More articles from Clinical Review
- Vancomycin-resistant Staphylococcus aureus: An emerging public health threat
Three reported cases of S aureus with intermediate susceptibility to vancomycin raise fears that high-level vancomycin resistance may soon be seen. Physicians need to limit their use of vancomycin, and hospitals need to intensify their infection-control efforts.
- Stress ulcer prophylaxis: The case for a selective approach
Although stress-related mucosal damage is common in critically ill patients, the risk of significant gastrointestinal bleeding appears to be confined to patients with certain risk factors. A full-color illustration explaining the pathogenesis of stress-related mucosal damage accompanies this article.
- Homocysteine: Update on a new risk factor
A high fasting plasma homocysteine level is an independent risk factor for atherosclerosis and venous thrombosis.
- Adult respiratory distress syndrome (ARDS): current management, future directions
Half of the patients who develop ARDS die of it. However, a number of new ideas about supportive management and experimental therapies offer hope of reducing the mortality rate.
- National headache foundation
These guidelines, developed by the National Headache Foundation, target diagnosis, therapy and referral.
- Building-related illness and sick building syndrome: from the specific to the vague
Building-related illness, in which an identifiable factor causes a specific illness, is less common than sick building syndrome, in which there is no identifiable cause for nonspecific symptoms.
- Adult vaccinations: a short review
Recommended use of vaccines against pneumococcal pneumonia, influenza, hepatitis A and B, varicella, measles, mumps, rubella, tetanus, and diphtheria.
- Cyclospora: update on an emerging pathogen
Cyclospora cayetanensis, an emerging pathogen with worldwide distribution, causes diarrhea in both immunocompetent and HIV-infected patients, and was responsible for a 1996 outbreak in the United States.
- Detecting and preventing ventricular remodeling after MI
Infarct expansion after an MI carries a poor prognosis. Thrombolysis prevents early left ventricular dilatation by attenuating infarct expansion. A full-color illustration compares the effects of early reperfusion, late reperfusion, and no reperfusion.
- Approach to adult patients with recurrent infections
How to recognize the underlying disorders in a variety of recurrent infections.