CDC Examines California Rotavirus Outbreaks in Post-vaccine Era
The CDC's April 27 Morbidity and Mortality Weekly Report examined three rotavirus outbreaks in California in 2017 and found mostly mild to moderate illness among vaccinated and unvaccinated children and adults.
AAFP News : Patient Care
https://www.aafp.org/news/health-of-the-public/20180509rotavirus.html
CDC Launches #HowIRecommend Vaccination Video Series
The CDC launched a new website for its #HowIRecommend videos series, featuring health care professionals talking about how they recommend vaccines to different types of patients.
AAFP News : Patient Care
https://www.aafp.org/news/health-of-the-public/20190813reccvaccvideos.html
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...
American Family Physician
https://www.aafp.org/afp/2011/1115/afp20111115p1176.pdf
CDC Releases Best Practices for the Use of PCR Testing for Diagnosing Pertussis - ...
Nov 15, 2011 - 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 ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2011/1115/p1176.html
CDC Releases Guidelines on Antimicrobial Agents for the Treatment and Postexposure ...
Jul 15, 2006 - The Centers for Disease Control and Prevention (CDC) has released guidelines on antimicrobial agents for the treatment and postexposure prophylaxis of pertussis.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2006/0715/p333.html
CDC Reports Mixed Progress Fighting Antibiotic Resistance
According to a newly released CDC report, on average, someone in the United States develops an antibiotic-resistant infection every 11 seconds, and every 15 minutes, someone dies from such an infection.
AAFP News : Patient Care
https://www.aafp.org/news/health-of-the-public/20191126mmwr-antibx.html
CDC Updates Immunization Schedules for 2021
The CDC’s Advisory Committee on Immunization Practices, together with the AAFP and several other medical organizations, released the 2021 immunization schedules for children, adolescents and adults.
AAFP News : Patient Care
https://www.aafp.org/news/health-of-the-public/20210224immschedules.html
CDC, AAFP Release 2019 Immunization Schedules
The CDC and its Advisory Committee on Immunization Practices, together with the AAFP and other medical professional organizations, have released the 2019 adult and childhood immunization schedules.
AAFP News : Patient Care
https://www.aafp.org/news/health-of-the-public/20190211immunskeds.html
CDC, AAFP Release 2020 Immunization Schedules
The CDC and its Advisory Committee on Immunization Practices, together with the AAFP and other medical professional organizations, have released the 2020 adult and childhood immunization schedules.
AAFP News : Patient Care
https://www.aafp.org/news/health-of-the-public/20200207vaccskeds.html
CDC: Vaccination Coverage of Children Remains High
A pair of Morbidity and Mortality Weekly Reports the CDC released Oct. 12 offered an overview of the status of childhood immunizations in the United States that was -- for the most part -- positive.
AAFP News : Patient Care
https://www.aafp.org/news/health-of-the-public/20181019kidsvaccs.html
Cesarean Delivery: Counseling Issues and Complication Management
Date xx, xxxx Scientific
American Family Physician
https://www.aafp.org/afp/2015/0201/afp20150201p178.pdf
Cesarean Delivery: Counseling Issues and Complication Management - American Family ...
Feb 1, 2015 - Nearly one-third of all deliveries in the United States are cesarean deliveries. Compared with spontaneous vaginal delivery, cesarean delivery is associated with increased maternal and neonatal morbidity and mortality. Interventions that decrease the chance of a cesarean delivery ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0201/p178.html
Choosing Wisely: Avoid prescribing antibiotics for upper respiratory infections. - ...
Avoid prescribing antibiotics for upper respiratory infections.
American Family Physician : Choosing Wisely Recommendations
https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=254
Choosing Wisely: More Good Clinical Recommendations - American Family Physician
Choosing Wisely: More Good Clinical Recommendations to Improve Health Care Quality and Reduce Harm
American Family Physician : Choosing Wisely Recommendations
https://www.aafp.org/afp/recommendations/search.htm
choosing-wisely-table.pdf
...pertussis (whooping cough) should be treated with antibiotic therapy. Symptomatic treatment for upper respiratory infections should be directed to maximize relief of the most prominent symptom(s). It is important that health care providers have a dialogue with their...
American Family Physician
https://www.aafp.org/dam/AAFP/documents/journals/afp/choosing-wisely-table.pdf
Chronic Cough: Evaluation and Management - American Family Physician
Nov 1, 2017 - Although chronic cough in adults (cough lasting longer than eight weeks) can be caused by many etiologies, four conditions account for most cases: upper airway cough syndrome, gastroesophageal reflux disease/laryngopharyngeal reflux disease, asthma, and nonasthmatic eosinophilic ...
