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Back Issues  —  2000

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2000 NEWS ARTICLES
AAFP recommended age for influenza vaccine lowered January 2000: Family physicians group recommends vaccination at 50 instead of 65 years of age.
Abacavir-AZT-3TC results in better adherence than PI regimens August 2000: Viral load reduction was also somewhat greater with the abacavir regimen than with protease inhibitor-containing regimens.
Adult immunization increasing, more work needed August 2000: Each year as many adults die from vaccine-preventable diseases as Americans died in the Vietnam War.
'Airport malaria' is becoming a health concern in many countries November 2000: Infected mosquitoes can be unwanted passengers on many flights, spreading disease to non-endemic areas.
Alcohol disinfection top choice for preventing nosocomial infections February 2000: Disinfection is less costly than hand washing; dispensers can be mounted where health care professionals work.
Antibiotic timing arbitrary when looking at bacterial meningitis September 2000: Hib meningitis has grown up - it has changed from a disease of childhood to a disease of adults.
Antiretroviral therapy favorably affects Pap smears of women with HIV October 2000: Women taking antiretrovirals were more likely to have normal Pap smears and were less likely to have HPV than women not taking antiretrovirals.
Baseball team immunized after nine players diagnosed with mumps April 2000: Almost 300 members of the Florida Marlin's ball club were immunized.
CDC project trying to track unexplained illnesses December 2000: A researcher said the number of cases with no etiology, even after extensive testing, is astonishing.
Case of yellow fever reported in a traveler returning from Venezuela July 2000: This was only the second case of fatal yellow fever imported from South America since 1924.
Cases of Shiga toxin-producing E. coli reported in United States February 2000: Study confirms that this serotype of Shiga toxin-producing E. coli is capable of causing infection in healthy individuals.
Children with HIV should be permitted in schools, says AAP July 2000: New AAP guidelines recommend that children with HIV be treated the same as children with other chronic illnesses.
Choice of chemoprophylaxis, stand-by therapy for malaria depends on traveler January 2000: Despite problems, chemoprophylaxis should still be offered for those traveling to high-transmission areas; consider stand-by therapy for others.
Close to 3,000 measles cases reported in Netherlands outbreak June 2000: This vaccine is not indicated for use in adults or as a substitute for other approved pneumococcal vaccines.
Consensus recommendations simplify use of HIV drug-resistance testing October 2000: While resistance testing may be a useful tool, it should not replace clinical judgement.
Dengue surveillance and mosquito control should increase, study says May 2000: Study finds that imported dengue occurring more than expected; might lead to local transmission.
Despite antibiotics, Staphylococcus aureus remains an adaptable organism July 2000: Over time, Staphylococcus aureushas adapted to both the environment and antibiotics, so it remains virulent.
Diagnosis, treatment of acute bacterial rhinosinusitis simplified September 2000: New guidelines specify when antimicrobials are necessary and which ones are most effective.
Drug-drug interactions of antivirals, immunosuppressants and immunizations January 2000: When assessing the clinical significance of drug-drug interactions it is important to appreciate basic principals underlying these interactions.
Dutch pertussis outbreak may have been caused by antigenic changes October 2000: Pertussis has remained endemic in the Netherlands with epidemic peaks, despite high vaccination coverage.
Effective nosocomial infection control can have economic impact May 2000: Health care institutions should use a local model for infection control rather than relying on published data.
Eliminating tuberculosis in the U.S.: Next steps September 2000: Improved identification of people with LTBI who are entering the United States and are at risk of active disease is essential if the country is to move toward elimination.
Expect delays, prepare for shortage with 2000-01 influenza vaccine July 2000: A low yield of the A/Panama/2000/7/99 high-growth reassortment is one possible cause.
FDA approves a new in-office rapid test for syphilis detection November 2000: The four-minute test will allow patients to know results and start treatment while still at the doctor's office.
