Infectious Disease Archives - Page 179 of 182 - Clinical Advisor

Infectious Disease

Standard of care for MRSA infections

The idea that methicillin-resistant Staphylococcus aureus (MRSA) abscesses don’t always require antibiotics (Item 122-5) may have been accepted in 1950, but it is not true anymore. All clinicians know that every family member should be treated once MRSA is diagnosed. Once again, the CDC is behind on its protocols. Treatment should consist of appropriate oral…

For probable TB, use NAA test

Although culture remains the gold standard for laboratory confirmation of TB, the CDC now recommends that nucleic acid amplification (NAA) testing become standard practice in helping to diagnose people in whom pulmonary TB is moderately to highly suspected (MMWR. 2009;58:7-10).  The NAA test has been commercially available in the United States since the late 1990s.…

IV ceftriaxone no more effective than oral doxycycline for mild Lyme neuroborreliosis

Level 2: Mid-level evidenceThe efficacy of oral doxycycline was compared with that of IV ceftriaxone (Rocephin) in a randomized trial of 118 patients with Lyme neuroborreliosis (Lancet Neurol. 2008;7:690-695). Patients were randomized to oral doxycycline 200 mg plus IV placebo vs. IV ceftriaxone 2 g plus oral placebo once daily for 14 days. Analysis based…

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