American Family Physician : Article
https://www.aafp.org/afp/2017/1101/p575.html
Chronic Diarrhea - American Family Physician
Nov 15, 2011 - ...Previous: CDC Releases Best Practices for the Use of PCR Testing for Diagnosing Pertussis Next: Caring for Older Family Members with Depression View the full table of contents >> Home / Journals / afp / Vol. 84/No. 10(November 15, 2011) / Chronic Diarrhea...
American Family Physician : Patient Handout
https://www.aafp.org/afp/2011/1115/p1133.html
Clinical Briefs - Apr 15, 2002 - American Family Physician
Apr 15, 2002 - ...to extend through the summer of 2002. Vaccines in short supply include varicella; measles, mumps, and rubella; diphtheria/tetanus/acellular pertussis; and pneumococcal conjugate vaccine. According to the CDC, reasons for the shortage include production delays and government...
American Family Physician : Clinical Briefs
https://www.aafp.org/afp/2002/0415/p1690.html
Clinical Briefs - Aug 15, 2002 - American Family Physician
Aug 15, 2002 - ...Supplies of diphtheria and tetanus toxoids and acellular pertussis (DTaP) vaccine, and measles, mumps, and rubella (MMR) vaccine in the United States have become sufficient to permit the resumption of the routine schedule for DTaP and MMR use as recommended by the Advisory Committee...
American Family Physician : Clinical Briefs
https://www.aafp.org/afp/2002/0815/p690.html
Clinical Briefs - Dec 01, 1998 - American Family Physician
Dec 1, 1998 - ...combination vaccine containing Haemophilus influenzae type b (Hib) conjugate vaccine and diphtheria and tetanus toxoid and acellular pertussis (DTaP) vaccine is for use in toddlers (ages 15 to 18 months). The FDA emphasizes that the approved Hib conjugate vaccines and DTaP vaccines...
American Family Physician : Clinical Briefs
https://www.aafp.org/afp/1998/1201/p2171.html
Clinical Briefs - Jan 15, 2003 - American Family Physician
Jan 15, 2003 - ...Food and Drug Administration (FDA) has approved Pediarix, a combination vaccine that contains diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed (DTaP), hepatitis B vaccine (recombinant), and inactivated polio-virus vaccine (IPV) for administration as one...
American Family Physician : Clinical Briefs
https://www.aafp.org/afp/2003/0115/p427.html
Clinical Briefs - Jul 1, 2000 - American Family Physician
Jul 1, 2000 - ...influenzae type b vaccine and one dose of measles-containing vaccine. Coverage with four doses of diphtheria and tetanus toxoids and pertussis vaccine/diphtheria and tetanus toxoids and three doses of hepatitis B vaccine was the highest ever reported (84 and 87 percent,...
American Family Physician : Clinical Briefs
https://www.aafp.org/afp/2000/0701/p241.html
Clinical Briefs - Sep 15, 2002 - American Family Physician
Sep 15, 2002 - ...Diphtheria, Tetanus, and Pertussis (DTaP) No2 Tetanus and Diphtheria Toxoids (Td) No Haemophilus influenzae type b (Hib)1 See note3 Inactivated Polio (IPV) No Measles, Mumps, and Rubella (MMR) No2 Varicella No Pneumococcal...
American Family Physician : Clinical Briefs
https://www.aafp.org/afp/2002/0915/p1110.html
Coding & Documentation - Jan 2007 -- FPM
Jan 1, 2007 - ...The CPT code for a Tdap injection, which is a combination vaccine consisting of tetanus toxoid, diphtheria toxoid and acellular pertussis vaccine, is 90715. To bill for the administration of the vaccine, use 90465-90466 or 90471-90472. You may report preventive services or other...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2007/0100/p18.html
Coding and Billing Rules in 2016: Out With the Old, In With the New -- FPM
Feb 1, 2016 - Incident-to rules and advance care planning top the list of changes.
Family Practice Management : Articles
https://www.aafp.org/fpm/2016/0100/p14.html
Coding Flu Shots: Immunize Against Lost Revenue -- FPM
Oct 1, 2007 - Make this hectic time of year a little smoother by reminding yourself and your staff how to code flu shots.
Family Practice Management : Articles
https://www.aafp.org/fpm/2007/1000/p35.html
Colonic Diverticular Disease - Clinical Evidence Handbook - American Family Physician
Nov 15, 2011 - What are the effects of treatments for uncomplicated diverticular disease and what treatments prevent complications? What are the effects of treatments for acute diverticulitis?
