The lack of continuity of care among VA patients with inflammatory bowel disease (IBD) is associated with poor outcomes, such as disease flares requiring corticosteroid treatment, hospitalization and surgical intervention.
VA, DoD Quickly Began Distributing, Administrating COVID-19 Vaccines
Both the VA and DoD began distributing COVID-19 vaccine to their beneficiaries soon after the Food and Drug Administration issued an emergency use authorization for two products in mid-December.
DoD Experience With Resistant Pathogens Could Help Overwhelmed Hospitals
Hospitals across the country have improvised intensive care units, converted garages into wards and increased the number of patients under each clinician’s care as a flood of COVID-19 patients washes away established protocols and practices.
VA Was Excluded in Early Discussions of COVID-19 Strategic Response
VA was initially left out of strategic decisions made by the U.S. Coronavirus Task Force, the group ostensibly coordinating the nation’s response to the pandemic, the agency revealed in a recent report.
Statins Reduce Some Lymphomas in Veterans With HIV
Statins appear to have immunomodulatory and anti-inflammatory effects and appear to reduce cancer risk. A new study sought to determine if that also is the case with HIV patients, who experience chronic inflammation and immune activation.
New Definitions for Flu-Related Invasive Pulmonary Aspergillosis
Patients admitted to intensive care units with influenza increasingly are being diagnosed with invasive pulmonary aspergillosis.
COVID-19 Inpatients More Likely Younger, Male Vs. Flu
While comorbid conditions appeared to be common among individuals hospitalized with COVID-19, estimates of prevalence vary and not enough is known about the prior medication use of patients.
Influenza Strains Don’t Differ Much in Severity
The influenza A/H1N1 pandemic of 2009 to 2010 raised the question of whether some flu strains are inherently more likely to cause severe illness than others.
Statins Reduce Risk of Acute Liver Injury in Veterans With HIV or HCV
In 2013, the American College of Cardiology and American Heart Association issued updated guidelines significantly expanding the number of patients who should be considered candidates for statin therapy.
Direct Acting Antivirals Cure More than 90% of Older Patients with HCV
The American Association for the Study of Liver Diseases and the Infectious Diseases Society of America recommend that nearly all patients with chronic hepatitis C virus infection receive treatment with direct-acting antiviral therapy.
Army Researchers Wage War Against COVID-19 in the Laboratory
As the novel coronavirus has continued to spread throughout the United States, infecting more than six million and killing more than 185,000 people, the U.S. Army has been on the front lines in an effort to protect the nation’s health and security.
COVID-19 Incidence in AI/AN More Than Three Times Greater Than Whites
ATLANTA—Non-Hispanic American Indians and Alaska Natives make up only 0.7% of the United States population but 13% of coronavirus disease cases across the country, according to a new report. The national Centers for Disease Control and Prevention pointed out in an...
Weight Gain May Endanger Some Benefits of Hepatitis C Cure
NEW HAVEN, CT—A year ago the VA announced it had eliminated chronic infections with hepatitis C virus in all veterans willing and able to be treated. More than 100,000 veterans achieved sustained virological response or a cure with the help of direct-acting antivirals...
One VAMC’s Story: You’re at Risk All of the Time
DC Staff Battles to Save Lives of Veterans With COVID-19 WASHINGTON—The first time Michael Heimall heard about the novel coronavirus COVID-19 was in late January 2020 during a presentation at the auditorium of the DC VAMC. The members of the hospital’s infectious...
Healthcare-Associated C. Difficile Infections Show Substantial Decline
ATLANTA—While the war against COVID-19 continues, partial victory in another medical battle might have been overlooked. A report in the New England Journal of Medicine described substantial progress in the fight to prevent Clostridioides difficile infection in...
Hydroxychloroquine Didn’t Reduce Death, Ventilation in Veterans With COVID-19
COLUMBIA, SC—A VA study has put to rest, at least temporarily, claims that hydroxychloroquine, alone or in combination with azithromycin, is highly effective in treating COVID-19 infection. In fact, a study appearing on the medRxiv preprint server identified increased...
VA Primary Care Not Following SSTI Guidelines Enough
SALT LAKE CITY — Guidelines aren’t followed enough when skin and soft tissue infections are managed in the outpatient setting outside of emergency departments, a new study pointed out. The article in Clinical Infectious Diseases noted the lack of data on treatment...
VA, DoD Report Sharp Increases in Novel Coronavirus Cases, Scramble to Respond
WASHINGTON - VA and DoD reported increasing numbers of COVID-19, the novel coronavirus behind a global pandemic, and rushed to implement plans to limit its spread. In mid-March, the VA also announced its first death from the infectious disease at a facility in...
Many Veterans on Biologics Can Skip Repeat Tuberculosis Testing
MEMPHIS, TN—Because biologic therapies prescribed for inflammatory diseases increase the risk of activation of latent tuberculosis infections, some VAMCs recommend baseline testing of veterans starting these agents and annual testing thereafter. Several recent studies...
New Study Examines Role of Military Deployment in Global Disease Transmission
CHAPEL HILL, NC — The explosive emergence in December 2019 of a novel coronavirus in Wuhan, China, prompted governments around the globe to restrict travel from the affected region in an attempt to limit international spread of the disease. While these efforts focused...
VAMCs Continue to Lag in HCP Flu Vaccine Mandates
ANN ARBOR, MI—The VA continues to lag behind community hospitals in mandating annual influenza vaccine for all healthcare personal, a new study suggested. The report in JAMA Network Open said requiring HCP vaccination against the flu helps limit disease spread to...
Respirators No More Effective Than Masks in Flu Prevention
PITTSBURGH—How effective are N95 respirators and medical masks in preventing healthcare personnel from acquiring workplace viral respiratory infections? A study in JAMA sought to answer that question. Researchers from the National Personal Protective Technology...
Executive Order Enlists DoD Help in Modernizing Flu Vaccine
WASHINGTON—A new executive order is aimed at increasing the manufacturing efficiency and effectiveness of flu vaccines. The DoD and Department of Health and Human Services are co-chairing a task force in the process of implementing the order signed in September by...
New Antibiotic Provides Powerful Option for Resistant Pneumonia, Skin Infections
A next-generation tetracycline, omadacycline could improve care for veterans with community-acquired bacterial pneumonia (CABP) and acute skin and skin structure infections (ABSSSI).
Prescribed Opioids Increase Risk of Pneumonia in Veterans
A study looking at whether taking prescribed opioids increased pneumonia risk in veterans with HIV vs. those without came to a disturbing conclusion: The likelihood is increased in both.
With Advancing Age, Veterans with HIV Face Novel Challenges
Thirty years ago, veterans with human immunodeficiency virus and their physicians focused on survival.
DHA Releases Interim Guidance for HIV Pre-Exposure Prophylaxis
The Defense Health Agency (DHA) has released interim guidance designed to optimize clinical use of human immunodeficiency virus (HIV) pre-exposure prophylaxis and reduce variability in access to prophylactic medication.
Could Bilirubin Measurements Predict, Prevent CV Events in HIV Patients?
For most people, mention of bilirubin, which is formed after the breakdown of red blood cells and is eliminated by the liver, elicits thoughts of jaundice—which occurs when the compound is too high.
VA Pilots Automated Nationwide MDRO Alert System
The VA has successfully piloted a nationwide system to alert VA facilities when patients are admitted with a history of infection with two challenging multidrug resistant organisms (MDROs).
Protocols to Prevent Pathogen Transmission Often Violated in Hospitals
Precautionary practices to prevent infectious agent transmission in hospitals often fail, according to a study looking at 325 patient rooms, including some at a VAMC.