Can A New Molecular Test Enhance MRSA Detection?

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Here is an MRSA-infected anterior ankle wound. Authors of a recent study say a new molecular test (qMRSA) may facilitate quicker detection of MRSA. (Photo courtesy of David G. Armstrong, DPM, PhD)
Addressing diet and sedentary lifestyles is critical to reducing risk factors for type 2 diabetes in children, according to Kathleen Satterfield, DPM.
Can A New Molecular Test Enhance MRSA Detection?
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By Brian McCurdy, Associate Editor

With the system, DPMs will have a consistent view of the pharmacy’s instructions that accompany the prescription as well as data on patient allergies and the dispensation date of the medication, according to SureScripts. The company uses the software Certified Solutions Provider.
What advantages can podiatrists gain from the program? Steven Peltz, CHBC, says estimates show that many negative drug interactions occur because the prescribing doctor may not know all the drugs the patient is taking. Accordingly, he says the plan will make physicians more aware of the medication history to alert them to potential drug-drug interactions.
“Many patients travel around the country and may have more than one primary care physician. This will help all of the patient's doctors see what every other doctor has prescribed and confirm that all prescriptions are consistent,” says Peltz, the President of Peltz Management and Consulting Services.
In addition, Peltz notes that with all the new drugs on the market, it may be difficult for DPMs to stay on top of all the potential side effects and he feels this system will help facilitate appropriate prescription writing. Since some pharmacists cannot read a doctor’s handwriting, he feels another advantage of the SureScripts plan is its elimination of the prescription pad and the correct and rapid transmit of information.
What about privacy concerns? SureScripts notes that the process will be guided by both HIPAA regulations and state privacy rules, and will follow rigorous processes for authentication and confidentiality. Peltz says privacy is always a concern and while the company has made assurances, the project is ongoing.
SureScripts says the pharmacies participating in the project include Ahold (Giant and Stop & Shop), Albertsons (Sav-On and Osco), Brooks-Eckerd, CVS, Duane Reed, Kerr Drug, Longs Drugs, Rite Aid, Safeway and Walgreens.

Study Finds Increased Risk Factors For Diabetes Among Middle School Students
By Brian McCurdy, Associate Editor

Not only is diabetes prevalence on the rise in the general population, a new study indicates that children have an array of alarming risk factors for developing type 2 diabetes.
The study, which was recently published in Diabetes Care, examined blood glucose drawn from 1,740 eighth-grade students from 12 schools. Many students exhibited risk factors for diabetes. These risk factors included impaired fasting glucose of 100 mg/dl in 40.5 percent of students and a fasting insulin value of 30 µU/ml in 36.2 percent of the students, according to the study.
Researchers also noted that 49 percent of the students in the study had a body mass index (BMI) in the 85th percentile. Fasting glucose and fasting insulin values increased in accordance with higher BMI, notes the study. Researchers found fasting glucose was highest in Hispanic and Native American students.

Kathleen Satterfield, DPM, attributes the increased prevalence of risk factors for diabetes in children to sedentary lifestyles, diet and genetic predisposition. For the Hispanic and Native American children with a higher prevalence, she calls their genetic predisposition an “unfair one-two punch.” For Mexican children in Texas, Dr. Satterfield says genetic factors are sometimes combined with the poverty that leads to poor dietary options. Dr. Satterfield notes that foods that are available for these kids are full of carbohydrates and fat while few fresh fruits or vegetables are available.
“In San Antonio, it is the delicious but deadly diet of pure carbs—tortillas, flour or corn filled with beans, cheese, pork and all cooked in lard. It may be delicious but this is why we see kids in the first grade who weigh 100 pounds and already have type 2 diabetes,” posits Dr. Satterfield, a Clinical Associate Professor at the University of Texas Health Science Center at San Antonio.

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