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Journals Expert Review of Anti-infectiv...

Expert Review of Anti-infective Therapy

https://read.qxmd.com/read/38781483/can-we-use-azithromycin-eye-drops-for-gonococcal-ophthalmia-prophylaxis-in-the-united-states
#1
JOURNAL ARTICLE
Susannah Franco, Margaret R Hammerschlag
INTRODUCTION: Neonatal ocular prophylaxis with 0.5% erythromycin ophthalmic ointment is mandated by law in many U.S. states despite its lack of efficacy in preventing chlamydial ophthalmia and the low incidence of gonococcal ophthalmia today. The current shortage of 0.5% erythromycin ophthalmic ointment is bringing into question what alternatives exist for neonatal ocular prophylaxis for the prevention of gonococcal ophthalmia. Providers in states with mandates are concerned with the implications of administering intramuscular ceftriaxone to every newborn...
May 23, 2024: Expert Review of Anti-infective Therapy
https://read.qxmd.com/read/38743435/hospital-acquired-bacterial-pneumonia-in-critically-ill-patients-from-research-to-clinical-practice
#2
REVIEW
Pompeo Costantino Kouroupis, Niall O'Rourke, Sinead Kelly, Myles McKittrick, Elne Noppe, Luis F Reyes, Alejandro Rodriguez, Ignacio Martin-Loeches
INTRODUCTION: Hospital-acquired pneumonia (HAP) represents a significant cause of mortality among critically ill patients admitted to Intensive Care Units (ICUs). Timely and precise diagnosis is imperative to enhance therapeutic efficacy and patient outcomes. However, the diagnostic process is challenged by test limitations and a wide-ranging list of differential diagnoses, particularly in patients exhibiting escalating oxygen requirements, leukocytosis, and increased secretions. AREAS COVERED: This narrative review aims to update diagnostic modalities, facilitating the prompt identification of nosocomial pneumonia while guiding, developing, and assessing therapeutic interventions...
May 14, 2024: Expert Review of Anti-infective Therapy
https://read.qxmd.com/read/38739471/innovative-strategies-for-the-surveillance-prevention-and-management-of-pediatric-infections-applied-to-low-income-settings
#3
JOURNAL ARTICLE
David Torres-Fernandez, Jessica Dalsuco, Justina Bramugy, Quique Bassat, Rosauro Varo
INTRODUCTION: Infectious diseases still cause a significant burden of morbidity and mortality among children in low- and middle-income countries (LMICs). There are ample opportunities for innovation in surveillance, prevention, and management, with the ultimate goal of improving survival. AREAS COVERED: This review discusses the current status in the use and development of innovative strategies for pediatric infectious diseases in LMICs by focusing on surveillance, diagnosis, prevention, and management...
May 13, 2024: Expert Review of Anti-infective Therapy
https://read.qxmd.com/read/38738566/monotherapy-versus-combination-for-the-treatment-of-stenotrophomonas-maltophilia-a-multicenter-cohort-study
#4
JOURNAL ARTICLE
Thamer A Almangour, Hussain A Alali, Zakiyah Alkherb, Shuroug A Alowais, Khalid Bin Saleh, Sara Almuhisen, Abdullah Almohaizeie, Renad Alsahli, Shatha Alruwaite, Fai Alnashmi, Lolwa Fetyani, Noran Ibrahim Abouobaid, Alnajla Alghofaily, Khalifa M Binkhamis, Yazed Saleh Alsowaida
BACKGROUND: The aim of this study was to compare the safety and effectiveness of monotherapy versus combination therapy for the treatment of infections caused by S. maltophilia . METHODS: This retrospective, multicenter, cohort study included patients treated with either monotherapy or combination therapy for infections caused by S. maltophilia . Primary outcomes included overall in-hospital mortality, 30-day mortality, and clinical cure. Safety outcomes were also evaluated...
May 13, 2024: Expert Review of Anti-infective Therapy
https://read.qxmd.com/read/38722307/real-life-effectiveness-of-antiviral-therapy-for-hcv-infection-with-pangenotypic-regimens-in-hiv-coinfected-patients
#5
JOURNAL ARTICLE
Anna Piekarska, Aleksandra Berkan-Kawińska, Hanna Berak, Włodzimierz Mazur, Marek Sitko, Anna Parfieniuk-Kowerda, Beata Lorenc, Dorota Dybowska, Ewa Janczewska, Justyna Janocha-Litwin, Beata Dobracka, Łukasz Socha, Magdalena Tudrujek-Zdunek, Robert Flisiak
BACKGROUND: The aim of this studywas to evaluate the real-life efficacy of pangenotypic antivirals inHIV-HCV-positive patients. RESEARCH DESIGN AND METHODS: The analysis included 5650 subjects who were treated with pangenotypicanty-HCV drugs: 5142 were HCV-positive and 508 were HIV-HCV-positive. RESULTS: Patients with HCV-monoinfection were older ( p  < 0.0001), however patients with HCV-monoinfection had a higher proportion of advanced fibrosis F4 ( p  < 0...
