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PERTUSSIS

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Pertussis: A Reemerging Infection - American Family Physician

Oct 15, 2013 - Pertussis, also known as whooping cough, is an acute respiratory tract infection that has increased in incidence in recent years. The initial catarrhal stage presents with nonspecific symptoms of malaise, rhinorrhea, sneezing, lacrimation, and mild cough. During the paroxysmal stage, ...

American Family Physician : Article

https://www.aafp.org/afp/2013/1015/p507.html

Maternal Pertussis Vaccination During Pregnancy - FPIN's Help Desk Answers - American ...

Apr 1, 2019 - Women should receive the Tdap vaccine during pregnancy regardless of previous immunization history. Infants whose mothers received prenatal immunization had 50% fewer cases of pertussis compared with those whose mothers received postpartum immunization.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2019/0401/p454.html

Pertussis: A Disease Affecting All Ages - American Family Physician

Aug 1, 2006 - Bordetella pertussis is a highly contagious bacterium known to cause pertussis (whooping cough) and is transmitted via airborne droplets. Although childhood vaccination has dramatically reduced reported pertussis cases, the incidence of the disease has increased over the past 20 years, ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0801/p420.html

AAFP Joins Coalition of Medical Organizations Urging Broader Vaccination to Protect ...

Mar 28, 2011 - LEAWOOD, Kan. - The American Academy of Family Physicians has joined a nationwide effort urging health care providers to encourage patients who have any contact with newborns and infants to get vaccinated for pertussis. The call to action is directed toward several groups that ...

Press Center : News Releases and Statements

https://www.aafp.org/media-center/releases-statements/all/2011/pertusis-letter.html

CDC Releases Best Practices for the Use of PCR Testing for Diagnosing Pertussis - ...

Nov 15, 2011 - Diagnosing pertussis in the early stages can be difficult, because early signs and symptoms are often nonspecific. Polymerase chain reaction (PCR) testing, a technique used to detect DNA sequences specific for Bordetella pertussis, is used for diagnosis; however, results should be ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/1115/p1176.html

Acellular Vaccines for Preventing Pertussis in Children - Cochrane for Clinicians - ...

Sep 1, 2011 - Multicomponent (i.e., three or more) acellular vaccines are as effective as whole-cell vaccines at preventing pertussis and mild pertussis disease (e.g., cold symptoms, cough without classic whoop or cough paroxysms) in children. Adverse effects are similar to those from placebo and ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2011/0901/p504.html

Acute Bronchitis - American Family Physician

Oct 1, 2016 - Cough is the most common illness-related reason for ambulatory care visits in the United States. Acute bronchitis is a clinical diagnosis characterized by cough due to acute inflammation of the trachea and large airways without evidence of pneumonia. Pneumonia should be suspected in ...

American Family Physician : Article

https://www.aafp.org/afp/2016/1001/p560.html

Antibiotic Use in Acute Upper Respiratory Tract Infections - American Family Physician

Nov 1, 2012 - Upper respiratory tract infections account for millions of visits to family physicians each year in the United States. Although warranted in some cases, antibiotics are greatly overused. This article outlines the guidelines and indications for appropriate antibiotic use for common upper...

American Family Physician : Article

https://www.aafp.org/afp/2012/1101/p817.html

ACIP Releases Guideline on Prevention of Pertussis, Tetanus, and Diptheria in Pregnant ...

Mar 15, 2009 - Two tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccines were licensed in 2005 for use in adults and adolescents in the United States. The Advisory Committee on Immunization Practices (ACIP) for the Centers for Disease Control and Prevention (CDC) ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2009/0315/p513.html

Immunizations (excluding Influenza) - American Family Physician

Apr 1, 2019 - This collection features AFP content on child and adult immunizations (excluding influenza) and related issues, including travel immunizations and specific immunizations (hepatitis A and B, herpes zoster, human papillomavirus, meningococcus, pertussis, pneumococcus, rotavirus, smallpox,...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=63

Tdap Vaccine During Pregnancy Reduces Newborn Pertussis

Oct 10, 2017 - A CDC study estimated that vaccinating pregnant women with the tetanus, diphtheria and acellular pertussis vaccine during their third trimester was nearly 78 percent effective in preventing pertussis in their infants younger than 2 months.

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20171010pregtdapstudy.html

CDC Releases Guidelines on Antimicrobial Agents for the Treatment and Postexposure ...

