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Latest Infectious Diseases Articles on PCE's The Exchange
Recommending Isolation and Quarantine Timeframes for Coronavirus: Why Is There So Much Confusion?
Posted By: 
Susan M. Tiso, DNP, APRN, FNP-BC
August 18, 2020
I have been working in a drive-through coronavirus testing site since March; part of this entails calling patients with positive COVID-19 test results to discuss care. I discuss self-care at home, ER precautions, and recommendations for home isolation, as well as when it's safe to discontinue isolation based on transmissibility of the virus. There seems to be a lot of confusion pertaining to home isolation, not only from patients, but from colleagues as well. Let's r... Continue Reading
Filed under: Health Policy and Trends, Infectious Diseases, Public Health
Skin Manifestations of COVID-19
Posted By: 
Kristine Kucera, PA-C, MPAS, DHS
July 28, 2020
By now it is well known that COVID-19 is an illness caused by the SARS-CoV-2 virus that may lead to serious respiratory disease. The most common sy... Continue Reading
Filed under: Dermatology, Infectious Diseases
Would You Volunteer to Enroll in a COVID-19 Vaccine Trial?
Posted By: 
Lawrence Herman, PA-C, MPA
July 10, 2020
There are more than 160 COVID-19 vaccines currently in development, with the University of Oxford/AstraZeneca AZD1222 vaccine (an attenuated altered adenovir... Continue Reading
Filed under: Allergy/Immunology, Infectious Diseases, Public Health
Breastfeeding and Coronavirus: My Experience From the Frontlines With an Infected Mom
Posted By: Susan M. Tiso, DNP, APRN, FNP-BC
June 19, 2020
One of the challenging features of COVID-19 is its ability to sweep through families. In my experience, this is more prevalent in multigenerational family li... Continue Reading
Filed under: Infectious Diseases, Public Health, Women's Health
Coronavirus Transmission and Superspreading Events: Can What We’ve Learned Help Inform Future Guidelines?
Posted By: Susan M. Tiso, DNP, APRN, FNP-BC
June 16, 2020
Across the United States, businesses are starting to open under government-guided restrictions. The reopening guidelines vary from state to state and even fr... Continue Reading
Filed under: Infectious Diseases, Public Health
World Health Organization Halts Hydroxychloroquine Trial
Posted By: Lawrence Herman, PA-C, MPA
May 29, 2020
The World Health Organization (WHO) is but another organization to halt a COVID-19 therapeutic trial due to safety concerns. Specifically, WHO suspended the... Continue Reading
Filed under: Health Policy and Trends, Infectious Diseases
What’s Changed for Basic and Advanced Life Support During COVID-19
Posted By: 
Debra A. Danforth, DNP, APRN
May 22, 2020
How we do CPR and advanced cardiac life support (ACLS) has changed in the last several months. The American Heart Association collaborated with other organiz... Continue Reading
Filed under: Health Policy and Trends, Infectious Diseases
Silent Hypoxia in COVID-19 Patients
Posted By: 
Mary Knudtson, DNSc, NP, FAAN
May 12, 2020
Emergency rooms in New York are finding COVID-19 pneumonia in some patients who have no shortness of breath. Clinicians have reported that when they did x-ra... Continue Reading
Filed under: Infectious Diseases, Pulmonary Medicine
Asthma and COVID-19
Posted By: Mary Knudtson, DNSc, NP, FAAN
May 05, 2020
The early data on mortality from COVID-19 infections are showing that asthma is not one of the top risk factors. The top ten COVID-19 comorbidities (in rank... Continue Reading
Filed under: Infectious Diseases, Pulmonary Medicine
Single HCV Screening for All Adults
Posted By: 
Ben Taylor, PA-C, PhD, DFAAPA
April 21, 2020
Hepatitis C virus (HCV) is a contagious hepatic disease that lives in blood and bodily fluids, and can be passed from person to person through infected blood... Continue Reading
Filed under: Infectious Diseases, Preventive Medicine
Global Commitment and Pandemic Prevention
Posted By: 
Heather M. Hylton, MS, PA-C
April 07, 2020
Several years ago, I was fortunate to hike in the Zambia bush where I was accompanied by a naturalist who spoke of the many issues related to wildlife trade... Continue Reading
Filed under: Infectious Diseases, Miscellaneous, Public Health
The Cardiovascular Impact of COVID-19
Posted By: 
Daniel Thibodeau, MHP, PA-C
April 03, 2020
On Wednesday, March 18th, the American College of Cardiology held a we... Continue Reading
Filed under: Cardiometabolic, Infectious Diseases
COVID-19 and the Curve
Posted By: Daniel Thibodeau, MHP, PA-C
March 31, 2020
As of the writing of this post, coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has been confirm... Continue Reading
Filed under: Health Policy and Trends, Infectious Diseases, Public Health
The Difference Between Isolation and Quarantine
Posted By: Debra A. Danforth, DNP, APRN
March 27, 2020
There seems to be confusion between what it means to isolate versus quarantine people. According to the CDC, the definitions of isolation and quarantine are:... Continue Reading
Filed under: Infectious Diseases, Public Health
Social Distancing During COVID-19
Posted By: Debra A. Danforth, DNP, APRN
March 24, 2020
Social distancing is a measure recommended by public health officials that aims to restrict sick people from coming in contact with healthy people to slow th... Continue Reading
Filed under: Infectious Diseases, Public Health
Upside Down: Influenza B Appears to be Waning While Influenza A is Increasing
Posted By: Lawrence Herman, PA-C, MPA
March 13, 2020
In a typical flu season, influenza A activity begins between November and January and fades after a few months. Concurrently, influenza B occurs with increas... Continue Reading
Filed under: Infectious Diseases, Public Health
You're Darned if You Do, You're Damned if You Don't
Posted By: Lawrence Herman, PA-C, MPA
February 28, 2020
Sorry, but I believe we are past the point of being worried about scaring people about the novel coronavirus 2019, now simply COVID-19 (in various forms of c... Continue Reading
Filed under: Health Policy and Trends, Infectious Diseases, Public Health
Coronavirus Update: Transmission – What Do We Know?
