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Too Many People Still Take Unneeded Antibiotics

Clinic, News, Research - , , -

By Dennis Thompson

TUESDAY, May 3, 2016 (HealthDay News) — Nearly one-third of the antibiotics prescribed in the United States aren’t appropriate for the conditions being treated, a new federal government study shows.

antibiotic-study

“We were able to conclude that at least 30 percent of the antibiotics that are given in doctors’ offices, emergency departments and hospital-based clinics are unnecessary, meaning that no antibiotics were needed at all,” said lead researcher Dr. Katherine Fleming-Dutra.

Such misuse has helped fuel the rise of antibiotic-resistant bacteria, which infect 2 million Americans and kill 23,000 every year, said Fleming-Dutra, a pediatrician and epidemiologist at the U.S. Centers for Disease Control and Prevention.

Antibiotics are most misused in the treatment of short-term respiratory conditions, such as colds, bronchitis, sore throats, and sinus and ear infections, the researchers reported.

“About half of antibiotic prescriptions for acute respiratory conditions were unnecessary,” Fleming-Dutra said.

What is Breast Thermography?

Breast, Screenings, Thermography - , , -

Breast thermography is a 15 minute non invasive test of physiology. It is a valuable procedure for alerting your doctor to changes that can indicate early stage breast disease.

The benefit of breast thermography is that it offers the opportunity of earlier detection of breast disease than has been possible through breast self examination, doctor examination or mammography alone.

Thermography can detect the subtle physiologic changes that accompany breast pathology, whether it is cancer, fibrocystic disease, an infection or a vascular disease. Your doctor can then plan accordingly and lay out a careful program to further diagnose and /or MONITOR you during and after any treatment.

breast-thermo1

Normal

Good thermal symmetry with no suspicious vascular patterns or significant thermal findings.

PulmCrit Wee: Ultrasound-guided blakemore tube placement

Clinic, News, Research - , -

May 4, 2016 | Josh Farkas

Introduction

The most widely feared complication of placing a Blakemore tube is complete inflation of the gastric balloon while it is not in the stomach.  If the gastric balloon is fully inflated anywhere outside the stomach (i.e. esophagus, trachea, bronchus, duodenum), this may cause visceral perforation.

Two cases of ultrasound-guided Blakemore placement

Case #1

A patient required Blakemore tube placement due to refractory variceal hemorrhage.  With continuous monitoring via transgastric ultrasonography, the Blakemore tube was advanced.  The tube could be visualized entering the stomach.  When the tube was advanced to a depth of 50 cm, the gastric balloon was inflated with 50ml of air.  The balloon was well visualized by ultrasonography to be inflating within the stomach.

Since ultrasonography is not a validated tool to confirm placement in the stomach, an abdominal X-ray was also ordered and waiting at the bedside.  A portable X-ray was obtained, which confirmed that the balloon was inflated below the diaphragm.

Abdominal ultrasonography was resumed following the X-ray, but at that point the Blakemore tube could no longer be seen within the stomach.  Further evaluation revealed that the tube had been inadvertently withdrawn while positioning the patient after the X-ray.  The tube was re-advanced to 50cm, at which point the balloon could again be visualized within the stomach.  At this point, the balloon was fully inflated under direct ultrasonographic guidance.

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