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[PMID]:28938047
[Au] Autor:Aberg JA; Blankson J; Marrazzo J; Adimora AA
[Ad] Endereço:Division of Infectious Diseases, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.
[Ti] Título:Diversity in the US Infectious Diseases Workforce: Challenges for Women and Underrepresented Minorities.
[So] Source:J Infect Dis;216(suppl_5):S606-S610, 2017 Sep 15.
[Is] ISSN:1537-6613
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Research documents significant gender-based salary inequities among physicians and ongoing inadequacies in recruitment and promotion of physicians from underrepresented minority groups. Given the complexity of the social forces that promote these disparities, their elimination will likely require quantitative and qualitative research to understand the pathways that lead to them and to develop effective solutions. Interventions to combat implicit bias will be required, and structural interventions that hold medical school leadership accountable are needed to achieve and maintain salary equity and racial and gender diversity at all levels.
[Mh] Termos MeSH primário: Infectologia/recursos humanos
Infectologia/estatística & dados numéricos
Grupos Minoritários/estatística & dados numéricos
Discriminação Social/estatística & dados numéricos
Mulheres Trabalhadoras/estatística & dados numéricos
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Masculino
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171005
[Lr] Data última revisão:
171005
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170923
[St] Status:MEDLINE
[do] DOI:10.1093/infdis/jix332


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[PMID]:28938046
[Au] Autor:McQuillen DP; MacIntyre AT
[Ad] Endereço:Center for Infectious Diseases and Prevention, Lahey Hospital and Medical Center, Burlington.
[Ti] Título:The Value That Infectious Diseases Physicians Bring to the Healthcare System.
[So] Source:J Infect Dis;216(suppl_5):S588-S593, 2017 Sep 15.
[Is] ISSN:1537-6613
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:While a career in infectious diseases (ID) has always been challenging and exciting, recognition of the value that ID physicians provide to the healthcare system as a whole, over and above the value they provide to individual patients, has been poor in this system. In response to this disparity, the Infectious Diseases Society of America Clinical Affairs Committee has long endeavored to quantify the value of ID physicians to the system, which is challenging in part because of the many avenues through which they influence healthcare. We discuss data showing that ID physicians improve clinical outcomes, positively impact transitions of care, and direct system-level improvements through infection prevention and antimicrobial stewardship. We identify areas where value-based care provides additional future opportunities for ID physicians. A Clinical Affairs Committee-sponsored study of ID physicians' positive impact on patient outcomes shows that few medical specialties are better positioned to positively impact the Triple Aim approach-better health, better care, and lower per capita cost-that is the principle tenet of healthcare system reform.
[Mh] Termos MeSH primário: Assistência à Saúde/organização & administração
Infectologia/organização & administração
Papel do Médico
Médicos
[Mh] Termos MeSH secundário: Seres Humanos
Infectologia/recursos humanos
Infectologia/estatística & dados numéricos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171005
[Lr] Data última revisão:
171005
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170923
[St] Status:MEDLINE
[do] DOI:10.1093/infdis/jix326


  3 / 427 MEDLINE  
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[PMID]:28938044
[Au] Autor:Moore T; Dembry LM; Saag MS
[Ad] Endereço:Department of Medicine, Infectious Disease Consultants of Kansas and the University of Kansas School of Medicine-Wichita Campus.
[Ti] Título:Sunday in the Park with Infectious Disease: Workforce Mismatch in a Colorful Universe of Possibilities.
[So] Source:J Infect Dis;216(suppl_5):S581-S587, 2017 Sep 15.
[Is] ISSN:1537-6613
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The decline in applications for infectious diseases (ID) fellowships has been an area of active introspection for the leadership of the Infectious Disease Society of America (IDSA). This prompted actions to address the problem, including surveys of current and former fellows. Ironically, the decline in applications to ID programs is occurring at a time when the need for ID providers has never been greater and the excitement and variety in the practice of ID has never been higher. Data regarding the current ID workforce are presented here, along with perspectives about the future of the profession in the decades to come.
[Mh] Termos MeSH primário: Bolsas de Estudo/organização & administração
Infectologia/organização & administração
[Mh] Termos MeSH secundário: Farmacorresistência Bacteriana
Bolsas de Estudo/estatística & dados numéricos
Feminino
Seres Humanos
Infectologia/recursos humanos
Infectologia/estatística & dados numéricos
Masculino
Padrões de Prática Médica
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171005
[Lr] Data última revisão:
171005
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170923
[St] Status:MEDLINE
[do] DOI:10.1093/infdis/jix323