American Family Physician : Clinical Evidence Handbook
https://www.aafp.org/afp/2011/1115/p1163.html
Combination Vaccines for Childhood Immunization - American Family Physician
May 1, 1999 - An increasing number of new and improved vaccines to prevent childhood diseases are being introduced. Combination vaccines represent one solution to the problem of increased numbers of injections during single clinic visits. This statement provides general guidance on the use of ...
American Family Physician : Article
https://www.aafp.org/afp/1999/0501/p2565.html
Common Eye Emergencies - American Family Physician
Oct 15, 2013 - Ocular emergencies such as retinal detachments, mechanical globe injuries, and chemical injuries can cause permanent vision loss if they are not recognized and treated promptly. Family physicians should be familiar with the signs and symptoms associated with each condition, and be able ...
American Family Physician : Article
https://www.aafp.org/afp/2013/1015/p515.html
Common Questions About Wound Care
Date xx, xxxx Scientific
American Family Physician
https://www.aafp.org/afp/2015/0115/afp20150115p86.pdf
Community-Acquired Pneumonia in Children
...of age.8,35-37 Children should also be vaccinated against other potential causes of pneumonia, including influenza, H. influenzae type b, pertussis, varicella, and measles. Data Sources: PubMed Clinical Queries was searched using the key terms community acquired pneumonia,...
American Family Physician
https://www.aafp.org/afp/2012/1001/afp20121001p661.pdf
Community-Acquired Pneumonia in Children - American Family Physician
Oct 1, 2012 - Community-acquired pneumonia is a potentially serious infection in children and often results in hospitalization. The diagnosis can be based on the history and physical examination results in children with fever plus respiratory signs and symptoms. Chest radiography and rapid viral ...
American Family Physician : Article
https://www.aafp.org/afp/2012/1001/p661.html
Community-Acquired Pneumonia in Infants and Children - American Family Physician
Sep 1, 2004 - Community-acquired pneumonia is one of the most common serious infections in children, with an annual incidence of 34 to 40 cases per 1,000 children in Europe and North America. When diagnosing community-acquired pneumonia, physicians should rely mainly on the patient's history and ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0901/p899.html
Community-Acquired Pneumonia in Infants and Children - American Family Physician
...of CAP in older children and adolescents.10,11 Pertussis should be considered in all children with CAP, especially if immunizations are not current. Mycobacterium tubercu- losis also may cause CAP in children at risk for exposure. Coinfection with two or more microbial agents is...
American Family Physician
https://www.aafp.org/afp/2004/0901/afp20040901p899.pdf
Content for Office Websites
...• Tdap (tetanus, diphtheria and pertussis [whooping cough]) vaccine: one dose recommended at age 11 or 12; if they did not receive the Tdap vaccine at this age, they should in their teen years • Flu vaccine: every year, ideally by October, but vaccinations can continue through...
Patient Care
https://www.aafp.org/dam/AAFP/documents/patient_care/immunizations/vaccines-teens/hops19-v4t-content-office.pdf
Correction - Corrections - American Family Physician
Mar 15, 2015 - ...and pertussis vaccine. The article should have stated that there is a small but real association between febrile seizures and concurrent administration of influenza plus pneumococcal 13-valent conjugate vaccine and/or diphtheria and tetanus toxoids, and acellular pertussis (DTaP)...
American Family Physician : Corrections
https://www.aafp.org/afp/2015/0315/p353.html
Correction - Corrections - American Family Physician
Mar 1, 2014 - ...toxoid, and acellular pertussis (Tdap) vaccination in pregnant women. The article Recommendations for Preconception Counseling and Care (p. 499) contained an error in the second column (Recommendations) of the second to last row (Tetanus, diphtheria, pertussis) of Table 2 (p. 501)....
American Family Physician : Corrections
https://www.aafp.org/afp/2014/0301/p316a.html
Correction - Corrections - American Family Physician
Mar 1, 2002 - ...was used for pertussis vaccine administered at the same time as diphtheria and tetanus toxoids. The correct abbreviation is DTaP. The text should read as follows: When administered at the same time as diphtheria and tetanus toxoids and acellular pertussis vaccine (DTaP) at a...
American Family Physician : Corrections
https://www.aafp.org/afp/2002/0301/p799a.html
Cough: Diagnosis and Management - Practice Guidelines - American Family Physician
Feb 15, 2007 - On a typical day, a family physician will see at least one patient presenting with cough. Information on the diagnosis and management of coughs is available from the American College of Chest Physicians (ACCP).
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2007/0215/p567.html
CPT 2008: A Glimpse of the Future of Family Medicine? -- FPM
Jan 1, 2008 - This year's new codes cover evaluations done over the phone or online.
