Objectives: To better define the role of the medical students in the event of a disaster requiring a surge response in healthcare systems.Setting: The University of Michigan Medical School and Health System, where staffing plans for a pandemic flu were actively taking place.Subjects: All medical students at the University of Michigan.Interventions: The authors surveyed medical students to evaluate how they felt they could contribute during a pandemic flu.Results: Of the students who completed the survey, 88 percent of the respondents felt that students should formally be incorporated into the health system’s staffing plan during a pandemic. This survey further identified the specific patient care tasks that students felt comfortable performing, which may be of value to medical school and hospital administration that are considering inclusion of medical students into their pandemic planning.Conclusions: There should be formal inclusion of medical students into health systems’ staffing plans in the case of pandemic flu, as they are valuable first responders who are both willing and able to participate in the pandemic response.
IntroductionNeonatal mastitis is a rare infection. When it does occur, infants younger than 2 months of age are typically affected and the majority of cases are caused by Staphylococcus aureus. We present the first reported case of neonatal mastitis caused by Acinetobacter baumannii, an unusual organism for this type of infection.Case presentationA 15-day-old full-term Caucasian male neonate presented to our emergency room following fever at home and was admitted for routine neonatal sepsis evaluation. After admission, he developed purulent drainage from his right nipple, was diagnosed with mastitis, and was started on empiric therapy with clindamycin and cefotaxime with presumed coverage for S. aureus. Drainage culture identified pan-susceptible Acinetobacter baumannii/haemolyticus and antibiotic therapy was changed to ceftazidime. He was discharged after 5 days of ceftazidime with complete resolution of his symptoms.ConclusionsThis case illustrates the importance of obtaining drainage cultures in mastitis cases because of the possibility of organisms besides S. aureus causing infection. Acinetobacter baumannii is considered part of the normal human flora and is associated with serious infections in intensive care units. This is the first case report describing Acinetobacter baumannii as an etiologic agent of neonatal mastitis and highlights the importance of including unusual organisms in the differential for infectious etiologies for general practitioners.
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