June 2009 · Vol. 21, No. 06INFECTIOUS DISEASE
New data shed light on preventing cytomegalovirus infection and wound complications, and reveal a disturbing picture of Clostridium-related diarrhea in pregnant women.
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Fast Track
No drug is uniformly effective in treating maternal CMV infection and preventing congenital infection
Extended-spectrum prophylaxis lowers the rate of both wound infection and endometritis after cesarean delivery
A failure rate as high as 26% has been reported when treating C difficile-associated diarrhea with metronidazole
Patients who receive a broad-spectrum antibiotic should be monitored closely for signs of toxicity; if diarrhea develops, discontinue the offending drug
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Patrick
Duff,
MDDr. Duff is Associate Dean for Student Affairs and Professor and Residency Program Director, Department of Obstetrics and Gynecology, at the University of Florida College of Medicine in Gainesville, Florida.
Dr. Duff reports no financial relationships relevant to this article.
Four important developments have marked the past year in infectious disease:
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