Vidyya Medical News Service
Volume 5 Issue 220 Published - 14:00 UTC 08:00 EST 8-Aug-2003 Next Update - 14:00 UTC 08:00 EST 9-Aug-2003
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Clinical issues in the prophylaxis, diagnosis, and treatment of anthrax
Shortly after the anthrax attacks, a meeting was held at the Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, to discuss the prophylaxis, diagnosis, and treatment of anthrax. Participants included clinicians and health department personnel from areas where anthrax cases were identified, infectious disease experts, representatives of professional societies, and experts from federal agencies. A patient recovering from inhalational anthrax also described her illness. The following is a summary of the presentations and discussion.  more

Considerations for distinguishing influenza-like illness from inhalational anthrax
This notice describes the clinical evaluation of persons who are not known to be at increased risk for anthrax but who have symptoms of influenza-like illness (ILI). Clinicians evaluating persons with ILI should consider a combination of epidemiologic, clinical, and, if indicated, laboratory and radiographic test results to evaluate the likelihood that inhalational anthrax is the basis for ILI symptoms. more


Level A laboratory procedures for identification of Bacillus anthracis
The procedures described in this protocol function to rule out or presumptively identify B. anthracis from clinical specimens or isolates. These procedures should be performed in microbiology laboratories that use Biological Safety Level-2 (BSL-2) practices.  more

Information for patients: Anthrax -- What you need to know
The spores that cause anthrax can live in the soil for many years, and humans can become infected with anthrax by handling products from infected animals or by breathing in anthrax spores from infected animal products (like wool, for example). People also can become infected with gastrointestinal anthrax by eating undercooked meat from infected animals.  more

Policy review: An ounce of prevention is a ton of work: Mass antibiotic prophylaxis for anthrax, New York City, 2001
Protocols for mass antibiotic prophylaxis against anthrax were under development in New York City beginning in early 1999. This groundwork allowed the city’s Department of Health to rapidly respond in 2001 to six situations in which cases were identified or anthrax spores were found. The key aspects of planning and lessons learned from each of these mass prophylaxis operations are reviewed. Antibiotic distribution was facilitated by limiting medical histories to issues relevant to prescribing prophylactic antibiotic therapy, formatting medical records to facilitate rapid decision making, and separating each component activity into discrete work stations.  more

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