NHSN is applying several upgrades this weekend, including the upgrade to Version 8.8, so the website will probably be down much of the time until December 4, 2017. For more information see https://www.cdc.gov/nhsn/releasemgt/index.html .
Candida auris is an often-deadly, contagious, drug-resistant fungal infection that the CDC warns is an increasing comorbidity problem for people who are already seriously ill. While so far a problem more for hospitals and nursing homes than outpatient clinics, it is a possible cause when fever and chills persist after antibiotic treatment. CDC has summarized information about its identification and treatment at https://blogs.cdc.gov/safehealthcare/candida-auris-an-emerging-global-fungal-disease/ .
CDC vaccination recommendations for the 2017-18 influenza season can be found at https://www.cdc.gov/mmwr/indrr_2017.html . Find additional CDC resources at https://www.cdc.gov/flu/pdf/professionals/Dear-Colleague-Letter-2017-2018.pdf and https://www.cdc.gov/flu/ .
CDC and Medscape also present a continuing education (ACCME and ANCC) opportunity on these recommendations; see https://www.cdc.gov/mmwr/cme/medscape_cme.html .
CDC and WHO have announced that November 13-19, 2017 will be US and World Antibiotic Awareness Week, to raise awareness about antibiotic resistance and the importance of appropriate antibiotic prescribing and use. European Antibiotic Awareness Day is November 18. CDC has updated their educational initiative Be Antibiotics Aware: Smart Use, Best Care, and aims to engage the industry and the public in efforts to improve antibiotic prescribing and use across all health care settings. Find the CDC announcement and links to Be Antibiotics Aware at https://www.cdc.gov/mmwr/volumes/66/wr/mm6644a9.htm?s_cid=mm6644a9_e and the WHO announcement at http://www.who.int/campaigns/world-antibiotic-awareness-week/en/.
On their Safe Healthcare blog, CDC has published a summary of how a 100-bed hospital used a multi-component approach to reduce their rate of C.diff infections to zero. For details see https://blogs.cdc.gov/safehealthcare/341-days-without-a-c-difficile-infection-how-mercy-health-st-anne-hospital-reduced-c-difficile-infection-rates-to-zero/ .
KCER has published their October 2017 Newsletter, with articles on the following:
- Emergency Preparedness Requirements Go into Effect November 15, 2017
- Flu Season is Here: Time for a Shot
- How to Prepare for a Wildfire
- Emotional Support After a Disaster
- Protecting Your Dialysis Vascular Access
- Handwashing After a Disaster
CDC has issued a bulletin to its Health Alert Network (HAN) recommending that healthcare providers be watchful for unusual infectious diseases in patients and others who visit Puerto Rico, the Virgin Islands, and other Caribbean hurricane-ravaged areas between September 2017 and March 2018, including leptospirosis, dengue, hepatitis A, typhoid fever, vibriosis, Zika, chikungunya, and influenza. Also, visitors to flooded or contaminated areas of the Gulf and Atlantic Coasts could possibly return with necrotizing fasciitis, invasive fungi, Mycobacterium, Legionella, Pseudomonas, or other water-associated Gram-negative bacteria. The HAN, at https://emergency.cdc.gov/han/han00408.asp, provides specific recommendations and reporting requirements dealing with these possibilities.