November 2009

AFP Cover 2009 November


November 2009 Vol 38 (11) 849-944

The theme for the November issue of AFP is Bites. This month's articles include Bites and stings, Spider bites - Assessment and management, Management of mammalian bites, Dengue - Clinical and public health ramifications & Bed bugs - What the GP needs to know


Bed bugs

What the GP needs to know

Stephen L Doggett, Richard Russell


Clinical and public health ramifications

Danielle M Esler

Management of mammalian bites

Claire Dendle, David Looke

Spider bites

Assessment and management

George Braitberg, Leslie Segal

Up front

Letters to the editor

Once bitten

Kath O’Connor


A purpuric rash

Ingrid Aguayo-Leyva, Sergio Vano-Galvan, Jose-Maria Arrazola

Asthma and eligibility for the Australian Defence Force

Jodi Bailey, Felicity Williams

Bites and stings

Janice Charles, Salma Fahridin, Helena Britt

Influencing behaviour change in general practice

Part 1 – brief intervention and motivational interviewing

Moira G Sim, Toni Wain, Eric Khong

Pandemic preparedness

Risk management and infection control for all respiratory infection outbreaks

Annapurna Nori, Mary-Anne Williams


ASPREN surveillance system for influenza-like illness

A comparison with FluTracking and the National Notifiable Diseases Surveillance System

Adriana Parrella, Craig B Dalton, Rodney Pearce, John Litt, Nigel Stocks

Collaborative care

The role of practice nurses

Mark A J Morgan, James Dunbar, Prasuna Reddy

Improving GP diabetes management

A PDSA audit cycle in Western Australia

Cynthia Porter, Charlie Greenfield, Ann Larson, Marisa Gilles

Older patients’ attitudes to general practice registrars

A qualitative study

Andrew Bonney, Lyn Phillipson, Sandra C Jones, Don Iverson


‘I’m a happy little Vegemite, doctor!’

Declan O’Malley

Health care reform

Facing inequities

Mark F Harris, Julie McDonald

Will the NHHRC recommendations drive quality performance?

Andrew Bonney, Elizabeth Farmer

To treat or not to treat

Sara Bird

Vertical integration

Reducing the load on GP teachers

Katrina Anderson, Jennifer Thomson

Weight management

Facts and fallacies

Garry Egger, Sam Egger


General practice and the NHH RC report

Jan Radford

Back pages

Clinical challenge

Rachel Lee


AFP Podcasts

Interviews November 2009

Spider bites

Professor George Braitberg talks about what GPs need to know the assessment and management of spider bites. He discusses problems with spider identification, the importance of toxindrome recognition and the controversy surrounding necrotizing arachnidism in Australia. In addition, he describes the clinical effects and treatment of redback and funnelweb spider envenomation.

Duration: 17 minutes 53 seconds
File size: 4MB

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Animal bites

Dr Claire Dendle talks about what GPs need to know the assessment and management of mammalian bites. In the setting of a mammalian bite, history and examination is directed at assessing whether the bite has damaged underlying structures or is at high risk of infection. Treatment of mammalian bites involves cleaning and irrigation and a decision about the use of antibiotics. Primary wound closure is usually only recommended in selected wounds where cosmesis is an issue. Patients should be provided with detailed instructions and reviewed after 24-48 hours. GPs have an important role in secondary prevention of animal bites.

Duration: 21 minutes 28 seconds
File size: 5MB

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Dr Danille Esler talks about what GPs need to know about the clinical and public health ramifications of Dengue. The epidemiology of Dengue fever has changed in recent years and there has been a recent outbreak of the disease in northern Queensland. GPs can find out about recent outbreaks on the websites of the World Health Organisation, Centers for Disease Control and, in the case of outbreaks in Queensland, Queensland Health. Most commonly, Dengue presents as a debilitating illness lasting 7-10 days. The GP role involves exclusion of other illnesses such as malaria, appropriate diagnostic testing, monitoring for the development of Dengue Haemorrhagic Fever (DHF) and prevention of spread. Dengue is a notifiable disease; if a general practitioner suspects dengue, early notification is vital

Duration: 14 minutes 9 seconds
File size: 3MB

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