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Articles Tagged With: asymptomatic

  • Pelvic Exams During Annual Gynecologic Visits

    A retrospective chart review of 1,121 patients undergoing annual gynecology exams showed that 1.2% (95% confidence interval [CI], 0.5 to 1.9) of asymptomatic patients had physical exam findings on pelvic exam compared to 32.4% (95% CI, 27.0 to 37.8) of symptomatic patients.

  • Is Screening First-Degree Relatives of Cardiomyopathy Patients Worthwhile?

    An observational study of screening first-degree relatives of patients with dilated cardiomyopathy revealed 14% will show either dilated left ventricles, low left ventricular function, or both. These findings are more common if the relatives have been diagnosed with hypertension or are obese, but their frequency is not altered by sex or race.

  • Improve Screening and Retesting for Trichomoniasis

    Infection by the protozoan Trichomonas vaginalis is the most common nonviral sexually transmitted infection, with an estimated 6.8 million cases in the United States annually. It can go undiagnosed because most infected people (up to three out of four) do not experience symptoms. Left undiagnosed and untreated, trichomoniasis can increase the risk of pelvic inflammatory disease, infertility, and acquiring HIV and other STIs.

  • Antibiotic Stewardship vs. Diagnostic Stewardship for Reducing Unnecessary Antibiotics in Asymptomatic Bacteriuria

    A statewide quality study compared antibiotic stewardship to diagnostic stewardship for hospitalized patients with asymptomatic bacteriuria. It found that reducing urine cultures decreased unnecessary antibiotic prescribing better than antibiotic stewardship.

  • FDA Streamlining COVID-19 Shot to a Single Formula

    Conceding the various vaccine doses and multiple boosters have caused considerable confusion, and some degree of pandemic apathy, the FDA’s Vaccines and Related Biological Products Advisory Committee unanimously voted to simplify and “harmonize” the process by switching to a single vaccine formula to be administered annually for most people.

  • SHEA Outlines Research Agenda for COVID-19, Future Viral Pandemics

    Looking to future viral pandemics as well as the current one of COVID-19, the Society of Healthcare Epidemiology of America has set an ambitious research agenda to improve preparation and response to these cataclysmic events.

  • Subclinical Influenza Infection in Healthcare Workers

    Despite all precautions, influenza vaccination, handwashing campaigns, and messaging to staff not to come to work with respiratory symptoms, healthcare workers are an important source of nosocomial influenza and respiratory infection. Now, it is happening with COVID-19.

  • CDC: At Least 50% of COVID-19 Spread by Asymptomatic Cases

    The United States has had about 23 million cases of COVID-19 as of Jan. 13, 2021. According to the Centers for Disease Control and Prevention, at least 11.5 million of those cases were transmitted by someone without symptoms.

  • Carotid Endarterectomy vs. Medical Therapy in Patients with Asymptomatic Carotid Stenosis

    Multiple randomized clinical trials have demonstrated that carotid endarterectomy is beneficial in patients who have symptomatic carotid stenosis, and currently, that is the recommendation for such patients. However, in the intervening years, advances in medical therapy, as well as significant improvement in the management of blood pressure, diabetes, diet, and exercise, have been shown to reduce stroke rate. Therefore, it is currently controversial whether carotid endarterectomy is still beneficial in asymptomatic patients with carotid artery stenosis compared to current medical management.

  • CDC Backtracks on Testing Controversy

    After widespread criticism from the medical community, the Centers for Disease Control and Prevention dropped a controversial recommendation that de-emphasized the importance of testing asymptomatic contacts of COVID-19 cases.