Posted By: Susan M. Tiso, DNP, APRN, FNP-BC
February 14, 2020
On January 30, 2020, the first confirmed case of person-to-person 2019 novel coronavirus (2019-nCoV) transmission was reported in the United States. Also on... Continue Reading
Filed under: Health Policy and Trends, Infectious Diseases, Public Health
Coronavirus Update: Thoughts on Its Origin
Posted By: Susan M. Tiso, DNP, APRN, FNP-BC
February 12, 2020
We've known for years that influenza virus occurs in both humans and animals—including swine and birds—and... Continue Reading
Filed under: Health Policy and Trends, Infectious Diseases, Public Health
Infectious Disease Update – Novel Community-acquired Human Coronavirus: CDC Guidelines for Providers
Posted By: 
Susanne J. Phillips, DNP, APRN, FNP-BC
February 07, 2020
As we know, there is currently no vaccine or specific treatment for the novel coronavirus (2019-nCoV) first reported from Wuhan, China. CDC screening recomme... Continue Reading
Filed under: Infectious Diseases, Public Health
Infectious Disease Update – Novel Community-acquired Human Coronavirus
Posted By: Susanne J. Phillips, DNP, APRN, FNP-BC
February 04, 2020
On Thursday, January 23, 2020, Chinese authorities closed Wuhan's airports, train stations, bus stations, and ports. By now, several other citie... Continue Reading
Filed under: Infectious Diseases, Public Health
Influenza-like Illness Activity Has Been High for Weeks…and Continues to Increase
Posted By: Lawrence Herman, PA-C, MPA
January 03, 2020
The CDC reports that influenza-like illness activity has been high for weeks, and is continuing to increase. Combined with the fact that influenza B (Victori... Continue Reading
Filed under: Infectious Diseases, Public Health
Managing Patients With Suspected Vape-Related Lung Problems
Posted By: Debra A. Danforth, DNP, APRN
December 03, 2019
We have been hearing about more and more cases of lipoid pneumonia linked to marijuana oils in e-cigarettes. According to the CDC, as of November 2019, there... Continue Reading
Filed under: Infectious Diseases, Public Health, Pulmonary Medicine
Measles and Immunity
Posted By: Ben Taylor, PA-C, PhD, DFAAPA
November 19, 2019
Measles is a highly contagious viral illness, currently targeted for eradication given the favorable biologic characteristic that humans are the only reservo... Continue Reading
Filed under: Allergy/Immunology, Infectious Diseases
Beware: The “Ankle-biter” Mosquitoes
Posted By: Susan M. Tiso, DNP, APRN, FNP-BC
September 24, 2019
It's the end of summer and the mosquitoes are biting. Two invasive (non-native) mosquito species have been identified in California and other parts of the Un... Continue Reading
Filed under: Infectious Diseases, Public Health
Lyme Arthritis—From High Index of Suspicion to Diagnosis and Treatment
Posted By: 
Richard S. Pope, PA-C, MPAS
August 20, 2019
An effusion of the knee(s) is the most common manifestation of Lyme arthritis, a late stage of infection with Borrelia burgdorferi, the tick involve... Continue Reading
Filed under: Infectious Diseases, Rheumatology
Procalcitonin Levels in the Management of COPD Exacerbations
Posted By: Ben Taylor, PA-C, PhD, DFAAPA
May 10, 2019
The use of procalcitonin-based protocols to guide the decision to administer antibiotics has been evaluated in infections of different origins and settings.... Continue Reading
Filed under: Infectious Diseases, Pulmonary Medicine
Using Policy to Impact HPV Vaccine Rates
Posted By: Susan M. Tiso, DNP, APRN, FNP-BC
May 02, 2019
For more than 10 years we have had a safe and effective vaccine that can prevent several types of cancer. I understand the reluctance to accept a vaccine whe... Continue Reading
Filed under: Health Policy and Trends, Infectious Diseases, Preventive Medicine, Women's Health
Measles Outbreak – A Public Health Concern
Posted By: Daniel Thibodeau, MHP, PA-C
April 26, 2019
The modern world was turned upside down in 1997 when researcher Andrew Wakefield suggested there was a direct correlation between the MMR (measles/mumps/rube... Continue Reading
Filed under: Infectious Diseases, Preventive Medicine, Public Health
Fluoroquinolone Use and the Potential Risk for Aortic Aneurysm or Dissection
Posted By: Ben Taylor, PA-C, PhD, DFAAPA
April 05, 2019
Fluoroquinolones have long been a popular class of antibiotics for use in a myriad of infections. There are even newer fluoroquinolones that have been develo... Continue Reading
Filed under: Cardiometabolic, Infectious Diseases
Who Should Be Responsible? Social Media and Accurate Vaccine Information
Posted By: 
Lawrence Herman, MPA, PA-C
March 08, 2019
The World Health Organization recently listed what they call “vaccine hesitancy”—the reluctance or refusal to be vaccinated despite the availability of... Continue Reading
Filed under: Infectious Diseases, Public Health
Here We Go Again: Measles in Seattle This Time
Posted By: Susan M. Tiso, DNP, APRN, FNP-BC
January 31, 2019
As of January 31, 2019, there were 42 confirmed cases of measles in the Pacific Northwest. This includes 41 cases in Clark County, the epicenter for the outb... Continue Reading
Filed under: Health Policy and Trends, Infectious Diseases, Preventive Medicine