Pregnant women should be tested for infection at first provider visit
October 25, 2018
Cases of congenital syphilis have more than doubled since 2013, according to the Centers for Disease Control and Prevention. All pregnant women should visit a healthcare provider as soon as possible to be tested for syphilis, but one test may not be enough to catch all cases.
A new committee opinion issued by the American College of Obstetricians and Gynecologists, in conjunction with the Women’s Preventive Services Initiative’s rollout of a “Well-Woman Chart,” is designed to help clinicians follow the latest updates for preventive care.
In this randomized, controlled trial of more than 25,000 women, participants with negative high-risk human papillomavirus testing at baseline had rates of CIN 3+ at 48 months that were lower compared to negative liquid-based cytology testing.
The U.S. Preventive Services Task Force (USPSTF) recently updated its recommendations for cervical cancer screening. Practitioners currently following guidelines published by ASCCP (and supported by ACOG) will not find any discrepancies in the new USPSTF position
HPV testing detects precancers sooner and with better accuracy
July 26, 2018
In a large, randomized clinical trial that compared primary HPV testing alone vs. Pap test for cervical screening, results suggest that primary HPV testing can pick up precancerous lesions sooner and with better accuracy than the Pap test.
A meta-analysis determined that nares screening for methicillin-resistant Staphylococcus aureus (MRSA) has a high specificity and negative predictive value for MRSA pneumonia. MRSA nasal screening can be a useful tool for antimicrobial stewardship personnel to de-escalate empiric anti-MRSA therapy.
A meta-analysis that included 38 studies found the SIRS criteria had a higher sensitivity than qSOFA in predicting short-term mortality from sepsis. SIRS criteria remain useful as a screening tool for sepsis and as a prompt to initiate diagnostic work-up and treatment.
Results from a large retrospective study of women undergoing cervical cancer screening indicate that overweight and obese women had an increased risk of cervical cancer compared to normal weight women.