Changing epidemiology requires careful S. aureus treatment | Perioperative heart injury more common than previously believed | Infant rice cereals contain highest arsenic levels
December 11, 2017
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Changing epidemiology requires careful S. aureus treatment
The rise in rates of methicillin-susceptible Staphylococcus aureus, as well as resistance to antibiotics such as clindamycin and Bactrim, underscore the importance of understanding antimicrobial resistance when prescribing antibiotics, according to research presented at the Infectious Diseases in Children Symposium. A study by the Vanderbilt Vaccine Research Program found that using Bactrim to treat pediatric patients who had undergone drainage procedures due to MRSA infections resulted in a 25% increased risk of recurrence and an almost doubled risk of treatment failure.
Healio (free registration)/Infectious Diseases in Children (12/4) 
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Nursing, Health & Medical Science
Perioperative heart injury more common than previously believed
Surgery of any kind raises the risk of perioperative myocardial injury in older patients and in patients with heart disease, but the condition has subtle symptoms and is often missed, researchers reported in Circulation. A high-sensitivity troponin test can detect the condition, and researcher and cardiologist Christian Puelacher says management strategies should be tailored to the patient.
HealthDay News (12/4) 
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Infant rice cereals contain highest arsenic levels
Infant rice cereals had sixfold higher levels of inorganic arsenic, on average, compared with other grain cereals, according to a Healthy Babies Bright Futures report. The findings also showed arsenic levels in infant rice cereals averaged 85 parts per billion, lower than the average arsenic level of 103 ppb found in a FDA study in 2013 and 2014, while the highest amounts of arsenic were found in brown rice cereals.
The New York Times (free-article access for SmartBrief readers) (12/7),  Consumer Reports online (12/7) 
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Trends & Technologies
Coordinated care cuts Medicaid costs for superutilizers
Coordinated interventions that address social determinants of health in so-called health care superutilizers have saved state Medicaid programs more than $2 for every $1 invested, according to a National Governors Association analysis of a pilot program. Alaska and Puerto Rico reported substantial cost savings and improvements in beneficiary outcomes after just a year in the pilot program.
USA Today (12/5) 
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Research examines device encryption use for texted medical orders
A survey by the Institute for Safe Medication Practices found that nearly half of 778 health care providers polled said they used device encryption when receiving texted medical orders. Researchers also found that phone/device autocorrection resulting in incorrect drug or patient names was the top concern with texting orders, followed by confusing abbreviated text terminology and patient misidentification.
Health IT Security (12/5) 
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Work-Life Balance
Postmenopausal vasomotor symptoms increase diabetes risk
Women with postmenopausal vasomotor symptoms had an 18% higher risk for diabetes than those who did not have symptoms, researchers reported in the journal Menopause. Risks varied by symptom severity, onset, duration and type.
Medscape (free registration) (12/6) 
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Legislative Policy & Regulatory News
Senators' VA bill could advance telehealth treatment
Two Republican senators have introduced legislation that would allow physicians to treat patients via telemedicine across state lines. The measure is part of a wide-ranging bill aimed at improving health services provided by the Department of Veterans Affairs.
Healthcare Informatics online (12/6) 
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Senators from both parties decry cuts to 340B program
Six senators, evenly split between Democrats and Republicans, wrote to GOP leaders urging them to reverse cuts to the 340B drug discount program in the year-end spending bill. An earlier letter to the CMS expressing concerns over the cuts was signed by 51 senators.
The Hill (12/7) 
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