The Exchange

Commentary and Observations from
the Medical Front Lines

Latest Infectious Diseases Articles on PCE's The Exchange

What’s Changed for Basic and Advanced Life Support During COVID-19

What’s Changed for Basic and Advanced Life Support During COVID-19

How we do CPR and advanced cardiac life support (ACLS) has changed in the last several months. The American Heart Association collaborated with other organizations (American Academy of Pediatrics, American Association for Respiratory Care, American College of Emergency Physicians, the Society of Critical Care Anesthesiologists, and the American Society of Anesthesiologists) to develop interim guidelines during the COVID-19 pandemic. The main challenge they faced in these interim revisions was... Continue Reading

Filed under: Health Policy and Trends, Infectious Diseases

Silent Hypoxia in COVID-19 Patients

Silent Hypoxia in COVID-19 Patients

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

Asthma and COVID-19

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

Single HCV Screening for All Adults

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

Global Commitment and Pandemic Prevention

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

The Cardiovascular Impact of COVID-19

On Wednesday, March 18th, the American College of Cardiology held a we... Continue Reading

Filed under: Cardiometabolic, Infectious Diseases

COVID-19 and the Curve

COVID-19 and the Curve

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

The Difference Between Isolation and Quarantine

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

Social Distancing During COVID-19

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

Upside Down: Influenza B Appears to be Waning While Influenza A is Increasing

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

You're Darned if You Do, You're Damned if You Don't

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?

Coronavirus Update: Transmission – What Do We Know?

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

Coronavirus Update: Thoughts on Its Origin

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

Infectious Disease Update – Novel Community-acquired Human Coronavirus: CDC Guidelines for Providers

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

Infectious Disease Update – Novel Community-acquired Human Coronavirus

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

Influenza-like Illness Activity Has Been High for Weeks…and Continues to Increase

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

Managing Patients With Suspected Vape-Related Lung Problems

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

Measles and Immunity

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

Beware: The “Ankle-biter” Mosquitoes

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

Lyme Arthritis—From High Index of Suspicion to Diagnosis and Treatment

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

Procalcitonin Levels in the Management of COPD Exacerbations

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

Using Policy to Impact HPV Vaccine Rates

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

Measles Outbreak – A Public Health Concern

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

Fluoroquinolone Use and the Potential Risk for Aortic Aneurysm or Dissection

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

Who Should Be Responsible? Social Media and Accurate Vaccine Information

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

Here We Go Again: Measles in Seattle This Time

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

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