Infectious Disease Primary Care

Primary care infectious disease
In a lookback investigation of 1669 patients who had been operated on by an HIV-infected cardiothoracic surgeon, 33 percent underwent serologic testing for HIV and none were seropositive . These data continue to support the view that the risk of HIV transmission from an HIV-infected health care worker is extremely low.The United States Advisory Committee on Immunization Practices (ACIP) has issued guidelines stating that HPV vaccine should not be withheld from females up to age 26 years despite a history of genital warts, abnormal Papanicolaou tests, or positive HPV DNA tests .The ACIP added cigarette smoking and asthma as indications for vaccination of adults with the pneumococcal vaccine (PPV23; Pneumovax) .The CDC has updated TB diagnosis guidelines to include nucleic acid amplification (NAA) sputum testing. Patients meeting clinical criteria for TB should undergo chest radiography; if suggestive of TB, three sputum specimens for AFB smear and culture should be obtained. At least one specimen should also be tested using a nucleic acid amplification (NAA) test if available .There has been a dramatic rise in the rate of oseltamivir-resistant H1N1 influenza A worldwide, with resistance identified in 97 percent of H1N1 influenza virus isolates tested from 30 states in the United States between October 2008 and January 2009 [40] . All isolates were sensitive to zanamivir, amantadine, and rimantadine.