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At least 19 recordsLinked to original sources
PubMed1992

Evaluation of new anti-infective drugs for the treatment of acute pelvic inflammatory disease. Infectious Diseases Society of America and the Food and Drug Administration.

Pelvic inflammatory disease (PID) is a syndrome unrelated to pregnancy or surgery and characterized by lower abdominal pain and tenderness, cervical motion tenderness, and adnexal tenderness. Fever, leukocytosis, and the results of laboratory tests are used to support the diagnosis. Participants in clinical trials should be stratified into two groups: those with and those without tubo-ovarian abscess--i.e., those with complicated and those with uncomplicated PID. Diagnostic studies and treatment should be directed at four major groups of pathogens: Neisseria gonorrhoeae, Chlamydia trachomatis, anaerobic bacteria, and facultative bacteria such as Escherichia coli. Women requiring hospitalization should generally be treated as inpatients for at least 4-7 days; outpatient therapy should then be instituted to complete a 14- to 21-day course. Clinical and laboratory evaluations should be conducted daily during hospitalization and both 2-4 days and 2-4 weeks after the completion of therapy.

Acute Disease↗
PubMed1992

Special issues in clinical trials of new anti-infective drugs for the treatment of sexually transmitted diseases. Infectious Diseases Society of America and the Food and Drug Administration.

Several special issues arise in relation to clinical trials of therapy for sexually transmitted diseases. These issues include the desirability of including adolescents and both pregnant and nonpregnant women in the trial, the use of unapproved control regimens, problems with antimicrobial susceptibility testing due to inadequate methodology and the need for prompt treatment, the need to assess agents for treatment of syndromes of unknown microbial etiology, toxicity considerations related to the use of single-dose regimens, management of the sexual partners of the participants in the trial, analysis of data despite the high frequency of minor protocol violations, sexual reexposure to infection during the trial, and the potential for loss, alteration, or falsification of data because of the relative simplicity of the usual protocol design and the diagnostic reliance on specimens that are routinely discarded.

Adolescent↗
PubMed1991

[Future prospects of the specialty of infectious diseases].

Infectious diseases were established as a subspecialty of internal medicine in Denmark in 1982. Ten permanent senior positions in Danish hospitals are at present held by specialists in infectious diseases. Simultaneously, seven specialists in infectious diseases employed in junior positions are qualified for senior positions. This number will increase to 15 by 1995. It is concluded that: 1. There is a serious imbalance in the specialty of infectious diseases between the number of senior positions available and the number of qualified specialists. 2. The reluctance on the part of hospital administrators to create new positions in the specialty of infectious diseases cannot be based on the fear of the lack of qualified applicants.

Clinical Competence↗
PubMed1977

Where did our infectious diseases come from? The evolution of infectious disease.

Infectious diseases have been evolving from the earliest days of life on earth. Major factors influencing their developments include the splitting of continents (continental drift), the radiation of early primates into present-day forms, migrations of man around the world, the ending of the Ice Age, the invention of agriculture, the domestication of animals, the increase in populations, and the urbanization of societies. The impact of such basic changes on infectious diseases is reviewed.

Agriculture↗
PubMed1992

Infectious disease manpower in the United States--1986. 1. Description of infectious disease physicians. Manpower and Training Committee, Infectious Diseases Society of America.

A survey designed to assess the number, type, and current practice patterns of all infectious disease (ID) physicians active in the United States in 1986 was carried out in early 1987. Of 4328 mailed questionnaires, 48.3% were returned. One-third of respondents were in private practice, one-third in academics, and the rest in industry or government. Women accounted for 12.4% of the total; they were younger and as a group spent a greater proportion of total effort in ID. Sixty-five percent of all respondents had greater than or equal to 2 years training in ID. Overall, private practitioners worked longer hours than academicians but spent slightly less effort devoted solely to ID. The proportion of total effort devoted to ID has increased among physicians newly entering practice. Seventy-five percent of all respondents held a teaching appointment. Older ID physicians worked less than 50 h/week and tended to have more administrative than patient care responsibilities. In 1986, there were the equivalent of 1792 full-time ID physicians in the United States or 1:134,000 population.

Age Factors↗
PubMed1991

[A study on the incidences of streptococcal infectious diseases in the regional surveillance informations of infectious diseases in Japan (2nd report)].

