Issues
Volume 200 Issue 5
In this issue
Infectious diseases — sometimes out of sight, never out of mind
The more we learn about infections, the greater our respect for them grows
Tania Janusic
Highlights from our archives
Highlights from our archives
The full content of this article is available by downloading the PDF.
Editorials
Drug-resistant tuberculosis: collaborative regional leadership required
Crisis provides urgency and focus for coordinated action to improve regional health and development
Suman S Majumdar MPH · Ben J Marais MD, PhD · Justin T Denholm MPH · Warwick J Britton PhD, FRACP, FRCPA,
Clostridium difficile — what is the Australian story?
Have distance and preparedness helped our hospitals dodge the C. difficile bullet?
Paul D R Johnson MB BS, PhD, FRACP · Rhonda L Stuart MB BS, PhD, FRACP
Immunisation for herpes zoster: current status
Herpes zoster is a painful, disabling condition so the recent development of preventive vaccines is welcome
Anthony L Cunningham AO, MD, FRACP · John C B Litt MB BS, FRACGP, PhD · C Raina MacIntyre FRACP, FAFPHM, PhD
In brief
From the Australian Institute of Health and Welfare
The full content of this article is available by downloading the PDF.
News
The full content of this article is available by downloading the PDF.
Perspectives
Advance care directives are not always helpful
Universal advance care directives may not solve the current problems surrounding end-of-life discussions
Adrian M J Pokorny BMed
Changes in health financing
AMA president Steve Hambleton challenges doctors to accept that they have stewardship of the health system
Steven J Hambleton MB BS, FAMA
Partial foot amputation may not always be worth the risk of complications
Similarity in functionality with partial foot and transtibial amputation focuses attention on complication rates
Michael P Dillon BP · Stefania Fatone BP · Meg E Morris BAppSc(Physio), PhD, FACP
Letters
Tranexamic acid and trauma
Can safety evidence for tranexamic acid in elective surgery support its use in trauma?
James Jarman · Andrew Brier
Tranexamic acid and trauma
Can safety evidence for tranexamic acid in elective surgery support its use in trauma?
Ian Roberts
Tranexamic acid and trauma
Can safety evidence for tranexamic acid in elective surgery support its use in trauma?
Russell L Gruen · Ian G Jacobs · Michael C Reade
Think before you insert an intravenous catheter
We need better data before we stop inserting “just in case” catheters in the ED
Peter Lewindon
How should we interpret hospital infection statistics?
However rates of Staphylococcus aureus bacteraemia are reported, the aim should be to reduce them
Diane E Watson
How should we interpret hospital infection statistics?
However rates of Staphylococcus aureus bacteraemia are reported, the aim should be to reduce them
Allen C Cheng · Leon J Worth
Listeria monocytogenes in a healthy young adult
Consider differential diagnoses of lymphocytic meningitis in the immune competent individual
Ohide Otome · Michael Bullen · Adrian R Tramontana
Time to reconsider steroid injections in the spine?
Steroid injections in the spine are effective, but only if given in the acute phase of the inflammatory reaction
Thomas K F Taylor · Stephen J Ruff
First, do no harm
Risks of radiation exposure in CT scans are considerable for children and young adults, and MRI scans are preferable
Lynton G F Giles
Measuring the environmental cost of health-related travel from rural and remote Australia
Travel from remote areas to access health care could be contributing significantly to carbon emissions
Colleen Cheek · Timothy Skinner · Isabelle Ellis
Revalidation in the United Kingdom
Revalidation for doctors working in the UK is complex, and its implications on the workforce remain to be seen
Heinz Tilenius
Doctors, death certificates and reporting to coroners — room for improvement
Can our strained forensic pathologist workforce manage a clinically driven increase in reporting?
Susan J MacCallum · Antoinette C Anazodo
Doctors, death certificates and reporting to coroners — room for improvement
Can our strained forensic pathologist workforce manage a clinically driven increase in reporting?
Sandra L Neate · Lyndal C Bugeja · George A Jelinek
Doctors, death certificates and reporting to coroners — room for improvement
Can our strained forensic pathologist workforce manage a clinically driven increase in reporting?
