure.

Aug 15, 2011 Issue
IDSA Guidelines on the Treatment of MRSA Infections in Adults and Children
The prevalence of methicillin-resistant Staphylococcus aureus (MRSA) in the United States continues to increase, with more than 94,000 cases of invasive disease reported in 2005. The Infectious Diseases Society of America (IDSA) has released its first evidence-based guidelines on the treatment of MRSA infections.

Aug 1, 2011 Issue
Updated Dietary Guidelines from the USDA and HHS
The U.S. Department of Agriculture (USDA) and the U.S. Department of Health and Human Services (HHS) jointly created the updated version of the Dietary Guidelines for Americans, 2010. The updated guidelines are based on two main concepts: focusing on balancing caloric intake over time to reach and maintain a healthy body weight; and consuming more nutrient-dense foods and beverages in place of those high in sodium, saturated fats, added sugars, and refined grains.

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