AIDS: Implications for emergency medicine Gabor D. Kelen, James L. Baker
DOI: http://dx.doi.org/10.1016/0735-6757(88)90059-9
The American Journal of Emergency Medicine , Vol. 6 , Issue 2 ,
Published in issue: March 1988
Failure of outpatient antibiotics among patients hospitalized for acute bacterial skin infections: What is the clinical relevance? Timothy C. Jenkins, Bryan C. Knepper, Bruce D. McCollister, S. Jason Moore, Sean W. Pawlowski, Daniel M. Perlman, Carla C. Saveli, Sean T. O'Leary, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2016.02.013
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: February 11 2016
x Infectious Diseases Society of America guidelines recommend that patients hospitalized for acute bacterial skin infections after failure of outpatient antibiotic therapy be managed as “severe” infections; however, the clinical relevance of apparent failure of outpatient therapy is not clear.
A comparison of the prophylactic uses of topical mupirocin and nitrofurazone in murine crush contaminated wounds Bulent Erdur, Gurkan Ersoy, Osman Yilmaz, Aydan Ozkutuk, Banu Sis, Ozgur Karcioglu, Ismet Parlak, Cuneyt Ayrik, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2007.03.030
The American Journal of Emergency Medicine , Vol. 26 , Issue 2 ,
Published in issue: February 2008
x This work was conducted to study the prophylactic efficacy of 2 topical antibiotic ointments (mupirocin and nitrofurazone) against wound infection in experimental contaminated crush wounds.
Retropharyngeal space infections in a community hospital Jeremy D. Gradon, Larry I. Lutwick
DOI: http://dx.doi.org/10.1016/0735-6757(91)90023-D
The American Journal of Emergency Medicine , Vol. 9 , Issue 1 ,
Published in issue: January 1991
x The emergency physician often has to deal with infectious disease emergencies. The authors have seen four cases of retropharyngeal infection of potentially life-threatening severity in less than 1 year, all were admitted through the emergency department (ED). Reporting these cases is important to increase awareness among emergency physicians of this classic disease entity. The characteristics of the patients are discussed including initial diagnostic approaches and the use of computed tomography (CT) scanning of the neck and mediastinum.
Needle licker's osteomyelitis Loice A. Swisher, James R. Roberts, Martin J. Glynn
DOI: http://dx.doi.org/10.1016/0735-6757(94)90156-2
The American Journal of Emergency Medicine , Vol. 12 , Issue 3 ,
Published in issue: May 1994
x Eikenella corrodens , a fastidious, slow-growing, gram-negative, facultative anaerobic bacillus may be encountered in wounds exposed to human sallva, especially human bites and head and neck infections. An unusual case of a mixed flora E corrodens and Strepticoccus septic arthritis with adjacent osteomyelitis secondary to saliva contamination from licking an intravenous (IV) needle is presented. A literature search showed 53 previous cases of E corrodens infections in IV drug users. However, none of these infections affected bones or joints.
Changing epidemiology and management of infectious diseases in US EDs Amir M. Mohareb, Andrea F. Dugas, Yu-Hsiang Hsieh
DOI: http://dx.doi.org/10.1016/j.ajem.2016.03.024
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: March 11 2016
x The rise of antibiotic-resistant pathogens is believed to have influenced the emergency department (ED) epidemiology and management of infectious diseases (IDs) since 2000.
Rotaviral gastrointestinal infection causing afebrile seizures in infancy and childhood Michael F. Contino, Thomas Lebby, Edgardo L. Arcinue
DOI: http://dx.doi.org/10.1016/0735-6757(94)90211-9
The American Journal of Emergency Medicine , Vol. 12 , Issue 1 ,
Published in issue: January 1994
Predictors of mortality in patients with necrotizing fasciitis Cheng-Ting Hsiao, Hsu-Huei Weng, Yao-Dong Yuan, Chih-Tsung Chen, I-Chuan Chen
DOI: http://dx.doi.org/10.1016/j.ajem.2007.04.023
The American Journal of Emergency Medicine , Vol. 26 , Issue 2 ,
Published in issue: February 2008
x Necrotizing fasciitis is an uncommon and life-threatening soft tissue infection with high mortality. Though early aggressive surgical intervention is important for improving survival, the impact of mortality from different microorganisms remains uncertain. Our study aims to identify the association of mortality and different microorganisms, and the positive and negative predictors of mortality in patients with necrotizing fasciitis.
