Clinical Infectious Diseases




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In the Literature

doi : 10.1093/cid/ciac094

Clinical Infectious Diseases, Volume 74, Issue 8, 15 April 2022, Pages i–ii

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Higher Comorbidity Burden Predicts Worsening Neurocognitive Trajectories in People with Human Immunodeficiency Virus

Ronald J Ellis, Emily Paolillo, Rowan Saloner, Robert K Heaton

doi : 10.1093/cid/ciab655

Clinical Infectious Diseases, Volume 74, Issue 8, 15 April 2022, Pages 1323–1328,

Age-related comorbidities accumulate faster in people with HIV (PWH) than in those without HIV. We evaluated whether a validated multimorbidity scale, the Charlson index, predicted neurocognitive trajectories in PWH.

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Vaccine Effectiveness Against Acute Respiratory Illness Hospitalizations for Influenza-Associated Pneumonia During the 2015–2016 to 2017–2018 Seasons: US Hospitalized Adult Influenza Vaccine Effectiveness Network (HAIVEN)

Shekhar Ghamande, Courtney Shaver, Kempapura Murthy, Chandni Raiyani, Heath D White, Tasnim Lat, Alejandro C Arroliga, Dayna Wyatt, H Keipp Talbot, Emily T Martin, Arnold S Monto, Richard K Zimmerman, Donald B Middleton, Fernanda P Silveira, Jill M Ferdinands, Manish M Patel, Manjusha Gaglani

doi : 10.1093/cid/ciab654

Clinical Infectious Diseases, Volume 74, Issue 8, 15 April 2022, Pages 1329–1337

Evidence for vaccine effectiveness (VE) against influenza-associated pneumonia has varied by season, location, and strain. We estimate VE against hospitalization for radiographically identified influenza-associated pneumonia during 2015–2016 to 2017–2018 seasons in the US Hospitalized Adult Influenza Vaccine Effectiveness Network (HAIVEN).

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Chronic Disease and Immunosuppression Increase the Risk for Nonvaccine Serotype Pneumococcal Disease: A Nationwide Population-based Study

Pontus Naucler, Ilias Galanis, Alexandros Petropoulos, Fredrik Granath, Eva Morfeldt, Åke Örtqvist, Birgitta Henriques-Normark

doi : 10.1093/cid/ciab651

Clinical Infectious Diseases, Volume 74, Issue 8, 15 April 2022, Pages 1338–1349

Demography is changing, with people living longer with comorbidities. In this nationwide population-based study, we investigated the serotype-specific invasive pneumococcal disease (IPD) risk in individuals with comorbidities, and effects of the pneumococcal conjugated vaccine (PCV) child immunization program.

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CD4+ T-Cell Count at Antiretroviral Therapy Initiation in the “Treat-All� Era in Rural South Africa: An Interrupted Time Series Analysis

H Manisha Yapa, Hae-Young Kim, Kathy Petoumenos, Frank A Post, Awachana Jiamsakul, Jan-Walter De Neve, Frank Tanser, Collins Iwuji, Kathy Baisley, Maryam Shahmanesh, Deenan Pillay, Mark J Siedner, Till Bärnighausen, Jacob Bor

doi : 10.1093/cid/ciab650

Clinical Infectious Diseases, Volume 74, Issue 8, 15 April 2022, Pages 1350–1359

South Africa implemented universal test and treat (UTT) in September 2016 in an effort to encourage earlier initiation of antiretroviral therapy (ART).

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CD4 Cell Count: A Critical Tool in the Human Immunodeficiency Virus Response

Nathan Ford, Tom Chiller

doi : 10.1093/cid/ciab658

Clinical Infectious Diseases, Volume 74, Issue 8, 15 April 2022, Pages 1360–1361

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Vaccine-Preventable Disease Incidence Based on Clinically, Radiologically, and Etiologically Confirmed Outcomes: Systematic Literature Review and Re-analysis of Pneumococcal Conjugate Vaccine Efficacy Trials

Kaatje Bollaerts, Mark A Fletcher, Jose A Suaya, Germaine Hanquet, Marc Baay, Bradford D Gessner

doi : 10.1093/cid/ciab649

Clinical Infectious Diseases, Volume 74, Issue 8, 15 April 2022, Pages 1362–1371

Vaccine regulatory decision making is based on vaccine efficacy against etiologically confirmed outcomes, which may underestimate the preventable disease burden. To quantify this underestimation, we compared vaccine-preventable disease incidence (VPDI) of clinically defined outcomes with radiologically/etiologically confirmed outcomes.

