December 9th, 2011
Podcast 138: Why do kids in the U.S. get so many inappropriate broad-spectrum antibiotics?
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When kids go for ambulatory care, they get an antibiotic prescribed about 20% of the time. Half of those antibiotics are of the broad-spectrum variety.
What are the factors leading up to this, and what are some resources to turn to for better information on this dangerous situation?
Listen in to this 27-minute podcast with the first author of a Pediatrics study examining the issue.
Links:
Physician’s First Watch coverage of the Pediatrics paper (free)
Get Smart: Know When Antibiotics Work (free CDC site mentioned by Dr. Hersh)
Get Smart for Healthcare (free CDC site)
Rising Plague by Brad Spellberg (book mentioned by Hersh)
ASM statement on the GAIN Act (legislation mentioned by Hersh)
November 18th, 2011
Podcast 137: Clamping the umbilical cord — what’s the big rush?
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A study from Sweden shows that immediate clamping of the cord at birth isn’t such a great idea from the standpoint of the baby’s iron stores.
BMJ‘s editorialist thinks it may be time to change practice in this area.
Listen in — this will be on the test!
November 4th, 2011
Podcast 136: Aspirin lowers colorectal risks in Lynch syndrome — what are the implications for everyone else?
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Last week’s Lancet article on the effect of aspirin on risks for colorectal cancer in patients with Lynch syndrome — a group at particularly high risk — may hold implications for preventing sporadic colon cancers.
Our interview with Prof. Sir John Burn, the study’s first author, explores those implications as well speculations on why we human beings aren’t getting the salicylates we were when our vegetables weren’t so pampered.
Links:
- Physician’s First Watch coverge (free)
- Lancet abstract (free)
- NEJM 2008 paper (free)
- The CAPP3 website
October 28th, 2011
Podcast 135: HPV vaccine effective against anal intraepithelial neoplasia in MSM. Now, how to get it to young men before they’re sexually active?
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The quadrivalent HPV vaccine was effective at preventing anal intraepithelial neoplasias in men who have sex with men, it was reported last week.
The larger question is how to get it to young men before they become sexually active.
We interview Dr. Joel Palefsky of UCSF, the first author on a paper in the New England Journal of Medicine that demonstrates the vaccine’s efficacy.
Links:
- NEJM abstract
- Physician’s First Watch summary
- CDC’s sexually-transmitted diseases web site (mentioned by Palefsky as a good, impartial resource on these questions)
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