Outsourcing facilities and their place in the U.S. drug supply chain.

The purpose of this commentary is to describe the ideal role of 503B outsourcing facilities in the U.S. drug supply chain.

The Cost of Self-Reported Penicillin Allergy: A Systematic Review.

Background: Patients who report a penicillin (PCN) allergy receive suboptimal antibiotic therapy compared with patients not reporting an allergy. However, a majority of patients who report PCN allergy are not truly allergic on confirmatory testing. Ruling out PCN allergy by testing may improve clinical and economic outcomes for patients with reported allergies requiring antibiotic therapy.

Ventilatory compromise in an infant with Tetralagy of fallot and right aortic arch after insertion of transesophageal echocardiography probe: A case report.

Right aortic arch, a congenital malformation of the great vessels, can cause compression of trachea and/or esophagus. We experienced a case of ventilatory compromise in an infant with tetralogy of Fallot and right aortic arch immediately after insertion of transesophageal echocardiography probe during cardiac surgery. Although intraoperative transesophageal echocardiography can be safely performed in infants with congenital heart disease, it should be done with caution in patient with similar vascular malformation.