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Penicillin Allergy Testing: An Outpatient Nurse-Driven Program for Patients With Cancer
This article describes the development and implementation of an oncology outpatient nurse-driven PAT program.METHODS: A nurse-driven program, initiated with allergy screening at the first encounter, was designed to identify patients with oncologic diagnoses eligible for PAT. Once verified eligible, patients undergo a three-step testing process (scratch test, intradermal injection, and IV challenge dose) administered by the infusion nurse.FINDINGS: From November 2018 to December 2019, 82 outpatients with reported penicillin allergies were screened; 90% were eligible for PAT, and 97% of patients tested were negative for peni...
Source: Clinical Journal of Oncology Nursing - March 19, 2021 Category: Nursing Authors: Sejal Morjaria Faye Inumerables Dhruvkumar Patel Nina Cohen Susan Seo Susan Posthumus Steven C Martin Anna Kaltsas Shawna Lee Nicole Boucher Erica Fischer-Cartlidge Source Type: research

The debit side of stem-cell joint injections: a prospective cohort study
Conclusions: The frequency (8%) and severity of complications with stem cell-injections is higher than for steroid or viscosupplementation injections (2%). Stem-cell joint injections are a costly and speculative treatment and should only be used with a deep understanding of the risk. Practitioners providing stem cell joint injections must include long-term follow-up as part of their care. Additional validated scientific studies are needed. Level of Evidence: Level II.
Source: Current Orthopaedic Practice - March 1, 2021 Category: Orthopaedics Tags: Original Research Source Type: research

Update on COVID-19 pandemic, BMJ Best Practice (updated 8th January 2021)
Over 88 million cases have been reported globally, with over 49 million cases recovered so far, and approximately 1.9 million deaths according to data compiled by the Center for Systems Science and Engineering at Johns Hopkins University. What ' s new at this update: Epidemiology: updated data on children and pregnant women; updated risk factors (residence in a long-term care facility; cardiovascular diseases; diabetes; chronic respiratory diseases). Aetiology: new section on SARS-CoV-2 variants; updated data on secondary attack rates. Investigations: WHO recommends PCR test results are considered in combinat...
Source: Current Awareness Service for Health (CASH) - January 11, 2021 Category: Consumer Health News Source Type: news

A 71-Year-Old Man With Chest Pain and a Solitary Pulmonary Mass.
Abstract CASE PRESENTATION: A 71-year-old man was admitted to our hospital because of diffuse chest pain and a mass on routine chest radiography. He did not report cough, dyspnea, fever, night sweats, or weight loss. His medical history was remarkable for chronic lymphocytic leukemia diagnosed 13 years before presentation, and secondary myelodysplastic syndrome diagnosed 2 years before the onset of the current symptoms. As a curative approach, he had received a matched unrelated stem cell transplantation 16 months earlier, and he had been in complete remission since. He developed chronic graft-vs-host disease, pr...
Source: Chest - August 31, 2020 Category: Respiratory Medicine Authors: Papan C, Langer F, Bittenbring JT, Schäfers HJ, Bohle RM, Fries P, Becker SL Tags: Chest Source Type: research

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