Penicillin allergy associated with risk of MRSA, C. diff, due to use of other antibiotics | ACP Gastroenterology Monthly
Systematically addressing penicillin allergies may be an important public health strategy to reduce the incidence of methicillin-resistant Staphylococcus aureus (MRSA) and Clostridium difficile among patients with a documented penicillin allergy.
Adults should be screened with either a high-sensitivity stool-based test or a structural (visual) examination, depending on patient preference and test availability, the guideline said.
Rates of cancer detection and the number of positive test results per cancer case detected varied significantly by age and sex, which suggests that modifying positivity thresholds by subgroups might optimize screening program performance.
Long-term PPIs after H. pylori triple therapy associated with doubled stomach cancer risk | ACP Gastroenterology Monthly
An observational study drew no firm conclusions about cause and effect, and proton-pump inhibitors are still generally considered safe.
Among the recommendations, physicians should obtain a detailed clinical exposure history from all people with diarrhea, and patients who have fever or bloody diarrhea should be evaluated for enteropathogens that may respond to antimicrobial agents.
Interval cancer after screening colonoscopy more common in black patients than in white patients | ACP Gastroenterology Monthly
Adjusting for the physicians' detection rate did not alter the differences in risk associated with race/ethnicity, the study noted.
Clinicians should screen for hepatitis B virus (HBV) in patients at high risk, such as those born in countries where the HBV prevalence is 2% or higher, men who have sex with men, patients who require immunosuppressive therapy, or patients with
Mailing fecal immunochemical tests to patients due for colorectal cancer screening increased screening uptake | ACP Gastroenterology Monthly
Compared with usual care clinics, intervention clinics had a significantly higher adjusted clinic-level proportion of participants who completed a mailed fecal immunochemical test and more participants who completed any colorectal cancer screening.
ACP Gastroenterology Monthly delivers a monthly summary of news in gastroenterology and hepatology, including the latest research, clinical guidelines, and FDA drug actions.
Primary first-line therapy for patients with symptomatic hemorrhoid disease should typically include dietary modification to ensure adequate fluid and fiber intake and counseling on defecation habits, the guidelines said.