October 2016 Briefing - Infectious Disease

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Here are what the editors at HealthDay consider to be the most important developments in Infectious Disease for October 2016. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Few Changes in Employer-Sponsored Insurance 2013-2014

MONDAY, Oct. 31, 2016 (HealthDay News) -- Private sector employer-sponsored health insurance offerings were similar in 2013 and 2014, with <3.5 percent of employers dropping coverage and 1.1 percent adding coverage, according to a report published online Oct. 26 in Health Affairs.

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Guidelines Presented for Fluoroquinolone Use in Children

MONDAY, Oct. 31, 2016 (HealthDay News) -- In a clinical report published online Oct. 31 in Pediatrics, guidelines are presented for the use of systemic and topical fluoroquinolones in children.

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New Way Bacteria Can Trigger Inflammation in Acne Identified

MONDAY, Oct. 31, 2016 (HealthDay News) -- In research published online Oct. 28 in Science Immunology, scientists say they've discovered a previously unrecognized way in which bacteria trigger inflammation in the skin.

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Useful Tips Offered for Addressing Negative Patient Reviews

FRIDAY, Oct. 28, 2016 (HealthDay News) -- In an article published in Medical Economics, five tips are presented to address negative patient reviews.

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HIV Active in Tissues Even in Patients on Antiretrovirals

THURSDAY, Oct. 27, 2016 (HealthDay News) -- For patients taking antiretroviral medications, HIV continues to reside in tissues, and though this may not cause AIDS, it could contribute to the development of unrelated conditions such as cancer and cardiovascular disease, according to research published in the October issue of the Journal of Virology.

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New Research Maps Origins of HIV/AIDS in North America

WEDNESDAY, Oct. 26, 2016 (HealthDay News) -- Using genetic analyses of 40-year-old blood samples, scientists have arrived at a clearer understanding of the introduction and spread of HIV in North America. The new genetic research was published online Oct. 26 in Nature.

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Narrow-Spectrum Abx Feasible in Healthcare-Associated Pneumonia

TUESDAY, Oct. 25, 2016 (HealthDay News) -- It may be safe to switch from broad- to narrow-spectrum antibiotic coverage once hospitalized patients with healthcare-associated pneumonia reach clinical stability, according to a study published online Oct. 3 in the Annals of the American Thoracic Society.

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Adaptive Working Memory Training Beneficial in HIV

MONDAY, Oct. 24, 2016 (HealthDay News) -- Adaptive working memory training (WMT), but not non-adaptive WMT, improves working memory performance in HIV participants and seronegative (SN) controls and reduces brain activation at one and six months, according to a study published online Oct. 19 in the Annals of Neurology.

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CDC: Two Doses of HPV Vaccine Sufficient for Children Under 15

THURSDAY, Oct. 20, 2016 (HealthDay News) -- Children 14 and younger require only two doses of the human papillomavirus (HPV) vaccine rather than the previously recommended three doses, according to the U.S. Centers for Disease Control and Prevention.

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CDC: STD Rates at Unprecedented High in the United States

WEDNESDAY, Oct. 19, 2016 (HealthDay News) -- Sexually transmitted disease (STD) cases reached a record high in the United States in 2015, according to the annual Sexually Transmitted Disease Surveillance Report released Oct. 19 by the U.S. Centers for Disease Control and Prevention.

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Urine Concentration Aids UTI Diagnosis in Young Infants

TUESDAY, Oct. 18, 2016 (HealthDay News) -- For infants undergoing microscopic urinalysis as part of urinary tract infection (UTI) evaluation, urine concentration should be included in the interpretation, according to a study published online Oct. 18 in Pediatrics.

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Considerable Economic Burden for Vaccine-Preventable Diseases

TUESDAY, Oct. 18, 2016 (HealthDay News) -- For U.S. adults, the economic burden associated with vaccine-preventable diseases was estimated at about $9 billion in 2015, according to a study published in the October issue of Health Affairs.

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HBV, HCV Coinfection Ups Non-Hodgkin Risk in ART-Treated HIV

TUESDAY, Oct. 18, 2016 (HealthDay News) -- Chronic coinfection with hepatitis B virus (HBV) and hepatitis C virus (HCV) is associated with non-Hodgkin's lymphoma (NHL) among patients with HIV receiving antiretroviral treatment (ART), according to a study published online Oct. 18 in the Annals of Internal Medicine.