Family Practice Management : Articles
https://www.aafp.org/fpm/2008/0100/p16.html
CPT 2009: Out With the Old, In With the New -- FPM
Feb 1, 2009 - A new injection code and newborn codes are among this year’s most notable CPT changes.
Family Practice Management : Articles
https://www.aafp.org/fpm/2009/0100/p7.html
CPT Update for 2011: Immunizations, Observations and More
...pertussis (DTaP) Measles-mumps- rubella (MMR) Tetanus-diphtheria- pertussis (Tdap) Measles-mumps- rubella-varicella (MMR-V) Diphtheria-tetanus- pertussis, hepatitis B, inactivated poliovirus (DTaP- HepB-IPV) Diptheria- tetanus-pertussis, Hemophilus influenza type B,...
Family Practice Management
https://www.aafp.org/fpm/2011/0100/fpm20110100p5.pdf
CPT Update for 2011: Immunizations, Observations and More -- FPM
Feb 1, 2011 - Changes include new codes for pediatric vaccine administration and subsequent hospital observation care.
Family Practice Management : Articles
https://www.aafp.org/fpm/2011/0100/p5.html
Diagnosis and Management of Acute Bronchitis - American Family Physician
May 15, 2002 - Acute bronchitis is one of the top 10 conditions for which patients seek medical care. Physicians show considerable variability in describing the signs and symptoms necessary to its diagnosis. Because acute bronchitis most often has a viral cause, symptomatic treatment with protussives,...
American Family Physician : Article
https://www.aafp.org/afp/2002/0515/p2039.html
Diagnosis and Management of Acute Bronchitis -- American Family Physician
...Bacteria: Bordatella pertussis, Bordatella parapertussis, Branhamella catarrhalis, Haemophilus influenzae, Streptococcus pneumoniae, atypical bacteria (e.g., Mycoplasma pneumoniae, Chlamydia pneumoniae, Legionella species) Yeast and fungi: Blastomyces dermatitidis, Candida...
American Family Physician
https://www.aafp.org/afp/2002/0515/afp20020515p2039.pdf
Diagnosis and Treatment of Acute Bronchitis
...more than 90 percent of acute bronchitis infections. Antibiotics are gener- ally not indicated for bronchitis, and should be used only if pertussis is suspected to reduce transmission or if the patient is at increased risk of developing pneumonia (e.g., patients 65 years or older)....
American Family Physician
https://www.aafp.org/afp/2010/1201/afp20101201p1345.pdf
Diagnosis and Treatment of Acute Bronchitis - American Family Physician
Dec 1, 2010 - Cough is the most common symptom bringing patients to the primary care physician’s office, and acute bronchitis is usually the diagnosis in these patients. Acute bronchitis should be differentiated from other common diagnoses, such as pneumonia and asthma, because these conditions may ...
American Family Physician : Article
https://www.aafp.org/afp/2010/1201/p1345.html
Diagnosis and Treatment of Acute Pyelonephritis in Women - American Family Physician
Sep 1, 2011 - Acute pyelonephritis is a common bacterial infection of the renal pelvis and kidney most often seen in young adult women. History and physical examination are the most useful tools for diagnosis. Most patients have fever, although it may be absent early in the illness. Flank pain is ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0901/p519.html
Diary from a Week in Practice - Apr 1, 1998 - American Family Physician
Apr 1, 1998 - ...If you are still using diphtheria, tetanus, whole cell pertussis vaccine (DTwP) instead of diphtheria, tetanus, acellular pertussis vaccine (DTaP), a recent poster presentation at the Pediatric Academic Society in Washington, D.C., will be of interest to you. This poster...
American Family Physician : Diary from a Week in Practice
https://www.aafp.org/afp/1998/0401/p1526.html
Diary of a Family Physician - Dec 15, 2020 - American Family Physician
Dec 15, 2020 - First-person accounts from the front lines of family medicine.
American Family Physician : Diary of a Family Physician
https://www.aafp.org/afp/2020/1215/p758.html
Disease Outbreak Shows What -- and Why -- We Can Learn From Mistakes
When physicians failed to follow the principles of evidence-based medicine, it exacerbated a pertussis outbreak in Kentucky. Gerry Tolbert, M.D., writes that doctors must learn from such mistakes.
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/disease_outbreak_shows_what_and.html
Disease- and Population-Specific Immunizations
Immunizations can prevent the spread of contagious and sometimes deadly diseases, particularly among at-risk populations such as young children and older adults. Use AAFP resources to educate parents and patients about the importance of getting immunizations.
