Doxy-PEP, diabetic foot infections and more: The year in ID guidelines

New guidance was published in 2023 for STD prevention, diabetic foot infections, infective endocarditis and more.

The CDC’s draft guidance on doxycycline post-exposure prophylaxis may provide a method for people who have condomless sex to prevent the three reportable sexually transmitted infections in the United States.

We put together a list of other ID-related guidance you may have missed in 2023.

VIDEO: What to know about CDC’s draft guidance on doxy-PEP

Multiple studies have shown that a single dose of doxycycline within 3 days of having condomless sex can prevent chlamydia, gonorrhea and syphilis. At IDWeek, Annie Luetkemeyer, MD, discussed the CDC’s draft guidance for doxy-PEP with us. Watch video.

Q&A: Key updates from new guidance on diabetic foot infections

We spoke with Éric Senneville, MD, PhD, about evidence-based updates to guidance from the International Working Group on the Diabetic Foot on the management and prevention of diabetes-related foot diseases. Read more.

Stop antibiotics once incisions are closed, updated SSI guidance says

There is no evidence that continuing antibiotics after incisions are closed prevents surgical site infections, but continuing antibiotics does increase the risk for Clostridioides difficile infection, acute kidney injury and antimicrobial resistance. Read more.

Q&A: ‘WikiGuidelines’ collaborative tackles infective endocarditis

The WikiGuidelines collaborative published its second clinical practice guideline on infective endocarditis, stating that oral transitional therapy is at least as effective as IV-only therapy in treating bacterial infective endocarditis in adults. Read more.

Q&A: Taking infection prevention measures ‘from paper to bedside’

Experts published new recommendations to help hospitals and physicians implement evidence-based infection prevention recommendations. We spoke with Kavita K. Trivedi, MD, a medical epidemiologist for the Alameda County Public Health Department in San Leandro, California. Read more.

New hand-washing guidelines emphasize healthy nails, easy access to sanitizers

Easy access to alcohol-based hand sanitizer, specifically from wall-based dispensers; short, natural nails; and improved training for proper hand-washing were among new guidelines published in February. Read more.

Q&A: Are contact precautions essential for MRSA prevention?

Updated recommendations for MRSA prevention call contact precautions “essential,” but Daniel J. Diekema, MD, D(ABMM), told Healio that there are currently no controlled trials supporting their broad use. Read more.

Q&A: Changes to SEP-1 sepsis management bundle spark concern among experts

CMS plans to transition its Severe Shock/Septic Shock Management bundle from a pay-for-reporting measure to a pay-for-performance measure and incorporating it into the Hospital Value-based Purchasing Program. Read more.

VIDEO: CDC launches project to prevent hospital infections

Project Firstline plans to create and distribute training content, including presentations and other materials, to improve hospital infection prevention among frontline health care workers. Susan E. Coffin, MD, MPH, told Healio about the effort in April at SHEA. Watch video.