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Moxifloxacin Pharmacokinetics, Cardiac Safety, and Dosing for the Treatment of Rifampicin-Resistant Tuberculosis in Children

Kendra K Radtke, Anneke C Hesseling, J L Winckler, Heather R Draper, Belen P Solans, Stephanie Thee, Lubbe Wiesner, Louvina E van der Laan, Barend Fourie, James Nielsen, H Simon Schaaf, Radojka M Savic, Anthony J Garcia-Prats

doi : 10.1093/cid/ciab641

Clinical Infectious Diseases, Volume 74, Issue 8, 15 April 2022, Pages 1372–1381

Moxifloxacin is a recommended drug for rifampin-resistant tuberculosis (RR-TB) treatment, but there is limited pediatric pharmacokinetic and safety data, especially in young children. We characterize moxifloxacin population pharmacokinetics and QT interval prolongation and evaluate optimal dosing in children with RR-TB.

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Prevention of Coronavirus Disease 2019 (COVID-19) by mRNA-Based Vaccines Within the General Population of California

Kristin L Andrejko, Jake Pry, Jennifer F Myers, Nicholas P Jewell, John Openshaw, James Watt, Seema Jain, Joseph A Lewnard, California COVID-19 Case-Control Study Team

doi : 10.1093/cid/ciab640

Clinical Infectious Diseases, Volume 74, Issue 8, 15 April 2022, Pages 1382–1389

Estimates of coronavirus disease 2019 (COVID-19) vaccine effectiveness under real-world conditions, and understanding of barriers to uptake, are necessary to inform vaccine rollout.

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Chest X-ray Analysis With Deep Learning-Based Software as a Triage Test for Pulmonary Tuberculosis: An Individual Patient Data Meta-Analysis of Diagnostic Accuracy

Gamuchirai Tavaziva, Miriam Harris, Syed K Abidi, Coralie Geric, Marianne Breuninger, Keertan Dheda, Aliasgar Esmail, Monde Muyoyeta, Klaus Reither, Arman Majidulla, Aamir J Khan, Jonathon R Campbell, Pierre-Marie David, Claudia Denkinger, Cecily Miller, Ruvandhi Nathavitharana, Madhukar Pai, Andrea Benedetti, Faiz Ahmad Khan

doi : 10.1093/cid/ciab639

Clinical Infectious Diseases, Volume 74, Issue 8, 15 April 2022, Pages 1390–1400

Automated radiologic analysis using computer-aided detection software (CAD) could facilitate chest X-ray (CXR) use in tuberculosis diagnosis. There is little to no evidence on the accuracy of commercially available deep learning-based CAD in different populations, including patients with smear-negative tuberculosis and people living with human immunodeficiency virus (HIV, PLWH).

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Remediation of Mucorales-contaminated Healthcare Linens at a Laundry Facility Following an Investigation of a Case Cluster of Hospital-acquired Mucormycosis

Alexander J Sundermann, Cornelius J Clancy, A William Pasculle, Guojun Liu, Shaoji Cheng, Richard B Cumbie, Eileen Driscoll, Ashley Ayres, Lisa Donahue, Michael Buck, Andrew Streifel, Carlene A Muto, M Hong Nguyen

doi : 10.1093/cid/ciab638

Clinical Infectious Diseases, Volume 74, Issue 8, 15 April 2022, Pages 1401–1407

In an investigation of hospital-acquired mucormycosis cases among transplant recipients, healthcare linens (HCLs) delivered to our center were found to be contaminated with Mucorales. We describe an investigation and remediation of Mucorales contamination at the laundry supplying our center.

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Association of Adverse Events With Antibiotic Treatment for Urinary Tract Infection

Anne M Butler, Michael J Durkin, Matthew R Keller, Yinjiao Ma, William G Powderly, Margaret A Olsen

doi : 10.1093/cid/ciab637

Clinical Infectious Diseases, Volume 74, Issue 8, 15 April 2022, Pages 1408–1418

Little is known about the relative harms of different antibiotic regimens prescribed to treat uncomplicated urinary tract infection (UTI). We sought to compare the risk of adverse events associated with commonly used oral antibiotic regimens for the outpatient treatment of uncomplicated UTI.