May 9, 2024: Expert Review of Anti-infective Therapy
https://read.qxmd.com/read/38720183/treatment-of-vaginitis-caused-by-non-albicans-candida-species
#6
REVIEW
Jack D Sobel
INTRODUCTION: In the face of increased frequency of non-albicans Candida vulvovaginitis (VVC) reported worldwide, there is a paucity of effective oral and topical antifungal drugs available. Drug selection is further handicapped by an absence of data of clinical efficacy of available antifungal drugs for these infections. AREAS COVERED: In this review, attention is directed at the cause of drug shortage as well as increased frequency of non-albicans Candida (NAC) vulvovaginitis...
May 8, 2024: Expert Review of Anti-infective Therapy
https://read.qxmd.com/read/38703093/eravacycline-a-comprehensive-review-of-in-vitro-activity-clinical-efficacy-and-real-world-applications
#7
REVIEW
Po-Yu Huang, Chi-Kuei Hsu, Hung-Jen Tang, Chih-Cheng Lai
INTRODUCTION: The escalating threat of multidrug-resistant organisms necessitates constant exploration for novel antimicrobial agents. Eravacycline, a next-generation tetracycline derivative, has emerged as a promising solution due to its unique chemical structure, which enhances potency and expands its spectrum of activity. AREA COVERED: This review provides a thorough examination of eravacycline, encompassing its in vitro activity against Gram-positive and Gram-negative aerobes, carbapenem-non-susceptible organisms, anaerobes, and other bacterial strains...
May 4, 2024: Expert Review of Anti-infective Therapy
https://read.qxmd.com/read/38703086/clinical-effectiveness-of-nirmatrelvir-plus-ritonavir-for-patients-with-covid-19-and-preexisting-psychiatric-disorders
#8
JOURNAL ARTICLE
Ting-Hui Liu, Jheng-Yan Wu, Po-Yu Huang, Wan-Hsuan Hsu, Min-Hsiang Chuang, Ya-Wen Tsai, Chih-Cheng Lai, Charles Lung-Cheng Huang
OBJECTIVES: This study assessed the clinical effectiveness of the combination of nirmatrelvir and ritonavir (NMV-r) in treating nonhospitalized patients with COVID-19 who have preexisting psychiatric disorders. METHODS: Patients diagnosed with COVID-19 and psychiatric disorders between 1 March 2020, and 1 December 2022, were included using the TriNetX network. The primary outcome was the composite outcome of all-cause emergency department (ED) visits, hospitalization, or death within 30 days...
May 4, 2024: Expert Review of Anti-infective Therapy
https://read.qxmd.com/read/38702925/effectiveness-of-recently-approved-oral-antiviral-medications-on-the-outcome-of-patients-with-mild-to-moderate-covid-19-and-preexisting-chronic-obstructive-pulmonary-diseases
#9
JOURNAL ARTICLE
Bo-Wen Shiau, Wan-Hsuan Hsu, Ya-Wen Tsai, Jheng-Yan Wu, Ting-Hui Liu, Po-Yu Huang, Min-Hsiang Chuang, Chih-Cheng Lai, Lih-Wen Jang
OBJECTIVES: This study assessed the effectiveness of the oral antiviral agents nirmatrelvir - ritonavir (NMV-r) and molnupiravir (MOV) for treating mild-to-moderate coronavirus disease 2019 (COVID-19) in patients with COPD. METHODS: This retrospective cohort study extracted data from the TriNetX platform and examined 94,984 COVID-19 patients with preexisting COPD from 1 January 2022, to 1 October 2023. Patients receiving NMV-r or MOV (study group) were compared with those not receiving oral antiviral agents (control group) after propensity score matching (PSM)...
May 3, 2024: Expert Review of Anti-infective Therapy
https://read.qxmd.com/read/38697811/beyond-resistance-assessing-sulbactam-durlobactam-s-role-in-today-s-clinical-landscape
#10
EDITORIAL
Ahmad Z Al Meslamani
No abstract text is available yet for this article.
