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Antibiotics for Asymptomatic Bacteriuria: Using Urinalysis to Improve Stewardship
A cohort study found that in patients receiving antibiotics for a urinary tract infection, a urinalysis with pyuria and/or nitrituria identified 40% more cases of unnecessary antibiotic use compared to asymptomatic bacteriuria.
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Can Anti-Amyloid Antibody Treatment Delay the Clinical Onset of Alzheimer’s Disease?
In this open-label extension of the dominantly inherited Alzheimer’s disease gantenerumab trial (DIAN-TU), long-term continuous amyloid clearance over eight or more years in asymptomatic carriers of autosomal dominant Alzheimer’s mutations showed potential to delay symptom onset and slow progression. Shorter duration or partial clearance did not yield measurable clinical benefit, suggesting that only sustained, near-complete amyloid removal may have disease-modifying effects.
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Manual Maneuvers for the Treatment of Benign Positional Vertigo
Benign positional vertigo is a challenge to treat. This clinical trial from investigators in South Korea demonstrated modest efficacy in resolving posterior canal-related vertigo with a head-shaking maneuver that is easily performed in an office setting.
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Preventing Sexually Transmitted Infections Has Just Gotten Much Harder
The national sexually transmitted infections (STIs) lab that was recently closed by the federal government had been working on drug-resistant gonorrhea, collecting samples, developing new laboratory diagnostic tests, and monitoring antimicrobial resistance.
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Effects of Federal Cuts to STI Programs Could Be Significant
Some sexually transmitted infections (STIs) have risen dramatically since the COVID-19 pandemic. But the hope was that public health clinics’ increased screening and treatment and public awareness campaigns eventually would lead to a decrease in STIs.
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Immediate Postpartum LARC Is Challenging, Especially in Rural Areas
Rural patients were less likely to have access to immediate postpartum long-acting reversible contraception (LARC) even six years after Pennsylvania Medicaid changed policy to provide a way for providers to receive fair reimbursement for the procedure, new research finds.
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High School Students Vary in Reporting Contraception Use
A new study using self-reported data from the national Youth Risk Behavior Survey found that overall use of reliable contraceptives by sexually active U.S. female high school students was low.
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Patients Who Perceive Contraceptive Coercion Report Psychological Distress
When patients perceive contraception coercion from their providers, they are less likely to eventually receive their preferred contraceptive method and also may report higher levels of psychological stress, new research shows.
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Help Reduce Gender-Related Distress for Patients in Reproductive Healthcare
The challenge for reproductive healthcare providers is meeting the needs of transgender and nonbinary patients in a way that reduces their gender-related distress.
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Medical Students Need More Training About Benefits of Birth Control Hormones
For medical students — in any discipline — to provide optimal care to women, they need to learn more about contraception, postpartum care, intimate partner violence, and sexual and reproductive health.