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07-Jul-00 ：
CDCが乳幼児に肺炎球菌のワクチン勧奨 CDC RECOMMENDS ALL INFANTS RECEIVE PNEUMOCOCCAL VACCINE The Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control in Atlanta (CDC) has voted to include young children in their recommendations for pneumococcal vaccination.

大学生は髄膜炎菌感染のリスクが高いとして，CDCが大学生に髄膜炎菌のワクチンを勧奨 CDC RECOMMENDS COLLEGE STUDENTS GET MENINGOCOCCAL VACCINE Because college freshmen are six times more likely to contract meningococcal disease compared with persons the same age who are not attending college, the Advisory Committee on Immunization Practices recommends use of the meningococcal vaccine to reduce the risk, in a Recommendations and Reports issue of the Morbidity and Mortality Weekly Report.

FDAがワクチンにチメロサール（水銀製剤）を使わないようにと勧告 FDA LETTER TO VACCINE MANUFACTURERS REQUESTS UPDATE ON ELIMINATION OF THIMEROSAL The US Food and Drug Administration (FDA) has sent a letter to vaccine manufacturers requesting an update on their progress of reducing or eliminating thimerosal from their vaccine products.

新聞の反MMRキャンペーンで接種率が落ちた (Wales, UK) NEWSPAPER CAMPAIGN DAMAGES MMR VACCINE COMPLIANCE RATES A determined media campaign on the alleged dangers of vaccination markedly reduced MMR vaccine compliance rates in Wales, UK, according to researchers from that region.

このキャンペーンは98年3月にMMR接種が炎症性腸疾患や自閉症のリスクになる可能性があるとの報告 Wakefield AJ, Murch SH, Linnell AAJ, Casson DM, Malik M, Berelowitz M, et al. Ileal-lymphoid-nodular hyperplasia, non-specific colitis and pervasive developmental disorder in children. Lancet 1998; 351: 637-641に基づくものと思われますが，当該新聞記事の詳細は確認しておりません．なお，MMRと自閉症，腸炎については，内科専門医の伊地知信二先生が精力的に文献を紹介されています．

30-Jun-00
中心静脈カテの定期的な交換は必ずしも必要ではない
ROUTINE REPLACEMENT OF CENTRAL VENOUS CATHETERS UNNECESSARY Central venous catheters are replaced on a routine schedule in many ICUs, but the practice entails more hazard than benefit, according to Dr. Jean-Francois Timsit, of the Hopital Saint Joseph, in Paris, France. Read it Here

髄液中のサイトカインが細菌性髄膜炎の重症度判定に重要
CSF CYTOKINE LEVELS CAN PREDICT MORTALITY IN ACUTE BACTERIAL MENINGITIS Interleukin-1-beta, tumor necrosis factor-alpha, and superoxide have potential as predictors of clinical outcome in children with acute bacterial meningitis, according to a report in the June issue of Indian Pediatrics. Read it Here