Update on Mpox: What the Primary Care Clinician Should Know
Med Clin North Am. 2024 Mar;108(2):355-371. doi: 10.1016/j.mcna.2023.09.005. Epub 2023 Oct 20.ABSTRACTMpox is a viral infection, which primarily caused sporadic outbreaks in West and Central Africa until causing a global epidemic in 2022. The disease has disproportionately affected people with human immunodeficiency virus and men who have sex with men. Transmission is through close physical contact, including sexual contact. Infection presents with a characteristic rash, with frequent anogenital involvement-polymerase chain reaction of skin lesions is diagnostic. Vaccination is available for primary prevention and postexpo...
Source: The Medical Clinics of North America - February 8, 2024 Category: General Medicine Authors: Jacob McLean Shauna Gunaratne Jason Zucker Source Type: research

Recurrent Infectious Vaginitis: A Practical Approach for the Primary Care Clinician
Med Clin North Am. 2024 Mar;108(2):373-392. doi: 10.1016/j.mcna.2023.08.017. Epub 2023 Sep 14.ABSTRACTRecurrent infectious vaginitis can lead to significant morbidity, patient frustration, and health care costs. The most common causes are bacterial vaginosis (BV) and vulvovaginal candidiasis (VVC); however, other infectious and noninfectious etiologies should be considered in patients with recurrent symptoms. A detailed history and physical examination with appropriate testing at the time of symptoms is critical to establishing a correct diagnosis. Management options for recurrent BV and VVC are limited. Complex cases incl...
Source: The Medical Clinics of North America - February 8, 2024 Category: General Medicine Authors: Golsa M Yazdy Caroline Mitchell Jack D Sobel Susan Tuddenham Source Type: research

Sexual Health Care for Transgender and Gender Diverse People
Med Clin North Am. 2024 Mar;108(2):393-402. doi: 10.1016/j.mcna.2023.10.002. Epub 2023 Oct 29.ABSTRACTThe proportion of people who identify as transgender and gender diverse (TGD) is increasing. Health care for TGD people, including sexual health care, must affirm and respect patients' gender identities and expressions. Here, the authors outline strategies to make health care settings more welcoming to and inclusive of TGD people and describe concrete steps to improve sexual health care for TGD populations.PMID:38331487 | DOI:10.1016/j.mcna.2023.10.002 (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - February 8, 2024 Category: General Medicine Authors: Kevin L Ard Andrew MacDonald-Ly A C Demidont Source Type: research

On The Horizon: Novel Approaches to Sexually Transmitted Infection Prevention
Med Clin North Am. 2024 Mar;108(2):403-418. doi: 10.1016/j.mcna.2023.10.003. Epub 2023 Nov 1.ABSTRACTRates of sexually transmitted infections (STIs), especially cases of infectious and congenital syphilis, are increasing in the United States. Novel strategies for STI prevention are being explored and include doxycycline post-exposure prophylaxis and the potential utility of vaccines against gonorrhea. Self-collection of samples and point of care testing for STI are increasingly being employed in a variety of settings. Both can improve uptake of screening and lead to earlier detection and treatment of incident STI in target...
Source: The Medical Clinics of North America - February 8, 2024 Category: General Medicine Authors: Chase A Cannon Stephanie E McLaughlin Meena S Ramchandani Source Type: research

Sexually Transmitted Infections: Medicine in Its Fullest
Med Clin North Am. 2024 Mar;108(2):xv-xvi. doi: 10.1016/j.mcna.2023.10.005. Epub 2023 Nov 3.NO ABSTRACTPMID:38331489 | DOI:10.1016/j.mcna.2023.10.005 (Source: The Medical Clinics of North America)
Source: The Medical Clinics of North America - February 8, 2024 Category: General Medicine Authors: Jack Ende Source Type: research