📰New paper: ethics of shorter antibiotic courses
Antibiotic course length has been dictated by two questionable ideas:
1⃣ longer courses ➡️ better cure rates
2⃣longer courses ➡️ less drug resistance
Commentaries on our ethics paper are welcome👇
https://www.tandfonline.com/doi/full/10.1080/15265161.2026.2632006
Job alert-Researcher in Ethics & Infectious Disease.
Work as part of the Oxford–Johns Hopkins Global Infectious Disease Ethics Collaborative(GLIDE) & Pandemic Sciences Institute researching ethical issues in infectious disease & pandemics.
Closing 30th Oct
https://tinyurl.com/49dr7wnz
What are your favourite papers / trials on duration of antibiotics in febrile neutropaenia?
(For a talk about the ethics of shorter courses of antibiotics for this patient group - thanks in advance!)
@VPrasadMDMPH @Timothee_MD @Eddie_Cliff @ABsteward @BradSpellberg
New paper out! Raising ethical questions with uses of metagenomics for diagnosis. @ID_ethics @Ethox_Centre @PSIOxford Read it at: https://doi.org/10.1099/jmm.0.001967
@ID_ethics and I on herd immunity to endemic diseases like covid-19:
"..a large number of infectious diseases continue to circulate[.] It would be a mistake, however, to confuse the lack of elimination for the idea that herd immunity does not occur[.]"
https://doi.org/10.1111/jep.13983
Notable development on the Long Covid front: consistent with previous studies, a randomized trial in @bmj_latest found that an exercise-based physical & mental health rehabilitation program improved outcomes for those with Long COVID. https://www.bmj.com/content/384/bmj-2023-076506
Two false dogmas of clinical infectious diseases:
"1⃣traditional durations of antimicrobial therapy and
2⃣the necessity of intravenous (IV) antibiotics
These dogmas based on uncontrolled case series from >50 years ago, amplified by the opinions of eminent experts"
Hawking was wrong: Philosophy is not dead, and it has kept up with modern science | By @danwilliamsphil
Some recommendations for those interested in learning about the philosophy of science. https://www.conspicuouscognition.com/p/hawking-was-wrong-philosophy-is-not
😷🏥What is the effect of stopping hospital mask mandates?
"Using a robust quasi-experimental approach, we found no evidence that removal of a staff/visitor mask-wearing policy had a significant effect on the rate of hospital-acquired SARS-CoV-2"
https://www.journalofhospitalinfection.com/article/S0195-6701(23)00398-5/fulltext
Candida auris: a high risk fungal pathogen
This genomic study (pre-print) tracks introduction & spread of C. auris in & between UK hospitals
➡️# on arrows = between hospital transmissions
⏹️# in squares = in-hospital transmissions
https://www.biorxiv.org/content/10.1101/2024.01.15.575049v1.full
Many people still think that children and schools are the major factor in the spread of Covid.
This is from Victoria Health, showing deaths (and the effect of Covid waves there).
What you can’t see is any obvious relationship to children returning to school after holiday breaks.
Scientists took one of my favourite videos of all time, featuring Kurt Vonnegut explore "the shapes of stories",
and turned it into a paper analysing the shape of >1000 stories
https://www.youtube.com/watch?v=oP3c1h8v2ZQ
Some immunosuppressed patients with COVID19 can shed infectious virus for weeks or months
Especially patients with:
🔴Haematologic malignancy or Transplant (S-HT)
🟢Autoimmunity or B cell deficiency
Often➡️difficult ethical questions re: isolation
https://www.science.org/doi/10.1126/scitranslmed.adk1599
"While HEPA filters can reduce viral load in the air, this does not lead to reduced COVID19 prevalence"
Are you an early career (postdoc) researcher & would you like to be a visiting scholar @Ethox_Centre?
📰Apply below
Broad topics of work can include:
- global health ethics
- clinical ethics
- public health ethics
- research ethics
Closes 21/April/24
https://www.ethox.ox.ac.uk/opportunities/about-caroline-miles
Preventing RSV spread in hospitals (1980s):
"specially designed eye-nose goggles for staff reduced infection [but] the goggles were not well accepted by staff and eventually were abandoned."
Discussion:
https://wwwnc.cdc.gov/eid/article/7/2/70-0249_article
Original study:
https://jamanetwork.com/journals/jama/article-abstract/363126
Photo from the classic "all night poker game" studies of the transmission of the common cold
https://academic.oup.com/jid/article-abstract/156/3/442/806507
"Most respiratory viruses produce reinfection after re-exposure.
Subsequent infections with the same or similar agents are generally more mild and last shorter periods"
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7125839/
“Lack of research on how Paxlovid affects outcomes beyond severe Covid — such as duration of illness, how the drug affects transmission, and whether it prevents long Covid”
Has performance of COVID lateral flow tests changed over time, variants & vaccination roll-out? Short answer: they consistently pick up most infections, particularly those that transmit, but work best in people with symptoms & higher amounts of virus, see https://www.medrxiv.org/content/10.1101/2022.11.29.22282899v1
A thread from @TheLancet @CovidCommission on school closures:
--> 195 countries closed schools during the pandemic, affecting more than 1·5 billion children and young people and posing enormous long-term and unrecoverable costs to them, their parents, and the economy.
🧵1/n