FDA approves first tablet to combine three medications for HIV December 2000: Abacavir/3TC/AZT is taken as one pill twice a day, without food restrictions.
FDA approves linezolid for gram-positive infections May 2000: This is the first drug approved in a new class of antibiotics, oxazolidinone.
FDA approves lopinavir-ritonavir combination for treatment of HIV October 2000: The lopinavir-ritonavir combination may be used in patients older than 6 months and should be used with other anti-HIV drugs.
FDA approves moxifloxacin for respiratory illness January 2000: The recommended therapeutic dose for moxifloxacin is 400 mg once daily for five or 10 days.
FDA chooses strains for 2000-2001 influenza vaccine April 2000: An FDA advisory committee agreed with HO in choosing influenza A and B virus strains.
FDA committee recommends approval of linezolid April 2000: The recommended dosing regimen will be 600 mg twice daily, either intravenously or orally.
First human case of West Nile virus found on Staten Island August 2000
First vancomycin-intermediate resistant S. aureus cases in Scotland identified June 2000: Steroids are effective therapy, and total serum IgE is a good clinical marker and prognosticator of disease.
Five-layer dip implicated in shigellosis outbreak February 2000: At least 186 people in four states have become ill; the manufacturer voluntarily recalled the product.
Flu treatment, prevention options increase with new vaccines, drugs October 2000: Protective efficacy of the cold-adapted, live-attenuated influenza vaccine was 93% overall efficacy, 95% against influenza A/H3N2, 91% influenza B and 98% OM.
Gatifloxacin appears safe, efficacious for treatment of CAP February 2000: All pathogens isolated during the study were susceptible to gatifloxacin, while 19% of pathogens were resistant to clarithromycin.
Gatifloxacin approved by FDA for treatment of respiratory infections February 2000: The incidence of respiratory tract infections in the United States has increased by almost 50% in the past 10 years.
Gatifloxacin: Therapeutic review of a new fluoroquinolone April 2000: Gatifloxacin was four- to 16-fold more active than ciprofloxacin against anaerobes, including Clostridiumand Bacteroides spp.
Global polio eradication: 10 countries targeted April 2000: According to the polio eradication timeline, immunization will discontinue by 2010.
Guidelines released for diagnosing ventilator-associated pneumonia September 2000: An algorithm is included that guides physicians through a series of steps.
HAART appears to prevent progress of CMV retinitis January 2000: Viral loads also remained low and CD4 counts increased significantly throughout the study.
Have a cold? Reach for the Jewish penicillin November 2000: Finally, laboratory evidence for the mechanism of action of chicken soup.
High-risk patients receiving influenza vaccine despite delays October 2000: The ACIP recently met to review recommendations about the timing and priority of flu vaccination.
HIV-HCV coinfection causes higher rates of morbidity and mortality November 2000: HIV seems to modify the natural history of hepatitis C, while HCV acts as an opportunistic infection in HIV.
The HIV-positive health care worker revisited November 2000: Should health care workers and physicians be required to inform their patients if they are HIV-positive?
HIV reservoirs may be able to reappear after IL-2 and HAART therapy is stopped January 2000: NIAID researchers found that the virus rebounded to substantial levels following cessation of therapy.
HIV resistance testing varies among physicians January 2000: One physician says it is important to realize the benefits and limitations of using resistance information.
Helicobacter pylori: Friend or foe? August 2000: Rates of Helicobacter pylori infection are decreasing, but that may not be good news.
IDSA issues guidelines for treating Lyme disease September 2000: Physicians should be familiar with the clinical signs, diagnosis and treatment of Lyme disease.
IOM report provides guidance for improving control of tuberculosis July 2000: More than 40% of new TB cases in the United States result from exposures in high-incidence countries.
Independent laboratories prove Wistar's OPV not cause of AIDS October 2000: Findings show the species of origin used to cultivate OPV was the Asian macaque monkey, which does not naturally harbor HIV.
