Infectious Disease, Bacterial

Jul 15, 2011 Issue
Usefulness of Procalcitonin Measurement in Reducing Antibiotic Use and Identifying Serious Bacterial Illness [AFP Journal Club]

Measurement of procalcitonin is being pushed as a way to determine the presence or absence of bacterial infection and, therefore, as a way to reduce antibiotic use. But, how well does it work in the patients family physicians see? Why are the results of this study not as convincingly positive as the results of other studies?

May 1, 2011 Issue
CDC Updates Guidelines for the Prevention of Perinatal GBS Disease [Practice Guidelines]

The Centers for Disease Control and Prevention (CDC) published guidelines for the prevention of perinatal group B streptococcus (GBS) disease in 1996; the guidelines were updated in 2002 and again in 2010. The most recent guidelines elaborate on laboratory methods and thresholds for GBS identificati...

Mar 1, 2011 Issue
Ulcer on Lower Lip of Deployed Serviceman [Photo Quiz]

Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

Dec 15, 2010 Issue
Diagnosis, Initial Management, and Prevention of Meningitis [Article]

Although the annual incidence of bacterial meningitis in the United States is declining, it remains a medical emer- gency with a potential for high morbidity and mortality. Clinical signs and symptoms are unreliable in distinguishing bacterial meningitis from the more common forms of aseptic meningi...

Apr 1, 2010 Issue
Diagnosis and Treatment of Urethritis in Men [Article]

Symptoms of urethritis in men typically include urethral discharge, penile itching or tingling, and dysuria. A diagnosis can be made if at least one of the following is present: discharge, a positive result on a leukocyte esterase test in firstvoid urine, or at least 10 white blood cells per high-...

Feb 15, 2010 Issue
Chronic Rash Associated with Numbness [Photo Quiz]

Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

Aug 15, 2009 Issue
Scalp Rash in a Newborn [Photo Quiz]

Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

May 15, 2009 Issue
Identification and Management of Latent Tuberculosis Infection [Article]

Latent tuberculosis infection (LTBI) is a condition in which a person is infected with Mycobacterium tuberculosis, but does not currently have active tuberculosis disease. An estimated 10 to 15 million persons in the United States have LTBI. Because 5 to 10 percent of persons with LTBI are at risk o...

Jan 15, 2009 Issue
Tinidazole (Tindamax) for Trichomoniasis and Bacterial Vaginosis [STEPS]

Tinidazole is generally an expensive alternative to metronidazole for the treatment of trichomoniasis and bacterial vaginosis. It offers little, if any, advantage with regard to safety, tolerability, and effectiveness; however, its once-daily dosing and shorter course of therapy may be useful for some patients.

Aug 15, 2008 Issue
Update on the Treatment of Tuberculosis [Article]

Approximately one third of the world's population, including more than 11 million persons in the United States, is latently infected with Mycobacterium tuberculosis. Although most cases of tuberculosis in the United States occur in foreign-born persons from endemic countries, the prevalence is gener...

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