Jul 15, 2006 - The Centers for Disease Control and Prevention (CDC) has released guidelines on antimicrobial agents for the treatment and postexposure prophylaxis of pertussis.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0715/p333.html

Update on Routine Childhood and Adolescent Immunizations - American Family Physician

Sep 15, 2015 - Recommendations for routine vaccinations in children and adolescents have changed multiple times in recent years, based on findings in clinical trials, licensure of new vaccines, and evidence of waning immunity. Despite the overwhelming success of vaccinations, vaccine delay and refusal...

American Family Physician : Article

https://www.aafp.org/afp/2015/0915/p460.html

Diagnosis and Treatment of Acute Bronchitis - American Family Physician

Dec 1, 2010 - Cough is the most common symptom bringing patients to the primary care physician’s office, and acute bronchitis is usually the diagnosis in these patients. Acute bronchitis should be differentiated from other common diagnoses, such as pneumonia and asthma, because these conditions may ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1201/p1345.html

Confluence of Factors Contribute to California's Worsening Pertussis Outbreak

Dec 31, 2014 - Between Jan. 1 and Nov. 26, nearly 10,000 pertussis cases were reported to the California Department of Public Health. Inappropriate vaccination of pregnant women and waning immunity may be largely to blame.

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20141231califpertussis.html

Postexposure Prophylaxis for Common Infectious Diseases - American Family Physician

Jul 1, 2013 - Postexposure prophylaxis (PEP) is effective in preventing illness after potential or documented exposure to a variety of microbial pathogens and in reducing the risk of secondary spread of infection. Guidelines have been published by the Centers for Disease Control and Prevention and ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0701/p25.html

Pertussis Is Latest Disease Outbreak Concern in United States

Jun 25, 2014 - As California wrestles with a rapidly expanding pertussis outbreak, with the rest of the country not far behind, it's important for family physicians to remain steadfast in promoting vaccination to help combat the disease.

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20140625pertussis.html

ACIP Provisional Recommendations for Pregnant Women on Use of Tetanus Toxoid, Reduced ...

On June 22, 2011, the ACIP approved recommendations for use of tetanus toxoid, reduced diphtheria toxoid and acellular pertussis vaccine (Tdap) for pregnant women, and updated Tdap recommendations for persons in contact with infants and special situations. These recommendations are in ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/immunizations/pregnantTda.pdf

Pertussis Vaccine Outreach Letter

The Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices (ACIP) recently made significant changes on the use of the adolescent and adult pertussis vaccine to increase vaccine coverage and protect vulnerable infants. These changes were made after ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/immunizations/PertussisOutreachLetter.pdf

Pertussis Outbreaks on the Decline, but Immunization Gaps Still Exist

Jan 31, 2013 - Outbreaks of pertussis ballooned in regions across the United States in 2012, breaking records and causing hospitalizations and deaths. According to the CDC, more than 41,000 cases were provisionally reported in 2012, along with 18 deaths. And although report numbers may ease in 2013, ...

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20130131pertussisdown.html

Care of the College Student - American Family Physician

Nov 1, 2013 - There are approximately 20 million students in U.S. colleges and universities. Although this population is characterized as having good health, 600,000 students report some form of disability or some type of medical problem, including attention-deficit/hyperactivity disorder, learning ...

American Family Physician : Article

https://www.aafp.org/afp/2013/1101/p596.html

Pertussis Outbreaks Hit West, Midwest -- Again

May 30, 2012 - Outbreaks of pertussis are again hitting multiple parts of the country, with Montana, Washington and Wisconsin all reporting significant increases in the number of cases of whooping cough. As of May 19, for example, the Washington State Department of Health had reported a total of 1,738...

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20120530pertussisupdate.html

No Increased Intussusception Risk Seen With Rotavirus Vaccination, But Acellular ...

Feb 24, 2012 - Two recent studies published in JAMA: the Journal of the American Medical Association, focused on vaccines administered to infants. Although the intussusception risk previously attributed to the pentavalent rotavirus vaccine was shown to be negligible in one of the studies, a limited ...

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20120224rota-acellvaccines.html

Update on Immunizations in Adults - American Family Physician

Nov 1, 2011 - Vaccine-preventable diseases contribute significantly to the morbidity and mortality of U.S. adults. The Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention updates its recommended adult immunization schedule annually. The most recent updates ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1101/p1015.html

Pertussis Vaccine: Receiving Tdap During Pregnancy

Apr 8, 2015 - Pregnant women should receive a dose of the TDap vaccine during every pregnancy, ideally between 27 and 36 weeks of gestation.

