Antibiotic overprescription remains steady, CDC study shows | Fla. declares Miami's Wynwood neighborhood Zika-free | For resources and information about the Zika virus visit NursingWorld.org.
September 21, 2016
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Antibiotic overprescription remains steady, CDC study shows
Amid growing concerns about drug resistance, overprescription of antibiotics remained steady from 2006 to 2012, CDC researchers found, with 55% of inpatient care involving at least one antibiotic dose and more doctors turning to newer drugs. The authors of the study, published in JAMA Internal Medicine, say many doctors believe patients want the drugs, and clinicians may reason that taking the medications won't hurt.
HealthDay News (9/19) 
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Nursing, Health & Medical Science
Fla. declares Miami's Wynwood neighborhood Zika-free
Florida has lifted the travel warning on the Wynwood neighborhood in Miami, where no new Zika cases have been reported since early August, and health officials attributed aggressive aerial spraying with the pesticide naled for stopping the spread of the virus. The CDC, however, has advised pregnant women to continue avoiding Miami-Dade County as a precautionary measure.
Reuters (9/19),  STAT/The Associated Press (9/19),  ABC News/The Associated Press (9/19) 
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Baby-led weaning doesn't increase choking risk in infants
New Zealand researchers found that infants who underwent baby-led weaning with advice on reducing choking risk didn't have higher odds of choking, compared with those who were spoon-fed. However, the findings in Pediatrics, based on a trial involving 206 babies, showed that more than 50% and almost 100% were given foods with a choking risk such as raw vegetables and hard crackers at ages 7 months and 12 months, respectively.
Physician's Briefing/HealthDay News (9/19) 
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Report warns against codeine in prescriptions for children
Children should not be prescribed codeine for pain or cough due to potential harms, including breathing problems and even death, according to an American Academy of Pediatrics statement published in Pediatrics. The AAP said physicians should weigh the risks of the drug and consider whether evidence shows it is effective.
Reuters (9/19),  ABC News/The Associated Press (9/19) 
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Trends & Technologies
San Francisco works toward eradication of hepatitis C
San Francisco's health department is coordinating with HIV testing centers and outreach programs to identify patients with hepatitis C and provide early treatment with new drugs through Medicaid. "We have unprecedented access to direct-acting antivirals. San Francisco wants to be the first city to eliminate HCV," said Katie Burk, the department's viral hepatitis coordinator.
HCPLive (9/19) 
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RFID implants could have uses in health care
Radio frequency identification tags implanted in the body have the potential for use in patient identification, accessing patient records and conveying health care information for routine and emergency care. However, issues related to security and privacy could be obstacles to wide use, and some patients, including those with dementia, may not be able to give their consent.
The Wall Street Journal (tiered subscription model) (9/18) 
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Work-Life Balance
Study: Longer diabetes duration tied to increased fracture risk in women
Canadian researchers looked at 8,840 women with type 2 diabetes, ages older than 40, and found that the hazard ratio for major osteoporotic fracture was 1.47 among those who had the condition for more than 10 years, compared with no increased risk for those with a diabetes duration of less than 10 years. The findings, presented at the American Society for Bone and Mineral Research annual meeting, showed that the fracture risk was 24% higher than predicted using the WHO's Fracture Risk Assessment tool for those with more than 10 years of diabetes duration, while the ratio of observed to predicted hip fracture risk was nearly double.
MedPage Today (free registration) (9/18) 
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From the Patient's View
Survey: 49% of advanced cancer patients say disease is curable
In an international survey of 1,390 patients with advanced cancer, 49% said their disease was curable and 60% said the goal of their treatment was to get rid of the cancer, researchers reported at the 2016 Palliative Care in Oncology Symposium. The survey also found that 79% of patients said their treatments were aimed at making them feel better.
Oncology Nurse Advisor online (9/15) 
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Legislative Policy & Regulatory News
Sarepta's DMD treatment approved by FDA
The FDA has granted accelerated approval to Sarepta Therapeutics' Duchenne muscular dystrophy treatment Exondys 51, or eteplirsen, despite an advisory committee's prior decision that data was insufficient to support approval of the drug. In a letter, Janet Woodcock, the agency's Center for Drug Evaluation and Research director, said the decision "reflects FDA's ability to apply flexibility to address challenges we often see with rare, life-threatening diseases."
MedPage Today (free registration) (9/19),  The Wall Street Journal (tiered subscription model) (9/19),  Reuters (9/19) 
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CMS repository to offer MU attestation assistance
Eligible providers and hospitals completing their meaningful use requirements for the EHR Incentive Programs can get help from the CMS through a central repository that will indicate which clinical data registries and public health agencies are ready to electronically receive public health reporting data. Registries may submit a CMS input form until Oct. 31 to become eligible for the 2017 repository.
EHR Intelligence (9/16) 
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