Influenza: New twists for the millennium August 2000: Updated guidelines for prevention and control of influenza include five major changes.
Influenza season got off to an early start; spread rapidly across country February 2000: Cases have been reported in all 50 states with moderate to high activity in 36. Health officials stress that the vaccine is still the best way to prevent disease.
Laboratory testing vital for ehrlichiosis diagnosis August 2000: While treatment may be started based on clinical signs, confirm the diagnosis through testing.
Labs preparing inventories for potentially infectious materials April 2000: A national laboratory survey and inventory is scheduled to begin January 2001.
Last year's West Nile outbreak offers public health lessons August 2000: Many more people were infected than health officials previously thought.
Leishmaniasis recurrence after 43 years may be longest on record February 2000: Use of topical steroids and localized trauma may have contributed to the recurrence of infection.
Likely cause of disease outbreak among injection drug users identified July 2000: Clostridium novyi is now the focus of the investigation, which began in early May.
Limiting the impact of HIV requires a multifaceted approach to treatment December 2000: Making treatments available more cheaply is not enough. Health care infrastructure must also be improved in the poorest countries.
Lyme disease vaccine shown to be safe and antigenic in children July 2000: The vaccine raised children's antibodies against the organism to higher levels than that seen in adults.
Many factors changing `nosocomial' infections September 2000: Infection control personnel are crucial and must solve many difficult surveillance questions.
Men who have sex with men remain barred from donating blood November 2000: Advisors encourage the FDA to continue examining MSM deferrals to determine when the policy can be changed safely.
MMR and autism: What determines truth? November 2000: Accurate facts, not coincidence, not anecdote, not fear, will help us learn the reasons children have autism.
New gram-positive antibiotics in development November 2000: Some exhibit good activity against enterococci as well as other bacteria, but toxicity could be a problem.
New guidelines for latent TB emphasize new treatment regimens June 2000: Targeted testing emphasized; shorter treatment options and more realistic monitoring options now available.
No link between Stachybotrys and pulmonary hemorrhage in infants April 2000: However, investigators said that some health effects are seen with exposure to mold.
`Not me' phenomena seen with genital herpes July 2000: Between outbreaks, trying to diagnose genital herpes can be tricky.
Novel vaccine protects monkeys from Ebola infection December 2000: This first primate model of immune protection against the virus may help scientists design a human vaccine.
Ohio reports cluster of GAS cases April 2000: Seven patients developed streptococcal toxic shock syndrome and two died.
Outcomes for HIV patients improving, but management is more complex September 2000: DHHS guidelines recommend that all symptomatic patients should receive antiretroviral therapy.
Philadelphia firefighters battling HCV infections January 2000: At least 125 city firefighters are known to have hepatitis C virus infection; four have died.
Preventable medical errors found to exist systemwide December 2000: IOM report indicates new practice requirements for medical professionals could be coming.
Progress slow for vaccines against HPV, HIV and other viruses July 2000: Vaccines against viruses that cause STDs offer a different challenge than existing viral vaccines.
Researchers sequence genome of Ureaplasma urealyticum November 2000: U. urealyticum does not contain certain disease-causing genes known to exist in other bacteria
Researchers discover why some with HIV do not develop AIDS May 2000: Individuals with certain HLA genes may be better at resisting selected infections, such as HIV.
Researchers stretching smallpox vaccine supply by diluting doses May 2000: New research has been funded to study the Dryvax vaccine in the event of a bioterrorism attack.
Researchers uncovering why tuberculosis continues to persist September 2000: Studies in mice suggest a switch in bacterial metabolism is required for persistence; the switch mechanism may be interferon- dependent.
Risk of varicella zoster increases with decline in CD4 cell count May 2000: Zoster incidence in homosexual men and hemophiliacs infected with HIV declined 77% during a 14-year study.
RSV season a threat to the elderly as well as the very young January 2000: The winter months bring on the peak time for respiratory syncytial virus.
