Genetics of the susceptibility to infectious diseases. First Louis Pasteur Conference on Infectious Diseases, Paris, 21-23 October, 1996.
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A pediatric infectious diseases bibliography of selected medical reference citations has been developed and placed on the World Wide Web (WWW) at http://www.pedid.uthscsa.edu. A regularly updated bibliography of >2,500 selected literature citations representing general reviews and key articles has been organized under a standard outline for individual infectious diseases and related topics that cover the breadth of pediatric infectious diseases. Citations are categorized by infectious disease or clinical syndrome, and access can be achieved by the disease or by syndrome or the name of the pathogen. Abstracts, and in some cases the complete text of articles, may be viewed by use of hypertext links. The bibliography provides medical students, residents, fellows, and clinicians with a constantly available resource of current literature citations in pediatric infectious diseases. The WWW is an emerging educational and clinical resource for the practice of clinical infectious diseases.
This paper describes a study of the risk factors associated with disease outbreaks in fish species of fish farms and rivers of north-east Spain. We focused our work on the isolation of fish pathogens (bacteria, virus), the water quality (physicochemical and microbiological quality) and management characteristics. We have observed 2 important viral diseases, infectious pancreatic necrosis and spring viraemia of carp, and 2 important bacterial ones, furunculosis (Aeromonas salmonicida) and bacterial kidney disease (BKD) (Renibacterium salmoninarum). Our preliminary results show that there are some potential risk factors associated with the main diseases of fish, such as fish age, fish species, production system, season and water temperature, but their role depends on the disease.
During the 2-year period April 1995 to April 1997, six regional meetings and one national meeting of division chiefs and program directors of adult infectious diseases programs in the United States were held to review fellowship training. Herein, we report data on job availability and job selection for recently graduated fellows. We summarize discussions on decreasing the number of fellows in training, and we outline suggested components of a core clinical curriculum and of three training tracks--clinician track, clinical investigator track, and basic investigator track.
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During a 12-month non-epidemic study period 1605 patients were hospitalised for 16 087 days. Pulmonary and respiratory tract infection was the dominating disease category responsible for 21% of all admissions and 25% of the total number of bed-days. Demographic analysis showed that all age groups were represented. However, a relative predominance of elderly patients was noted. While the age group greater than or equal to 70 yr comprises 11% of the general Swedish population, such patients accounted for 29% of all admissions and 41% of the total number of bed-days. A positive correlation was demonstrated between patient age and duration of hospital stay. The median duration of stay increased from 3.9 days in young individuals to 17.5 days in senior patients. Prolonged hospitalisation defined by a hospital stay exceeding 30 days was demonstrated in 99 patients; 71 patients (72%) were greater than or equal to 60 yr. 51 patients (3%) died during the hospital stay. In a defined population of local residents the overall annual admission rate was 609 per 100 000 inhabitants. Age-related annual admission rates in patients with pneumonia increased from 50 admissions per 100 000 inhabitants in the adult population to a peak value of 1493 in patients aged 90 yr or over. During the study period on average 26 hospital beds per 100 000 individuals were committed to treatment of communicable disease. The high frequency of emergency admissions and the short stay in hospital indicate that the beds were used mainly for acute short-term medical care.
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Infectious disease-trained internal medicine physicians responding to a questionnaire survey (n = 1802) reported minor differences in time spent in patient care versus laboratory-based research whether they subsequently became practitioners or academicians. Both practitioners and academicians ranked hospital epidemiology first, followed by knowledge of hospital antibiotic policies in order of importance for new trainees to be taught. Internists with greater than 12 months of training in infectious diseases were divided into private practice versus academically based groups, and their distribution of time spent in various professional activities was analyzed by 5-year intervals for each cohort. These studies confirmed an increasing proportion of time spent in infectious disease-related patient care for new practitioners. Over time, patient care activities decreased and administrative activities increased in all groups. These data are important for estimating future manpower needs.