Family Physician : Patient Care
https://www.aafp.org/family-physician/patient-care/prevention-wellness/immunizations-vaccines/disease-pop-immunization.html
Diuretics for Treatment of Patients with Heart Failure? - Cochrane for Clinicians - ...
Aug 1, 2006 - Compared with other active medications, diuretics can improve exercise capacity in patients with heart failure by about 30 percent. Withdrawal of diuretic therapy from patients with heart failure may increase the risk of hospital readmission or death. About eight deaths are prevented ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2006/0801/p411.html
Dog and Cat Bites - American Family Physician
Aug 15, 2014 - Animal bites account for 1% of all emergency department visits in the United States and more than $50 million in health care costs per year. Most animal bites are from a dog, usually one known to the victim. Most dog bite victims are children. Bite wounds should be cleaned, copiously ...
American Family Physician : Article
https://www.aafp.org/afp/2014/0815/p239.html
Dog and Cat Bites<FEFF>
...Prevention. Preventing tetanus, diphtheria, and pertus- sis among adults: use of tetanus toxoid, reduced diphtheria toxoid and acellular pertussis vaccine recommendations of the Advisory Committee on Immunization Practices (ACIP) and recommendation of ACIP, supported by the...
American Family Physician
https://www.aafp.org/afp/2014/0815/afp20140815p239.pdf
Encounter Forms -- FPM Toolbox
May 4, 2020 - Download encounter forms to help ensure accurate documentation for asthma, diabetes, hypertension, and other conditions common in primary care.
Family Practice Management : FPM Toolbox : Encounter Forms
https://www.aafp.org/fpm/toolBox/viewToolType.htm?toolTypeId=12
Essentials of Skin Laceration Repair - American Family Physician
Oct 15, 2008 - Skin laceration repair is an important skill in family medicine. Sutures, tissue adhesives, staples, and skin-closure tapes are options in the outpatient setting. Physicians should be familiar with various suturing techniques, including simple, running, and half-buried mattress (corner)...
American Family Physician : Article
https://www.aafp.org/afp/2008/1015/p945.html
Evaluation and Management of Apparent Life-Threatening Events in Children - American ...
Jun 15, 2005 - Apparent life-threatening event syndrome predominantly affects children younger than one year. This syndrome is characterized by a frightening constellation of symptoms in which the child exhibits some combination of apnea, change in color, change in muscle tone, coughing, or gagging. ...
American Family Physician : Article
https://www.aafp.org/afp/2005/0615/p2301.html
Evaluation and Management of Apparent Life-Threatening Events in Children - American ...
...Recommended diagnostic tests with high yield include complete blood count, serum bicarbonate and lactate, urinalysis, chest radiography, pertussis and respiratory syncytial virus samples, and gastroesophageal reflux disease investigations. C 4 Home monitoring is recommended...
American Family Physician
https://www.aafp.org/afp/2005/0615/afp20050615p2301.pdf
Evaluation of Apparent Life-threatening Events in Infants - FPIN's Clinical Inquiries -...
Jul 1, 2007 - A comprehensive, detailed history and physical examination with pulse oximetry and nondilated funduscopy (to look for traumatic retinal hemorrhage) helps to determine the underlying etiology of an ALTE in 70 percent of infants.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2007/0701/p124.html
Evaluation of Patients with Leukocytosis
...per L]) can occur in patients with pertussis, syphilis, viral infections, hypersensitivity reactions, and certain subtypes of leukemia or lymphoma. Lymphocytosis is more likely to be benign in children than in adults.4 Epstein-Barr virus infection, tuberculosis or fungal disease,...
American Family Physician
https://www.aafp.org/afp/2015/1201/afp20151201p1004.pdf
Evaluation of Patients with Leukocytosis - American Family Physician
Dec 1, 2015 - An elevated white blood cell count has many potential etiologies, including malignant and nonmalignant causes. It is important to use age- and pregnancy-specific normal ranges for the white blood cell count. A repeat complete blood count with peripheral smear may provide helpful ...
American Family Physician : Article
https://www.aafp.org/afp/2015/1201/p1004.html
Evaluation of the Patient with Chronic Cough
...that is accom- panied by an inspiratory whooping sound (in young children), coughing paroxysms, or post-tussive emesis.3 The incidence of pertussis has been increasing since 2007. Booster immunizations should be administered to persons 18 to 64 years of age and to those 65 years...