Dog bites in children: Epidemiology, microbiology, and penicillin prophylactic therapy Douglas A. Boenning, Gary R. Fleisher, Joseph M. Campos
DOI: http://dx.doi.org/10.1016/0735-6757(83)90032-3
The American Journal of Emergency Medicine , Vol. 1 , Issue 1 ,
Published in issue: July 1983
x Fifty-five children with nonfacial dog bites were prospectively studied. Patients were assigned to an experimental group receiving oral penicillin or a control group receiving local wound care only. Wounds were cultured for anaerobic and aerobic flora prior to cleansing. Results showed that most children were bitten on an extremity by a familiar dog, sustained simple injuries, and sought prompt medical attention. The overall infection rate was 3.6%, with one patient in each group developing an infection.
Perionychial infections associated with sculptured nails Raymond J Roberge, Debra Weinstein, Melissa M Thimons
DOI: http://dx.doi.org/10.1016/S0735-6757(99)90201-2
The American Journal of Emergency Medicine , Vol. 17 , Issue 6 ,
Published in issue: October 1999
x Two cases of perionychial infections associated with the use of sculptured fingernails are presented. Both patients developed paroncyhia necessitating incision and drainage. One patient, a diabetic, had a concomitant subungual abscess and felon which required repeat drainage and debridement as well as intravenous antibiotics over an extended period for complete resolution. Sculptured fingernails may be risk factors for the development of digit infections through various mechanisms, and users of these cosmetic devices, especially diabetics and immunocompromised people, should be made aware of their potential for infectious complications.
Prognostic factors for primary septicemia and wound infection caused by Vibrio vulnificus Tsai-Nung Kuo Chou, Yuan-Ti Lee, Yi-Yu Lai, Wai-Nang Chao, Cheng Yang, Chun-Chieh Chen, Po-Hui Wang, Ding-Bang Lin, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2008.12.037
The American Journal of Emergency Medicine , Vol. 28 , Issue 4 ,
Published online: November 23 2009
x The purpose of this study was to explore the predictive factors for mortality in primary septicemia or wound infections caused by Vibrio vulnificus .
Managing acute lower respiratory tract infections in an era of antibacterial resistance Gregory A. Volturo, Donald E. Low, Richard Aghababian
DOI: http://dx.doi.org/10.1016/j.ajem.2005.10.001
The American Journal of Emergency Medicine , Vol. 24 , Issue 3 ,
Published in issue: May 2006
x Respiratory tract infections account for more than 116 million office visits and an estimated 3 million visits to hospital EDs annually. Patients presenting at EDs with symptoms suggestive of lower respiratory tract infections of suspected bacterial etiology are often severely ill, thus requiring a rapid presumptive diagnosis and empiric antimicrobial treatment. Traditionally, clinicians have relied on β -lactam or macrolide antibiotics to manage community-acquired lower respiratory tract infections.
Refusal to walk in a 12-month-old child: A clinical-pathological case conference Thomas F. Burke, Robert A. Rusnak, William T. Hurley, Ann Champaux
DOI: http://dx.doi.org/10.1016/0735-6757(94)90067-1
The American Journal of Emergency Medicine , Vol. 12 , Issue 4 ,
Published in issue: July 1994
Copper-coated thermometer for the prevention of cross-infections: preliminary results Panos Efstathiou, Evangelia Kouskouni, Zaharoula Manolidou, Maria Tseroni, Katerina Karageorgou, Helena C. Maltezou, Athanasios Chalkias, Seraphim Papanikolaou, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2015.12.028
The American Journal of Emergency Medicine , Vol. 34 , Issue 3 ,
Published online: December 17 2015
x Research has shown that axillary thermometers are contaminated at a rate of 80% to 100% [1–3]. Although the common digital thermometer is always disinfected with an alcohol solution after each use, disinfection is only partially achieved or fails, potentially leading to resistant bacteria and sepsis [4–6].