The incidences of streptococcal infectious diseases in the regional surveillance informations of infectious diseases of 47 prefectures were compared with each other by the ratios of number of patients with streptococcal infectious diseases, exanthema subitum and varicella to the populations of surveyed age groups, respectively. It was estimated that although there were almost no regional differences in the ratios of exanthema subitum and varicella, the ratios of streptococcal infectious diseases were high in Hokkaido, Akita, Yamanashi, Shiga and Ehime Prefectures, respectively, and was low in Okinawa Prefecture. The corrected incidences of number of patients with streptococcal infectious diseases, calculated on the basis of the ratios of exanthema subitum and/or varicella, were also high in the regions of Hokkaido, Akita, Iwate, Nagano, Yamanashi, Gifu, Shiga, Okayama and Ehime Prefectures, respectively, and were low in the regions along the Pacific from the southern Tohoku (northern Japan) through a part of the Shikoku Island and the Sea of Japan from the Hokuriku (central Japan) through the Kyushu Island, and the regions of Nara and Okinawa Prefectures, respectively. The climate in the regions with high corrected incidence belonged to the Tohoku-Hokkaido, the Central Highlands and the Seto Inland Sea types, respectively. On the other hand, the regions with low corrected incidence belonged to the Tokai-Kanto, the Nankai (southern sea of Japan), the Hokuriku-Sanin, the Kyushu and the Okinawa climate types, respectively.

Anti-Bacterial Agents↗
PubMed1976

[Gonadal load in radiotherapy of benign diseases. II. Infectious diseases and keloids].

The irradiation damages to the gonads caused by the radiotherapy of parotiditis and mastitis and of cheloids was determined partially under different irradiation methods. The measurements were effected with LiF dosimeters in the Alderson phantom with a tube tension of 250 kV for the inflammatory diseases and 55 kV for the cheloids. The gonad dose measured at the surface was within the range of hundreths of permille for the parotiditis, for the mastitis is was between tenths of permille and 2% depending on the therapy method. The gonad dose of the cheloid irradiations showed a clear relation to the distance between radiation source and gonads. The importance of radiological protection is emphasized.

Female↗
PubMed1988

Epidemic patterns of infectious diseases from the results of the surveillance of infectious diseases in Japan.

Epidemic patterns of 12 infectious diseases based on the data derived from the surveillance system of infectious diseases in Japan are analyzed. Weekly numbers of patients per one monitor station (general clinics and hospitals) are calculated by prefecture. Based on these data, the patterns of epidemic are classified into five categories: Category 1, nationwide outbreak of short duration (rotavirus enteritis, hand-foot-mouth disease and herpangina); Category 2, nationwide outbreak of long duration (varicella); Category 3, concurrent outbreaks in several districts (rubella and erythema infectiosum); Category 4, epidemic of long duration in several prefectures at different times (measles, mumps, pertussis, streptococcal infection and atypical pneumonia); Category 5, unclear epidemic pattern (exanthema subitum).

Child↗
PubMed1989

[A study on the examination of the incidences of streptococcal infectious diseases in the nationwide and the regional surveillance information of infectious diseases in Japan (1st report)].

As the first step to examine the incidences of streptococcal infectious diseases for the nationwide and the regional surveillance information of infectious diseases in Japan, the number of patients with streptococcal infectious diseases per year or week and the hospitals in the surveillance systems in 47 prefectures from 1982 to 1987 were compared. It was found to have the tendency that the numbers of the patients were comparatively more in Hokkaido, Tohoku, partial areas of Kyushu and Shikoku than in other regions, and more in rural areas than in urban areas. Because of the deviation from the tendency, however, it was also suggested that the information of the disease in some prefectures might be poor. Although ratios of no. of the patients against no. of patients with exanthema subitum in 16 prefectures, respectively, were calculated and compared, it was be not enough to analyze the difference among the incidences of streptococcal infectious diseases in these prefectures.

Humans↗
PubMed1986

Clinical applications of gene probes in human genetic disease, malignancy, and infectious disease.

Recent developments in recombinant DNA technology have made possible the production of gene probes consisting of cloned gene segments, cloned segments of DNA linked to genes, and synthetic gene fragments. Several methods have been developed by which these probes may be used for the diagnosis of human disease. This technology has been outstandingly successful for prenatal diagnosis and carrier detection in many genetic diseases. These methods have also been successfully applied to the analysis of human malignancies, by providing for the determination of cell lineage and clonality in lymphoid neoplasms. Finally, these methods have shown potential for rapid and sensitive diagnosis of some infectious diseases.

B-Lymphocytes↗