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Clinical Practice

U.S. Measles Outbreaks Signal Need for Continued Push for Immunization

Vast Majority of Cases Tied to Disease Importation

(05/14/2008)  --  A series of measles outbreaks in nine U.S. states recently triggered a reminder from CDC officials that although the disease is no longer considered endemic in the United States, the measles virus still can be imported from other countries. According to a Morbidity and Mortality Weekly Report article published May 1, of a total of 64 cases reported to the CDC between Jan. 1 and April 25 -- the highest tally reported for this period since 2001 -- 54 have been associated with importation of the virus from foreign countries. More


Guideline Update: Combination of Counseling, Medications Most Effective for Combating Tobacco Dependence

(05/07/2008)  --  Evidence from the U.S. Public Health Service's 2008 update of the Clinical Practice Guideline: Treating Tobacco Use and Dependence indicates that both counseling and medication for tobacco dependence in adults are effective, especially when combined. Moreover, suggests the AAFP-endorsed guideline update, health systems, insurers and purchasers should help clinicians make such treatments available. (Discuss this story on the AAFP News Now bulletin board.) More

Cefixime 400-mg Tablets Return to U.S. Market

(04/30/2008)  --  Beginning this month, the only oral agent recommended by the CDC for treatment of uncomplicated urogenital or rectal gonococcal infection is again readily available in the United States. According to a notice in the April 25 Morbidity and Mortality Weekly Report, Baltimore-based Lupin Pharmaceuticals Inc. has begun manufacturing cefixime 400-mg tablets for distribution in the United States. More

NRN Sleep, Alcohol Study Seeks to Enroll More Participants

Early Results Show One in 10 Adults Exceeds Safe Drinking Limits

(04/22/2008)  --  The AAFP National Research Network, or NRN, is renewing its call for participants for its Patient Sleep Problems and Alcohol Consumption Study. To date, the study has enrolled more than 70 clinicians and 1,200 patients. Researchers on the project are hoping to enroll a total of 100 clinicians by May 2008. More

FDA Approves New Vaccine to Prevent Rotavirus Infection

Product Shows No Increased Intussusception Risk

(04/16/2008)  --  FDA officials recently gave the nod to a second live, oral vaccine designed to protect infants and young children from rotavirus gastroenteritis caused by the G1, G3, G4 and G9 viral strains. Rotarix, which is manufactured by GlaxoSmithKline, is a liquid that is given as a two-dose series to infants between ages 6 and 24 weeks. More

Researchers Question Efficacy of Antibiotics for Rhinosinusitis

Conclusions of Study Up for Debate, Says FP

(04/02/2008)  --  It's a familiar scenario to most family physicians: A patient presents with symptoms of rhinosinusitis, but there is no way to know from that presentation whether the infection is viral or bacterial. Recently published guidelines on prescribing antibiotics for this condition are more stringent than those presented in the past, but many physicians continue to prescribe these antimicrobials in the absence of definitive evidence of the infection's etiology. More

AAFP, ACIP, AAP Recommend Massive Expansion of Influenza Vaccine Coverage

(04/02/2008)  --  The AAFP, together with the CDC's Advisory Committee on Immunization Practices, or ACIP, and the American Academy of Pediatrics, or AAP, recently moved one step closer to realizing a joint goal of universal immunization against seasonal influenza. On March 13, AAFP Board Chair Rick Kellerman, M.D., of Wichita, Kan., gave an official thumbs-up to a recommendation from the three groups that calls for expanding annual influenza immunizations to include all children ages 6 months to 18 years beginning no later than the 2009-2010 influenza season. More

Study Explores Patient Priorities in Primary Care Consultations

Top Attributes Are Thorough Exam, Doctor Who Knows Patient

(04/02/2008)  --  Primary care physicians, like all health care professionals, are encouraged to deliver patient-centered services that respond to what patients want and need. But what attributes do patients value most in primary care consultations? Researchers in the United Kingdom's National Primary Care Research and Development Centre at the University of Manchester and University of York explored that question in a study reported on in the March/April Annals of Family Medicine. More