In this cross sectional analysis of salmonella typhi samples submitted to the Centers for Disease Control, 79% of patients had traveled within 30 days, and 73% were hospitalized (mean age 22). Susceptibility testing showed that 13% were multi-drug resistant, and 97% had decreased susceptibility to ciprofloxacin. Multi-drug resistance was more common in travelers to the Indian continent (abstract). Salmonella typhi in recent travelers is likely to have a high incidence of drug resistance.
by Deepak Asudani, MD, MPH, FHM Whether it is the prompt and expeditious international collaboration to develop an Ebola vaccine, or tardy but promising development of the first anti parasitic malarial vaccine or the fascinating technology utilizing synthetic DNA for vaccine development against MERS, these developments promise to highlight significant strides in vaccine development for […]
Economists describe preferences in two ways: revealed and stated. Say, for example, I asked you to implement a penalty program for your team with the goal of decreasing the number of occasions members did not clean their hands after a patient encounter. Because you know bad hands equal bad outcomes, you’re apt to offer up […]
by Eric Howell, MD, SFHM “Tell me what you know about antibiotics.” That’s the discussion I start with hospitalized patients all the time, right after they ask me to prescribe antibiotics for their simple cough, or other viral-like illness. And, from their perspective, asking for antibiotics makes sense. After all, antibiotics have been the physician’s […]