  4 / 427 MEDLINE  
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[PMID]:28938041
[Au] Autor:Srinivasan A
[Ad] Endereço:Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
[Ti] Título:Careers in Infectious Diseases: Public Health.
[So] Source:J Infect Dis;216(suppl_5):S618-S619, 2017 Sep 15.
[Is] ISSN:1537-6613
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Public health offers infectious disease physicians a variety of rewarding career options. Our training and skills make us well suited to a variety of roles in public health. This article summarizes some of the options for careers in public health and describes why ID physicians are so well suited to them.
[Mh] Termos MeSH primário: Epidemiologia/recursos humanos
Infectologia/recursos humanos
Infectologia/organização & administração
Saúde Pública/recursos humanos
[Mh] Termos MeSH secundário: Escolha da Profissão
Seres Humanos
Médicos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171005
[Lr] Data última revisão:
171005
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170923
[St] Status:MEDLINE
[do] DOI:10.1093/infdis/jix243


  5 / 427 MEDLINE  
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[PMID]:28785771
[Au] Autor:Kattakuzhy S; Gross C; Emmanuel B; Teferi G; Jenkins V; Silk R; Akoth E; Thomas A; Ahmed C; Espinosa M; Price A; Rosenthal E; Tang L; Wilson E; Bentzen S; Masur H; Kottilil S; and the ASCEND Providers
[Ad] Endereço:From University of Maryland School of Medicine, Baltimore, Maryland; Unity Health Care and Family and Medical Counseling Services, Washington, DC; and National Institutes of Health, Bethesda, Maryland.
[Ti] Título:Expansion of Treatment for Hepatitis C Virus Infection by Task Shifting to Community-Based Nonspecialist Providers: A Nonrandomized Clinical Trial.
[So] Source:Ann Intern Med;167(5):311-318, 2017 Sep 05.
[Is] ISSN:1539-3704
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Background: Direct-acting antiviral (DAA) therapy for hepatitis C virus (HCV) infection has resulted in high rates of disease cure; however, not enough specialists currently are available to provide care. Objective: To determine the efficacy of HCV treatment independently provided by nurse practitioners (NPs), primary care physicians (PCPs), or specialist physicians using DAA therapy. Design: Nonrandomized, open-label clinical trial initiated in 2015. (ClinicalTrials.gov: NCT02339038). Setting: 13 urban, federally qualified health centers (FQHCs) in the District of Columbia. Patients: A referred sample of 600 patients, of whom 96% were black, 69% were male, 82% were treatment naive, and 20% had cirrhosis. Seventy-two percent of the patients had HCV genotype 1a infection. The baseline characteristics of patients seen by each provider type were similar. Intervention: Patients were assigned in a nonrandomized but specified manner to receive treatment from 1 of 5 NPs, 5 PCPs, or 6 specialists. All providers underwent an identical 3-hour training session based on guidelines. Patients received treatment with ledipasvir-sofosbuvir, which was provided on site, according to U.S. Food and Drug Administration labeling requirements. Measurements: Sustained virologic response (SVR). Results: 516 patients achieved SVR, a response rate of 86% (95% CI, 83.0% to 88.7%), with no major safety signals. Response rates were consistent across the 3 provider types: NPs, 89.3% (CI, 83.3% to 93.8%); PCPs, 86.9% (CI, 80.6% to 91.7%); and specialists, 83.8% (CI, 79.0% to 87.8%). Patient loss to follow-up was the major cause of non-SVR. Limitation: Nonrandomized patient distribution; possible referral bias. Conclusion: In a real-world cohort of patients at urban FQHCs, HCV treatment administered by nonspecialist providers was as safe and effective as that provided by specialists. Nurse practitioners and PCPs with compact didactic training could substantially expand the availability of community-based providers to escalate HCV therapy, bridging existing gaps in the continuum of care for patients with HCV infection. Primary Funding Source: National Institutes of Health and Gilead Sciences.
[Mh] Termos MeSH primário: Antivirais/uso terapêutico
Serviços de Saúde Comunitária/organização & administração
Hepatite C Crônica/tratamento farmacológico
Profissionais de Enfermagem
Médicos de Atenção Primária
[Mh] Termos MeSH secundário: Antivirais/efeitos adversos
Serviços de Saúde Comunitária/métodos
Serviços de Saúde Comunitária/normas
District of Columbia
Feminino
Gastroenterologistas
Infecções por HIV/complicações
Hepatite C Crônica/complicações
Seres Humanos
Infectologia
Cirrose Hepática/complicações
Masculino
Adesão à Medicação
Meia-Idade
Estudos Prospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:CLINICAL TRIAL, PHASE IV; JOURNAL ARTICLE; MULTICENTER STUDY; OBSERVATIONAL STUDY
[Nm] Nome de substância:
0 (Antiviral Agents)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170912
[Lr] Data última revisão:
170912
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170809
[St] Status:MEDLINE
[do] DOI:10.7326/M17-0118


