Articles
Prevention of Group B Streptococcal Disease in the Newborn
Universal screening for group B streptococcus (GBS) among women at 35 to37 weeks of gestation is more effective than administration of intrapartumantibiotics based on risk factors. Women with GBS bacteriuria in the currentpregnancy and those who previously delivered a GBS…
Oral Analgesics for Acute Nonspecific Pain
This review of the available evidence guides physicians in the use of oral analgesics for acute nonspecific pain.
Clostridium difficile–Associated Diarrhea
Clostridium difficile is responsible for up to 20 percent of antibiotic-related casesof diarrhea and nearly all cases of pseudomembranous colitis. C. difficile–associated diarrhea is treated with metronidazole, vancomycin, or both. Judicious useof antibiotics is important in…
Diagnosis and Management of Acute Pyelonephritis in Adults
Acute pyelonephritis is an infection of the upper urinary tract that is mostcommonly caused by Escherichia coli. Outpatient oral antibiotic therapy with a fluoroquinolone is successful in most patients who have mild uncomplicatedpyelonephritis.
Inside AFP
Big Changes Back Stage
For the past seven years, you have seen Janis Wright’s name as the byline for this page. That it’s not there now is one of the few on-stage signs of major changes going on behind the scenes of AFP in the editorial staff. Janis, who recently used this space to talk about her…
Newsletter
Newsletter
AAFP Program Provides Updates on Health Care Issues | “Together Rx Access” Offers Prescription Drug Discounts to Uninsured | HHS Redistributes $643 Million in Unspent SCHIP Funds | NIH Report Updates List of Cancer-Causing Agents | Genomics CME Video Series Available Online…
Quantum Sufficit
Quantum Sufficit
There’s something in the air, and it’s affecting death rates in urban communities. A study published in JAMA found that short-term exposure to ozone pollution, caused by cars, power plants, and industry, was associated with higher death rates in 95 urban communities over a 14…
Editorials
Blood Pressure Measurement in Public Places
In recent years, many persons with undiagnosed or diagnosed hypertension have begun checking their blood pressure in public places using devices that are provided as a free service by pharmacies or other retail stores. These devices offer persons who might not have the…
Diary from a Week in Practice
Diary
“My hands bleed,” Julie proclaimed. “I don’t know whether I need to see a doctor or a priest.” She smiled weakly and asked, “Do the stigmata itch?” The 34-year-old woman looked worn out. I knew she had her hands full juggling a job and raising two young children. Someone had…
Cochrane for Clinicians
Antiplatelet Therapy and Anticoagulation in Patients with Hypertension
Antiplatelet agents should not be used in patients with hypertension and no previous history of heart attack or stroke. However, these agents are recommended for use in hypertensive patients who already have vascular disease. Anticoagulants should not be used for prevention of…
Clinical Evidence Handbook
Neonatal Jaundice
What are the effects of treatments for unconjugated hyperbilirubinemia in term and preterm infants?
Putting Prevention Into Practice
Screening for Hepatitis C in Adults
Case study: DV, a 35-year-old woman, is concerned about hepatitis C virus (HCV) infection after reading about celebrities who have the infection. She has been in a monogamous relationship for 10 years, has never used illicit drugs, and has never received a blood transfusion…
FPIN's Clinical Inquiries
Colorectal Cancer Screening
Both FOBT and flexible sigmoidoscopy are effective in screening for colorectal cancer. FOBT can reduce mortality from colorectal cancer.
Photo Quiz
Yellowish, Verrucous Lesions on the Scalp
Photo Quiz presents readers with a clinical challenge based on a photograph or other image.
POEMs
Common Cerumenolytics Ineffective
Pollen Blocker Cream Is Effective for Allergic Rhinitis
Cost-Effective Management of Nephrolithiasis
Regression of LVH in Patients with Hypertension
Useful Treatments for Fibromyalgia Syndrome
Tips from Other Journals
Transcutaneous Measurement of Bilirubin in Newborns
Dying, from the Perspective of Terminally Ill Men
Vaginal pH for Diagnosing Status of Menopause
Occult Head Trauma Among Potential Child Abuse Victims
How Vitamin K Intake Alters Oral Anticoagulation
Management of Patients with Incidental Esophageal Varices
Anticoagulation in Patients with Suspected DVT
Adipose Tissue as an Endocrine Organ
Caregiver Training and Outcomes in Stroke Patients
Handheld Ultrasonography in Assessing Penetrating Trauma
Can Statins Benefit Patients with Multiple Sclerosis?
Can Psychologic Interventions Improve Glycemic Control?
Viral and Serious Bacterial Infections in Children
Surgical or Medical Treatment for Refractory Menorrhagia?
Effects of Contraception on Bone Mineral Density
Food Compensation in Lean vs. Overweight Adolescents
Pulsed Dye Laser Therapy for the Treatment of Acne
Acetaminophen vs. Ibuprofen for Children’s Pain or Fever
Headache and Backache After Lumbar Puncture
Diagnosing Dehydration in Children
Reproductive Technology Presents Risk for Children
Earlier Amniocentesis and Chorionic Villus Sampling
Fast-Absorbing Sutures for Postpartum Perineal Repair
Practice Guidelines
Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents
The National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents has issued its Fourth Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents.
Practice Guideline Briefs
Practice Guideline Briefs
Treatment of Migraine Headache in Children and Adolescents | Availability of 24-Hour Clinician Information Line and Addition of Topics
