JAMA Medical News
June 2024 Medical News Summary
Jun 28, 2024
Topics discussed in the podcast include the resurgence of syphilis in the US due to various factors, the potential shift in statin eligibility with a new CVD risk calculator, challenges in syphilis prophylaxis with doxycycline, alarming increase in congenital syphilis cases, updated recommendations for screening in pregnancy, and the introduction of the PREVENT calculator for personalized statin recommendations based on health factors and social deprivation.
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Quick takeaways
- Factors contributing to the surge in syphilis cases include lack of testing and treatment access, substance use, and health disparities during COVID-19.
- Adoption of the PREVENT cardiovascular disease risk calculator may significantly alter statin eligibility, emphasizing the need for individualized treatment decisions.
Deep dives
Surge in Syphilis Cases in the U.S.
Syphilis cases, including congenital syphilis, have been on the rise in the U.S. with over 203,000 cases reported in the most recent year compared to only 6,000 cases in 2000. Factors such as lack of testing and treatment access, substance use leading to risky behaviors, and exacerbated health disparities during the COVID-19 pandemic have contributed to this surge. Efforts are being made to expand testing sites for syphilis, and temporary solutions for treatment shortages are being implemented, including alternative drug importation.
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