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1802. Polysomnography for Sleep-Disordered Breathing Prior to Tonsillectomy in Children

), adverse effects (number needed to harm), cost of drugs or tests, frequency and duration of treatment, and desire to take or avoid antibiotics. Comorbidity can also affect patient pref- erences by several mechanisms, including the potential for drug-drug interactions when planning therapy. Statement 1. Ind Icat Ion S for PSG: Before per - forming tonsillectomy, the clinician should refer children with SdB for PSG if they exhibit any of the following: obesity, d own syndrome, craniofacial abnormalities

2011 American Academy of Otolaryngology - Head and Neck Surgery

1803. Asthma

, increased use of antibiotics). Therefore the CDC Advisory Committee of Immunization Practices recommends all patients older than 6 months receive influenza vaccine and that all adults receive pneumococcal polysaccharide vaccine. Influenza vaccination is performed annually for all patients with asthma over 6 months of age. Vaccination is typically performed in the fall to maximize resistance during the winter “flu season.” Children under 9 years of age receiving influenza vaccine for the first time

2011 University of Michigan Health System

1804. Hemothorax and Occult Pneumothorax, Management of

pleural effusion, and the use of multiple chest tubes within the same hemithorax. Hospitalization after empyema was on average 2.5 wk longer than patients without. Causative organism identified in 60%, three-quarters of these were Staphylococcus aureus. The average time to diagnosis 12 d. Antibiotics were not found to be helpful in prevention. Empyema is a significant clinical entity and should be aggressively prevented. Navsaria et al. [29] 2004 Thoracoscopic evacuation of retained posttraumatic

2011 Eastern Association for the Surgery of Trauma

1806. The role of endoscopy in gastroduodenal obstruction and gastroparesis

not exceed 3 months. The macrolide antibiotics, including erythromy- cin, azithromycin, and clarithromycin, act as motilin- receptor agonists to stimulate gastric motility. Although erythromycin is a potent stimulant of gastric emptying, side effects are common with oral use (eg, nausea, vom- iting, abdominal cramping, diarrhea). Furthermore, tachy- phylaxis often will limit long-term ef?cacy. Endoscopictherapies. When gastroduodenal dysmo- tility is associated with weight loss, recurrent episodes

2011 American Society for Gastrointestinal Endoscopy

1809. Treatment of Fungal Infections in Adult Pulmonary, Critical Care, and Sleep Medicine: An Official ATS Statement

not be administered simulta- neously with leukocytes, as this may possibly precipitate pul- monary toxicity (6). There appears to be an additive, and possibly synergistic, nephrotoxicity with other nephrotoxic agents such as aminoglycoside antibiotics (7). Adequate intra- venous ?uid hydration has been shown to reduce the risk of nephrotoxicity(8).Incomplicatedpatients,consultationwithan experienced clinical pharmacist or use of tools such as software programs that delineate drug interactions, particularly those

2011 American Thoracic Society

1810. WEO/WGO Guidelines on endoscope disinfection: a resource-sensitive approach

by covering the detergent container. 2.3 Detergents Detergents with or without enzymes, and detergents containing antimicrobial substances, can be used for endoscope cleaning. Use of nonfoaming detergents is recommended. Foaming can inhibit good fluid contact with device surfaces and prevent a clear field of vision during the cleaning process, with a risk of injury to personnel. The detergent selected should effectively loosen organic and nonorganic material so that the flushing action of the detergent (...) growth. • In Europe, detergents commonly used may contain antimicrobial substances that reduce the risk of infection to reprocessing personnel, but they do not replace disinfection. • Enzymes generally function more effectively above room temperature (> 20– 22 °C) and should be used in accordance with the manufacturer’s recommendations. 3 Endoscope disinfection 3.1 General procedures Endoscopes should be disinfected in dedicated rooms by trained staff at the beginning and at the end of each patient

2011 World Endoscopy Organization

1811. Diagnosis and Therapy of Hairy Cell Leukaemia

neutropenia (<0·5 × 10 9 /l) before, during and/or after the use of either pentostatin or cladribine. The routine use of G‐CSF cannot, however, be recommended. Data from a Phase 2 study compared patients treated with cladribine and G‐CSF with historical controls who were not given G‐CSF. While G‐CSF reduced the number of days of neutropenia, it did not reduce number of febrile days or antibiotic use ( ). 3.6. Role of splenectomy Indications for splenectomy in HCL have changed since the advent of purine

2011 British Committee for Standards in Haematology

1812. Laboratory investigation of heritable disorders of platelet function

function due to inhibition of thrombin. Cardiovascular Agents β‐adrenergic blockers (propranolol) Vasodilators (nitroprusside, nitroglycerin) Diuretics (furosemide) Calcium channel blockers Antimicrobials β‐lactams (penicillins, cephalosporins) Amphotericin (antifungal) Hydroxychloroquine (antimalarial) Nitrofurantoin Chemotherapeutic agents Asparaginase Plicamycin Vincristine Psychotropics and Anaesthetics Tricyclic antidepressants (imipramine) Phenothiazines (chloropromazine) Local and general

2011 British Committee for Standards in Haematology

1813. Supportive care in multiple myeloma

is crucial in preventing and managing infection in myeloma. Streptococcus pneumoniae , Haemophilus influenzae and Gram negative bacilli are the most frequent causes of infection in myeloma patients ( ). Prophylactic antibiotics may have a role in reducing infection rates but have the potential for leading to increased Clostridium difficile infection and antibiotic resistance. The role of prophylactic antibiotics in myeloma needs to be addressed in larger numbers of multiple myeloma patients