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Liver Stiffness Linked to Hepatic Events, Death in Hepatitis B

MONDAY, Oct. 17, 2016 (HealthDay News) -- For patients with chronic hepatitis B (CHB), liver stiffness measurement (LSM) is associated with hepatic events and death, while metabolic syndrome increases the risk of cardiovascular events, according to a study published online Oct. 1 in Hepatology.

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Data Mining, Experiments ID QT Prolonging Drug Interactions

MONDAY, Oct. 17, 2016 (HealthDay News) -- Data mining coupled with laboratory experiments can identify QT interval-prolonging drug-drug interactions (QT-DDIs), according to a study published in the Oct. 18 issue of the Journal of the American College of Cardiology.

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Lower Monthly Premiums for Narrow-Network Plans

MONDAY, Oct. 17, 2016 (HealthDay News) -- Narrow-network health insurance plans have lower monthly premiums than larger-network plans, according to a study published in the October issue of Health Affairs.

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New Active Zika Transmission Area in Miami-Dade County

FRIDAY, Oct. 14, 2016 (HealthDay News) -- A new active Zika transmission zone was declared Thursday by Florida health officials.

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Complete Genome Sequence of Zika Isolated From Semen

FRIDAY, Oct. 14, 2016 (HealthDay News) -- The first complete genome sequence of a sample of Zika virus derived from semen has been obtained, according to research published in the September/October issue of Genome Announcements.

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CDC: Possible Contamination of Open-Heart Surgery Devices

FRIDAY, Oct. 14, 2016 (HealthDay News) -- Some LivaNova PLC (formerly Sorin Group Deutschland GmbH) Stockert 3T heater-cooler devices might have been contaminated with Mycobacterium chimaera during manufacturing, according to a press release from the U.S. Centers for Disease Control and Prevention.

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Migrants Screened for Active TB Pose Negligible Transmission Risk

FRIDAY, Oct. 14, 2016 (HealthDay News) -- Migrants from countries with a high incidence of tuberculosis who undergo screening before entry to low-incidence countries pose a negligible risk of onward transmission but are at increased risk of the infection, according to a study published online Oct. 11 in The Lancet.

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Late-Pregnancy Zika Infection Can Still Affect Fetal Brain

THURSDAY, Oct. 13, 2016 (HealthDay News) -- The Zika virus may harm a infant's brain even if the mother is infected just before giving birth, according to a study published online Sept. 6 in Clinical Infectious Diseases.

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DEET to Protect Against Zika Appears Safe During Pregnancy

TUESDAY, Oct. 11, 2016 (HealthDay News) -- N,N-diethyl-meta-toluamide (DEET) insect repellents won't harm a pregnant woman or her fetus when used as instructed to prevent Zika infection, according to research published in the November issue of Obstetrics & Gynecology.

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CDI Risk Up When Prior Occupant of Hospital Bed Got Antibiotics

TUESDAY, Oct. 11, 2016 (HealthDay News) -- When a hospital patient is taking antibiotics, the next patient to use the same bed may face an elevated risk of Clostridium difficile infection (CDI), according to a study published online Oct. 10 in JAMA Internal Medicine.

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Gene Associated With Risk of Acute Otitis Media

TUESDAY, Oct. 11, 2016 (HealthDay News) -- A potential genetic link to a child's higher risk of acute otitis media has been identified, according to research published online Sept. 28 in Nature Communications.

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Copay Assist Programs Creating Problems in Health Care Markets

TUESDAY, Oct. 11, 2016 (HealthDay News) -- Despite offering assistance to individuals who cannot afford expensive medications, copay assistance programs create broader problems in health care markets, according to an Ideas and Opinions piece published online Oct. 11 in the Annals of Internal Medicine.

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Not Enough Men Who Have Sex With Men Aware of PrEP

MONDAY, Oct. 10, 2016 (HealthDay News) -- Many men who have sex with men (MSM) are not aware that pre-exposure prophylaxis (PrEP) medication can protect them from HIV, according to a study published online Sept. 28 in the American Journal of Preventive Medicine.

