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Sexually transmitted infections: Fighting non-viral STIs
Michelle is a healthy appearing, athletic 16-year-old who presents to the clinic with a 4-day history of itching "down there" and smelly discharge. During the intake, completed while her mother was present, Michelle vehemently denied that she has ever done "anything more than make out." However...
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HIV screening urged for high-risk adults
The U.S. Preventive Services Task Force (USPSTF) strongly advises physicians to screen all adults at high risk for human immunodeficiency virus (HIV). This recommendation is one of several primary clinical recommendations recently released from the USPSTF.
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Contemporary Management of Urosepsis: Updated Critical Care Guidelines
A urinary tract infection (UTI) that spreads into the systemic circulation—urosepsis—is a life-threatening condition that requires emergent treatment. Rigors, high fevers, mental status changes, hypotension, tachycardia, and tachypnea are characteristic (1). When patients present with or develop these symptoms, it is critical to promptly initiate IV fluids, obtain cultures, and administer broad-spectrum antibiotics.
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Active education helps prevent antibiotic misuse
Reducing excessive or inappropriate antibiotic use is the best way to slow down the spread of antimicrobial resistance in bacterial infections. A report examining dozens of studies of quality-improvement (QI) interventions found that actively engaging the clinician in workshops or educational outreach on antibiotic treatment appears to be more effective than simply posting signs about correct/incorrect antibiotic use. However, most QI interventions are generally effective at reducing both inappropriate antibiotic selection and treatment.
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