American College of Physicians: Internal Medicine — Doctors for Adults ®

Internal Medicine 2010
for Hospitalists

Extensive Hospital Medicine track offers the best clinical education in internal medicine for hospitalists.

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Tuesday, March 2, 2010

Wash your hands or your badge will buzz

Doctors at the University of Florida invented a device that sniffs employees' hands for soap residue to check whether they've washed them enough.

After employees wash their hands, they pass them under the sniffer and their badge activates. When they later approach a patient, a bed-side monitor reads the badge and flashes green if the person has clean hands. If the person didn't wash or too much time has passed since they have, the badge vibrates to remind the employee.

We'd already covered bathing hands with plasma instead of soap. Don't get those near the sniffer.

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Wednesday, November 4, 2009

Ties that bind, and make you gag

Here's a complex solution to a simple problem. Doctors wear ties, which may carry germs that may add to the problem of health care acquired infections. British hospitals banned ties. In America, we made them germ resistant.

SafetyTies claims to make ties and scarves with a built-in barrier for dirt, liquids and bacteria. The company describes its "nanotechnology" and cites "independent studies" that show 99.95% resistance to H1N1 influenza.

Whether the ties are attractive enough to wear is a matter of opinion, however. Patterns include those of MRSA microbes and other common germs. Do write us or send pictures if you actually buy one of these and wear it to your health care facility.

"In our effort to stop the spread of H1N1, we need every tool at our disposal," said SafeSmart co-founder April Strider in a press release. "While vaccinations and handwashing are obviously the first line of defense, SafetyTies and SafetyScarves are an easy, sensible and fashionable way for individuals to help reduce the spread of H1N1."

Or, doctors can stop wearing them. We've covered this issue before. ACP Hospitalist has a bit more practical advice from our magazine and our weekly e-news about serious efforts to reduce health care acquired infections. And, others have suggested using dedicated stethoscopes in rooms dedicated to treating resistant infections.

UPDATE: Doctors are buying these ties. Some feel a tie conveys respect to the patient and have chosen to adopt their use.

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Thursday, August 13, 2009

Got MRSA?

A new study of U.S. data shows that in the five years that elapsed between the beginning of 2000 through the end of 2004, the number of people hospitalized
for community-acquired MRSA infections rose by 29%. Possible explanations include greater resistance to antibiotics prescribed for outpatients, and more physician awareness of the
seriousness of the infections--which leads them to recommend hospitalization, the authors said. The article is in the September Emerging Infectious Diseases journal.

Speaking of infections, the Sept. EID journal also contains a fascinating little piece on the dangers of backyard raccoon "latrines". Less than a teaspoon of raccoon poo can contain tens of thousands of parasite eggs which can attack the brain and eyes, leading to death or neurologic disability, the article says. It advises parents to keep an eye on where their children play, and drive those nasty raccoons away when possible. (The latter is easier said than done, according to a bunch of people on the Internet.)

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Contact ACP Hospitalist

Send comments to ACP Hospitalist staff at acphospitalist@acponline.org.

Blog log

American Journal of Medicine
Also known as the Green Journal, the American Journal of Medicine publishes original clinical articles of interest to physicians in internal medicine and its subspecialities, both in academia and community-based practice.

Clinical Correlations
A collaborative medical blog started by Neil Shapiro, ACP Member, associate program director at New York University Medical Center's internal medicine residency program. Faculty, residents and students contribute case studies, mystery quizzes, news, commentary and more.

db's Medical Rants
Robert M. Centor, FACP, contributes short essays contemplating medicine and the health care system.

Everything Health
EverythingHealth is designed to address the rapid changes in science, medicine, health and healing in the 21st Century.

Getting Better with Dr. Val
Getting Better is the continuation of Dr. Val Jones' previous blog at Revolution Health. It is devoted to helping people understand health issues from a balanced, scientifically sound perspective.

HealthHombre
A roundup of health policy news drawn from a database of hundreds of Web sites.

Interact MD
Michael Benjamin, ACP member, doesn't accept industry money so he can create an independent, clinician-reviewed space on the Internet for physicians to report and comment on the medical news of the day.

Kevin, MD
The alter ego of Kevin Pho, ACP Member, is the closest thing to royalty in the medical blog world.

LSUHSC-S Medical Library Evidence Alert
Major guidelines, systematic reviews, meta-analyses and/or major reviews by national and international organizations.

PLoS Blog
The Public Library of Science's open access materials include a blog.

White Coat Rants
One of the most popular anonymous blogs written by a doctor.

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