American Family Physician
https://www.aafp.org/afp/2011/1015/afp20111015p887.pdf
Evaluation of the Patient with Chronic Cough - American Family Physician
Oct 15, 2011 - Initial evaluation of the patient with chronic cough (i.e., of more than eight weeks’ duration) should include a focused history and physical examination, and in most patients, chest radiography. Patients who are taking an angiotensin-converting enzyme inhibitor should switch to a ...
American Family Physician : Article
https://www.aafp.org/afp/2011/1015/p887.html
Evaluation of the Patient with Chronic Cough - American Family Physician
May 1, 2004 - Patients with chronic cough should avoid exposure to irritants that can trigger cough, and those who smoke should stop smoking. Patients who develop chronic cough in association with angiotensin-converting enzyme inhibitor therapy should be switched to an agent from another drug class. ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0501/p2159.html
Evaluation of the Patient with Chronic Cough - American Family Physician
...after an infection (i.e., upper respiratory tract infec- tion not accompanied by pneumonia).2,3 Subacute cough resolves without treatment. Pertussis may be acute or subacute.2 Chronic cough can have many causes, but only a few diseases account for most cases2,4 (Table 1).1,2,5-7...
American Family Physician
https://www.aafp.org/afp/2004/0501/afp20040501p2159.pdf
Expert Lists Ways to Boost Adolescent Immunization Rates
AAFP Vaccine Science Fellowship alumnus John Merrill-Steskal, M.D., of Ellensburg, Wash., recently took time to speak with AAFP News about strategies he uses to keep adolescent immunization rates high in his practice.
AAFP News : Patient Care
https://www.aafp.org/news/health-of-the-public/20190424vaccineq-a.html
Eye Emergencies - American Family Physician
Nov 1, 2020 - Central retinal artery occlusions, chemical injuries, mechanical globe injuries, and retinal detachments are eye emergencies that can result in permanent vision loss if not treated urgently. Family physicians should be able to recognize the signs and symptoms of each condition and be ...
American Family Physician : Article
https://www.aafp.org/afp/2020/1101/p539.html
Fact Sheet on Teen Vaccination
...hild/0-18yrs-combined-schedule-bw.pdf. Accessed May 16, 2019. 3. Centers for Disease Control and Prevention. Pertussis (whooping cough). Questions and answers. www.cdc.gov/pertussis/outbreaks/faqs.html. Accessed May 16, 2019. 4. Centers for Disease Control and Prevention. More US...
Patient Care
https://www.aafp.org/dam/AAFP/documents/patient_care/immunizations/vaccines-teens/hops19-v4t-facts-vaccination.pdf
Family Physicians and Immunizations - Editorials - American Family Physician
Dec 15, 2006 - ...Substituting tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccine for one dose of the 10-year Td booster through age 64. Using alternative vaccination strategies if needed to ensure that high-risk adults are immunized against hepatitis B. Given the...
American Family Physician : Editorials
https://www.aafp.org/afp/2006/1215/p2027.html
Family Practice International - Feb 15, 1998 - American Family Physician
Feb 15, 1998 - ...immunodeficiency syndrome, malaria, schistosomiasis and dengue fever. Quadrivalent infant vaccines with diphtheria, tetanus, pertussis and hepatitis B are under development, as are vaccines that incorporate injectable polio components. Combined hepatitis A and B vaccines are...
American Family Physician : Family Practice International
https://www.aafp.org/afp/1998/0215/p860.html
Family Practice Management
...Code 90696 has been established to report an FDA- approved, combination vaccine to protect against diph- theria, tetanus, pertussis and poliomyelitis (DTaP-IPV) in a single injection (Kinrix). This vaccine is intended to be administered as a booster dose to healthy children four...
Family Practice Management
https://www.aafp.org/fpm/2009/0100/fpm20090100p7.pdf
Febrile Seizures: Risks, Evaluation, and Prognosis
...toxoids and whole-cell pertussis (DTP); and measles, mumps, and rubella (MMR).13-15 A Cochrane review and a review of 530,000 chil- dren receiving the MMR vaccine showed that the risk of febrile seizures increased only dur- ing the first two weeks after vaccination, was small (an...
