REFERENCE: Slide Session 42 K-608, 47th Annual Interscience Conference on Antimicrobial Agents and Chemotherapy (ICAAC), Chicago, 2007 DONNA HACEK, Evanston Hospital, Evanston Illinois
Thorough, all surface bleach cleaning helps to achieve a significant and sustained reduction in nosocomial C. difficile infections according to a study from Evanston Hospital. Nicola Solomon discussed the results of this simple technique with Donna Hacek.
REFERENCE: Poster Session 104 K-1096, 47th Annual Interscience Conference on Antimicrobial Agents and Chemotherapy (ICAAC), Chicago, 2007 MEGAN NGUYEN, Western University in Pomona, California
New vancomycin guidelines that recommend using higher doses may cause kidney damage according to a study presented at the 2007 ICAAC meeting. Nicola Solomon discussed this new finding with Megan Nguyen of Western University of Health Sciences.
REFERENCE: Poster Session 033 K-464, 47th Annual Interscience Conference on Antimicrobial Agents and Chemotherapy (ICAAC), Chicago, 2007 JON OTTER, Bioquell Ltd, Andover UK
An investigation looking at hydrogen peroxide vapour for sterilisation in hospital areas at risk of an outbreak of MRSA revealed that it can significantly reduce environmental contamination. Nicola Solomon discussed this new technique with Jon Otter of Bioquell Ltd.
Mental Health is a major part of the global disease burden, but more needs to be done to make sure support, treatments and policies are in place. That’s according to a series of articles, published in The Lancet, which have looked at this very topic. The audio news team went to meet some of the authors: Graham Thornicroft, of Kings College London, who talked about the size of the problem; Vikram Patel, of the London School of Hygiene and Tropical Medicine, who discussed measures to take and choices that need to be made;
and Shekhar Saxena, from the World Health Organisation, who has calculated the costs involved.
REFERENCE: Lancet, September, 2007 PAUL WILKINSON, London School of Hygiene and Tropical Medicine Paul Wilkinson, of the London School of Hygiene and Tropical Medicine, says there are many ways energy use impacts on health, and he explained the situation in the developing world.
Road-Side Tranexamic Acid Therapy to Reduce Mortality and Blood Transfusions after Trauma?
JAIME MIRANDA, London School of Hygiene and Tropical Medicine, Peru
The multi-national CRASH trial investigates whether the antifibrinolytic agent, tranexamic acid normally used to reduce bleeding during surgery can also be used as a first-aid to cut mortality and the need of blood transfusion immediately after trauma. Jaime Miranda, based in Lima, Peru, described to Peter Goodwin how the trial could benefit the developing world in particular.
REFERENCE: Hotline III, number 709, European Society of Cardiology Congress, 2007, 1-5 September, Vienna, Austria GABRIEL STEG, Hôpital Bichat, Paris
COMMENT: FREEK VERHEUGT, Radboud University Nijmegen Medical Centre, Nijmegen
The GRACE registry looking at over 60 000 patients with ST elevation myocardial infarction has shown that patients live longer if they receive bare metal stents than if they get drug eluting stents. Gabriel Steg presented these latest data at the ESC meeting in Vienna. Sarah Maxwell discussed the findings with him. Freek Verheugt comments on the interview with Gabriel Steg.
REFERENCE: Hotline III, 3222 page 315, European Society of Cardiology Congress, 2007, 1-5 September, Vienna, Austria STEFANO GHIO, San Matteo University Hospital, Italy
COMMENT: CECILIA LINDE, Karolinska University Hospital, Stockholm
The standard echocardiographic criteria for selecting patients to receive cardiac resynchronisation are not adequate according to Stefano Ghio. During the ESC Congress in Vienna he presented results from the PROSPECT trial and afterwards he talked with Sarah Maxwell. Cecilia Linde gave Nicola Solomon her comments on the findings.
REFERENCE: Abstract 3103, European Society of Cardiology Congress, 2007, 1-5 September, Vienna, Austria RAUL MORENO, University Hospital La Paz, Madrid
Results from a large meta analysis suggest that drug eluting stents have a greater benefit when the risk of restenosis increases. This could affect the “off label” use of these stents. Raul Moreno, of the University Hospital La Paz, Madrid, discussed his findings with Derek Thorne.
REFERENCE: Abstract 1967, European Society of Cardiology Congress, 2007, 1-5 September, Vienna, Austria NICOLAS AMABILE, University of Marseille School of Medicine
A French study presented at the ESC congress may have found a link between periodontitis and coronary artery disease: although further study is needed. Nicolas Amabile, of the University of Marseille School of Medicine, discussed his data with Derek Thorne.
REFERENCE: HOTLINE II, Monday 8am, European Society of Cardiology Congress, 2007, 1-5 September, Vienna, Austria EVA SWAHN, University Hospital Linköping, Sweden
COMMENT: ECKART FLECK, Deutsches Herzzentrum, Berlin
Women who undergo selective invasive treatment for non-ST elevation acute coronary syndromes do better than those who receive routine early invasive treatment. This is according to the OASIS 5 study from Sweden that randomised women to either of the two approaches. The findings suggest that females with non-ST elevation ACS should be approached differently from their male counterparts. Sarah Maxwell interviewed OASIS investigator Eva Swahn at the ESC meeting in Vienna. Eckart Fleck of the Deutsches Herzzentrum in Berlin gave his comments on her comments to Derek Thorne.
REFERENCE: Abstract 3506, European Society of Cardiology Congress, 2007, 1-5 September, Vienna, Austria EDMOND CRONIN, Cork University Hospital
Study data that support banning smoking in public places were unveiled at the ESC congress by a team from Ireland. After the smoking ban in 2004, admissions for acute coronary syndromes dropped, and lead author Edmond Cronin explained the significance of his findings to Derek Thorne.