Clinical predictors of Pseudomonas aeruginosa or Acinetobacter baumannii bacteremia in patients admitted to the ED Cheol-In Kang, Doo Ryeon Chung, Kyong Ran Peck, Jae-Hoon Song, the Korean Network for Study on Infectious Diseases (KONSID)
DOI: http://dx.doi.org/10.1016/j.ajem.2011.08.021
The American Journal of Emergency Medicine , Vol. 30 , Issue 7 ,
Published online: October 26 2011
x The identification of clinical characteristics that could identify patients at high risk for Pseudomonas aeruginosa or Acinetobacter baumannii bacteremia would aid clinicians in the appropriate management of these life-threatening conditions, especially in patients admitted to the emergency department (ED) with community-onset infections. To determine clinical risk factors for P aeruginosa or A baumannii bacteremia in patients with community-onset gram-negative bacteremia (GNB), a post hoc analysis of a nationwide bacteremia surveillance database including patients with microbiologically documented GNB was performed.
Aerobic and anaerobic microbiology of infection after trauma Itzhak Brook, Edith H Frazier
DOI: http://dx.doi.org/10.1016/S0735-6757(98)90225-X
The American Journal of Emergency Medicine , Vol. 16 , Issue 6 ,
Published in issue: October 1998
x Clinical and laboratory data from 1973 to 1988 were retrospectively reviewed to study the microbiology of infection following trauma. A total of 368 specimens obtained from 340 trauma patients showed bacterial growth. The traumas included lacerations (163), blunt trauma (76), penetrating trauma (65), bites (20), and open fractures (10). Anaerobic bacteria only were isolated in 119 (32%) specimens, aerobic bacteria only in 58 (16%), and mixed aerobic-anaerobic flora in 191 (52%). A total of 444 anaerobic (1.2 isolates per specimen) and 267 aerobic or facultative (0.7 per specimen) were recovered.
Predictive values of triage temperature and pulse for antibiotic administration and hospital admission in elderly patients with potential infection Jesse M. Pines, Jane M. Prosser, Worth W. Everett, Munish Goyal
DOI: http://dx.doi.org/10.1016/j.ajem.2006.02.020
The American Journal of Emergency Medicine , Vol. 24 , Issue 6 ,
Published in issue: October 2006
x To determine how well triage temperature and pulse abnormalities in elderly patients with potential infections predict antibiotic administration and hospital admission. Data from the National Hospital Ambulatory Care Survey (2001-2002), a sample of US emergency departments, were used. Patients (≥65 years) with a reason for visit suggesting potential infection were included. Of 10
Anaplastic astrocytoma in association with human immunodeficiency virus Type 1 infection Enrique J. Carrana, Eugene Rossitch, Matthew R. Moore, H.Harris Funkenstein
DOI: http://dx.doi.org/10.1016/0735-6757(90)90179-4
The American Journal of Emergency Medicine , Vol. 8 , Issue 6 ,
Published in issue: November 1990
Necrotizing soft tissue infection with gas formation caused by Vibrio vulnificus and misdiagnosed as Pseudomonas aeruginosa Hyun Ho Ryu, Jun-Young Lee, Na-Ra Yun, Dong-Min Kim
DOI: http://dx.doi.org/10.1016/j.ajem.2012.09.001
The American Journal of Emergency Medicine , Vol. 31 , Issue 2 ,
Published online: November 19 2012
x Vibrio vulnificus is a bacterium that causes rapidly progressing infections that can lead to fatal necrotizing soft tissue involvement. A 61-year-old male patient visited our hospital with an erythematous swelling on his left lower leg that had arisen 2 days before his visit. A computed tomographic scan revealed a gas formation internal to the muscle. Although the infection was initially erroneously reported as Pseudomonas aeruginosa , it was later confirmed as a case of necrotizing soft tissue infection caused by V vulnificus .
Wound infection rate and irrigation pressure of two potential new wound irrigation devices: The port and the cap Jeffrey W Morse, Thomas Babson, Chris Camasso, Anneke C Bush, Philip A Blythe
DOI: http://dx.doi.org/10.1016/S0735-6757(98)90062-6
The American Journal of Emergency Medicine , Vol. 16 , Issue 1 ,
Published in issue: January 1998
x The objectives of this study were to determine the speed of irrigation and the infection rate of two new irrigation devices. In the clinical portion of this two-part study, 208 patients with traumatic wounds were randomized to one of two new irrigation device groups, the cap/bottle or the port/bag, to determine irrigation times and infection/complication rates. Wounds were irrigated in less than 4 minutes in 97% of patients using a mean of 786 mL. The combined infection/complication rates were: port group, 1 of 99 (1%); cap group, 4 of 108 (4%), P = .356.