Patient Care : Well-being and Prevention

https://www.aafp.org/patient-care/public-health/immunizations/disease-population/tdap.html

Pertussis Activity Spiking in Several States

Jul 6, 2010 - An outbreak of pertussis has been declared an epidemic by the California Department of Public Health. The agency said that as of June 15, the state had 910 reported cases -- four times more than at the same time last year -- and 600 potential cases were being investigated.

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20100706pertussis-spikes.html

Vaccines 4 Teens

Jun 20, 2019 - The Vaccinations 4 Teens resources are an easy-to-use collection of materials that AAFP members, care teams, and office staff can customize and use to help educate parents/guardians and teen patients about four AAFP- and Centers for Disease Control and Prevention (CDC)-recommended ...

Patient Care : Well-being and Prevention

https://www.aafp.org/patient-care/public-health/immunizations/vaccines-teens.html

Evaluation of Patients with Leukocytosis - American Family Physician

Dec 1, 2015 - An elevated white blood cell count has many potential etiologies, including malignant and nonmalignant causes. It is important to use age- and pregnancy-specific normal ranges for the white blood cell count. A repeat complete blood count with peripheral smear may provide helpful ...

American Family Physician : Article

https://www.aafp.org/afp/2015/1201/p1004.html

Laceration Repair: A Practical Approach - American Family Physician

May 15, 2017 - The goals of laceration repair are to achieve hemostasis and optimal cosmetic results without increasing the risk of infection. Many aspects of laceration repair have not changed over the years, but there is evidence to support some updates to standard management. Studies have been ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0515/p628.html

Encounter Forms -- FPM Toolbox

Jan 7, 2019 - Download encounter forms to help ensure accurate documentation for asthma, diabetes, hypertension, and other conditions common in primary care.

Family Practice Management : FPM Toolbox : Encounter Forms

https://www.aafp.org/fpm/toolBox/viewToolType.htm?toolTypeId=12

Dog and Cat Bites - American Family Physician

Aug 15, 2014 - Animal bites account for 1% of all emergency department visits in the United States and more than $50 million in health care costs per year. Most animal bites are from a dog, usually one known to the victim. Most dog bite victims are children. Bite wounds should be cleaned, copiously ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0815/p239.html

Update on Immunizations in Children and Adolescents - American Family Physician

Jun 1, 2008 - Over the past few years, there have been many changes to the recommendations for children and adolescents by the Advisory Committee on Immunization Practices. These include dividing the immunization schedule into two parts (i.e., ages birth to six years and seven to 18 years, with ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0601/p1561.html

Disease Outbreak Shows What -- and Why -- We Can Learn From Mistakes

May 16, 2017 - When physicians failed to follow the principles of evidence-based medicine, it exacerbated a pertussis outbreak in Kentucky. Gerry Tolbert, M.D., writes that doctors must learn from such mistakes.

AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/disease_outbreak_shows_what_and.html

The Adult Well-Male Examination - American Family Physician

Dec 15, 2018 - The adult well-male examination should provide evidence-based guidance toward the promotion of optimal health and well-being. The medical history should focus on tobacco and alcohol use, risk of human immunodeficiency virus and other sexually transmitted infections, and diet and ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1215/p729.html

Chronic Cough: Evaluation and Management - American Family Physician

Nov 1, 2017 - Although chronic cough in adults (cough lasting longer than eight weeks) can be caused by many etiologies, four conditions account for most cases: upper airway cough syndrome, gastroesophageal reflux disease/laryngopharyngeal reflux disease, asthma, and nonasthmatic eosinophilic ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1101/p575.html

Febrile Seizures: Risks, Evaluation, and Prognosis - American Family Physician

Apr 1, 2019 - A febrile seizure is a seizure occurring in a child six months to five years of age that is accompanied by a fever (100.4°F or greater) without central nervous system infection. Febrile seizures are classified as simple or complex. A complex seizure lasts 15 minutes or more, is ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0401/p445.html

Health Maintenance in School-Aged Children: Part I. History, Physical Examination, ...