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An Update on Severe Acute Respiratory Syndrome Coronavirus 2 Diversity in the US National Capital Region: Evolution of Novel and Variants of Concern

C Paul Morris, Chun Huai Luo, Adannaya Amadi, Matthew Schwartz, Nicholas Gallagher, Stuart C Ray, Andrew Pekosz, Heba H Mostafa

doi : 10.1093/cid/ciab636

Clinical Infectious Diseases, Volume 74, Issue 8, 15 April 2022, Pages 1419–1428

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants concerning for enhanced transmission, evasion of immune responses, or associated with severe disease have motivated the global increase in genomic surveillance. In the current study, large-scale whole-genome sequencing was performed between November 2020 and the end of March 2021 to provide a phylodynamic analysis of circulating variants over time. In addition, we compared the viral genomic features of March 2020 and March 2021.

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Deliberation, Dissent, and Distrust: Understanding Distinct Drivers of Coronavirus Disease 2019 Vaccine Hesitancy in the United States

Khai Hoan Tram, Sahar Saeed, Cory Bradley, Branson Fox, Ingrid Eshun-Wilson, Aaloke Mody, Elvin Geng

doi : 10.1093/cid/ciab633

Clinical Infectious Diseases, Volume 74, Issue 8, 15 April 2022, Pages 1429–1441

Despite the availability of safe and efficacious coronavirus disease 2019 vaccines, a significant proportion of the American public remains unvaccinated and does not appear to be immediately interested in receiving the vaccine.

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Prediction Rules for Ruling Out Endocarditis in Patients With Staphylococcus aureus Bacteremia

Thomas W van der Vaart, Jan M Prins, Robin Soetekouw, Gitte van Twillert, Jan Veenstra, Bjorn L Herpers, Wouter Rozemeijer, Rogier R Jansen, Marc J M Bonten, Jan T M van der Meer

doi : 10.1093/cid/ciab632

Clinical Infectious Diseases, Volume 74, Issue 8, 15 April 2022, Pages 1442–1449

Staphylococcus aureus bacteremia (SAB) is in 10% to 20% of cases complicated by infective endocarditis. Clinical prediction scores may select patients with SAB at highest risk for endocarditis, improving the diagnostic process of endocarditis.

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Clinical Improvement, Outcomes, Antiviral Activity, and Costs Associated With Early Treatment With Remdesivir for Patients With Coronavirus Disease 2019 (COVID-19)

Carlos K H Wong, Kristy T K Lau, Ivan C H Au, Xi Xiong, Eric H Y Lau, Benjamin J Cowling

doi : 10.1093/cid/ciab631

Clinical Infectious Diseases, Volume 74, Issue 8, 15 April 2022, Pages 1450–1458

Evidence remains inconclusive on any significant benefits of remdesivir in patients with mild-to-moderate COVID-19. This study explored the disease progression, various clinical outcomes, changes in viral load, and costs associated with early remdesivir treatment among COVID-19 patients.

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The Adjuvanted Recombinant Zoster Vaccine Confers Long-Term Protection Against Herpes Zoster: Interim Results of an Extension Study of the Pivotal Phase 3 Clinical Trials ZOE-50 and ZOE-70

Céline Boutry, Andrew Hastie, Javier Diez-Domingo, Juan Carlos Tinoco, Chong-Jen Yu, Charles Andrews, Jean Beytout, Covadonga Caso, Huey-Shinn Cheng, Hee Jin Cheong, Eun Ju Choo, Dan Curiac, Emmanuel Di Paolo, Marc Dionne, Tamara Eckermann, Meral Esen, Murdo Ferguson, Wayne Ghesquiere, Shinn-Jang Hwang, Thiago Junqueira Avelino-Silva, Pavel Kosina, Chiu-Shong Liu, Jukka Markkula, Beate Moeckesch, Cláudia Murta de Oliveira, Dae Won Park, Karlis Pauksens, Paola Pirrotta, Georg Plassmann, Carol Pretswell, Lars Rombo, Bruno Salaun, Johan Sanmartin Berglund, Isabelle Schenkenberger, Tino Schwarz, Meng Shi, Benita Ukkonen, Toufik Zahaf, Cristiano Zerbini, Anne Schuind, Anthony L Cunningham, Zoster-049 Study Group

doi : 10.1093/cid/ciab629

Clinical Infectious Diseases, Volume 74, Issue 8, 15 April 2022, Pages 1459–1467

This ongoing follow-up study evaluated the persistence of efficacy and immune responses for 6 additional years in adults vaccinated with the glycoprotein E (gE)-based adjuvanted recombinant zoster vaccine (RZV) at age ≥50 years in 2 pivotal efficacy trials (ZOE-50 and ZOE-70).

