Control of Genital Warts Is Within Reach . . . but Not in the U.S.
Women's Health
Summary and Comment
High coverage with quadrivalent HPV vaccine has dramatically reduced the incidence of genital warts in Australia.
Immunogenicity of Two- vs. Three-Dose HPV Vaccine Schedules in Girls
Antibody levels were comparable between groups 7 months after the first dose, but girls receiving two doses had lower antibody titers to HPV-6 and HPV-18 by 36 months.
By Alain Joffe, MD, MPH, FAAP
May 8, 2013
Covering:
Dobson SRM et al., JAMA 2013 May 1; 309:1793
Kahn JA and Bernstein DI., JAMA 2013 May 1; 309:1832
Gonorrhea Antimicrobial Resistance Among Men Who Have Sex with Men
General Medicine
Summary and Comment
MSM were more likely to harbor resistant strains than were men who have sex exclusively with women.
Hepatitis C Virus Seldom Is Transmitted Sexually
General Medicine
Summary and Comment
This study should reassure monogamous heterosexual couples who are discordant for the virus.
By Abigail Zuger, MD
March 19, 2013
Covering:
Terrault NA et al., Hepatology 2013 Mar; 57:881
Antibiotic-Resistant Gonococci Are Most Common in Men Who Have Sex with Men
Infectious Diseases
Summary and Comment
Such resistance is widespread and encompasses most available drugs.
By Stephen G. Baum, MD
March 13, 2013
Covering:
Kirkcaldy RD et al., Ann Intern Med 2013 Mar 5; 158:321
HSV-1 Infection More Common Than HSV-2 — and Now Often Genital
Infectious Diseases
Summary and Comment
In a prospective study involving HSV-seronegative women, incidence of HSV-1 infection was more than double that of HSV-2 infection; most symptomatic HSV-1 infections were genital.
By Neil M. Ampel, MD
February 20, 2013
Covering:
Bernstein DI et al., Clin Infect Dis 2013 Feb 1; 56:344
Whitley RJ., Clin Infect Dis 2013 Feb 1; 56:352
More Evidence Supports Early HIV Treatment
General Medicine
Summary and Comment
Patients treated within a few months of contracting the virus had higher CD4-cell counts in the long term.
By Abigail Zuger, MD
January 31, 2013
Covering:
SPARTAC Trial Investigators., N Engl J Med 2013 Jan 17; 368:207
Le T et al., N Engl J Med 2013 Jan 17; 368:218
Walker BD and Hirsch MS., N Engl J Med 2013 Jan 17; 368:279
HPV Vaccination: Just Do It
Women's Health
Summary and Comment
Despite the rising incidence of some HPV-related cancers, vaccine coverage rates remain low.
By Anna Wald, MD, MPH
January 31, 2013
Covering:
Jemal A et al., J Natl Cancer Inst 2013 Jan 7
Brisson M et al., J Natl Cancer Inst 2013 Jan 7
Do-It-Yourself Vulvovaginal Swabs for Detecting Chlamydia and Gonorrhea
General Medicine
Summary and Comment
Self-obtained swabs performed at least as well as those obtained by clinicians.
By Paul S. Mueller, MD, MPH, FACP
January 17, 2013
Covering:
Schoeman SA et al., BMJ 2012 Dec 12; 345:e8013
Stewart CMW et al., BMJ 2012 Dec 12; 345:e8107
Gonococcal Treatment Failure Due to Cephalosporin Resistance Now in North America
Infectious Diseases
Summary and Comment
Cefixime- resistant strains in Toronto were highly related to those isolated in Europe.
By Richard T. Ellison III, MD
January 9, 2013
Covering:
Allen VG et al., JAMA 2013 Jan 9; 309:163
Kirkcaldy RD et al., JAMA 2013 Jan 9; 309:185
Invasive Meningococcal Disease in MSM
Infectious Diseases
Summary and Comment
Investigators report a cluster of invasive serogroup C meningococcal infections in New York City among men who have sex with men.
By Stephen G. Baum, MD
January 9, 2013
Covering:
Centers for Disease Control and Prevention (CDC)., MMWR Morb Mortal Wkly Rep 2013 Jan 4; 61:1048
HIV Incidence: The Latest Numbers
Are HIV prevention methods working? In his blog HIV and ID Observations , Dr. Paul Sax looks at the latest CDC report on HIV incidence.
Pelvic Inflammatory Disease After Intrauterine Device Placement Is Rare
Women's Health
Summary and Comment
IUD placement before receipt of STD screening results does not raise PID risk.
Sexually Transmitted Infections Acquired During Travel
Infectious Diseases
Summary and Comment
A GeoSentinel analysis identified several risk factors for travel-associated STIs, including male sex and lack of a pretravel health consultation.
By Larry M. Baddour, MD
December 5, 2012
Covering:
Matteelli A et al., Lancet Infect Dis 2012 Nov 22
Croughs M and Van den Ende JJ., Lancet Infect Dis 2012 Nov 22
Broadly Neutralizing Antibodies Against HIV: Potent and Persistent
General Medicine
Summary and Comment
Antibodies dropped and kept HIV viremia below detection in mice long past treatment termination.
Risky Sexual Behavior Is Common Among Teens with Perinatally Acquired HIV Infection
Equally worrisome: Nonadherence to antiretroviral therapy often accompanies sexual activity.
By Abigail Zuger, MD
November 26, 2012
Covering:
Tassiopoulous K et al., Clin Infect Dis 2012 Nov 7
The U.S. Preventive Services Task Force Recommends HIV Screening — And Why is This News?
Dr. Paul Sax looks at the flurry of coverage surrounding the USPSTF's recommendation for routine HIV screening in his blog HIV and ID Observations .
Antiretroviral Rounds: Resistance on Two Fronts
Dr. Paul Sax shares his thoughts, medical and otherwise, on a new case in his blog HIV and ID Observations .
HPV Vaccination Does Not Change Sexual Behaviors in Teens
Girls aged 11 to 12 years who received the human papillomavirus vaccine did not subsequently have higher rates of sexually transmitted disease diagnoses or pregnancy than girls who did not receive the HPV vaccine.
Reproductive Healthcare for Women in the Military
Active-duty servicewomen are at higher risk for many adverse reproductive health outcomes.
By Vinita Goyal, MD, MPH
October 25, 2012
Especially for Military Women: Managing Your Reproductive Health
Women's Health
Patient Information
Special considerations for preventing sexually transmitted diseases and unintended pregnancy
Contraception for HIV-Seropositive Women
Women's Health
Summary and Comment
Highly effective contraception is rarely used by women with HIV.
Syphilis Serology in HIV
A retrospective study failed to show much difference between HIV-positive and HIV-negative patients.
By Abigail Zuger, MD
October 22, 2012
Covering:
Knaute DF et al., Clin Infect Dis 2012 Oct 9
Postpartum HPV Vaccination: Acceptance Belies Completion Rates
Women's Health
Summary and Comment
Most study participants were satisfied with having chosen postpartum HPV vaccination, but only one third completed all three shots.
By Anna Wald, MD, MPH
October 18, 2012
Covering:
Wright JD et al., Obstet Gynecol 2012 Oct; 120:771
Sexual Concurrency and High-Risk Behavior in Men Who Have Sex with Men
Infectious Diseases
Summary and Comment
Having concurrent relationships with two partners was associated with an increased likelihood of unprotected anal intercourse.