Antibiotics for trachoma
Review (26 studies, n=4,791) found antibiotic treatment may reduce risk of active trachoma and ocular infection in people infected with C trachomatis, compared to no treatment/placebo, but treatment effect size in individuals is uncertain. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 16, 2019 Category: Consumer Health News Source Type: news

UK is ranked best at resisting tobacco industry's influence according to the first Global Tobacco Industry Interference Index
Results showed the UK (with a score of 26/100, the lower being better), Uganda (29), and Iran (30) were the three highest ranked countries in terms of protecting health policy from industry interference; while Japan experience the greatest interference. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 15, 2019 Category: Consumer Health News Source Type: news

UK is ranked best at resisting tobacco industry's influence according to the first Global Tobacco Industry Interference Index
Results showed the UK (with a score of 26/100, the lower being better), Uganda (29), and Iran (30) were the three highest ranked countries in terms of protecting health policy from industry interference; while Japan experience the greatest interference. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 15, 2019 Category: Consumer Health News Source Type: news

Time to solve childhood obesity: CMO special report
Report calls for action across industry and the public sector to help the government reach its target of halving childhood obesity by 2030. It sets out a range of recommendations for government, supported by 10 principles, and builds on work the government has already done. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 15, 2019 Category: Consumer Health News Source Type: news

State of the nation 2019: children and young people's wellbeing
This report covers statistics on the wellbeing of children and young people in England, wider indicators on their happiness with their relationships, self-reported health and experiences with school, and an in-depth analysis of psychological wellbeing in teenage girls. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 15, 2019 Category: Consumer Health News Source Type: news

State of the nation 2019: children and young people's wellbeing
This report covers statistics on the wellbeing of children and young people in England, wider indicators on their happiness with their relationships, self-reported health and experiences with school, and an in-depth analysis of psychological wellbeing in teenage girls. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 15, 2019 Category: Consumer Health News Source Type: news

Standing up for patient and public safety.
This report outlines the evidence behind the RCN calls for specific legal responsibilities for workforce planning and supply across the health and care system. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 11, 2019 Category: Consumer Health News Source Type: news

Delivering general practice with too few GPs
This briefing presents some ideas on how general practice can continue to be provided as the shortage of GPs becomes chronic. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 11, 2019 Category: Consumer Health News Source Type: news

Standing up for patient and public safety.
This report outlines the evidence behind the RCN calls for specific legal responsibilities for workforce planning and supply across the health and care system. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 11, 2019 Category: Consumer Health News Source Type: news

Zika Virus Infection After the Pandemic
Review looks at the body of information that was acquired during the pandemic and discussed the epidemiologic trends, current knowledge about the transmission and natural history of Zika virus infection and its sequelae, and the principles of diagnosis and clinical management. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 11, 2019 Category: Consumer Health News Source Type: news

Pneumococcal serotype trends, surveillance and risk factors in UK adult pneumonia, 201318
Prospective cohort study (n=2,934) found that the incidence of pneumococcal community acquired pneumonia increased from 32.2 to 48.2 per 100 000 population, predominantly due to non-vaccine type serotype and serotype 3. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 10, 2019 Category: Consumer Health News Source Type: news

Guideline-Based Clinical Assessment Versus Procalcitonin-Guided Antibiotic Use in Pneumonia: A Pragmatic Randomized Trial
This research article concludes that guideline-based serial clinical assessment did not reduce antibiotic exposure compared with procalcitonin-guided care among ED patients with community-acquired pneumonia. The strategies were similar in terms of duration of antibiotic use and clinical outcomes. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 10, 2019 Category: Consumer Health News Source Type: news

2019 exceptional surveillance of respiratory tract infections (self-limiting): prescribing antibiotics (NICE guideline CG69)
This Surveillance Report provides a summary of new evidence published related to the NICE guideline CG69: NICE will withdraw this guideline and incorporate any relevant evidence into relevant antimicrobial prescribing guidelines on sinusitis, sore throat, otitis media and cough. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 10, 2019 Category: Consumer Health News Source Type: news

Vaping-induced severe respiratory disease outbreak: what went wrong?
This viewpoint highlights that although vaping products are likely to be substantially less harmful than combustible products, respiratory hazards result from the physical properties of inhaled aerosols and the chemical effects created when specific chemicals affect the lung. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 10, 2019 Category: Consumer Health News Source Type: news

Standing up for patient and public safety
This report details that there is a lack of clear roles, responsibilities and accountability for workforce planning and supply in England. It means that the health and care workforce may not be growing in line with increasing population need for health and care services. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 10, 2019 Category: Consumer Health News Source Type: news

Get it on time: the case for improving medication management for Parkinson's
This report highlights problems that inpatients with Parkinson's disease can face receiving their medication. These findings include: nearly two-thirds of people who have Parkinson's don't always get their medication on time in hospital; more than three-quarters of people with Parkinson's who were asked reported that their health deteriorated as a result of poor medication management in hospital; and only 21 per cent of respondents said they got their medication on time without having to remind hospital staff. The report sets out recommendations that hospitals should implement to improve medication management. (Source: Cur...
Source: Current Awareness Service for Health (CASH) - October 9, 2019 Category: Consumer Health News Source Type: news

Get it on time: the case for improving medication management for Parkinson's
This report highlights problems that inpatients with Parkinson's disease can face receiving their medication. These findings include: nearly two-thirds of people who have Parkinson's don't always get their medication on time in hospital; more than three-quarters of people with Parkinson's who were asked reported that their health deteriorated as a result of poor medication management in hospital; and only 21 per cent of respondents said they got their medication on time without having to remind hospital staff. The report sets out recommendations that hospitals should implement to improve medication management. (Source: Cur...
Source: Current Awareness Service for Health (CASH) - October 9, 2019 Category: Consumer Health News Source Type: news

