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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

ACIP Updates Pertussis Vaccine Recommendation

Oct 30, 2019 - During its Oct. 23-24 meeting, the CDC's Advisory Committee on Immunization Practices updated its recommendation for the pertussis vaccine and was briefed on this season's flu activity.

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20191030acip.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

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

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

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

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

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

Immunizations (excluding Influenza) - American Family Physician

Sep 15, 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

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

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

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

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

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

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

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

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

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

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

Treatment of the Common Cold - American Family Physician

Sep 1, 2019 - Acute upper respiratory tract infections are extremely common in adults and children, but only a few safe and effective treatments are available. Patients typically present with nasal congestion, rhinorrhea, sore throat, cough, general malaise, and/or low-grade fever. Informing patients...

American Family Physician : Article

https://www.aafp.org/afp/2019/0901/p281.html

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

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

Vaccination Gaps Leave Pregnant Moms, Infants Unprotected

Oct 16, 2019 - According to recent research from the CDC, about 65% of mothers surveyed reported they had not received the seasonal influenza and tetanus, diphtheria and acellular pertussis vaccines before or during pregnancy.

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20191016vaccinpregnancy.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

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

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

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

Opioid Use Disorder: Medical Treatment Options - American Family Physician

Oct 1, 2019 - Opioid use disorder is highly prevalent and can be fatal. At least 2.1 million Americans 12 years and older had opioid use disorder in 2016, and approximately 47,000 Americans died from opioid overdoses in 2017. Opioid use disorder is a chronic relapsing condition, the treatment of ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1001/p416.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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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