Interventions In Infectious Disease Emergencies An Issue Of Medical Clinics

From the Preface: The most significant aspect of infectious diseases is that a majority of serious emergencies are curable if diagnosed early and managed appropriately rather than just treatable, contrary to most other emergent disease processes. Unfortunately, serious infectious disease manifestations are often not seen by patients, families, and health care providers in the same light as other emergencies. Delay in seeking medical attention and recognizing the urgency for intervention often result in a worse prognosis. Like other medical emergencies, the initial encounter for infectious disease emergencies is in the emergency department or outpatient setting. Noninfectious disease physicians, particularly general internists, are often the front-line providers for diagnostic workup and initial management. The reader should keep that in mind, as the first article in this issue has been compiled by 5 of my general internal medicine colleagues. Each section starts with a case vignette and is followed by articulation of questions about diagnosis and management at the very outset. They have very skillfully abstracted a few clinical pearls for each of the serious clinical presentations in their respective sections. The next 10 articles review in detail epidemiology, microbiology, clinical presentations, diagnostic workup, and management, including presumptive and definitive antimicrobial therapy for infectious disease emergencies involving various organ systems. They include articles on the role of molecular diagnosis and pharmacotherapy of infectious disease emergencies.

This important issue of Medical Clinics provides essential updates in heart failure. The following topics are covered: epidemiology, pathophysiology, and general approach for heart failure; symptoms, signs, diagnostic studies, and prognostic significance of systolic versus diastolic heart failure; the appropriate use of biomarkers; oral versus intravenous diuretic therapy; guideline-based therapy including RAAS blockade, beta-blockade, and aldosterone antagonist, appropriate use of AICD and biventricular pacing; role of ventricular assist device; pathophysiological consideration and management approaches in acute decompensated heart failure; pathophysiology and current approaches to cardiorenal syndrome; heart failure with other comorbidities including diabetes, obesity, anemia, and cancer; heart failure and atrial fibrillation; and the role of disease management strategies in heart failure.

This issue of Emergency Medicine Clinics, edited by Dr. Stephen Liang and Rachel Chin, focuses on Infectious Disease Emergencies, with topics including: Cardiovascular and Bloodstream Infections; Pneumonia and Respiratory Tract Infections; Urinary Tract Infections; CNS Infections; Skin and Soft Tissue Infections; MSK infections; Sexually Transmitted Infections; HIV Emergencies; Oncology Infectious Disease Emergencies; Transplant Infectious Disease Emergencies; Emerging Infections in the Emergency Department, Trauma/disaster-related infections; Antimicrobial Stewardship in the Emergency Department; and Infection Prevention in the Emergency Department.

In this issue of Emergency Medicine Clinics, guest editors Drs. Christopher M. Colbert, Bradley W. Frazee, and Michael Pulia bring their considerable expertise to the topic of Infectious Disease Emergencies. Top experts in the field discuss key topics such as diabetic foot infections, tick-borne illness, STI diagnosis and management in the ED, bioterrorism, fever and rash, and more. Contains 13 relevant, practice-oriented topics including updates on pneumonia; global medicine updates; COVID diagnosis and treatment; cutting-edge diagnostics and stewardship interventions; newly-approved antibiotics; and more. Provides in-depth clinical reviews on infectious disease emergencies, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

In this issue of Emergency Medicine Clinics, guest editors Drs. Christopher M. Colbert, Bradley W. Frazee, and Michael Pulia bring their considerable expertise to the topic of Infectious Disease Emergencies. Top experts in the field discuss key topics such as diabetic foot infections, tick-borne illness, STI diagnosis and management in the ED, bioterrorism, fever and rash, and more. Contains 13 relevant, practice-oriented topics including updates on pneumonia; global medicine updates; COVID diagnosis and treatment; cutting-edge diagnostics and stewardship interventions; newly-approved antibiotics; and more. Provides in-depth clinical reviews on infectious disease emergencies, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

As the culminating volume in the DCP3 series, volume 9 will provide an overview of DCP3 findings and methods, a summary of messages and substantive lessons to be taken from DCP3, and a further discussion of cross-cutting and synthesizing topics across the first eight volumes. The introductory chapters (1-3) in this volume take as their starting point the elements of the Essential Packages presented in the overview chapters of each volume. First, the chapter on intersectoral policy priorities for health includes fiscal and intersectoral policies and assembles a subset of the population policies and applies strict criteria for a low-income setting in order to propose a "highest-priority" essential package. Second, the chapter on packages of care and delivery platforms for universal health coverage (UHC) includes health sector interventions, primarily clinical and public health services, and uses the same approach to propose a highest priority package of interventions and policies that meet similar criteria, provides cost estimates, and describes a pathway to UHC.

Dr. Kaye and Dr. Dhor have assembled top experts to write about facility planning and management in Part I of their two issues devoted to Infection Prevention and Control in Healthcare. Articles in this issue are devoted to: Building a Successful Infection Control Program: Key Components, Processes and Economics; Hand Hygiene Sterilization; High Level Disinfection and Environmental Cleaning; Environement of Care; Infection Control in Alternative Healthcare Settings (Long Term Care and Ambulatory); Antibiotic Stewardship; Outbreak Investigations Water Safety in Healthcare/Legionella in the Healthcare Setting; Construction and Renovation; Bloodborne and Body Fluid Exposures - prevention and management of Occupational Health Issues; and Informatics and Statistics in Infection Control. Part II is devoted to clinical management of infections.

Based on careful analysis of burden of disease and the costs ofinterventions, this second edition of 'Disease Control Priorities in Developing Countries, 2nd edition' highlights achievable priorities; measures progresstoward providing efficient, equitable care; promotes cost-effectiveinterventions to targeted populations; and encourages integrated effortsto optimize health. Nearly 500 experts - scientists, epidemiologists, health economists,academicians, and public health practitioners - from around the worldcontributed to the data sources and methodologies, and identifiedchallenges and priorities, resulting in this integrated, comprehensivereference volume on the state of health in developing countries.