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Routine PPSV23 use is no longer recommended for Alaskan Natives or Native Americans younger than 65 years old, unless they have medical indications for the vaccine.
Revaccination: The following should receive a second dose of PPSV23:
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those who received PPSV23 before age 65 years (for any reason) should receive a second dose at age 65 or older (if more than 5 years have passed since the previous dose)
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those 19-64 yo with immunosuppressive or chronic conditions (including asthma or other chronic lung disease, diabetes, alcoholism, liver disease; excluding hypertension) |
Multiple PPSV23 revaccinations are not recommended, due to insufficient data regarding clinical benefit, degree and duration of protection, as well as safety.
1 MMWR July 29, 2010 / 59(Early Release);1-62
2 MMWR September 3, 2010 / 59(34);1102-1106
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Prescription drugs: Meridia (sibutramine): Withdrawn due to cardiovascular risks, Bisphosphonates: Update on atypical fractures, Invirase (saquinavir): Risk of abnormal heart rhythm, Fentanyl Transdermal System: Recall, GnRH agonists: Increased risk of diabetes, CV disease, Excelsior Medical saline flush syringes: Recall - potential loss of sterility, Lipitor (atorvastatin) 40 mg: Recall of specific bottles
OTC products: Hyland’s Teething Tablets: Recall - risk of belladonna toxicity, Tylenol 8 Hour Caplets: Recall, Slimming Beauty Bitter Orange Slimming Capsules: Undeclared drug ingredient
Medical devices: Huber Needles: Recall - risk of coring, CareFusion Corporation Alaris PC Units: Recall
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It's here! The Epocrates Update for Android
Update today to get the new version of Epocrates Rx on Android®. It comes with increased speed, improved usability, plus requested features like the ability to sync, health plan formularies, over-the-counter drug products, and more.
How do you get it?
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Tap the Market icon and then the [Downloads] button
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Find Epocrates and tap it
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Tap the [Updates] button and follow the on-screen instructions |
Please note:
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Download time may take up to 30 minutes, depending on your connection. WiFi is strongly recommended.
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This application is for Android devices with v1.6 or higher. Check your version. |
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We Can Help with PQRI 2010
We know that Epocrates members strive to deliver outstanding patient care every day.
Did you know that the CMS PQRI program provides a financial incentive for practitioners who report on quality of care? Epocrates has partnered with Covisint DocSite.com to provide eligible professionals with a really quick and convenient way to participate.
Plus, Epocrates members save $100 on the submission fee!
Learn More >
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Epocrates Immunization Quick-Reference Lists
Stay current with the latest CDC immunization guidelines through our quick-reference lists available free in Epocrates mobile and Epocrates® Online Premium products. Continually updated vaccination recommendations are available for adults, children (including accelerated and interval schedules), and travel.
Explore these quick-reference lists by entering "vaccination" or "immunization" in the Epocrates search bar on your mobile device or by browsing the Tables tab in Epocrates Online Premium. All Epocrates mobile products include over 60 vaccines, offering detailed information unique to each individual brand and generic product. Contact information for the national Vaccine Adverse Event Reporting System is found atop each vaccine monograph and in our convenient online reporting resource for clinicians.
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Safe Injection Practices: 5-Minute Refresher Course from CDC
CDC has reported outbreaks of Hepatitis B and C in clinic settings, resulting from improper use of syringes, needles, and medication vials during injections. InICIDents like these result in notifying thousands of patients about possible bloodborne pathogen exposure, recommending that patients be tested for HCV, HBV, and HIV. With flu season upon us, now is a great time to brush up on safe injection practices.
Experience CDC: Injection Safety, a brief refresher course filled with images, short video clips, and safety tips. Access this activity anytime in the EssentialPoints™ list under the Epocrates "More" tab on iPhone®.
Diseases and Conditions Highlight: Well-child care
Monique Yohanan, MD, MPH
Physician Editor, Epocrates
The goals of well-child care are to maximize development, detect treatable diseases at an early stage, and prevent injury and disease through education. Recommendations include screening for cardiovascular risk factors (obesity, blood pressure, and dyslipidemia), providing anticipatory guidance for injury prevention and healthy growth and development, vision and hearing screening, and vaccinations.
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complete or partial immunity against various infectious diseases, |
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lower healthcare costs related to treatment of vaccine-preventable diseases, |
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herd immunity |
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reduced risk of disease outbreaks |
Vaccine risks range from common, minor and local reactions to rare, potentially life-threatening adverse effects. Visit the complete monograph.
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We always love to hear from our members about Epocrates products or any other topic at youropinion@epocrates.com. We occasionally select reader comments to feature in future newsletters. All readers featured in the newsletter will receive a free one-year subscription to the premium product of their choice. |
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