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Outbreaks of Infectious Enteritis in the United States: Norovirus Wins Again
More than 1 million people acquired enteric infections in the course of almost 40,000 outbreaks in the United States over the 11 years of this study.
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Molecular Test Panel Use for Children with Possible Meningitis
In children thought to have meningitis, the use of a molecular test pathogen panel reduced the time to optimal antimicrobial use and reduced the duration of intravenous antibiotic use. However, there was no difference in the time to effective antimicrobial administration or the length of hospital stay between those with treatable pathogens who were and were not evaluated using molecular testing.
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Infectious Disease Alert Updates
Remaining Questions in Syphilis Treatment; The Great Imitator Imitates Again
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Dancing to Improve Balance and Quality of Life in Healthy Seniors
This prospective cohort study found that healthy volunteers aged 63-80 years who participated in 18 months of a dance intervention experienced an increase in more hippocampal regions and greater improvements in balance compared to their age- and sex-matched peers who underwent 18 months of an aerobic fitness intervention.
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Physical Activity and Diet Following Bariatric Surgery
Patients who underwent bariatric surgery reported more physical activity and less energy intake than those who were eligible for, but did not undergo, bariatric surgery; however, physical activity still did not reach recommended levels.
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Considering Weight Loss and More to Alleviate Obstructive Sleep Apnea
Obesity is a primary cause of obstructive sleep apnea (OSA), and improvements in weight and other lifestyle factors can yield benefits for OSA and related comorbidities.
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Self-Assessment of Gestational Duration Among People Seeking Abortion
In a national sample of people seeking abortion, broadening screening questions beyond last menstrual period to self-assess gestational duration improves accuracy in determining eligibility for medication abortion using a 70-day threshold. In-person ultrasound may not be necessary.
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Permanent Contraception: How Effective Is it, Really?
In this retrospective cohort study using Medicaid claims data from 2008-2014 in California, the rate of pregnancy was 4.74% after hysteroscopic sterilization among 5,906 women and 5.57% after laparoscopic sterilization among 23,965 women. These rates are higher than reported previously.
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Breast Cancer Screening: Tomosynthesis Is Beneficial for High-Risk Patients
This cohort study examined rates of advanced breast cancer diagnosis among women screened with digital mammography and digital breast tomosynthesis (DBT). Women with extremely dense breasts and who were at high risk for breast cancer benefited from DBT, with a 53% lower risk of developing advanced cancer compared to those screened with digital mammography alone. No differences were seen for women at low to average risk.
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Pregnancy Outcomes in Cancer Survivors
This study demonstrated that women with a prior history of chemotherapy exposure have a higher prevalence of adverse pregnancy outcomes compared to those without a previous history, with no differences in neonatal outcomes.