Rubella outbreak hits Hispanic meatpacking plant employees June 2000: Investigators think the patient's dog brought back fleas that caused her infection.
Statistics show substantial decline in neonatal group B streptococcus May 2000: Prophylactic intrapartum antibiotics prevented approximately 3,900 early-onset infections and 200 neonatal deaths in 1998.
Stem cell transplantation for lymphoma can be performed on HIV patients June 2000: It was previously thought that patients with HIV could not handle the accompanying high-dose chemotherapy.
Structured intermittent therapy showing promise in patients with HIV September 2000: Briefly stopping therapy might be a way of improving patient compliance to antiretroviral regimens.
Studies of physician-assisted suicide shed light on poorly understood option May 2000: One study found palliative care is often a factor in patients' decisions, while another concluded annual numbers are rising.
Study shows nevirapine effective in patients with high viral loads February 2000: When combined with AZT and 3TC, nevirapine suppressed HIV for up to one year and longer in treatment-naive patients
Suspected scrapie investigated in Vermont sheep August 2000: Tissue analysis will confirm if the flock is infected with transmissible spongiform encephalopathy.
Switching from intravenous to oral formulation: cost-effective in CAP February 2000: Sequential therapy seems to be safer and to allow earlier discharge.
T cell's internal housekeeping appears to play role in HIV infection December 2000: The ubiquitin-proteasome system helps HIV spread from one cell to another.
TMP-SMX prophylaxis in HIV patients leading to more resistance February 2000: Usefulness must be balanced against risks; implications to greater population still unknown.
Tensions between surgeons, infectious disease specialists June 2000: Available options are often less than optimal; effective treatment is needed.
Therapeutic approaches to HIV-associated non-Hodgkin's lymphoma June 2000: Eliminating inappropriate use of vancomycin and strict adherence to infection control practices are essential.
The top ten Infectious Disease News articles in 2000 December 2000: A recapitulation and update of the top ten stories of the year upholds a tradition for Infectious Disease News.
Treatment guidelines for antibiotic use in bacterial sinusitis November 2000: Because of its commonality and the increasing prevalence of bacterial resistance to antibiotics, the appropriate use of antibiotics in treating sinusitis has recently been addressed.
Treatment of Kaposi's sarcoma dependent on pathogenesis April 2000: HHV-8 is an important potential target for Kaposi's sarcoma treatment and prevention.
Treatment with combination protease inhibitors shows promise April 2000: Dual PI regimens that combine ritonavir with saquinavir, indinavir or nelfinavir are showing success.
Two bipartisan bills introduced to improve public health here, abroad August 2000: We need the systems and resources to meet the challenges of new and emerging global health threats.
Using nontraditional immunization settings may help raise adult rates May 2000
Update on drug interactions: protease inhibitors October 2000: Providers who prescribe protease inhibitors must be aware of the interactions with other drugs to prevent potential complications.
Viral hepatitis and HIV/STDs: Incorporating prevention programs June 2000: Integrating prevention and counseling services reaches high-risk populations more efficiently.
VRE contact precautions: Is the juice worth the squeeze? May 2000: VRE control efforts should be focused on high risk units, and standard precautions should be followed for VRE colonized/infected patients in the rest of the hospital.
West Nile virus finds a home in the Northeast October 2000: Fourteen people have been hospitalized for West Nile infections this year, and an 82-year-old man has died.
West Nile virus found in mosquitoes during winter testing in New York April 2000: The results are not detailed enough to conclude whether the virus will have the same impact as last season.
What are appropriate responses to a bioterrorism threat? December 2000: Rapid laboratory analyses would help alleviate some of the adverse psychological effects on victims.
When prescribing interferon, closely monitor depression November 2000: Depression and social impairment may result from interferon treatment. Patients may become suicidal.
Without an inexpensive vaccine, AIDS will continue to spread August 2000: The infection is killing the able-bodied workforce in fledgling democracies, leaving millions of children orphaned.

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