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Identifying and Characterizing Trans Women in the Swiss HIV Cohort Study as an Epidemiologically Distinct Risk Group

Huyen Nguyen, Benjamin Hampel, David Garcia Nuñez, Manuel Battegay, Anna Hachfeld, Enos Bernasconi, Alexandra Calmy, Matthias Cavassini, Pietro Vernazza, Jacques Fellay, Hannes Rudolph, Michael Huber, Karoline Leuzinger, Matthieu Perreau, Alexandra Scherrer, Alban Nicolas Ramette, Sabine Yerly, Huldrych F Günthard, Roger D Kouyos, Katharina Kusejko, Swiss HIV Cohort Study

doi : 10.1093/cid/ciab628

Clinical Infectious Diseases, Volume 74, Issue 8, 15 April 2022, Pages 1468–1475

As trans women are disproportionately affected by the HIV epidemic, and are still understudied, we aimed to identify and characterize the trans women in the Swiss HIV Cohort Study (SHCS).

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Pre-Hospital Administration of Remdesivir During a Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Outbreak in a Skilled Nursing Facility

Megan A Dunay, Sarah L McClain, Rick L Holloway, Sarah L W Norris, Talie Bendixsen Randall, Caitlin E Mohr, Brent H Sasaki, Joseph A Coones, Nicholas J Vietri

doi : 10.1093/cid/ciab715

Clinical Infectious Diseases, Volume 74, Issue 8, 15 April 2022, Pages 1476–1479

Completion of a 5-day course of remdesivir was associated with approximately 17-fold increased odds of survival among a sample of 54 nursing home residents with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection during the course of an outbreak from October to December 2020. Remdesivir was well tolerated; administration was logistically feasible in a pre-hospital environment.

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Pharyngeal Chlamydia trachomatis in Men Who Have Sex With Men (MSM) in The Netherlands: A Large Retrospective Cohort Study

Ymke J Evers, Nicole H T M Dukers-Muijrers, Geneviève A F S van Liere, Jan van Bergen, Sophie Kuizenga-Wessel, Christian J P A Hoebe

doi : 10.1093/cid/ciab685

Clinical Infectious Diseases, Volume 74, Issue 8, 15 April 2022, Pages 1480–1484

Pharyngeal Chlamydia trachomatis (CT) was diagnosed in 1.2% and pharyngeal-only CT in 0.5% of routinely universally tested men who have sex with men (MSM). In these 3-anatomic-site tested MSM, pharyngeal-only CT comprised 4.8% of all CT. The low positivity of pharyngeal-only CT indicates low public health impact of pharyngeal CT.

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False Coronavirus Disease 2019 Cases due to Contamination by Inactivated Virus Vaccine

Kelvin Kai-Wang To, Xin Li, David Christopher Lung, Jonathan Daniel Ip, Wan-Mui Chan, Allen Wing-Ho Chu, Cyril Chik-Yan Yip, Jonathan H K Chen, Rosana Wing-Shan Poon, Hoi-Wah Tsoi, Raymond Wai-Man Lai, Wing-Kin To, Lili Ren, Mingkun Li, Yunlong Cao, Xiaoliang Sunney Xie, Dong-Yan Jin, Kwok-Yung Yuen

doi : 10.1093/cid/ciab684

Clinical Infectious Diseases, Volume 74, Issue 8, 15 April 2022, Pages 1485–1488

A false-positive severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) reverse-transcription polymerase chain reaction result can lead to unnecessary public health measures. We report 2 individuals whose respiratory specimens were contaminated by an inactivated SARS-CoV-2 vaccine strain (CoronaVac), likely at vaccination premises. Incidentally, whole genome sequencing of CoronaVac showed adaptive deletions on the spike protein, which do not result in observable changes of antigenicity.