  6 / 427 MEDLINE  
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[PMID]:28188440
[Au] Autor:Hofman P; Lucas S; Jouvion G; Tauziède-Espariat A; Chrétien F; Cathomas G
[Ad] Endereço:Laboratory of Clinical and Experimental Pathology (LPCE), Hôpital Pasteur, BP 69, Centre Hospitalo-Universitaire, 06002, Nice, France. hofman.p@chu-nice.fr.
[Ti] Título:Pathology of infectious diseases: what does the future hold?
[So] Source:Virchows Arch;470(5):483-492, 2017 May.
[Is] ISSN:1432-2307
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:The demand for expertise in pathology for the diagnosis of infectious diseases (ID) is continually growing, due to an increase in ID in immunocompromised patients and in the (re)-emergence of common and uncommon diseases, including tropical infections and infections with newly identified microbes. The microbiology laboratory plays a crucial role in diagnosing infections, identifying the responsible infectious agents and establishing sensitivity of pathogens to drug therapy. Pathology, however, is the only way to correlate the presence of an infectious agent with the reaction it evokes at cell and tissue level. For pathologists working in the field of ID pathology, it is essential to dispose of competence in cell and tissue pathology as well as in microbiology. Expertise in ID includes understanding of taxonomy and classification of pathogens as well as morphological criteria supporting their identification. Moreover, ID pathologists must master the methods used to detect pathogens in fixed cell and tissue samples, notably immunohistochemistry, in situ hybridization and the polymerase chain reaction. Paradoxically, the increasing frequency of lesions caused by pathogens and diagnosed in a pathology laboratory appears to be paralleled by a gradual loss of expertise of pathologists in the field of infectious and tropical diseases. We contend that this may be due at least in part to the continuously increasing number of samples of tumor tissue pathologists deal with and the rapidly expanding number of tissue based biomarkers with predictive value for new anti-cancer therapies. In this review, we highlight current and future issues pertaining to ID pathology, in order to increase awareness of its importance for surgical and molecular pathology. The intention is to contribute to the development of best practice in ID pathology.
[Mh] Termos MeSH primário: Infectologia/tendências
Patologia Clínica/tendências
Competência Profissional
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171006
[Lr] Data última revisão:
171006
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170212
[St] Status:MEDLINE
[do] DOI:10.1007/s00428-017-2082-6