Standing up for patient and public safety
This report describes the lack of clear roles, responsibilities and accountability for workforce planning and supply in England. In reality, this means that the health and care workforce is not growing in line with the increasing population need for health and care services, and there are large numbers of vacant posts throughout the system. This impacts upon patient safety and outcomes, and leads to a challenging working environment for staff. The RCN makes the case for legislation to resolve this, alongside additional investment in the nursing workforce and a national health and care workforce strategy for England. (Sourc...
Source: Current Awareness Service for Health (CASH) - October 9, 2019 Category: Consumer Health News Source Type: news

A new approach to complex needs: Primary Care Psychological Medicine first year evaluation
This report highlights how a psychological service working in GP surgeries in Nottingham is improving the health of people with unexplained, persistent physical symptoms of illness. The service has saved more money than its staffing costs in its first year. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 8, 2019 Category: Consumer Health News Source Type: news

Care at the End of Life
This document provides recommendations for effective decision-making and resources for clinical teams and the general public. It hopes to encourage open discussions with patients and families enabling improved advance care and empower patients, carers and clinical teams to better engage in shared decision-making. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 8, 2019 Category: Consumer Health News Source Type: news

Every mind matters
Public Health England has launched England's first NHS campaign to improve mental health literacy. Every Mind Matters is designed to help people take simple steps to look after their mental health, improve their mental wellbeing and support others. The new platform will enable people to create a personalised action plan recommending a set of self-care actions to deal with stress, boost mood, improve sleep and feel in control. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 8, 2019 Category: Consumer Health News Source Type: news

Bezlotoxumab for preventing recurrent Clostridium difficile infection (terminated appraisal)
NICE is unable to make a recommendation on bezlotoxumab (Zinplava) for preventing recurrent Clostridium difficile infection in adults because Merck Sharp& Dohme did not provide an evidence submission. We will review this decision if the company decides to make a submission. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 7, 2019 Category: Consumer Health News Source Type: news

NHS Vale of York Clinical Commissioning Group has gone live with a nursing service using AI to identify patients at risk of needing urgent and emergency care.
The service involves using predictive algorithms, based on learnings from 30,000 patients over 10 years, to use information on their health signs in assigning a risk score to each patient. It runs on NHS trust servers to minimise the volume of data transferred. Scores are then manually screened by registered nurses to decide which patients to recruit to Navigator's Proactive Health Coaching service, a mixture of telephone and face-to-face contact designed to help them manage their conditions. A randomised control trial showed that among those supported by health coaching there was a 36% reduction in A&E attendances. (S...
Source: Current Awareness Service for Health (CASH) - October 7, 2019 Category: Consumer Health News Source Type: news

Life after loss: an economic evaluation of specialist counselling after baby loss
This report is an economic evaluation of the baby loss charity Petals, which provides counselling to women and their partners who have experienced the death of a baby. The evaluation calculates that the national provision of counselling to 4,822 mothers would cost £ 3.17 million per annum, which would create a national safety net of support to help parents at this immensely difficult time. No such service currently operates across England and Wales. The report highlights that specialist baby loss counselling is inexpensive, effective and reduces government expenditure. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 4, 2019 Category: Consumer Health News Source Type: news

A new approach to complex needs: Primary Care Psychological Medicine - first year evaluation
This report finds that the service has reduced the use of GP, outpatient and emergency department services in one year by more than its own staff costs. The report concludes that primary care networks could benefit from setting up similar services in local areas across the country so that fewer people miss out on the support they need close to home. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 3, 2019 Category: Consumer Health News Source Type: news

The community mental health framework for adults and older adults
This framework describes how the Long Term Plan's vision for a place-based community mental health model can be realised, and how community services should modernise to offer whole-person, whole-population health approaches, aligned with the new Primary Care Networks. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 3, 2019 Category: Consumer Health News Source Type: news

Anti-influenza hyperimmune intravenous immunoglobulin for adults with influenza A or B infection (FLU-IVIG): a double-blind, randomised, placebo-controlled trial
RCT (n=313) found that when administered alongside standard care, anti-influenza hyperimmune intravenous immunoglobulin was not superior to placebo for clinical status at day 7 in adults hospitalised with influenza infection. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 3, 2019 Category: Consumer Health News Source Type: news

Anti-influenza immune plasma for the treatment of patients with severe influenza A: a randomised, double-blind, phase 3 trial
RCT (n=140) found that high-titre anti-influenza plasma was not superior to standard plasma for improved clinical status on day 7. Authors highlight that although a small clinically relevant effect could not be excluded, the benefit is insufficient to justify use. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 3, 2019 Category: Consumer Health News Source Type: news

Effect of Vitamin C Infusion on Organ Failure and Biomarkers of Inflammation and Vascular Injury in Patients With Sepsis and Severe Acute Respiratory Failure: The CITRIS-ALI Randomized Clinical Trial
RCT (n=167) found no significant improvement in organ dysfunction scores or markers of inflammation and vascular injury for a 96 hour infusion of vitamin C vs placebo. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 3, 2019 Category: Consumer Health News Source Type: news

DTB Select: Oral or intravenous antibiotics for complex orthopaedic infections?
Summary and context is provided of RCT which concluded oral antibiotics were non-inferior to IV antibiotics with no difference in rate of serious adverse events between regimens. Patients on oral antibiotics had fewer iv-related catheter complications and shorter hospital stays. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 2, 2019 Category: Consumer Health News Source Type: news