Zulfiqar Rana, MD, MPH, FACP

Board Certified in Internal Medicine

Category Archives: Infections

COVID 19 Treatments

This article is for providers.


Treatment of COVID-19

  • Step 1 risk stratification
  • Treatment based on risk
  • Special considerations

Risk Stratification

  • Mild
  • Moderate
  • severe

COVID 19 Outpatient Clinics

This article is addressed to healthcare workers in the outpatient setting.

COVID-19 Guidelines for outpatient clinics.
The article is for providers, office managers, and nurses.
Focus is prevention (treatments are considered elsewhere).
Most of the info is from CDC.gov

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COVID 19 Treatments

This article is for providers. Read more of this post


This is the main summary article. Click on links to see more details. Read more of this post

A New Biomarker for Bacterial Meningitis

Patients with early bacterial meningitis might not have CSF pleocytosis. Heparin-binding protein is a promising new biomarker that might assist with early identification of bacterial meningitis in adults. HBP might play the same role in bacterial meningitis that D-dimer does in venous thromboembolic disease. Pending larger studies, an HBP level >20 ng/mL should prompt empirical therapy for bacterial meningitis while awaiting results of CSF culture and immunoassays.

Heparin-Binding Protein: A New Biomarker for Bacterial Meningitis – Emergency Medicine.

Nine Dead In Ala. After IV Treatment

A pharmacy that produces intravenous solutions is the potential common source for an outbreak of blood infections that has sickened 19 people at six hospitals. The products have been recalled.


Superbug Spreads in Southern California

Roughly 350 cases of carbapenem-resistant Klebsiella pneumoniae, or CRKP, were reported in Los Angeles County between June and December of 2010, according to a study from the L.A. County Department of Public Health to be presented April 3 in Dallas at the annual meeting of the Society for Healthcare Epidemiology of America…

Here is the link: http://fluentnews.com/s/26598629

What Should Physicians Wear?

Evidence that physician white coats and other long-sleeved garments can be contaminated with bacteria including methicillin-resistant Staphylococcus aureus (MRSA) has led British health authorities to ban such attire for clinicians. To examine the appropriateness of this action, researchers conducted a prospective trial in which they assessed bacterial contamination of physicians\\’ clothing.

via What Should Physicians Wear? – Infectious Diseases.

NYTimes: For Cold Virus, Zinc May Edge Out Even Chicken Soup

Scientists haven’t discovered a cure for the common cold, but researchers now say zinc may be the next best thing.