May 2, 2024: Expert Review of Anti-infective Therapy
https://read.qxmd.com/read/38696326/analysis-of-antimicrobial-drug-usage-in-psychiatric-specialized-hospitals-during-the-pandemic-in-china
#11
JOURNAL ARTICLE
Zhiqiang Du, Qin Zhou, Yuan Shen, Rongrong Lu, Ying Jiang, Haohao Zhu
BACKGROUND: This study aims to compare antimicrobial drug usage in our hospital to Jiangsu Province and China from 2020 to 2022 during the pandemic. The ultimate goal is to improve the rational use of antimicrobials in psychiatric hospitals. RESEARCH DESIGN AND METHODS: A detailed analysis was performed using data from the National Antimicrobial Drug Clinical Application Monitoring Network. Several parameters were studied: the rate of antimicrobial drug use, number and types of drugs used, the rate of combined use, rate of microbiological examinations, drug use intensity, and cumulative Defined Daily Doses (DDDs)...
May 2, 2024: Expert Review of Anti-infective Therapy
https://read.qxmd.com/read/38676422/clostridioides-difficile-infection-in-inflammatory-bowel-disease-a-clinical-review
#12
REVIEW
Mengjun Tang, Chunhua Wang, Ying Xia, Jian Tang, Jiao Wang, Liang Shen
INTRODUCTION: Strong clinical data demonstrate that inflammatory bowel disease (IBD) is an independent risk factor for Clostridiodes difficile infection (CDI) and suggest a globally increased prevalence and severity of C. difficile coinfection in IBD patients (CDI-IBD). In addition to elderly individuals, children are also at higher risk of CDI-IBD. Rapid diagnosis is essential since the clinical manifestations of active IBD and CDI-IBD are indistinguishable. Antibiotics have been well established in the treatment of CDI-IBD, but they do not prevent recurrence...
May 2, 2024: Expert Review of Anti-infective Therapy
https://read.qxmd.com/read/38642072/surveillance-and-prevention-of-healthcare-associated-infections-best-practices-to-prevent-ventilator-associated-events
#13
REVIEW
Leonardo Lorente, Joan Sabater-Riera, Jordi Rello
INTRODUCTION: Ventilator associated pneumonia (VAP) leads to an increase in morbidity, mortality, and healthcare costs. In addition to increased evidence from the latest European and American guidelines (published in 2017 and 2022, respectively), in the last two years, several important clinical experiences have added new prevention tools to be included to improve the management of VAP. AREAS COVERED: This paper is a narrative review of new evidence on VAP prevention...
April 22, 2024: Expert Review of Anti-infective Therapy
https://read.qxmd.com/read/38642067/how-do-we-change-our-approach-to-covid-with-the-changing-face-of-disease
#14
JOURNAL ARTICLE
Vasso Apostolopoulos, Jack Feehan, Vivek P Chavda
INTRODUCTION: The emergence of SARS-CoV-2 triggered a global health emergency, causing > 7 million deaths thus far. Limited early knowledge spurred swift research, treatment, and vaccine developments. Implementation of public health measures such as, lockdowns and social distancing, disrupted economies and strained healthcare. Viral mutations highlighted the need for flexible strategies and strong public health infrastructure, with global collaboration crucial for pandemic control...
April 20, 2024: Expert Review of Anti-infective Therapy
https://read.qxmd.com/read/38605646/understanding-the-influence-of-the-microbiome-on-childhood-infections
#15
REVIEW
Sarah M Heston, Jillian H Hurst, Matthew S Kelly
INTRODUCTION: The microbiome is known to have a substantial impact on human health and disease. However, the impacts of the microbiome on immune system development, susceptibility to infectious diseases, and vaccine-elicited immune responses are emerging areas of interest. AREAS COVERED: In this review, we provide an overview of development of the microbiome during childhood. We highlight available data suggesting that the microbiome is critical to maturation of the immune system and modifies susceptibility to a variety of infections during childhood and adolescence, including respiratory tract infections, Clostridioides difficile infection, and sexually transmitted infections...
