Letter to the Editor

Pandemic Influenza and Community Medical Care

Authors: Michael P. Dailey, MS, MD, FACP

Abstract

To the Editor:


Over the last three decades, community-based infectious disease practice has undergone major changes. Imaging techniques (eg, computed tomography [CT] and ultrasound) and modern medicines have revolutionized patient care. If history is a guide, with pandemic influenza, we will face the challenge of treating seriously ill patients without some of these tools.

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References

1. U.S. Department of Health & Human Services. HHS Pandemic Influenza Plan – Part 1, Strategic Plan. Accessed December 4, 2007.
 
2. Moore DL, Vaudry W, Scheifele D W, et al. Surveillance for influenza admissions among children hospitalized in Canadian immunization monitoring program active centers 2003-2004. Pediatrics 2006;118:610–619.
 
3. Monto AS, Gravenstein S, Elliott M, et al. Clinical signs and symptoms predicting influenza infection. Arch Intern Med 2000;160:3243–3247.
 
4. Rivers E, Nguyen B, et al. Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med 2001;345:1368–1377.