Aug 15, 2019 - The goals of the health maintenance visit in school-aged children (five to 12 years) are promoting health, detecting disease, and counseling to prevent injury and future health problems. During the visit, the physician should address patient and parent/caregiver concerns and ask about ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0815/p213.html

Diagnosis and Treatment of Acute Pyelonephritis in Women - American Family Physician

Sep 1, 2011 - Acute pyelonephritis is a common bacterial infection of the renal pelvis and kidney most often seen in young adult women. History and physical examination are the most useful tools for diagnosis. Most patients have fever, although it may be absent early in the illness. Flank pain is ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0901/p519.html

The Pregnant Patient: Managing Common Acute Medical Problems - American Family Physician

Nov 1, 2018 - Women often see their primary care physicians for common acute conditions during pregnancy. These conditions may be caused by pregnancy (obstetric problems) or worsened by pregnancy (obstetrically aggravated problems), or they may require special consideration during pregnancy because ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1101/p595.html

Acute Hand Infections - American Family Physician

Feb 15, 2019 - Acute hand infections are often caused by puncture wounds and are generally classified into superficial or deep infections. Superficial infections occur in the skin and subcutaneous tissues, whereas deep infections can involve the tendon sheaths, adjacent anatomic compartments, deep ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0215/p228.html

Type 1 Diabetes: Management Strategies - American Family Physician

Aug 1, 2018 - There is considerable benefit of tight glucose control in patients with type 1 diabetes mellitus. Tight blood glucose control dramatically decreases the incidence of microvascular and macrovascular complications. Although glycemic goals should be individualized, most nonpregnant adults ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0801/p154.html

Geriatric Assessment: An Office-Based Approach - American Family Physician

Jun 15, 2018 - Family physicians should be proficient in geriatric assessment because, as society ages, older adults will constitute an increasing proportion of patients. Geriatric assessment evaluates medical, social, and environmental factors that influence overall well-being, and addresses ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0615/p776.html

Vaccine Adverse Events: Separating Myth from Reality - American Family Physician

Jun 15, 2017 - Vaccines are one of the most successful medical advances in modern times. Most vaccine-preventable illnesses are unfamiliar to modern parents. Because of this, parents are increasingly questioning the necessity of immunizing their children, especially because no vaccine is completely ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0615/p786.html

Trauma in Pregnancy: Assessment, Management, and Prevention - American Family Physician

Nov 15, 2014 - Trauma complicates one in 12 pregnancies, and is the leading nonobstetric cause of death among pregnant women. The most common traumatic injuries are motor vehicle crashes, assaults, falls, and intimate partner violence. Nine out of 10 traumatic injuries during pregnancy are classified ...

American Family Physician : Article

https://www.aafp.org/afp/2014/1115/p717.html

Community-Acquired Pneumonia in Children - American Family Physician

Oct 1, 2012 - Community-acquired pneumonia is a potentially serious infection in children and often results in hospitalization. The diagnosis can be based on the history and physical examination results in children with fever plus respiratory signs and symptoms. Chest radiography and rapid viral ...

American Family Physician : Article

https://www.aafp.org/afp/2012/1001/p661.html

Health Maintenance in Postmenopausal Women - American Family Physician

May 1, 2017 - Cardiovascular disease is the leading cause of death and disability in postmenopausal women older than 50 years. Clinicians should use the pooled cohort risk assessment equations or another risk calculator every three to five years to estimate a woman’s 10-year risk of atherosclerotic ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0501/p561.html

Essentials of Skin Laceration Repair - American Family Physician

Oct 15, 2008 - Skin laceration repair is an important skill in family medicine. Sutures, tissue adhesives, staples, and skin-closure tapes are options in the outpatient setting. Physicians should be familiar with various suturing techniques, including simple, running, and half-buried mattress (corner)...

American Family Physician : Article

https://www.aafp.org/afp/2008/1015/p945.html

Update on Prenatal Care - American Family Physician

Feb 1, 2014 - Many elements of routine prenatal care are based on tradition and lack a firm evidence base; however, some elements are supported by more rigorous studies. Correct dating of the pregnancy is critical to prevent unnecessary inductions and to allow for accurate treatment of preterm labor....

American Family Physician : Article

https://www.aafp.org/afp/2014/0201/p199.html

Initial Management of Patients with HIV Infection - American Family Physician

Nov 1, 2016 - Human immunodeficiency virus (HIV) infection has become a treatable chronic disease with near-normal life expectancy when patients receive antiretroviral therapy (ART). Family physicians and other primary care clinicians commonly provide long-term comprehensive care for persons with HIV...

American Family Physician : Article

https://www.aafp.org/afp/2016/1101/p708.html

The Adult Well Male Examination - American Family Physician

May 15, 2012 - The adult well male examination should incorporate evidence-based guidance toward the promotion of optimal health and well-being, including screening tests shown to improve health outcomes. Nearly one-third of men report not having a primary care physician. The medical history should ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0515/p964.html

Preventing Pertussis in Infants by Vaccinating Adults - Editorials - American Family ...

