Articles Tagged With: screening
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Primary HPV Screening: Ready for Prime Time?
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.
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USPSTF Recommendation: Screening for Cervical Cancer
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
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New Data on HPV Testing Vs. Pap
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.
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A Negative Nares Screen for MRSA Helps Exclude MRSA Pneumonia
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.
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Refugee Screening
Screening and potential treatment of refugees prior to travel to the United States effectively reduces the burden of infection.
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SIRS Criteria vs. qSOFA for Predicting Short-term Mortality From Sepsis
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.
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Cervical Cancer Screening May Be Less Effective in Obese Women
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.
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Study Analyzes Optimum Time for HIV Testing
The Centers for Disease Control and Prevention currently recommends that all citizens be tested for HIV infection at least once between the ages of 13 and 64 years. Results of a recent study indicate that age 25 would be better than younger ages for a single HIV screening test among those young adults without symptoms.
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Low Rates of Adherence to PID Guidance Found in Emergency Departments
Research analyzing trends in the nation’s emergency departments indicates low rates of HIV and syphilis screening among teens diagnosed with pelvic inflammatory disease, despite the high risk for such infections. Data also suggest low rates of adherence to national treatment guidelines.
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Clinician Alert: STIs Hit High-water Mark
More than 2 million cases of chlamydia, gonorrhea, and syphilis were reported in the United States in 2016, the highest number ever, according to the latest surveillance from the Centers for Disease Control and Prevention.