A Change of Shift

The latest Change of Shift, the blog carnival for nursing, is up at Emergiblog. Be sure to check it out.

I've also been remiss in not mentioning that Dr. Val is hosting Grand Rounds. Enjoy that, too!

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Hib Alert: 5 Cases, 1 Death

The U.S. Centers for Disease Control and Prevention (CDC) today announced that five cases of Haemophilus influenzae, type b (Hib), invasive disease (meningitis, pneumonia and epiglottitis) were confirmed in 2008 in Minnesota. This is the highest number of cases of this vaccine-preventable disease in children under 5 years of age that Minnesota has seen since 1991.

Three patients had received no vaccinations due to parent or guardian deferral or refusal of vaccinations. One of the unimmunized patients, a 7-month-old infant, died of Hib disease. Two of the remaining children received age-appropriate immunizations. One child, a 5-month-old, had received two Hib immunizations. The other child was 15 months old and was fully vaccinated for age but, subsequent to Hib infection, was diagnosed with an immune deficiency (hypogammaglobulinemia).