1 A bulímiáról és egy bulímiás betegről A bulímia görög eredetű szó; kóros falánkságot, farkaéhséget, farkasétvágyat jelent. Ma a B az evési zavarok kategóriájában foglal helyet, de a hivatalos orvostudomány csak az utóbbi évtizedekben kezdte komolyan venni ezt a betegséget. Még nem is annyira régen: 24 évvel ezelőtt, 1979-ben fogadták el az evési zavarok
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Certified for AMA PRA Category 1 Credit TMthrough April 16, 2015 Vance G. Fowler Jr, MD, MHS
Professor of Medicine
Department of Medicine, Division of Infectious Diseases
Duke University Medical Center
Durham, North Carolina
UP TO .5 AMA PRA CATEGORY 1 CREDIT TM
This activity is designed for infectious disease specialists, critical care physicians,hospitalists, surgeons, pharmacists, and other healthcare professionals involvedin the management of complicated skin and skin structure infections.
This activity is supported by educational grants from Astellas Pharma US, Inc.,Cubist Pharmaceuticals, Inc., and Forest Research Institute, Inc.
Community- and healthcare-associated methicillin-resistant S aureus (MRSA) SUGGESTED RESOURCES
infections have become a growing public health issue over the past two decades.
• Bode LGM, Kluytmans JAJW, Wertheim HFL, et al. Preventing surgical-site infections in In this video, Dr. Fowler examines strategies to prevent Staphylococcus aureus nasal carriers of Staphylococcus aureus. N Engl J Med. 2010;362:9-17.
infection and transmission, including whole body, systemic, environmental(surface and surroundings) decolonization, as well as pet decolonization in some • Coates T, Bax R, Coates A. Nasal decolonization of Staphylococcus aureus with mupirocin: instances. Interventions for uncomplicated skin and skin structure infections strengths, weaknesses and future prospects. J Antimicrobial Chemotherapy. 2009;64:9-15.
should ideally aim at reducing antibiotic use whenever safe and appropriate. For • Desai R, Pannaraj PS, Agopian J, et al. Survival and transmission of community-associated complicated skin and skin structure infections, there are now several appropriate methicillin-resistant staphylococcus aureus from fomites. Am J Infect Control.
broad-spectrum antibiotic treatment options available. Dr. Fowler reviews the pros and cons of these agents and provides practical clinical perspectives and advice • Jenkins TC, Knepper BC, Sabel AL, et al. Decreased antibiotic utilization after implementation of a guidelines for inpatient cellulitis and cutaneous abscess. Arch Intern Med.
After taking part in this CME activity, learners should be better able to: • Jenkins TC, Sabel AL, Sarcone EE, et al. Skin and soft-tissue infections requiring • Classify and assess the bacteriology of complicated skin and skin structure hospitalization at an academic medical center: opportunities for antimicrobial stewardship.
• Evaluate cSSSIs with consideration of the increasing impact of Staphylococcus • Liu CA, Bayer A, Cosgrove SE, et al. Clinical practice guidelines by the infectious disease aureus and methicillin-resistant Staphylococcus aureus (MRSA) infection society of America for the treatment of methicillin-resistant Staphylococcus aureus infections • Apply evidence-based data and guidelines to the clinical management of cSSSIs, in adults and children. Clin Infect Dis. 2011;52:1-38.
including antibiotic selection, treatment, and duration • Mera RM, Suaya JA, Amrine-Madsen, H, et al. Increasing role of Staphylococcus aureus CME CREDIT DESIGNATIONS
and community-acquired methicillin-resistant Staphylococcus aureus infections in the ACCME The Network for Continuing Medical Education (NCME) is accredited by
United States: A 10-year trend of replacement and expansion. Microbiol Drug Resist.
the Accreditation Council for Continuing Medical Education to provide continuing • Weese JS. Methicillin-resistant Staphylococcus aureus in animals. ILAR J. 2010;51:233-244.
AMA NCME designates this educational activity for a maximum of .5 AMA PRA
• Yang ES, Tan J, Eells S, et al. Body site colonization in patients with community-associated Category 1 Credit TM. Physicians should claim only the credit commensurate with methicillin-resistant Staphylococcus aureus and other types of S. aureus skin infections.
the extent of their participation in the activity.
Clin Microbiol Infect. 2010;16:425-431.
AOA This activity is eligible for up to .5 hour of credit in Category 2-A of the
American Osteopathic Association.
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The Network for Continuing Medical Education is a service linking medical schools and hospitals with the best in medical communications.
F E A T U R E S E L K E F L E C K E N S T E I N A N D H A N S G . D R E X L E R *F r o m t h e G e r m a n C o l l e c t i o n o f M i c r o o r g a n i s m s a n d C e l l C u l t u r e sD e p a r t m e n t o f H u m a n a n d A n i m a l C e l l C u l t u r e s , B r a u n s c h w e i g , G e r m a n y* Corresponding author: Email: HDR@GBF_Braunschweig.de Mycoplasma contamination remains a