Infectious diseases

Nice | Detection and management of sepsis

This is a new guideline from NICE on the detection and management of sepsis. None of this is likely to be new, but it is worth looking through. I think the main reason is, sadly, from a medico-legal p...

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Nice | Tuberculosis (TB)

This is an updated guideline from NICE on managing tuberculosis. I guess the relevance will be largely related to where you work. There isn't any really big change here, but there are lots of things t...

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Viral warts

This BMJ Review looks at management options (BMJ 2014;348:g3339). Here we are considering skin warts not oral/genital lesions. Key points Common condition, with 7-12% prevalence in general population...

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RCOG | Chickenpox in pregnancy

This is a new guideline from RCOG on managing chickenpox in pregnancy. It doesn't change our management, but I'm doing a quick summary as I often forget what is classed as significant contact and when...

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BASHH | HIV testing window

This statement from BASHH advises that new 'fourth generation' HIV tests will detect the majority of infected patients at four weeks post infection, which is much earlier than older tests. These tests...

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Nice | Chronic hepatitis B

This is a guideline which outlines the diagnosis and management of Hepatitis B in adults and children. Of most importance to us, they advise that after you get a positive Hepatitis B test result back ...

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Hepatitis B and C

This guideline aims to get us to increase testing and identification. A lot of the risk factors are fairly obvious, but it is certainly not something I had previously been thinking about testing for o...

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Whooping Cough – HPA Guidance

Bordetella Pertussis from Sanofi Pasteur (flikr website) This is a summary of guidance from the HPA on how to manage Whooping Cough. A member forwarded this on to me and requested I pass on the inform...

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Meningitis – HPA advice

This publication from the HPA mostly summaries advice from the NICE guideline. Given it’s importance to us though, here’s a quick summary: Who should you give antibiotics to if you suspect meningitis?...

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Nice | Tuberculosis

This is quite a complex, meaty guideline, with lots of flow-charts. Remember to consider if a newly registering patient should be screened and remember BCG in neonates at risk, but otherwise I would s...

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BASHH | Chlamydia testing

Most of the information is these guidelines is stuff we know. Learning points for me were: Endocervical swabs and HVS swabs have a similar sensitivity (before, the advice was that endocervical swabs ...

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