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PHOTO CLINIC

Scarlet Fever Rash
July 28, 2011

Rarely encountered these days, scarlet fever is believed to be caused by sensitization to an erythrogenic toxin produced by strains of group A beta-hemolytic streptococci.

Cephalhematoma
July 22, 2011

A right parietal cephalhematoma was first noted on this 2-week-old girl 2 days after her birth.

Scarlet Fever
June 21, 2011

A 2-day history of fever and sore throat and an erupting rash prompted the mother of a 5-year-old boy to bring her son into the office for evaluation.

 
CLINICAL TRIALS
Home Screening for Chlamydia Surveillance
www.clinicaltrials.gov -
Lay Health Advisors for Sexually Transmitted Disease Prevention
www.clinicaltrials.gov -
A Phase I Multicenter Trial to Evaluate the Safety and Immunogenicity of HIV-1 Recombinant Envelope Glycoprotein gp160
www.clinicaltrials.gov -


 
NEWS
HPV
topics.searchmedica.com - 3/20/13
HIV Disease
emedicine.medscape.com - 3/19/13
Men Who Have Sex with Men Very Vulnerable to Resistant Gonorrhea
topics.searchmedica.com - 3/19/13
 
PATIENT RESOURCES
Questions and Answers About Reactive Arthritis
www.niams.nih.gov - 12/17/12
This is a public information piece. This booklet contains general information about reactive arthritis.
Update to CDC's Sexually Transmitted Diseases Treatment Guidelines, 2010: Oral Cephalosporins No Longer a Recommended Treatment for Gonococcal Infections
www.cdc.gov - 8/9/12
To ensure treatment of co-occurring pathogens ( e.g., Chlamydia trachomatis) and reflecting concern about emerging gonococcal resistance, CDC's 2010 sexually transmitted diseases ( STDs) treatment guidelines recommended combination therapy for
Youth Risk Behavior Surveillance United States, 2011
www.cdc.gov - 6/7/12
1) behaviors that contribute to unintentional injuries and violence; 2) tobacco use; 3) alcohol and other drug use; 4) sexual behaviors that contribute to unintended pregnancy and sexually transmitted diseases ( STDs), ... Substantial morbidity and
 
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Sexually Transmitted Diseases

  • Infant and Toddler With History of Cough

    A 6-month-old boy has a 1-week history of dry cough that worsens at night. He has been wheezing intermittently for the past month. A 2-year-old girl has had severe nighttime cough, congestion, and fever for 2 days. She recently recovered from a respiratory illness of 1 month's duration. Chest radiographs of both patients are shown… Read More

  • Recommendations for Flu Vaccination

    Last year, the Advisory Committee on Immunization Practices updated its vaccination recommendations to include new guidelines for children ages 6 months through 8 years, and for persons with egg allergy. Read More

  • Exercise and Asthma Guidelines

    Patients with asthma may be reluctant to exercise for fear of triggering an attack. You can reassure them that adequate control can allow them to participate in almost any physical activity they wish. Recommendations from the NIH offer guidance on prevention of exercise-induced bronchospasm… Read More

  • Infant With Persistent Fever and Cough, Worsening Rash

    A  14-month-old girl presented with persistent fever, cough, and worsening rash of 5 days' duration. On the first day of the illness, the infant was brought to an acute care clinic for evaluation. Read More


 
 
