CastlTrAstonDrs, to random
@CastlTrAstonDrs@med-mastodon.com avatar

#IDMastodon @bmj_latest #Paxlovid “rebound” is a growing concern—as is resistance generally to existing covid antivirals. With #COVID still a risk to vulnerable groups, what does current research make of Paxlovid’s place in our treatment options?
https://www.bmj.com/content/382/bmj.p1666

CastlTrAstonDrs, to random
@CastlTrAstonDrs@med-mastodon.com avatar

#IDMastodon @JAMA Why would blood group make any difference to #SARSCoV2? Although individuals who don’t have type O blood might be more likely to contract #COVID19, people with blood group O aren’t immune to the disease, That’s why everyone, no matter their blood type, should take steps to minimize their chances of #SarsCoV2 infection, such as being up to date with vaccinations &😷up

CastlTrAstonDrs, to random
@CastlTrAstonDrs@med-mastodon.com avatar

#IDMastodon A rare case of #IgG4-associated disease caused by #COVID19: #CaseReport and literature review . Immunoglobulin G4 (IgG4) -associated disease is a specific type of autoimmune disease characterized by elevated IgG4 levels and deposition of IgG4 antibodies in diseased tissues. During the COVID-19 epidemic, several studies have found that some #COVID19 patients developed IgG4-associated diseases after infection.
https://onlinelibrary.wiley.com/doi/10.1111/1756-185X.14863

AskPippa, to medical
@AskPippa@c.im avatar

This Ottawa-based science fiction convention has consistently had stronger COVID policies than most #medical conferences since the start of the #pandemic.
They survey people (prior to each convention) interested in attending, and cater the policies to what people want. You may be surprised. In light of new variants and what might be around in the fall... Some highlights:

  • "The clearest message we received was that mandatory #masking was an absolutely necessary part of having a safe and welcoming environment."
  • "There was also mixed support for ensuring that attendees are vaccinated, but since provincial governments have stopped supporting the various #vaccine verification systems, we don’t want to promise something we can’t deliver. Can*Con will encourage all attendees to be up to date on their vaccines and boosters."
    #SF #sciencefiction #CanCon #mask #IDmastodon #medmastodon

https://can-con.org/cancon-2023-covid-policy/

CastlTrAstonDrs, to random
@CastlTrAstonDrs@med-mastodon.com avatar

😷up The new variant is a reminder that still poses a risk to .EG.5,is the most prevalent variant in 🇺🇸accounting for more than 17% of cases &14.6% in 🇬🇧 (
📌 https://www.bmj.com/content/382/bmj.p1833 @bmj_latest
📌 https://www.gov.uk/government/news/covid-19-variants-identified-in-the-uk-latest-updates
📌 https://coronavirus.data.gov.uk/details/cases )
Its high transmissibility and ability to evade

CastlTrAstonDrs, to random
@CastlTrAstonDrs@med-mastodon.com avatar

#IDMastodon Older discharged #COVID patients at twice the risk of death as older flu patients @bmj_latest
https://www.bmj.com/content/382/bmj-2023-076222
Patients with #COVID19 also saw a sixfold higher rate of in-hospital deaths @cidrap
https://www.cidrap.umn.edu/covid-19/older-discharged-covid-patients-twice-risk-death-older-flu-patients-study-finds

CastlTrAstonDrs, to random
@CastlTrAstonDrs@med-mastodon.com avatar

#IDmastodon #CovidIsNotOver and it’s worthy of any seconds to protect your precious quality of life by 😷 up and don’t let #COVID19 take it away from you esp #Neurocovid .In this study hyposmia was the first clinically presenting symptom in around 12% of patients. In most cases, recovery is spontaneous within 3 to 4 weeks However, some patients develop persistent olfactory impairment up to 12 moth after #COVID infection, suggesting that the damage to the olfactory sys may be severe or permanent .