Aug 1, 2006 - ...Preventing Pertussis in Infants by Vaccinating Adults REGINALD FINGER, M.D., M.P.H., Colorado Springs, Colorado JERAD SHOEMAKER, B.S., MS-III, Loma Linda University School of Medicine Loma Linda, California Am Fam Physician. 2006 Aug 1;74(3):382. Related Article In this issue of...

American Family Physician : Editorials

https://www.aafp.org/afp/2006/0801/p382.html

The Pretravel Consultation - American Family Physician

Oct 15, 2016 - Key components of the pretravel consultation include intake questions regarding the traveler’s anticipated itinerary and medical history; immunizations; malaria prophylaxis; and personal protection measures against arthropod bites, traveler’s diarrhea, and injury. Most vaccinations that...

American Family Physician : Article

https://www.aafp.org/afp/2016/1015/p620.html

How to Manage a Pertussis Outbreak in Your Practice -- FPM

Aug 1, 2005 - A physician shares the lessons he learned after unknowingly exposing patients and staff to whooping cough.

Family Practice Management : Articles

https://www.aafp.org/fpm/2005/0700/p31.html

Adolescent Vaccination Rates Climbing, but Some Still Fall Short of HHS Goals

Aug 4, 2009 - Tetanus, diphtheria toxoids and acellular pertussis, or Tdap, vaccine is recommended for all 11- and 12-year-olds, but only 30.4 percent of eligible American adolescents received the combination vaccine in 2007, according to the CDC.

AAFP News : Special Report: Vaccines and Immunizations

https://www.aafp.org/news/vaccine/20090804teen-shots.html

Care of the Homeless: An Overview - American Family Physician

Apr 15, 2014 - Homelessness affects men, women, and children of all races and ethnicities. On any given night, more than 610,000 persons in the United States are homeless; a little more than one-third of these are families. Homeless persons are more likely to become ill, have greater hospitalization ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0415/p634.html

Cesarean Delivery: Counseling Issues and Complication Management - American Family ...

Feb 1, 2015 - Nearly one-third of all deliveries in the United States are cesarean deliveries. Compared with spontaneous vaginal delivery, cesarean delivery is associated with increased maternal and neonatal morbidity and mortality. Interventions that decrease the chance of a cesarean delivery ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0201/p178.html

Recommendations for Preconception Counseling and Care - American Family Physician

Oct 15, 2013 - Given that nearly one-half of pregnancies are unintended, preconception care should be considered an integral part of primary care for women of reproductive age. Common issues in preconception care include family planning, achieving a healthy body weight, screening and treatment for ...

American Family Physician : Article

https://www.aafp.org/afp/2013/1015/p499.html

Common Eye Emergencies - American Family Physician

Oct 15, 2013 - Ocular emergencies such as retinal detachments, mechanical globe injuries, and chemical injuries can cause permanent vision loss if they are not recognized and treated promptly. Family physicians should be familiar with the signs and symptoms associated with each condition, and be able ...

American Family Physician : Article

https://www.aafp.org/afp/2013/1015/p515.html

Evaluation of the Patient with Chronic Cough - American Family Physician

Oct 15, 2011 - Initial evaluation of the patient with chronic cough (i.e., of more than eight weeks’ duration) should include a focused history and physical examination, and in most patients, chest radiography. Patients who are taking an angiotensin-converting enzyme inhibitor should switch to a ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1015/p887.html

Febrile Seizures: Risks, Evaluation, and Prognosis - American Family Physician

Jan 15, 2012 - Febrile seizures are common in the first five years of life, and many factors that increase seizure risk have been identified. Initial evaluation should determine whether features of a complex seizure are present and identify the source of fever. Routine blood tests, neuroimaging, and ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0115/p149.html

Hepatitis B: Diagnosis and Treatment - American Family Physician

Apr 15, 2010 - Although an estimated 1 million persons in the United States are chronically infected with hepatitis B virus, the prevalence of hepatitis B has declined since the implementation of a national vaccination program. Hepatitis B virus is transmitted in blood and secretions. Acute infection ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0415/p965.html

ACIP Recommends the Use of Tdap in Adults - Practice Guidelines - American Family ...

Sep 15, 2007 - The Advisory Committee on Immunization Practices (ACIP) recommends the routine use of a tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine (Tdap; Adacel) among adults 19 to 64 years of age who have not already received a dose of Tdap.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0915/p891.html

Health Maintenance in School-aged Children: Part I. History, Physical Examination, ...