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Suspected Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-COV-2) Reinfections: Incidence, Predictors, and Healthcare Use Among Patients at 238 US Healthcare Facilities, 1 June 2020 to 28 February 2021

Alexander Lawandi, Sarah Warner, Junfeng Sun, Cumhur Y Demirkale, Robert L Danner, Michael Klompas, Adi Gundlapalli, Deblina Datta, Aaron M Harris, Sapna Bamrah Morris, Pavithra Natarajan, Sameer S Kadri

doi : 10.1093/cid/ciab671

Clinical Infectious Diseases, Volume 74, Issue 8, 15 April 2022, Pages 1489–1492

In a retrospective cohort study, among 131 773 patients with previous coronavirus disease 2019 (COVID-19), reinfection with severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) was suspected in 253 patients (0.2%) at 238 US healthcare facilities between 1 June 2020 and 28 February 2021. Women displayed a higher cumulative reinfection risk. Healthcare burden and illness severity were similar between index and reinfection encounters.

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A 47-Year-Old Woman With a Breast Infection After Mastopexy

Surksha Sirichand, Miguel E Cervera-Hernandez, Susan Fineberg, Chitra Punjabi

doi : 10.1093/cid/ciab624

Clinical Infectious Diseases, Volume 74, Issue 8, 15 April 2022, Pages 1493–1495

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Clinical and Infection Prevention Applications of Severe Acute Respiratory Syndrome Coronavirus 2 Genotyping: An Infectious Diseases Society of America/American Society for Microbiology Consensus Review Document

Alexander L Greninger, Jennifer Dien Bard, Robert C Colgrove, Erin H Graf, Kimberly E Hanson, Mary K Hayden, Romney M Humphries, Christopher F Lowe, Melissa B Miller, Dylan R Pillai, Daniel D Rhoads, Joseph D Yao, Francesca M Lee

doi : 10.1093/cid/ciab761

Clinical Infectious Diseases, Volume 74, Issue 8, 15 April 2022, Pages 1496–1502

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) emerged into a world of maturing pathogen genomics, with >2 million genomes sequenced at this writing. The rise of more transmissible variants of concern that affect vaccine and therapeutic effectiveness has led to widespread interest in SARS-CoV-2 evolution.

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Does Previous Syphilis Alter the Course of Subsequent Episodes of Syphilis?

Maarten F Schim van der Loeff, Hélène Zondag, Sylvia Bruisten, Vita W Jongen

doi : 10.1093/cid/ciab819

Clinical Infectious Diseases, Volume 74, Issue 8, 15 April 2022, Page 1503

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Response to Schim van der Loeff, et al

Christina M Marra, Clare L Maxwell

doi : 10.1093/cid/ciab820

Clinical Infectious Diseases, Volume 74, Issue 8, 15 April 2022, Pages 1503–1504

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Outcome Heterogeneity in Coronavirus Disease 2019 (COVID-19) Patients Receiving Tocilizumab

Man Man Niu, Yue Cao, Rui Xue Li, Guo Zhen Fan, Peng Hu

doi : 10.1093/cid/ciab816

Clinical Infectious Diseases, Volume 74, Issue 8, 15 April 2022, Page 1504

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Reinfections Are More Frequent Than Currently Considered in Countries With High Incidence of Coronavirus Disease 2019 (COVID-19) Cases Due to Stringent Definitions

Luis Pampa-Espinoza, Javier Silva-Valencia, Manuel Fernandez-Navarro, Carlos Padilla-Rojas, Lely Solari

doi : 10.1093/cid/ciab783

Clinical Infectious Diseases, Volume 74, Issue 8, 15 April 2022, Pages 1505–1506

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Tuberculosis Preventive Therapy for People With Diabetes Mellitus

Willyhelmina Olomi, Irene Andia Biraro, Kajiru Kilonzo, Lindsey te Brake, Davis Kibirige, Nyasatu Chamba, Nyanda Elias Ntinginya, Issa Sabi, Julia Critchley, Katrina Sharples, Philip C Hill, Reinout Van Crevel

doi : 10.1093/cid/ciab755

Clinical Infectious Diseases, Volume 74, Issue 8, 15 April 2022, Pages 1506–1507

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Reply to van Crevel, et al

Hung-Ling Huang, Wei-Chang Huang, Meng-Rui Lee, Inn-Wen Chong, Jann-Yuan Wang

doi : 10.1093/cid/ciab756

Clinical Infectious Diseases, Volume 74, Issue 8, 15 April 2022, Pages 1507–1508

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Correction to: Salmonella Typhi From Blood Cultures in the Democratic Republic of the Congo: A 10-Year Surveillance