  7 / 427 MEDLINE  
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[PMID]:28159620
[Au] Autor:Chiodini J
[Ad] Endereço:Clapham Road Surgery, Bedford, UK. Electronic address: janechiodini@btinternet.com.
[Ti] Título:'Preventing the Zika virus: Understanding and controlling the Aedes Mosquito' - A free online course.
[So] Source:Travel Med Infect Dis;15:86-87, 2017 Jan - Feb.
[Is] ISSN:1873-0442
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Mh] Termos MeSH primário: Aedes
Instrução por Computador
Infectologia/educação
Internet
Controle de Mosquitos
Infecção pelo Zika virus
[Mh] Termos MeSH secundário: Animais
Seres Humanos
Insetos Vetores
Zika virus
Infecção pelo Zika virus/prevenção & controle
Infecção pelo Zika virus/transmissão
Infecção pelo Zika virus/virologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171024
[Lr] Data última revisão:
171024
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170205
[St] Status:MEDLINE


  8 / 427 MEDLINE  
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[PMID]:28110705
[Au] Autor:Tannemaat MR; Aziz NA
[Ad] Endereço:Leiden University Medical Center, Department of Neurology & Clinical Neurophysiology, K-05-Q, P.O. Box 9600, Albinusdreef 2, 2300 RC Leiden, The Netherlands. Electronic address: M.R.Tannemaat@lumc.nl.
[Ti] Título:Creating dynamic virtual quarantines using "Pokémon Go" to limit infectious diseases spread.
[So] Source:Med Hypotheses;99:76-77, 2017 Feb.
[Is] ISSN:1532-2777
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Controle de Doenças Transmissíveis/métodos
Jogos de Vídeo
[Mh] Termos MeSH secundário: Cidades
Comportamentos Relacionados com a Saúde
Seres Humanos
Infectologia/métodos
Internet
Movimento
Países Baixos
Quarentena
[Pt] Tipo de publicação:LETTER
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170724
[Lr] Data última revisão:
170724
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170124
[St] Status:MEDLINE


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[PMID]:27999065
[Au] Autor:Hand KS; Cumming D; Hopkins S; Ewings S; Fox A; Theminimulle S; Porter RJ; Parker N; Munns J; Sheikh A; Keyser T; Puleston R
[Ad] Endereço:Southampton Pharmacy Research Centre, University Hospital Southampton NHS Foundation Trust, Tremona Road, Southampton SO16 6YD, UK.
[Ti] Título:Electronic prescribing system design priorities for antimicrobial stewardship: a cross-sectional survey of 142 UK infection specialists.
[So] Source:J Antimicrob Chemother;72(4):1206-1216, 2017 Apr 01.
[Is] ISSN:1460-2091
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Background: The implementation of electronic prescribing and medication administration (EPMA) systems is a priority for hospitals and a potential component of antimicrobial stewardship (AMS). Objectives: To identify software features within EPMA systems that could potentially facilitate AMS and to survey practising UK infection specialist healthcare professionals in order to assign priority to these software features. Methods: A questionnaire was developed using nominal group technique and transmitted via email links through professional networks. The questionnaire collected demographic data, information on priority areas and anticipated impact of EPMA. Responses from different respondent groups were compared using the Mann-Whitney U -test. Results: Responses were received from 164 individuals (142 analysable). Respondents were predominantly specialist infection pharmacists (48%) or medical microbiologists (37%). Of the pharmacists, 59% had experience of EPMA in their hospitals compared with 35% of microbiologists. Pharmacists assigned higher priority to indication prompt ( P < 0.001), allergy checker ( P = 0.003), treatment protocols ( P = 0.003), drug-indication mismatch alerts ( P = 0.031) and prolonged course alerts ( P = 0.041) and lower priority to a dose checker for adults ( P = 0.02) and an interaction checker ( P < 0.05) than microbiologists. A 'soft stop' functionality was rated essential or high priority by 89% of respondents. Potential EPMA software features were expected to have the greatest impact on stewardship, treatment efficacy and patient safety outcomes with lowest impact on Clostridium difficile infection, antimicrobial resistance and drug expenditure. Conclusions: The survey demonstrates key differences in health professionals' opinions of potential healthcare benefits of EPMA, but a consensus of anticipated positive impact on patient safety and AMS.
[Mh] Termos MeSH primário: Revisão de Uso de Medicamentos
Prescrição Eletrônica
Pesquisas sobre Serviços de Saúde
Infectologia
[Mh] Termos MeSH secundário: Anti-Infecciosos/efeitos adversos
Anti-Infecciosos/uso terapêutico
Estudos Transversais
Hospitais/estatística & dados numéricos
Seres Humanos
Segurança do Paciente
Farmacêuticos
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Infective Agents)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161222
[St] Status:MEDLINE
[do] DOI:10.1093/jac/dkw524