Mar 15, 2011 - The goals of the well-child examination in school-aged children (kindergarten through early adolescence) are promoting health, detecting disease, and counseling to prevent injury and future health problems. A complete history should address any concerns from the patient and family and ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0315/p683.html

Pertussis: A Reemerging Infection

...Pertussis: A Reemerging Infection JONATHAN M. KLINE, PharmD, BCPS; WILLIAM D. LEWIS, MD; ELEANOR A. SMITH, MD; LLOYD R. TRACY, MD; and SARAH K. MOERSCHEL, MD, West Virginia University School of Medicine, Eastern Division, Harpers Ferry, West Virginia P ertussis, also known as...

American Family Physician

https://www.aafp.org/afp/2013/1015/p507.pdf

How to Manage a Pertussis Outbreak in Your Practice -- Family Practice Management

...How to Manage a Pertussis Outbreak in Your Practice A physician shares the lessons he learned after unknowingly exposing patients and staff to whooping cough. Dr. Flanagan practices in State College, Pa., and is an associate professor of family and community medicine with the...

Family Practice Management

https://www.aafp.org/fpm/2005/0700/p31.pdf

CDC Releases Best Practices for the Use of PCR Testing for Diagnosing Pertussis

...Diagnosing pertussis in the early stages can be difficult, because early signs and symptoms are often nonspecific. Polymerase chain reaction (PCR) testing, a technique used to detect DNA sequences specific for Bordetella pertussis, is used for diagnosis; however, results should be...

American Family Physician

https://www.aafp.org/afp/2011/1115/p1176.pdf

Pertussis Encounter Form: Community Exposure

...l Review chart l Exposed individual notifies our office of a pertussis exposure in the community. l Exposure Info: By whom: __________________________ Where: ______________________ When: _____________________ Is the exposed individual our established patient? l No: Refer to...

Family Practice Management

https://www.aafp.org/fpm/2005/0700/fpm20050700p31-rt1.pdf

Management of Foreign Bodies in the Skin - American Family Physician

Sep 1, 2007 - Although puncture wounds are common, retained foreign bodies are not. Wounds with a foreign body sensation should be evaluated. The presence of wood or vegetative material, graphite or other pigmenting materials, and pain is an indication for foreign body removal. Radiography may be ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0901/p683.html

Guidelines for the Use of Antibiotics in Acute Upper Respiratory Infections - American ...

Sep 15, 2006 - To help physicians with the appropriate use of antibiotics in children and adults with upper respiratory tract infection, a multidisciplinary team evaluated existing guidelines and summarized key practice points. Acute otitis media in children should be diagnosed only if there is abrupt...

American Family Physician : Article

https://www.aafp.org/afp/2006/0915/p956.html

Primary Care for Refugees - American Family Physician

Feb 15, 2011 - Over the past decade, at least 600,000 refugees from more than 60 different countries have been resettled in the United States. The personal history of a refugee is often marked by physical and emotional trauma. Although refugees come from many different countries and cultures, their ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0215/p429.html

Try These Techniques to Boost Adolescent Immunizations

Aug 3, 2018 - Residency programs that won AAFP Foundation Adolescent Immunization Awards share techniques that helped them boost vaccination rates for the following vaccine-preventable diseases: influenza; tetanus, diphtheria and pertussis; HPV infection; and meningitis.

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20180803fdtnimmunawards.html

The Diagnosis of Wheezing in Children - American Family Physician

Apr 15, 2008 - Wheezing in children is a common problem encountered by family physicians. Approximately 25 to 30 percent of infants will have at least one wheezing episode, and nearly one half of children have a history of wheezing by six years of age. The most common causes of wheezing in children ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0415/p1109.html

Use New AAFP Resource to Encourage Tdap Vaccination for Pregnant Patients

Apr 29, 2015 - The AAFP has created a resource to inform and remind family physicians about recommending tetanus toxoid, reduced diphtheria toxoid and acellular pertussis vaccine to pregnant women during every pregnancy.

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20150429pertussispage.html

Health Maintenance for Postmenopausal Women - American Family Physician

Sep 1, 2008 - Menopause is the permanent cessation of menstruation resulting from the loss of ovarian and follicular activity. It usually occurs when women reach their early 50s. Vasomotor symptoms and vaginal dryness are frequently reported during menopause. Estrogen is the most effective treatment ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0901/p583.html

Recombinant Zoster Vaccine (Shingrix) for the Prevention of Shingles - STEPS - American...

Oct 15, 2018 - Recombinant zoster vaccine is a relatively new shingles vaccine that has been shown to have greater effectiveness and protection than the existing live vaccine. Local and systemic adverse effects may occur after administration, but have been shown to resolve within one to three days.

