Past Updates from the Clinician Registry Listserv:
Update Sent April 11, 2005
NOTE: This document is provided for historical purposes only and may not provide our most accurate and up-to-date information. The most current Clinician's information can be found on the Clinician Home Page.
UPDATES TO INFORMATION AND GUIDANCE
The following updates were made to CDC information and guidance during the period of April 04-10, 2005, or reflect last week's current events. If you have any questions on these or other clinical issues, please call our toll-free Clinician Information Line at 877-554-4625 or write to us at coca@cdc.gov.
This update contains new information on the following topics:
- Serratia Marcescens - CDC HAN message
- Viral Hemorrhagic Fevers
- Influenza
- Smallpox
- Chemical Emergencies
SERRATIA MARCESCENS
Update of Serratia marcescens Bacteremia Associated with Contaminated Magnesium Sulfate – CDC HAN message
In follow-up to the previous notification of S. marcescens bacteremia associated with contaminated magnesium sulfate from PharMEDium (March 18, 2005), the Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration have obtained new information in their ongoing investigation. Because evidence exists to implicate at least three contaminated PharMEDium lots of magnesium sulfate, CDC recommends that magnesium sulfate solution from PharMEDium not be administered to patients until the scope of contamination can be determined. PharMEDium is voluntarily recalling
all 50 mL magnesium sulfate admixtures. These 50 mL preparations will not be available until further notice.
http://www2a.cdc.gov/han/ArchiveSys/ViewMsgV.asp?AlertNum=00226
VIRAL HEMORRHAGIC FEVERS
Interim Guidance about Marburg Virus Infection for U.S. Citizens Living Abroad
U.S. citizens living abroad should be aware that on March 23, 2005, the
World Health Organization (WHO) confirmed Marburg virus (family Filoviridae, which includes Ebola virus) as the causative agent of an outbreak of viral hemorrhagic fever (VHF) in Uige Province in northern Angola. This document provides recommendations for U.S. citizens living abroad. For more information, please see the link below. http://www.cdc.gov/ncidod/dvrd/spb/mnpages/dispages/marburg/abroad.htm
Update: Marburg Virus Hemorrhagic Fever, Angola, Central Africa Interim Guidance for Travelers
Provides updated recommendations for travelers.
http://www.cdc.gov/travel/other/marburg_vhf_angola_2005.htm
Marburg Hemorrhagic Fevers
Provides links to updated information.
http://www.cdc.gov/ncidod/dvrd/spb/mnpages/dispages/marburg.htm
INFLUENZA
Update: Influenza Activity - United States, 2004-05 Season – MMWR Report
This report summarizes influenza activity in the United States during October 3, 2004--March 26, 2005, and describes the composition of the 2005-06 influenza vaccine. Influenza activity was moderate in the United States overall, but varied by region. Preliminary data collected through the seven components of the CDC Influenza Surveillance System indicate that national influenza activity peaked in early February.
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5413a2.htm
SMALLPOX
Negative Staining Electron Microscopic Protocol for Rash Illness
Provides instructions for laboratorians.
http://www.bt.cdc.gov/agent/smallpox/lab-testing/pdf/em-rash-protocol.pdf
Letter From Wyeth Extending the License of Dryvax Vaccine
March 31, 2005 letter from Wyeth extending the license of Dryvax vaccine lots
4030013, 4030014, 4020076, 4020077, 4020075, & 4030020.
http://www.bt.cdc.gov/agent/smallpox/vaccination/pdf/wyethletter31mar05.pdf
CHEMICAL EMERGENCIES
Flowchart: Chemical Terrorism Event Shipping Instructions – Blood
Illustrated flowchart to accompany "Chemical Terrorism Event Specimen Collection" & "Shipping Instructions for Samples Collected from People Potentially Exposed to Chemical Terrorism Agents".
Blood: http://www.bt.cdc.gov/labissues/pdf/chemspecimenshipping-blood.pdf
Urine: http://www.bt.cdc.gov/labissues/pdf/chemspecimenshipping-urine.pdf
Fact about Phosgene
Spanish translation is now available.
Spanish: http://www.bt.cdc.gov/agent/phosgene/espanol/facts.asp
English: http://www.bt.cdc.gov/agent/phosgene/basics/facts.asp
Our Clinician Communication Team is committed to excellence in reporting our weekly updates. Please e-mail coca@cdc.gov should you note any written errors or discrepancies.
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Page last modified April 11, 2005
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