April 12, 2024: Expert Review of Anti-infective Therapy
https://read.qxmd.com/read/38576383/response-to-letter-to-the-editor-a-multifaceted-strategy-is-needed-to-limit-the-over-the-counter-sale-of-antimicrobials
#16
JOURNAL ARTICLE
Eric Kofi Ngyedu, Joseph Elikem Efui Acolatse, George Akafity, Robert Incoom, Audu Rauf, R Andrew Seaton, Jacqueline Sneddon, Elaine Cameron, Margaret Watson, Marta Wanat, Brian Godman, Amanj Kurdi
No abstract text is available yet for this article.
April 5, 2024: Expert Review of Anti-infective Therapy
https://read.qxmd.com/read/38568820/the-effectiveness-of-novel-oral-antiviral-treatment-for-non-hospitalized-high-risk-patients-with-covid-19-during-predominance-of-omicron-xbb-subvariants
#17
JOURNAL ARTICLE
Chi-Kuei Hsu, Wan-Hsuan Hsu, Bo-Wen Shiau, Ya-Wen Tsai, Jheng-Yan Wu, Ting-Hui Liu, Po-Yu Huang, Min-Hsiang Chuang, Chih-Cheng Lai
OBJECTIVES: This study investigated the association between nirmatrelvir plus ritonavir (NMV-r) or molnupiravir and the outcomes of non-hospitalized high-risk patients with COVID-19 during Omicron XBB subvariants. METHODS: The retrospective cohort study used the TriNetX US collaborative network to identify non-hospitalized high-risk adult patients with COVID-19 between 1 February 2023, and 31 August 2023. Propensity score matching (PSM) was used to match patients receiving NMV-r or MOV (the study group) with those not receiving antivirals (the control group)...
April 3, 2024: Expert Review of Anti-infective Therapy
https://read.qxmd.com/read/38536666/non-cancerous-complications-in-htlv-1-carriers
#18
REVIEW
Akihiro Ohmoto, Shigeo Fuji
INTRODUCTION: Human T-cell leukemia virus type 1 (HTLV-1) carriers may develop adult T-cell leukemia (ATL), or HTLV-1-associated myelopathy (HAM)/tropical spastic paraparesis (TSP). The evidence is limited regarding other diseases potentially associated with HTLV-1, such as HTLV-1-associated autoimmune diseases. AREA COVERED: We summarized the available information on complications associated with HTLV-1 infection. EXPERT OPINION: Previous studies showed that HTLV-1 carriers have an increased incidence of collagen diseases including Sjögren's syndrome, as well as dysthyroidism, diabetes mellitus, and atherosclerosis...
March 27, 2024: Expert Review of Anti-infective Therapy
https://read.qxmd.com/read/38525673/clinical-effectiveness-of-oral-antiviral-agents-for-treating-non-hospitalized-covid-19-patients-with-chronic-kidney-disease
#19
JOURNAL ARTICLE
Chia-Chen Chen, Chi-Ya Huang, Jheng-Yan Wu, Mei-Yuan Liu, Min-Hsiang Chuang, Ting-Hui Liu, Ya-Wen Tsai, Wan-Hsuan Hsu, Po-Yu Huang, Ming-Hui Chen, Su-Yen Liu, Mei-Chuan Lee, Kuo-Chuan Hung, Chih-Cheng Lai, I-Ning Yang
OBJECTIVES: This study examined the effectiveness of nirmatrelvir plus ritonavir (NMV-r) and molnupiravir (MOV) in treating COVID-19 among chronic kidney disease (CKD) patients. METHODS: This retrospective cohort study, using the TriNetX research network, identified stage 3-5 CKD and end-stage kidney disease (ESKD) patients with non-hospitalized COVID-19 between 1 January 2022, and 31 May 2023. Propensity score matching (PSM) was used to compare patients on NMV-r or MOV (antiviral group) against those not receiving these treatments (control group)...
March 26, 2024: Expert Review of Anti-infective Therapy
https://read.qxmd.com/read/38517686/challenges-risks-and-opportunities-of-antiretroviral-drugs-in-women-of-reproductive-potential
#20
REVIEW
Alexis C Henderson, Preetam Cholli, Margaret A Lampe, Athena P Kourtis
INTRODUCTION: The HIV/AIDS epidemic has been one of the greatest challenges in global health, significantly affecting women of reproductive potential. Considerable advances in antiretroviral therapy for women living with HIV have contributed to improvements in quality of life, better reproductive and birth outcomes, and a reduced risk of perinatal transmission. AREAS COVERED: Despite the progress made, persistent challenges in access and adherence to antiretroviral drugs may limit their benefits for some women...
March 22, 2024: Expert Review of Anti-infective Therapy
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