A recent study published in the American Diabetes Association’s (ADA) journal Diabetes Care (http://care.diabetesjournals.org/content/early/2019/05/28/dc19-0296) using 2000-2015 USRDS data has shown that the rates of nontraumatic lower-extremity amputation (NLEA) among adults with ESRD and diabetes fell 44% between 2000 and 2013 from 7.5 to 4.2 NLEA per 100 person-years, while NLEA among ESRD patients without diabetes declined 31% over the same period, from 1.6 to 1.1 per 100 person-years. Both reductions were highly statistically significant. However, both rates flat-lined after 2013.
CDC has urged everyone to avoid all Romaine Lettuce until further notice, as it is the leading suspect in a multi-state outbreak of Shiga toxin producing Escherichia coli O157:H7 (E. coli O157:H7) infections, and a specific source has not been identified. CDC recommends that drawers and shelves that held Romaine be sanitized. They also recommend that antibiotics NOT be used for this type of infection, as the combination can result in kidney failure, and no benefits have been demonstrated. For detailed instructions, see https://www.cdc.gov/ecoli/2018/o157h7-11-18/index.html.
The CDC has announced that US Antibiotic Awareness Week is November 12–18, 2018. Antibiotics are life-saving drugs and critical tools for treating infections like those that can lead to sepsis. However, when antibiotics aren’t needed, they won’t help you, and the side effects could still cause harm. Additionally, any time antibiotics are used in people or animals, they can lead to antibiotic resistance. Everyone has a role to play to improve antibiotic prescribing and use. CDC recommends four ways to participate in Antibiotic Awareness Week:
Use and share Be Antibiotics Aware educational materials, including graphics for print and social media from CDC’s national educational effort to keep patients safe, decrease adverse drug events, and help fight antibiotic resistance. See https://www.cdc.gov/features/antibioticuse/index.html.
Join the Global Twitter Storm on Thurs., November 15 from 9-10 am ET using the hashtag #AntibioticResistance. Use social media to spark conversation throughout the week using #USAAW18 and #BeAntibioticsAware.
This annual one-week observance helps raise awareness of the importance of appropriate antibiotic use to combat the threat of antibiotic resistance. CDC is a global leader in efforts to improve antibiotic prescribing and use practices. Improving the way we prescribe and take antibiotics helps keep us healthy now, helps fight antibiotic resistance, and ensures that these life-saving drugs will be available for future generations.