We bring you the latest news from the healthcare about the health care in the United Kingdom.

woensdag 3 oktober 2018

The Lancet: [Comment] Onchocerciasis and epilepsy: a causal relationship?

[Comment] Onchocerciasis and epilepsy: a causal relationship?
Epilepsy caused by infectious agents is a potentially preventable disease; however, the aetiological relationships between these agents and epilepsy are complex. In the 1930s, Guillermo Casis Sacre observed1 that many of his patients in rural Mexico who had onchocerciasis also had what appeared to be epilepsy. Therefore, he hypothesised that the Onchocerca volvulus parasite also affected the brain and not just the skin and eyes, as previously thought. Since his early hypothesis, many cross-sectional and case-control studies have documented an association between onchocerciasis and epilepsy.
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[Corrections] Corrections
Menzies NA, Wolf E, Connors D, et al. Progression from latent infection to active disease in dynamic tuberculosis transmission models: a systematic review of the validity of modelling assumptions. Lancet Infect Dis 2018; 18: e228–38—In the Acknowledgments of this Review, the grant number for the US Centers for Disease Control and Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention Epidemiologic and Economic Modeling Agreement should be 5NU38PS004644. This correction has been made to the online version as of Sept 27, 2018.
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[Articles] Effects of the Australian National Hand Hygiene Initiative after 8 years on infection control practices, health-care worker education, and clinical outcomes: a longitudinal study
The NHHI has been associated with significant sustained improvement in hand hygiene compliance and a decline in the incidence of HA-SAB. Key features include sustained central coordination of a standardised approach and incorporation into hospital accreditation standards. The NHHI could be emulated in other national culture-change programmes.
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[Comment] The Australian National Hand Hygiene Initiative: framework for future research
In The Lancet Infectious Diseases, M Lindsay Grayson and colleagues1 report a national campaign to promote hand hygiene compliance that has been in operation throughout Australia since 2009.
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[Review] Epidemiology of common resistant bacterial pathogens in the countries of the Arab League
No uniformly organised collection of data regarding antimicrobial resistance has occurred in the countries of the Arab League. 19 countries of the Arab League have published data for antimicrobial susceptibility for the WHO priority organisms, and seven of 14 of these organisms are included in this Review (Escherichia coli, Klebsiella spp, Pseudomonas aeruginosa, Acinetobacter baumannii, Salmonella spp, Staphylococcus aureus, and Streptococcus pneumoniae). Although E coli and Klebsiella spp resistance to third-generation cephalosporins is common in all countries, with prevalence reaching more than 50% in Egypt and Syria, carbapenem resistance is emerging, albeit with a prevalence of less than 10%.
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