Bieke Tack, Marie-France Phoba, Sandra Van Puyvelde, Lisette M Kalonji, Liselotte Hardy, Barbara Barbé, Marianne A B Van der Sande, Elise Monsieurs, Stijn Deborggraeve, Octavie Lunguya, Jan Jacobs

doi : 10.1093/cid/ciac145

Clinical Infectious Diseases, Volume 74, Issue 8, 15 April 2022, Pages 1509–1512

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Corrigendum to: Factors Associated With Parental Acceptance of Minimally Invasive Tissue Sampling to Identify the Causes of Stillbirth and Neonatal Death

Shiyam Sunder Tikmani, Sarah Saleem, Janet L Moore, Sayyeda Reza, Guruprasad Gowder, Sangappa Dhaded, S Yogeshkumar, Shivaprasad S Goudar, Vardendra Kulkarni, Sunil Kumar, Anna Aceituno, Lindsay Parlberg, Elizabeth M McClure, Robert L Goldenberg

doi : 10.1093/cid/ciac083

Clinical Infectious Diseases, Volume 74, Issue 8, 15 April 2022, Page 1513

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Centers for Disease Control and Prevention’s Sexually Transmitted Diseases Infection Guidelines

Kimberly A Workowski, Laura H Bachmann

doi : 10.1093/cid/ciab1055

Clinical Infectious Diseases, Volume 74, Issue Supplement_2, 15 April 2022, Pages S89–S94

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Management of Neisseria gonorrhoeae in the United States: Summary of Evidence From the Development of the 2020 Gonorrhea Treatment Recommendations and the 2021 Centers for Disease Control and Prevention Sexually Transmitted Infection Treatment Guidelines

Lindley A Barbee, Sancta B St. Cyr

doi : 10.1093/cid/ciac043

Clinical Infectious Diseases, Volume 74, Issue Supplement_2, 15 April 2022, Pages S95–S111

Neisseria gonorrhoeae has developed resistance to all first-line recommended therapies, making gonococcal antimicrobial resistance a major public health concern given limited antibiotic options currently and an even smaller antimicrobial development pipeline.

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Diagnosis and Management of Uncomplicated Chlamydia trachomatis Infections in Adolescents and Adults: Summary of Evidence Reviewed for the 2021 Centers for Disease Control and Prevention Sexually Transmitted Infections Treatment Guidelines

William M Geisler, Jane S Hocking, Toni Darville, Byron E Batteiger, Robert C Brunham

doi : 10.1093/cid/ciac126

Clinical Infectious Diseases, Volume 74, Issue Supplement_2, 15 April 2022, Pages S112–S126

To prepare for the development of the 2021 Centers for Disease Control and Prevention (CDC) sexually transmitted infections treatment guidelines, the CDC convened a committee of expert consultants in June 2019 to discuss recent abstracts and published literature on the epidemiology, diagnosis, and management of sexually transmitted infections.This paper summarizes the key questions, evidence, and recommendations for the diagnosis and management of uncomplicated Chlamydia trachomatis (CT) infections in adolescents and adults that were reviewed and discussed for consideration in developing the guidelines.

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Management of Adult Syphilis: Key Questions to Inform the 2021 Centers for Disease Control and Prevention Sexually Transmitted Infections Treatment Guidelines

Susan Tuddenham, Khalil G Ghanem

doi : 10.1093/cid/ciac060

Clinical Infectious Diseases, Volume 74, Issue Supplement_2, 15 April 2022, Pages S127–S133

A panel of experts generated 5 “key questions� in the management of adult syphilis. A systematic literature review was conducted and tables of evidence were constructed to answer these questions. Available data suggest no clinical benefit to >1 dose of benzathine penicillin G for early syphilis in human immunodeficiency virus (HIV)–infected patients.

