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EE+ POEM Archive
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Infectious Disease
1 week = 2 week treatment for HP eradication
7 days of tx good for H. pylori
ACC/AHA: Fewer patients require prophylaxis for endocarditis
Antibiotic prophylaxis may not decrease risk of recurrent UTI in children
Antibiotics and nasal steroids of little/no benefit for acute sinusitis
Antibiotics do not improve outcomes after IandD of skin abscess
Antibiotics for URIs reduce complications (but not enough to matter)
Antibiotics in first year of life associated with later asthma
Antibiotics slightly effective for purulent rhinitis
AOM wait-and-see treatment without Rx decreases antibiotic use
Azithromycin at least as effective as doxycycline for PID
Best way to perform lumbar puncture and analyze results
Characteristics of patients with H1N1 influenza
Chest PT not effective for kids with pneumonia
Children and GERD: pneumonia with acid suppression
Clinical factors predict severe CAP in adults
Daily cranberry juice does not reduce risk of UTI in pregnancy
Delayed prescription for AOM reduces unnecessary antibiotics
Doxycycline prophylaxis effective for tick-borne relapsing fever
Duct tape ineffective for common viral warts
Duct tape ineffective in warts in kids
Early switch to PO effective for severe CAP
Extended antiretroviral prophylaxis prevents HIV in breastfeeding infants
Fewer complications with condom than Foley catheters
Fluoroquinolones = beta-lactam for acute bacterial sinusitis
Guideline for Medications in CF
H. pylori tx effective in long-term PPI users
Hand washing programs prevent GI and respiratory infections
Hep A vaccine similar to immune globulin for postexposure prophylaxis
Hep C infection increases risk of non-Hodgkin lymphoma
Hydrocortisone does not reduce mortality in septic shock
Incorrect choice of antibiotic doesn't affect outcome of CAP
Influenza vaccination during pregnancy is effective
Inhaled steroids for COPD associated with increased risk of pneumonia
Lactobacilli after antibiotic treatment for BV
Lactobacillus prevents ulcerative colitis relapse
Latent TB high in patients from sub-Saharan Africa and Southeast Asia
Levofloxacin-based 3-drug therapy for resistant H. pylori
Limited data on probiotics to prevent antibiotic-induced diarrhea in kids
Live attenuated nasal flu vaccine safe, effective for ages 1 to 5
Milk okay in pts with HIV-related diarrhea
Moderate-severe pain unusual following zoster
Most endocarditis prophylaxis no longer necessary: NICE guideline
MRSA common in abscessed skin infections
Naproxen effective for cold symptoms including cough reduction
Nitazoxanide reduces rotavirus duration in hospitalized kids
Ondansetron effective for gastroenteritis with vomiting
Ondansetron effective in children with acute gastroenteritis
Pneumonia: 3 days of antibiotics for uncomplicated course
Pneumonia can be treated with 3 to 5 days of abx
Prednisolone but not acyclovir effective for Bell's palsy
Pretreatment eradication of H. pylori improves NSAID safety
Probiotics decrease antibiotic-associated diarrhea in children
Probiotics effective in preventing acute diarrhea, but not traveler's diarrhea
Probiotics increase mortality in severe pancreatitis (PROPATRIA)
Probiotics safe, minimally effective in newborns
Probiotic yogurt prevents antibiotic-associated diarrhea in hospitalized patients
Procalcitonin test can reduce antibiotic use in COPD
Rapid antigen test reduces antibiotic use in adult sore throat
Rapid influenza tests reduce ER testing in kids, little else
Saline irrigation more effective than spray for nasal symptoms
Screening for hepatitis C has minimal benefit (NNS = 4000)
Sequential H. pylori tx increases cures
Sequential therapy better for H. pylori eradication
Short- vs long-duration antibiotics in children with bacterial meningitis
Simple safety measures reduce catheter-related bloodstream infections
Single dose azithromycin effective for cholera
Single-dose drug treatment effective for some soil-transmitted helminth infections
Surveillance useful for patients with Child-Pugh class B cirrhosis
Test and treat = acid suppression for dyspepsia symptoms
Test-and-treat best for primary care dyspepsia
URI: Patients want explanation, not prescription
Vancomycin > metronidazole for severe C. difficile-associated diarrhea
Varicella immunity wanes in children after 5 years
Wide variation in clinical presentation of erythema migrans