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.
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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.
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.
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.
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.
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.
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.
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.
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."
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.
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