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Diagnosis and Management of Genital Herpes: Key Questions and Review of the Evidence for the 2021 Centers for Disease Control and Prevention Sexually Transmitted Infections Treatment Guidelines

Christine Johnston

doi : 10.1093/cid/ciab1056

Clinical Infectious Diseases, Volume 74, Issue Supplement_2, 15 April 2022, Pages S134–S143

Genital herpes, caused by herpes simplex virus (HSV) type 1 or type 2, is a prevalent sexually transmitted infection (STI). Given that HSV is an incurable infection, there are important concerns about appropriate use of diagnostic tools, management of infection, prevention of transmission to sexual partners, and appropriate counseling. In preparation for updating the Centers for Disease Control and Prevention (CDC) STI treatment guidelines, key questions for management of genital herpes infection were developed with a panel of experts. To

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Diagnosis and Management of Bacterial Vaginosis: Summary of Evidence Reviewed for the 2021 Centers for Disease Control and Prevention Sexually Transmitted Infections Treatment Guidelines

Christina A Muzny, Jennifer Balkus, Caroline Mitchell, Jack D Sobel, Kimberly Workowski, Jeanne Marrazzo, Jane R Schwebke

doi : 10.1093/cid/ciac021

Clinical Infectious Diseases, Volume 74, Issue Supplement_2, 15 April 2022, Pages S144–S151

In preparation for the 2021 Centers for Disease Control and Prevention (CDC) sexually transmitted infections (STIs) treatment guidelines, the CDC convened an advisory group in 2019 to examine recent literature addressing updates in the epidemiology, diagnosis, and management of STIs.

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Diagnosis and Management of Trichomonas vaginalis: Summary of Evidence Reviewed for the 2021 Centers for Disease Control and Prevention Sexually Transmitted Infections Treatment Guidelines

Patricia J Kissinger, Charlotte A Gaydos, Arlene C Seña, R Scott McClelland, David Soper, W Evan Secor, Davey Legendre, Kimberly A Workowski, Christina A Muzny

doi : 10.1093/cid/ciac030

Clinical Infectious Diseases, Volume 74, Issue Supplement_2, 15 April 2022, Pages S152–S161

Trichomonas vaginalis is likely the most prevalent nonviral sexually transmitted infection, affecting an estimated 3.7 million women and men in the United States.

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Vulvovaginal Candidiasis: A Review of the Evidence for the 2021 Centers for Disease Control and Prevention of Sexually Transmitted Infections Treatment Guidelines

Paul Nyirjesy, Carolyn Brookhart, Gweneth Lazenby, Jane Schwebke, Jack D Sobel

doi : 10.1093/cid/ciab1057

Clinical Infectious Diseases, Volume 74, Issue Supplement_2, 15 April 2022, Pages S162–S168

Vulvovaginal candidiasis (VVC) is a common cause of vulvovaginal itching and discharge. This article discusses the latest CDC STI Treatment Guidelines for VVC.

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Enteric Infections in Men Who Have Sex With Men

Candice J McNeil, Robert D Kirkcaldy, Kimberly Workowski

doi : 10.1093/cid/ciac061

Clinical Infectious Diseases, Volume 74, Issue Supplement_2, 15 April 2022, Pages S169–S178

Enteric pathogens are often associated with exposure to food, water, animals, and feces from infected individuals. However, in sexual networks of men who have sex with men (MSM), transmission of enteric pathogens may occur during direct or indirect oral–anal contact.

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Anal Cancer Screening and Prevention: Summary of Evidence Reviewed for the 2021 Centers for Disease Control and Prevention Sexually Transmitted Infection Guidelines

Luis F Barroso, II, Elizabeth A Stier, Richard Hillman, Joel Palefsky

doi : 10.1093/cid/ciac044

Clinical Infectious Diseases, Volume 74, Issue Supplement_2, 15 April 2022, Pages S179–S192

In June 2019 the Centers for Disease Control and Prevention (CDC) convened an advisory group to assist in development of the 2021 CDC sexually transmitted infections (STI) guidelines.

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Prevalence and Management of Sexually Transmitted Infections in Correctional Settings: A Systematic Review

Anne C Spaulding, Zainab Rabeeah, Myrna del Mar González-Montalvo, Matthew J Akiyama, Brenda J Baker, Heidi M Bauer, Brent R Gibson, Ank E Nijhawan, Farah Parvez, Zoon Wangu, Philip A Chan, Rollins Investigational Team on STIs in Corrections

doi : 10.1093/cid/ciac122

Clinical Infectious Diseases, Volume 74, Issue Supplement_2, 15 April 2022, Pages S193–S217

Admissions to jails and prisons in the United States number 10 million yearly; persons entering locked correctional facilities have high prevalence of sexually transmitted infections (STIs).

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