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U.S. Health Care System Is One of the Least Efficient Worldwide

MONDAY, Oct. 10, 2016 (HealthDay News) -- The U.S. health care system is one of the least efficient worldwide based on a Bloomberg index that assesses life expectancy, health care spending per capita, and relative spending as a share of gross domestic product, according to a report published by Bloomberg.

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Hospitalizations in Pregnancy, Delivery Stable for HIV-Infected

MONDAY, Oct. 10, 2016 (HealthDay News) -- From 2004 to 2011 there was no increase in the number of hospitalizations during pregnancy and delivery for HIV-infected women, according to a study published in the October issue of the American Journal of Obstetrics & Gynecology.

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Strategies Presented for Managing Physician Burnout

FRIDAY, Oct. 7, 2016 (HealthDay News) -- Effective strategies for managing physician burnout include mindfulness and stress-management training, according to a review published online Sept. 28 in The Lancet.

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Global Burden of Disease Report Evaluates the World's Health

FRIDAY, Oct. 7, 2016 (HealthDay News) -- The United States lags behind other advanced nations when it comes to infant mortality and the life expectancy of its citizens, according to a comprehensive review of global health statistics published in the Oct. 8 issue of The Lancet.

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Zinc Alters Gut Microbiota, Cuts Resistance to C. difficile

FRIDAY, Oct. 7, 2016 (HealthDay News) -- Dietary zinc (Zn) alters the gut microbiota and affects resistance to Clostridium difficile infection (CDI), according to research published online Sept. 26 in Nature Medicine.

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More Evidence of Zika Connection to Guillain-Barré Syndrome

THURSDAY, Oct. 6, 2016 (HealthDay News) -- In a new report, published online Oct. 5 in the New England Journal of Medicine, an international team of researchers says it has developed the strongest evidence to date that Zika virus can cause Guillain-Barré syndrome.

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CDC Reviews Measles Outbreak in Amish Community

THURSDAY, Oct. 6, 2016 (HealthDay News) -- The measles outbreak that occurred in an Amish community in 2014 illustrates the ongoing threat the infection presents -- and the importance of routine vaccination, U.S. government researchers report in the Oct. 6 issue of the New England Journal of Medicine.

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Denver Clinic Boosts HPV Vaccination Rates

WEDNESDAY, Oct. 5, 2016 (HealthDay News) -- The way to increase the number of girls and boys who get the human papillomavirus (HPV) vaccine may be as simple as giving it as part of a routine bundle of vaccines, according to a study published online Oct. 5 in Pediatrics.

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Zika Virus Found in Sperm, Not Just Semen

TUESDAY, Oct. 4, 2016 (HealthDay News) -- In correspondence published in the October issue of The Lancet Infectious Diseases, researchers report that the Zika virus has been found inside the sperm of a man who had just returned from French Guyana.

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Biologics Tied to Opportunistic Infection Risk in IBD

TUESDAY, Oct. 4, 2016 (HealthDay News) -- For adults with inflammatory bowel disease (IBD), biologic agents increase the risk of infection, especially opportunistic infection, but do not increase the risk of serious infection or malignancy, according to a review published in the October issue of Clinical Gastroenterology and Hepatology.

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CDC Updates Zika Travel Advisory for Southeast Asia

TUESDAY, Oct. 4, 2016 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention has posted Zika virus-related special travel considerations for 11 Southeastern Asian countries.

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Doctors Spending in Excess of $32,000 on Health IT

TUESDAY, Oct. 4, 2016 (HealthDay News) -- Doctors are spending more than $32,000 per year on health information technology (IT), according to an article published in Medical Economics.

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Men With Zika Exposure to Abstain From Conceiving Longer

TUESDAY, Oct. 4, 2016 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention has released new recommendations on how long men with either Zika infection or exposure should abstain from trying to conceive. The recommendations have been published in the Sept. 30 early-release issue of the CDC's Morbidity and Mortality Weekly Report.

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New AMA Module Helps Identify Physician Distress

MONDAY, Oct. 3, 2016 (HealthDay News) -- A new resource has been developed to help physicians identify distressed colleagues and help them to access care, according to a report published by the American Medical Association (AMA).

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