2011 British Committee for Standards in Haematology

1815. Best Practice in the Management of Epidural Analgesia in the Hospital Setting

be associated with poor analgesia and need for large volumes of infusion in adults. 5.3 The catheter should be secured in order to minimise movement in or out of the epidural space. The dressing should allow easy visibility of the insertion site and catheter. 5.4 Anaesthetists inserting epidural catheters should be aware of, and adhere to, local infection guidelines (including use of prophylactic antibiotics in special circumstances). 5.5 Local guidelines should be in place with respect to the insertion

2011 Association of Anaesthetists of GB and Ireland

1816. Management of Proximal Femoral Fractures

. Thromboembolism stockings or intermittent compression devices should be employed intra-operatively, in addition to ensuring the Grif?ths et al. | Guidelines: proximal hip fractures Anaesthesia 2011 Anaesthesia ª 2011 The Association of Anaesthetists of Great Britain and Ireland 19patient remains warm and well-hydrated. Expedited surgery and mobilisation, and regional anaesthesia, may reduce the risk of DVT further. Antibiotics Antibiotics should be administered within one hour of skin incision. Hospital (...) antibiotic protocols should be followed. Pressure care Older patients are particularly susceptible to pressure damage. Patients should be positioned sympathetically during surgery, to avoid the development of pressure sores and/or neuropraxia. Excessive ?exion and internal rotation of the non-operative hip should be resisted during dynamic hip screw insertion. The skin of older patients is thin and liable to be damaged by minimal trauma. Care should be taken when removing dressings or diathermy plates

2011 Association of Anaesthetists of GB and Ireland

1817. Clinical practice guidelines for surveillance colonoscopy - in adenoma follow-up; following curative resection of colorectal cancer; and for cancer surveillance in inflammatory bowel disease (December 2011)

; – the need for antibiotic prophylaxis; and – diabetes mellitus. o Patients cancelled on the day due to unforeseen co- morbidities. Informed consent should be obtained from all patients or their parent/legal guardian, using a structured approach. Preferably, it should be obtained before the period of bowel preparation. The patient needs to understand what is involved in the procedure and the possible risks, both in general and in the patient’s specific case (Table 1.2). What will your patients expect

2011 Clinical Practice Guidelines Portal

1818. Breastfeeding. Evidence based guidelines for the use of medicines

guides to medicines and breastfeeding. Therapeutic Guidelines have been independently prepared by expert writing groups experienced in therapeutics, pharmacology and use of antibiotics and psychotropic drugs without input from pharmaceutical companies. 14,15 The Pregnancy and Breastfeeding: Medicines Guide is prepared by the pharmacy department at the Royal Women’s hospital (Victoria) as a guide for health professionals to select appropriate treatment for women during pregnancy and when breastfeeding (...) . Common postpartum infections and recommended agents Infection Antibiotic guideline 14 Breastfeeding recommendation 16,17 Mastitis Systemic symptoms, early treatment with antibiotics Severe cellulitis, antibiotics should be given intravenously • Di/flucloxacillin • Cephalexin • Cephalothin • Cephazolin Compatible Compatible Compatible Compatible Patients with immediate penicillin hypersensitivity • Clindamycin • Lincomycin • V ancomycin Compatible Compatible Compatible Methicillin resistant

2011 Clinical Practice Guidelines Portal

1819. Evidence-based guidelines for use of probiotics in preterm neonates

in different studies, role of breast milk, pitfalls of TSA, lack of availability of safe and effective products, development of antibiotic resistance, cross-contamination and long-term adverse effects (AEs) as reasons for opposing routine use of probiotics in pre- term neonates [19-23]. We have previously addressed these concerns [24], and pointed out that probiotic research has completed a full circle, from basic science [25] and cohort studies [26], to conclusive meta-analysis [14], routine use [15 (...) AND antibio- tic or antibiotic sensitivity; probiotic. mp. or probiotic agent AND Sepsis; or probiotic agent AND bacterial translocation; probiotic. mp. or probiotic agent AND or licence/ or law/; or probiotic agent AND informed consent; or probiotic agent AND tem- perature/or drug storage/or drug packaging/or cold or drug stability/or freezing/; or probiotic agent quality or quality control

2011 Clinical Practice Guidelines Portal

1820. Australian Association for Exercise and Sports Science position statement on exercise and asthma Full Text available with Trip Pro

and/or stop therapy with antiperistaltic agents and opiates Promote the use of narrow spectrum antimicrobial agents Stop therapy with other antibiotics if possible; if not, a prolonged course of treatment for CDI may be required Perform serial clinical assessment Perform serial assessments of white cell count, and lactate, creatinine and electrolyte levels Treatment of initial episode Metronidazole, 400 mg orally, three times daily for 10 days If unable to tolerate oral treatment: metronidazole, 500 mg (...) Topics Abstract Clostridium difficile is the most common cause of health care-associated and antibiotic-associated diarrhoea. C lostridium difficile is a frequent cause of both nosocomial and antibiotic-associated diarrhoea, and is usually health care-associated. It is infrequently found in the gastrointestinal tract of healthy adults, but may colonise up to two-thirds of young children before they are weaned. In healthy people, C. difficile does not cause problems; resistance to infection is thought

2011 Clinical Practice Guidelines Portal


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