LATEST FEATURES
April 29, 2010
When to Start Talking About Sex? Earlier Than You May Think!
New data underscore importance of discussing sex, STIs sooner rather than later. More »
April 29, 2010
Newborn With Abdominal Mass and Distention
Baby girl born at 37 weeks’ gestation to a gravida 2 para 1, 25-year-old mother by spontaneous vaginal delivery. Apgar scores, 8 at both 1 and 5 minutes. Placenta grossly normal with a 3-vessel cord. Prenatal course uncomplicated. Mother’s blood type, A-positive. Results of prenatal testing negative for hepatitis, syphilis, rubella, group B... More »
November 1, 2008
Vaccine Costs, Compensation, and Access: Problems—and Solutions
Vaccines are perhaps the single most important contribution the 20th century made to civilization. They have been responsible for saving untold numbers of lives and for vastly improving the quality of many more. Although vaccines have had some bad press of late, they are still strongly recommended by the medical community. However, financial issues, difficulties with managed care organizations (MCOs) and other parts of our health care system, and problems with the manufacture and delivery of... More »
November 1, 2008
Papular Perianal Rash in an 8-Year-Old Girl
An 8-year-old girl is brought to the emergency department by her mother with a complaint of 5 days of worsening constipation and rectal bleeding. For the past week, the girl has had small stools 3 or 4 times a day and crampy abdominal pain. Yesterday, her stools were streaked with a small amount of blood. The mother notes that her daughter spends up to an hour in the bathroom with each bowel movement. In addition, the mother remarks that the girl has a rash in the rectal area and along the inner... More »
September 1, 2008
HPV Vaccine: Questions and Controversies
The approval of Gardasil (Merck)—a recombinant vaccine providing protection against human papillomavirus (HPV)—in 2006 sparked instant controversy.1,2 Because HPV infection is a sexually transmitted disease, the use of a vaccine for such a disease brought the following political, medical, and moral questions to the forefront: More »
Showing 6 - 10 of 35 results.
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JOURNAL SCAN
Sexually Transmitted Infections Among US Women and Men: Prevalence and Incidence Estimates, 2008
journals.lww.com - 2/28/13
imageBackground: Most sexually active people will be infected with a sexually transmitted infection (STI) at some point in their lives. The number of STIs in the United States was previously estimated in 2000. We updated previous estimates to reflect t
The Estimated Direct Medical Cost of Selected Sexually Transmitted Infections in the United States, 2008
journals.lww.com - 2/28/13
imageBackground: Millions of cases of sexually transmitted infections (STIs) occur in the United States each year, resulting in substantial medical costs to the nation. Previous estimates of the total direct cost of STIs are quite dated. We present updated
Prevalence and Risk Factors for Chlamydia trachomatis Infection Among Young Thai Men in 20082009
journals.lww.com - 2/28/13
imageBackground: Asymptomatic Chlamydia trachomatis (CT) infection and other sexually transmitted infections in men potentially contribute significantly in sustaining the spread of the infection. To describe the distribution and related sexual behaviors, we co
Comparative effectiveness of a rapid point-of-care test for detection of Chlamydia trachomatis among women in a clinical setting
sti.bmj.com - 2/17/13
Objectives

To compare the effectiveness and cost-effectiveness of a promising new point-of-care (POC) chlamydia test with traditional nucleic acid amplification testing (NAAT), and to determine the characteristics that would make a POC test most cost-effective.

 Methods

A decision tree was constructed to model chlamydia screening visits to a sexually transmitted disease clinic by a hypothetical cohort of 10 000 women. The model incorporated programmatic sc

Annals of Internal Medicine | Chlamydia and Gonorrhea
annals.org - 2/4/13
Kimberly Workowski; Chlamydia and Gonorrhea. Annals of Internal Medicine. 2013 Feb; 158( 3): ITC2-1. ... In the Clinic| 5 February 2013. Chlamydia and Gonorrhea. Kimberly Workowski, MD.
 