American Family Physician : STEPS

https://www.aafp.org/afp/2018/1015/p539.html

ACIP Approves 2019 Adult and Childhood/Adolescent Immunization Schedules - Practice ...

Feb 15, 2019 - The 2019 adult and childhood/adolescent immunization schedules have been approved by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0215/p264.html

CDC Launches #HowIRecommend Vaccination Video Series

Aug 13, 2019 - The CDC launched a new website for its #HowIRecommend videos series, featuring health care professionals talking about how they recommend vaccines to different types of patients.

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20190813reccvaccvideos.html

HIV Infection: The Role of Primary Care - American Family Physician

Nov 1, 2009 - Human immunodeficiency virus infection was first documented in the United States in 1981. Since that time, significant strides have been made in the prevention and treatment of the condition. Screening is paramount in identifying early infection and is now a routine component of primary...

American Family Physician : Article

https://www.aafp.org/afp/2009/1101/p946.html

Palliative Care in Advanced Dementia - Curbside Consultation - American Family Physician

Apr 1, 2019 - What is the best way for family physicians to determine prognosis and applicability of palliative care for patients with dementia?

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2019/0401/p456.html

Subcutaneous Nodules on the Chest, with Cough and Weight Loss - Photo Quiz - American ...

Apr 1, 2019 - A 60-year-old smoker presented with cough and hemoptysis. She had also developed several subcutaneous masses on her chest wall and left and right abdominal wall over the past several months.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/0401/p451.html

Resolution No. 410 (South Carolina A) - National Immunization Registry -- Congress of ...

May 22, 2019 - This resolution asks that the American Academy of Family Physicians advocate for a national immunization registry for children and adults that is web-based accessible, and be it further that the AAFP request the U.S. Department of Health and Human Services to monitor a national ...

About AAFP : Organizational Leadership

https://www.aafp.org/about/governance/congress-delegates/2018/resolutions2/southcarolina-a.mem.html

The Pretravel Consultation - American Family Physician

Sep 15, 2009 - The increase in travel and travel medicine knowledge over the past 30 years makes pretravel counseling an essential part of comprehensive family medicine. Effective counseling begins with assessment of individual and itinerary-based risks, using a growing body of evidence-based ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0915/p583.html

The Cough that Would Not Quit - Close-ups - American Family Physician

Feb 1, 2019 - Hesitancy about vaccinations and the dangers this presents.

American Family Physician : Close-ups

https://www.aafp.org/afp/2019/0201/p185.html

Community-Acquired Pneumonia in Infants and Children - American Family Physician

Sep 1, 2004 - Community-acquired pneumonia is one of the most common serious infections in children, with an annual incidence of 34 to 40 cases per 1,000 children in Europe and North America. When diagnosing community-acquired pneumonia, physicians should rely mainly on the patient's history and ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0901/p899.html

Sudden Infant Death Syndrome - American Family Physician

May 15, 2009 - Sudden infant death syndrome is the leading cause of death among healthy infants, affecting 0.57 per 1,000 live births. The most easily modifiable risk factor for sudden infant death syndrome is sleeping position. To reduce the risk of sudden infant death syndrome, parents should be ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0515/p870.html

Outbreak Brings Patients Running for Vaccinations

Jun 12, 2018 - As a hepatitis A outbreak in her state reaches 150 cases and counting, Kimberly Becher, M.D., wonders in this Fresh Perspectives blog post if media-induced hysteria might actually help overall vaccination rates.

AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20180612fp-hepa.html

DTaP Vaccine Supplies Will Be Limited for Summer 2013

May 22, 2013 - For the second consecutive summer, the CDC is issuing guidance on immunizing children during an ongoing shortage of certain combination vaccines. According to a notice on the CDC website, Sanofi Pasteur's diphtheria and tetanus toxoids and acellular pertussis adsorbed, inactivated ...

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20130522dtap-shortage.html

Outpatient Care of the Premature Infant - American Family Physician

Oct 15, 2007 - An increasing number of infants in the United States are born prematurely, with current statistics estimating about 13 percent of all births. Although survival rates and outcomes for premature infants have dramatically improved in recent decades, morbidity and mortality are still ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1015/p1159.html

Preconception Care (Position Paper)

May 4, 2018 - Read the AAFP's position paper on preconception care. Preconception care is defined as individualized care for men and women that is focused on reducing maternal and fetal morbidity and mortality.