Stephen M Cordner
Vitamin D and tuberculosis
Vitamin D may well play a role, but the focus should be awareness of likely exposure to active TB
Anastasios Konstantinos
Clinical focus
Treatment and prevention of Mycobacterium ulcerans infection (Buruli ulcer) in Australia: guideline update
Bringing the guidelines in line with new developments
Daniel P O’Brien MB BS, FRACP · Grant Jenkin MB BS, PhD, FRACP · John Buntine MB BS, FRACS · Christina M Steffen BA, MB BS, FRACS · Anthony McDonald MB BS, FRACS · Simon Horne MB BS, FRACGP · N Deborah Friedman MB BS, FRACP, MD · Eugene Athan MB BS, FRACP, MPH · Andrew Hughes MB BS, FRACP · Peter P Callan MB BS, FRACS, MBA · Paul D R Johnson MB BS, PhD, FRACP
Research
Increasing incidence of Clostridium difficile infection, Australia, 2011–2012
A 2-year national survey confirms a significant rise in rates and finds a quarter of cases were community-acquired
Claudia Slimings BSc, PGDipHlthSci, PhD · Paul Armstrong BE(Min), MB BS, MApplEpi · Wendy D Beckingham BHSc(Nurs), GradCertInfectControl, MClinNurs · Ann L Bull BSc(Hons), MAppEpid, PhD · Lisa Hall BTech(Hons), PhD · Karina J Kennedy MB BS, FRACP, FRCPA · John Marquess BSc, MPH · Rebecca McCann RN, BSc(Nurs) · Andrea Menzies RN, BNursSci, GradCertInfectControlNurs · Brett G Mitchell PhD, MAdvPrac, BN · Michael J Richards MB BS, FRACP · Paul C Smollen MN, MPH, ICC · Lauren Tracey BHlthSc, MPH · Irene J Wilkinson BSc(Hons), MPH · Fiona L Wilson DipAppSci(Nurs), GradDipAdvNsg(ID), SICC · Leon J Worth MB BS, FRACP, PhD · Thomas V Riley PhD, FRCPath, FSc(RCPA)
Trends in HIV, hepatitis B and hepatitis C prevalence among Australian prisoners - 2004, 2007, 2010
Hepatitis B and hepatitis C prevalence has remained high despite an apparent drop in injecting drug use
Joanne M Reekie PhD, MPhil, BSc · Michael H Levy MB BS, MPH, FAFPHM · Alun H Richards MB BCh, FAFPHM, FAChAM · Christopher J Wake MB BCh, MRCP, MForensMed · Deborah A Siddall AdDipCommServ, DipCommEduc, DipAppSc · Holly M Beasley BSc, PostGradDip(IntHealth) · Shalin Kumar MHlthSc, MAppMan · Tony G Butler MSc, MSc, PhD
Staphylococcus aureus bloodstream infection in Australian hospitals: findings from a Victorian surveillance system
Continuous surveillance showed a significant reduction in rates during the first 3 years
Leon J Worth MB BS, FRACP, PhD · Tim Spelman MB BS, BSc, GradCert(Stats) · Ann L Bull PhD · Michael J Richards MB BS, FRACP, MD
Decreasing prevalence of Trichuris trichiura (whipworm) in the Northern Territory from 2002 to 2012
There are signs that the prevalence of whipworm infection in the NT is declining but more can be done
Amy L Crowe MB BS · Pam Smith · Linda Ward BAppSci, MMedSci · Bart J Currie FRACP, FAFPHM, DTM+H · Rob Baird MB BS, FRACP, FRCPA
Airport arrivals screening during pandemic (H1N1) 2009 influenza in New South Wales, Australia
Out of over half a million arrivals at Sydney Airport, only three were confirmed to have influenza A
Praveena J Gunaratnam BA, MPH · Sean Tobin BM BS, MPH, FAFPHM · Holly Seale BSc, MPH, PhD · Andrew Marich MB BS, MPH, DCH · Jeremy McAnulty MB BS, MPH, FAFPHM
Case reports
Artefactual “in-vitro coagulopathy” in a patient with non-Hodgkin lymphoma and lower gastrointestinal bleeding
Abnormal results of coagulation tests do not necessarily indicate an actual coagulopathy; use with caution
Roderick O’Day MB BS(Hons), LLB(Hons), BSc · Golo Ahlenstiel MD · Anita Chittaranjan Shetty MB BS · Emmanuel J Favaloro PhD, FFSc(RCPA) · Stephen J Williams MB BS, MD, FRACP · Jerry Koutts MB BS, MD, FRACP
Reflections
Smallpox vaccination, colonial Sydney and serendipity
A reminder of the dedication of those committed to the pursuit of health and the protection of many
Kathryn M Weston BSc(Hons), PhD · Wendy C Gallagher BSc(Hons), GradDipA(Lib · James M Branley MB BS, FRACP, FRCPA
Layperson’s guide to pandemics
PANDEMICS, by Nobel Laureate Professor Peter Doherty, is based on the premise of equipping the public to be alert, not alarmed.The book, using a question-and-answer format, begins by giving the reader a crash course in the immune system and how the human body responds to invaders. It then provides a historical overview of pandemics and how respiratory infections, like influenza, are the greatest pandemic threat. ...
Merryn C McKinnon
Careers
Betting the bank
When it comes to investing, the risks may be high, but getting a second opinion the difference in avoiding investment pinion can make all vestment pitfalls
Annabel McGilvray
Flying visits for rural angel
Dr Carol Cox came to Australia from Scotland in the mid 70s expecting Skippy the bush kangaroo. What she found was life-changing for both herself and the rural people of Queensland she serves.
Cate Swannell
Responding to complexity
Diana McKay
A land half won: pain and the modern world
Michael A Ashby MD, FRACP, FFPMANZCA
Pertussis control: where to now?
Peter B McIntyre PhD, FRACP, FAFPHM · Terence M Nolan PhD, FRACP, FAFPHM
The power of systems thinking in medicine
Astika Kappagoda
Age, CKD and other kidney messages
David C Harris MD, BS, FRACP · John Feehally DM, FRCP
Learning by MOOC or by crook
Richard F Heller MD, FRACP, FAFPHM