MEDLINE
Pattern of sexually transmitted infections in males in interior Sindh: a 10-year-study.
pubmed.gov - 12/30/12
Sexually transmitted infections (STIs) are widespread in Pakistan and have not been fully documented particularly in Sindh Province. The aim of this study is to determine the number and clinical pattern of various types of STIs in general population of Larkana division and its surrounding cities.|A hospital based prospective study was carried out at Male-STD-Clinic in the Department of Dermatology, Shaheed Muhtarma Benazir Bhutto Medical University Hospital Larkana from January 2000 to December 2009.|Among 4,288 patients, 3,947 (92.04%) had the history of extra marital sexual contact and simultaneously had developed the clinical signs of STIs; 341 (7.95%) had history of extra marital sexual contact but did not have the manifestation of STIs. Majority of the patients (3,860, 90.01%) had the history of heterosexual contact with different partners, but only few 171 (3.98%) of them had the history of homosexual contact. According the syndromic diagnosis 1930 (45.00%) patients had genital
Diagnosis and management of gonococcal infections.
pubmed.gov - 11/14/12
Neisseria gonorrhoeae causes urogenital, anorectal, conjunctival, and pharyngeal infections. Urogenital tract infections are most common. Men with gonorrhea may present with penile discharge and dysuria, whereas women may present with mucopurulent discharge or pelvic pain; however, women often are asymptomatic. Neonatal infections include conjunctivitis and scalp abscesses. If left untreated, gonorrhea may cause pelvic inflammatory disease in women, or it may disseminate, causing synovial and skin manifestations. Urogenital N. gonorrhoeae infection can be diagnosed using culture or nucleic acid amplification testing. Urine nucleic acid amplification tests have a sensitivity and specificity comparable to those of cervical and urethral samples. Fluoroquinolones are no longer recommended for the treatment of gonorrhea because of antimicrobial resistance. A single intramuscular injection of ceftriaxone, 250 mg, is first-line treatment for uncomplicated urogenital, anorectal, or pharyngeal
A randomized trial of home versus clinic-based sexually transmitted disease screening among men.
pubmed.gov - 11/1/12
Preventing sexually transmitted diseases (STD) such as Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (GC) remains a public health challenge. The U.S. Preventive Services Task Force suggests STD screening among men will likely lead to a decrease in infection rates of women. However, innovative approaches are necessary to increase the traditionally low rates of male screening. The purpose of this study is to compare the acceptability and effectiveness of home-based versus clinic-based urine screening for CT and GC in men.|We conducted a randomized clinical trial of 200 men aged 18 to 45 years who reside in St. Louis, MO. Men were enrolled via telephone and randomly assigned to receive a free urine CT/GC screening kit either in-person at the research clinic or to have it mailed to the participant's preferred address. Participants completed questionnaires at baseline and 10 to 12 weeks postenrollment. The primary outcome was whether STD screening was completed.|Sixty percent
Prevalence of HIV and sexually transmitted infections and patterns of recent HIV testing among men who have sex with men in Zagreb, Croatia.
pubmed.gov - 11/1/12
To determine the prevalence of HIV and other sexually transmitted infections (STIs) among men who have sex with men (MSM) in Zagreb, Croatia, and assess correlates of testing for HIV in the past 12 months.|The authors carried out a bio-behavioural survey using respondent-driven sampling (RDS) from September 2010 to February 2011. Participants completed a questionnaire and were asked to provide blood, urine, oropharyngeal and rectal swabs for the detection of infections. Data were analysed using RDS Analysis Tool 6.0.1 and STATA V.8.0.|A total of 387 MSM were recruited at the University Hospital for Infectious Diseases. The age range of recruited men was 18-57 years. HIV prevalence was 2.8% (95% CI 1.1% to 5.1%) (3.6%, unadjusted), lower than that found in the first RDS survey carried out in 2006 (4.5%, 95% 2.2% to 7.3%) (4.9%, unadjusted). The seroprevalence of herpes virus type 2 was 5.9% (6.9, unadjusted) and that of syphilis measured by Treponema pallidum haemagglutination assay
Predictors of male partner treatment for sexually transmitted infection.
pubmed.gov - 9/30/12
Patient-initiated notification is a commonly used practice for notifying sex partners of possible exposure to a sexually transmitted infection (STI); however, 46% to 75% of partners are never treated. The Contraceptive CHOICE Project (CHOICE) is a longitudinal cohort study of women that provides no-cost contraception, STI testing, treatment to participants, and free partner treatment. Our objective was to evaluate characteristics of women who tested positive for chlamydia, gonorrhea, or trichomoniasis, and their association with successful partner treatment.|We analyzed baseline survey and STI testing, notification, and treatment data from the first 5087 participants enrolled in CHOICE. We considered "treated partners" to be men who received antibiotic treatment at the study clinic or by a prescription through the study. Independent predictors of successful partner treatment were identified using univariate analysis and multivariable analysis using Poisson regression with robust error
 
PRACTICE GUIDELINES
Guide to Clinical Preventive Services, 2010-2011: Section 2 (continued)
www.ahrq.gov - 8/31/10
Reviews the evidence for and against hundreds of preventive health services, recommending tests, and counseling interventions when evidence exists that it is effective.
National Guideline Clearinghouse | Chlamydial infections. In: Sexually transmitted diseases treatment guidelines, 2010.
www.guidelines.gov -
Chlamydial infections. In: Sexually transmitted diseases treatment guidelines, 2010.
National Guideline Clearinghouse | Diseases characterized by urethritis and cervicitis. In: Sexually transmitted diseases treatment guidelines, 2010.
www.guidelines.gov -
Diseases characterized by urethritis and cervicitis. In: Sexually transmitted diseases treatment guidelines, 2010.



 
FROM PHYSICIANS PRACTICE
Primary Care Can't Thrive Without Nurse Practitioners
Courtney H. Lyder, ND,  May 17, 2013
With a projected shortfall of primary-care physicians, it's time for alternate solutions to patient care. Nurse practitioners are one logical remedy.
VWhat Physicians Can Learn from the Allscripts EHR Lawsuit
Marisa Torrieri,  May 16, 2013
Lawsuit prompts question: What should physicians do to ensure they end up with a great EHR instead of buyer’s remorse?
Eight Ways ICD-9 Will Still Matter to Medical Practices
Brenda Edwards, CPC,  May 15, 2013
What should your medical practice do with your ICD-9-CM book after October 1, 2014? Keep it.
Seven Ways Technology Can Speed Up Patient Collections
Cheyenne Brinson,  May 15, 2013
Failing to adopt widely available billing and collections technology can cost medical practices big. Here's how to do it right.
Four Reasons Private Medical Practice is Becoming Extinct
Carol Stryker,  May 15, 2013
It’s becoming increasingly difficult for private medical practices to thrive. Here’s what’s driving the trend toward consolidation.
 

 
 
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