American Family Physician
https://www.aafp.org/afp/2012/0115/afp20120115p149.pdf
Febrile Seizures: Risks, Evaluation, and Prognosis - American Family Physician
Apr 1, 2019 - A febrile seizure is a seizure occurring in a child six months to five years of age that is accompanied by a fever (100.4°F or greater) without central nervous system infection. Febrile seizures are classified as simple or complex. A complex seizure lasts 15 minutes or more, is ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0401/p445.html
Febrile Seizures: Risks, Evaluation, and Prognosis - American Family Physician
Jan 15, 2012 - Febrile seizures are common in the first five years of life, and many factors that increase seizure risk have been identified. Initial evaluation should determine whether features of a complex seizure are present and identify the source of fever. Routine blood tests, neuroimaging, and ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0115/p149.html
Fewer, Not More, Vaccine Exemptions Needed
Fewer, Not More, Vaccine Exemptions Needed
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/fewer_not_more_vaccine_exemptions.html
Foreign Bodies in the Skin: Evaluation and Management - American Family Physician
Jun 15, 2020 - Foreign bodies may be introduced into the skin through lacerations and soft tissue wounds. Long-term complications of retained foreign bodies include chronic pain and neurovascular impairment. Wound exploration and initial imaging with radiography or ultrasonography should be considered...
American Family Physician : Article
https://www.aafp.org/afp/2020/0615/p740.html
FPM Past Issues 2005
FPM issues 2005
Family Practice Management : FPM
https://www.aafp.org/journals/fpm/issues/2005.html
fpm20060100p28-rt1.pdf
...90715 Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), for use in individuals 7 years or older, for intramuscular use Medicine: Special Services 99050 Services provided in the office at times other than regularly scheduled office hours, or days when the...
Family Practice Management
https://www.aafp.org/fpm/2006/0100/fpm20060100p28-rt1.pdf
fpm20060900p63.pdf
...Pertussis exposure PDF Pulmonary embolism* PDF Sore throat* PDF Upper respiratory infection PDF, Word Forms appropriate to various visit types common skin procedures** PDF evaluation and management services** PDF Home visit PDF, Word Nursing home group visit...
Family Practice Management
https://www.aafp.org/fpm/2006/0900/fpm20060900p63.pdf
fpm20070300p48.pdf
...a wider range of immunizations, not only for our youngest patients but also for adolescents and adults (e.g., human papilloma virus, pertussis, meningococcus and herpes zos- ter vaccines). While patients can receive vaccinations from a variety of sources, offering them within the...
Family Practice Management
https://www.aafp.org/fpm/2007/0300/fpm20070300p48.pdf
fpm20071000p35.pdf
...• 90715 tetanus, diphtheria toxoids and acellular pertussis vaccine (tdap), age ≥ 7 years, for intramuscular use. diagnosis codes linked to these services would be v04.81 for the influenza vaccination and v06.1 for the tdap vaccination. alone. The ICD-9 code for pneumococcus...
Family Practice Management
https://www.aafp.org/fpm/2007/1000/fpm20071000p35.pdf
fpm20080100p16-rt1.pdf
...90696 Diphtheria, tetanus toxoids, acellular pertussis vaccine and poliovirus vaccine, inactivated (DTaP-IPV), when administered to children 4 years through 6 years of age, for intramuscular use Other Medicine Services and Procedures 99174 Ocular photoscreening with...
Family Practice Management
https://www.aafp.org/fpm/2008/0100/fpm20080100p16-rt1.pdf
fpm20080100p16.pdf
...• 90696 Diphtheria, tetanus toxoids, acel- lular pertussis vaccine and poliovirus vaccine, inactivated (DTaP-IPV), when administered Two codes were added to report tobacco cessation counseling. Time-based billing is now an option for some nursing home visits....
Family Practice Management
https://www.aafp.org/fpm/2008/0100/fpm20080100p16.pdf
fpm20080100p22.pdf
...needs the new tetanus/ pertussis combo booster, you might describe the importance of protecting adolescents from waning immunity. But if the patient also has a newborn sibling at home, you can make your spiel more effective by pointing out that pertussis in a newborn would be a...
Family Practice Management
https://www.aafp.org/fpm/2008/0100/fpm20080100p22.pdf
fpm20120700p21.pdf
...DPT diphtheria-pertussis-tetanus Demerol-Phenergan-Thorazine HCT hydrocortisone hydrochlorothiazide MgS04 magnesium sulfate morphine sulfate 5-ASA 5-aminosalicylic acid five tablets of aspirin Dosing o.d. or od once daily right eye t.i.w. or tiw three times a week...
Family Practice Management
https://www.aafp.org/fpm/2012/0700/fpm20120700p21.pdf
fpm20130700p32.pdf
...to administer tetanus boosters. It is the rare patient who remembers when he or she last had a tetanus booster, let alone if it included pertussis. Nearly everyone has a cell phone if not a smartphone, though, and is accustomed to using it to remember appointments, con- tacts,...
Family Practice Management
https://www.aafp.org/fpm/2013/0700/fpm20130700p32.pdf
fpm20140300p22.pdf
...Clergy and other respected members of society are often influential. While discussing whooping cough and the Tdap (tetanus, diphtheria, and pertussis) vaccine with a minister of a large church in Chicago, Dr. Brown asked him if he was often near young children. He shared that...