About AAFP |AAFP Policies and Recommendations : Policies

https://www.aafp.org/about/policies/all/preconception-care.html

ACIP Discusses Intussusception Risk From Rotavirus Vaccine, Limiting Tdap Administration

Jun 24, 2013 - An increased risk of intussusception from rotavirus vaccination and changes to delivery of the tetanus, diphtheria and acellular pertussis vaccine were among topics discussed by the CDC's Advisory Committee on Immunization Practices (ACIP) during its June 19-20 meeting in Atlanta. ...

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20130624acipmeeting.html

Family Physicians Are on Frontline of Protecting Kids as School Starts

Aug 15, 2013 - Did you think that vaccine-preventable diseases had disappeared? Think again. Outbreaks continue to happen. In 2006, for example, more than 6,000 cases of mumps occurred in the Midwest. In 2010, California saw more than 9,000 cases of pertussis, and 10 infants died of the disease. And ...

AAFP News : As We See It: Voices From the AAFP

https://www.aafp.org/news/opinion/20130815vaccineedl.html

AAFP Letter to CMS on Medicare Part B Coverage of the Shingles Vaccine - May 28, 2015

AAFP letter to CMS urging coverage under Medicare Part B for the cost of the shingles vaccine and the recommended one-time dose of tetanus, diphtheria, and acellular pertussis (Tdap) plus their administration in family physicians’ offices

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/vaccines/LT-CMS-Shingles-052815.pdf

Study Indicates DTaP's Efficacy Wanes After Final Dose

Sep 25, 2012 - According to a Sept. 13 article in the New England Journal of Medicine, the ability of the diphtheria and tetanus toxoids and acellular pertussis adsorbed (DTaP) vaccine to fight off pertussis is relatively short-lived and diminishes sharply in the years following the fifth and final ...

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20120925dtapstudy.html

Leukocytosis: Basics of Clinical Assessment - American Family Physician

Nov 1, 2000 - Leukocytosis, a common laboratory finding, is most often due to relatively benign conditions (infections or inflammatory processes). Much less common but more serious causes include primary bone marrow disorders. The normal reaction of bone marrow to infection or inflammation leads to ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1101/p2053.html

News in Brief: Week of Feb. 11-15

Feb 13, 2013 - This roundup includes the following news briefs: Record-high $4.2 Billion Recovered in 2012 Health Care Fraud Efforts; CDC Provides New Pertussis Infographic to Educate Patients; Get the 4-1-1 on Medicare GME Payments From AAMC; Increased Risk of Diabetes, Metabolic Disorders Exists for...

AAFP News : News in Brief

https://www.aafp.org/news/news-in-brief/20130213wklynewsbrfs.html

Recommendations for Preconception Care - American Family Physician

Aug 1, 2007 - Every woman of reproductive age who is capable of becoming pregnant is a candidate for preconception care, regardless of whether she is planning to conceive. Preconception care is aimed at identifying and modifying biomedical, behavioral, and social risks through preventive and ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0801/p397.html

Hike in HPV Vaccinations Lags Behind Tdap, Meningococcal Vaccine Increases

Sep 4, 2012 - Although overall vaccine coverage among adolescents ages 13-17 is increasing at a healthy rate, the growth in the number of teens being vaccinated against human papillomavirus (HPV) infection is badly lagging behind increases among those vaccinated against pertussis and meningococcal ...

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20120904teenhpvnumbers.html

Building Relationships With Parents Can Make a Difference in Vaccine Acceptance

Jun 6, 2012 - Pertussis was big news two years ago, when more than 9,000 cases -- a 60-year high -- were reported in California. Ten infants died, and whooping cough suddenly was headline news. That epidemic eventually waned, and so did the public's attention. Now, pertussis outbreaks are happening ...

AAFP News : As We See It: Voices From the AAFP

https://www.aafp.org/news/opinion/20120606editvaccines.html

Vaccination Rates Still Too Low in Adults, Says CDC

Feb 4, 2013 - Except for modest increases in tetanus, diphtheria and acellular pertussis vaccination overall and in human papillomavirus vaccination among women, 2011 noninfluenza adult vaccination coverage in the United States showed little improvement compared with 2010 coverage, according to the ...

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20130204adultvaccrates.html

AAP Releases Guideline on Brief Resolved Unexplained Events (BRUEs) and Evaluation of ...

Mar 1, 2017 - This guideline from the American Academy of Pediatrics (AAP) addresses apparent life-threatening events (ALTEs), a term recommended to be replaced by brief resolved unexplained events (BRUEs).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2017/0301/p330.html

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