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November 2017 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 November 2017. This roundup includes the...
The incidence of HIV infection declined significantly in Uganda between 1999 and 2016

Incidence of HIV Dropped From 1999 to 2016 in Uganda

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Drop in incidence coincided with increases in ART coverage, male circumcision, teens not having sex
For patients with recurrent Clostridium difficile infection

Fecal Microbial Transplant by Oral Capsule Noninferior for CDI

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FMT by capsule noninferior to FMT by colonoscopy for prevention of recurrent C. difficile infection
For patients with human papillomavirus-associated cancers

Sex, Race, Age Disparities in Survival for HPV-Linked Cancer

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Whites have consistently higher five-year survival than blacks for all cancers across all age groups
For infants with bronchiolitis

Practice Variation in Treatment for Bronchiolitis in Infants

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Variation in evidence-based supportive therapies by site, ranging from 6 to 99 percent
The five-year risks of cervical intraepithelial neoplasia grade 3 (CIN3)

Risk of ≥CIN3 Drops With Negative HPV, Cytology Co-Tests

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Decrease in 5-year ≥CIN3 risks after each successive negative round of HPV, cytology co-testing
There has been a recent escalation in the incidence of scarlet fever in England

Escalation Noted in Incidence of Scarlet Fever in England

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Three-fold increase in rates between 2013 and 2014, with further increases in 2015, 2016
The Value-Based Payment Modifier is not associated with performance differences between practices serving higher-risk and lower-risk patients

Value-Based Payment Modifier Not Tied to Practice Performance

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Performance differences between practices narrowed after adjustment for patient characteristics
Clinician denial of some types of tests requested by patients is associated with worse patient satisfaction with the clinician

Clinician Denial of Patient Requests Impacts Satisfaction

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Worse satisfaction in association with denial of request for referral, pain meds, other meds, lab tests
HIV is being diagnosed sooner after infection than previously reported

CDC: HIV Being Diagnosed Sooner After Infection

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Increase in percentage of people at increased risk for HIV who reported getting an HIV test in past year