Family Practice Management
https://www.aafp.org/fpm/2014/0300/fpm20140300p22.pdf
fpm20150300p24.pdf
...mumps, and rubella). If you administer a DTaP/IPV vac- cine (Kinrix) you may bill for four components (diphthe- ria, tetanus, pertussis, and polio). Let’s see how this works in real life. In my practice, our largest payer reimburses around $50 for administer- ing the first...
Family Practice Management
https://www.aafp.org/fpm/2015/0300/fpm20150300p24.pdf
fpm20160100p14.pdf
...• 90697, Diphtheria, tetanus toxoids, acel- lular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intra- muscular use. Both of these vaccines are pending approval by the...
Family Practice Management
https://www.aafp.org/fpm/2016/0100/fpm20160100p14.pdf
fpm20210700p17.pdf
...(ACIP) recommends immunizing every patient who is pregnant during their third trimester with the tetanus, diphtheria, and acellular pertussis (Tdap) vaccine and providing the influenza vaccine to all patients who are pregnant during flu season. The American Academy of Family...
Family Practice Management
https://www.aafp.org/fpm/2021/0700/fpm20210700p17.pdf
FPs Are 'Soldiers in Field' Against Outbreaks
FPs Are 'Soldiers in Field' Against Outbreaks
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/fps_soldiers_in_field_against.html
GERD Treatment for Chronic Nonspecific Cough in Children and Adults
...Cochrane Briefs Acellular Vaccines for Preventing Pertussis in Children Clinical Question Are acellular vaccines as safe and effective as whole-cell vaccines for preventing pertussis (whooping cough) in children? Evidence-Based Answer Multicomponent (i.e., three or more) acel-...
American Family Physician
https://www.aafp.org/afp/2011/0901/afp20110901p502.pdf
GERD Treatment for Chronic Nonspecific Cough in Children and Adults
...Cochrane Briefs Acellular Vaccines for Preventing Pertussis in Children Clinical Question Are acellular vaccines as safe and effective as whole-cell vaccines for preventing pertussis (whooping cough) in children? Evidence-Based Answer Multicomponent (i.e., three or more) acel-...
American Family Physician
https://www.aafp.org/afp/2011/0901/afp20110901p504.pdf
GERD Treatment for Chronic Nonspecific Cough in Children and Adults - Cochrane for ...
Sep 1, 2011 - Acid suppressants or prokinetic agents should not be used to treat chronic nonspecific cough in infants or children. There is insufficient evidence to support or discourage use of these agents to treat chronic non-specific cough in adults, even in those with a history of GERD.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2011/0901/p502.html
Geriatric Assessment: An Office-Based Approach - American Family Physician
Jun 15, 2018 - Family physicians should be proficient in geriatric assessment because, as society ages, older adults will constitute an increasing proportion of patients. Geriatric assessment evaluates medical, social, and environmental factors that influence overall well-being, and addresses ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0615/p776.html
GSK to Compensate for Merck's Pediatric HepB Vaccine Shortage
In the face of a continuing shortage of Merck's pediatric hepatitis B vaccines, the CDC says GlaxoSmithKline will fill in with sufficient supply to meet full U.S. demand.
AAFP News : Patient Care
https://www.aafp.org/news/health-of-the-public/20180411hepbshortage.html
Guidelines for the Use of Antibiotics in Acute Upper Respiratory Infections - American ...
Sep 15, 2006 - To help physicians with the appropriate use of antibiotics in children and adults with upper respiratory tract infection, a multidisciplinary team evaluated existing guidelines and summarized key practice points. Acute otitis media in children should be diagnosed only if there is abrupt...
American Family Physician : Article
https://www.aafp.org/afp/2006/0915/p956.html
Guidelines for Treating Adults with Acute Cough - Editorials - American Family Physician
Feb 15, 2007 - ...are likely to be effective for conditions such as pneumonia, upper airway cough syndrome from bacterial sinusitis, and Bordetella pertussis infection in the lower respiratory tract (whooping cough), if given early in the illness, and for exacerbations of bronchiectasis and severe...
American Family Physician : Editorials
https://www.aafp.org/afp/2007/0215/p476.html
Hand and Wrist Injuries: Part II. Emergent Evaluation - American Family Physician
Apr 15, 2004 - Primary care physicians must be able to recognize wrist and hand injuries that require immediate attention. A complete history and physical examination, including assessment of distal limb function, are essential. Hemorrhage control is necessary in patients with vessel lacerations and ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0415/p1949.html