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[PMID]:27832669
[Au] Autor:Dawczynski K; Schleußner E; Dobermann H; Proquitté H
[Ad] Endereço:Klinik für Kinder-und Jugendmedizin Jena, Sektion Neonatologie / Päd. Intensivmedizin, Universitätsklinikum Jena.
[Ti] Título:[Infection Prevention in Premature Infants and Newborns in Thuringia: Implementation of Recommendation of the Commission for Hospital Hygiene and Infection Prevention (KRINKO)].
[Ti] Título:Infektionsprävention bei Früh- und Neugeborenen in Thüringen: Umsetzung der Empfehlung der Kommission für Krankenhaushygiene und Infektionsprävention (KRINKO)..
[So] Source:Z Geburtshilfe Neonatol;221(1):30-38, 2017 Feb.
[Is] ISSN:1439-1651
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:Systematic recording of practical implementation of current recommendations of KRINKO for the prevention of nosocomial infections in premature and newborn infants in children's hospitals in Thuringia. All neonatal treatment centers in Thuringia (n=18) were included in this survey. Answer were received from 83% (15/18). Degree of compliance was 100% in level-1 (3/3) and level-2 centers (5/5), and 70% in level-3 centers (7/10). The aim of the questionnaire was to evaluate infection prevention measures as well as structural/organizational parameters in neonatal centers in Thuringia. Preventive measures as well as weekly screening for colonization was fully performed in patients with a birth weight <1 500 g (n=205) at all centers. Additionally, prolonged screening and colonization surveillance measures were performed in 60% of all units until discharge from the hospital. Results related to structural/organizational parameters and especially structural conditions in neonatal centers in Thuringia pointed up challenges (2 m minimum distance between incubators in 27% (n=4/15), isolation in single room in 53% (n=8/15)). Insufficient number of staff also hamper the complete implementation of KRINKO recommendations (intensive care unit: patient/staff ratio (MW±SD) 2.5±1.1; newborn area 4.3±0.9). Analysis shows actual rate of implementation of KRINKO recommendations as well as structural/organizational parameters in neonatal treatment centers in Thuringia. It provides important points for discussion regarding necessary staff numbers and structural conditions. Analysis could also be used for future surveys in other regions in Germany.
[Mh] Termos MeSH primário: Controle de Doenças Transmissíveis/normas
Infecção Hospitalar/prevenção & controle
Fidelidade a Diretrizes/utilização
Higiene/normas
Incubadoras para Lactentes/normas
Guias de Prática Clínica como Assunto
[Mh] Termos MeSH secundário: Infecção Hospitalar/diagnóstico
Feminino
Alemanha
Fidelidade a Diretrizes/normas
Seres Humanos
Incubadoras para Lactentes/utilização
Recém-Nascido
Doenças do Recém-Nascido/prevenção & controle
Recém-Nascido Prematuro
Infectologia/normas
Masculino
Programas de Rastreamento/métodos
Programas de Rastreamento/utilização
Neonatologia/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161111
[St] Status:MEDLINE
[do] DOI:10.1055/s-0042-112372



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