CastlTrAstonDrs, to random
@CastlTrAstonDrs@med-mastodon.com avatar

#IDMastodon #ViralImmunology #Clinicaltrial The prevalence of organ impairment in #longCOVID patients at 6 & 12 months after initial symptoms and links to clinical presentation. Organ impairment persisted in 59% of 331 individuals out of 536 individuals, followed up at 1 year #postCOVID19 with implications for symptoms, quality of life and longer-term health, signalling the need for prevention and integrated care of LC.
https://journals.sagepub.com/doi/full/10.1177/01410768231154703

kevinault, to random

A large prospective study of #influenza vaccination during #pregnancy is in this month's edition of "Obstetrics and Gynecology." Conclusion - "Influenza vaccination before or during pregnancy was not associated with miscarriage."

#obgynodon & #IDMastodon
https://journals.lww.com/greenjournal/Fulltext/9900/Risk_of_Miscarriage_in_Relation_to_Seasonal.842.aspx

AskPippa, to anime_titties
@AskPippa@c.im avatar

This is big news. ProMED is hugely important in tracking the occurrences of #infectious #diseases around the world -- both human and in #agriculture. ProMED is on the verge of collapsing. Info from ProMED is used by international public health agencies. It's an important disease surveillance system run largely by volunteers from around the globe. It serves as a pre-warning system. It shows where the first signs of outbreaks that could be dangerous and need attention are happening. Or whether diseases are transferring from animals to humans.
Ebola, new strains of #flu, diphtheria, SARS, diseases in livestock, etc..
Details in this article by @HelenBranswell
in the very informative @statnews

#health #IDmastodon #MedMastodon @medmastodon
#medicine

https://www.statnews.com/2023/08/03/promed-early-warning-system-on-disease-outbreaks-appears-near-collapse/

DMAronoff, to random

Is this social site still active?

gpollara,

@DMAronoff totally - i post ID / microbiology / immunology stuff everyday. In fact I've noticed quite a few more medical people here in last few weeks. Now with more shiny apps and websites to access the service too & no ads!
#IDMastodon #medicine #MedMastodon #microbiology #infectiousdeseases

gpollara, to Medicine

Demonstration by #RCT that in patients labelled allergic to #penicillin but with low probablilty of this:

  1. True allergy is actually rare
  2. You can rule it out with oral penicillin challenge and not need skin testing

#IDMastodon #medicine #MedMastodon #AMR #antibiotics #allergy

https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2806976

CastlTrAstonDrs, to random
@CastlTrAstonDrs@med-mastodon.com avatar

#IDMastodon #Viralimmunology. @cidrap #LongCovid and the unfuture foreseen Chronic immune dysregulation . 27 metabolites remained dysregulated even after two years. #PostCOVID patients displayed a heterogeneous metabolic profile. Lactic acid, lactate/pyruvate ratio, ornithine/citrulline ratio, and arginine were identified as the most relevant metabolites for distinguishing patients with more complicated #LongCovid evolution.

kevinault, to random

Another huge #HPV vaccination study from Scandinavia, this time with > 2 million subjects in Norway. The HPV #vaccine was most effective against anogenital warts when given during teen years. #IDMastodon & #ObGynodon

gpollara, to Medicine

Such a powerful public health message.

Suppress HIV with antiretrovirals, even to slightly detectable levels - you're not infectious to others through sexual contact.

#HIV #PublicHealth #virology #infectiousdiseases #infectiousdisease #IDmastodon #medicine
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)00877-2/fulltext?dgcid=raven_jbs_aip_email

CastlTrAstonDrs, to random
@CastlTrAstonDrs@med-mastodon.com avatar

#IDMastodon #CovidIsNotOver @WHO 🧵 https://twitter.com/mvankerkhove/status/1685224783225430016?s=61 by @mvankerkhove “We will continue to see waves of #COVID19, the virus is still evolving and will continue to change with such intense circulation.”
We do not yet have a predictable pattern of evolution, we don’t have seasonality, we are at risk for more severe variants…
https://www.who.int/activities/tracking-SARS-CoV-2-variants

gpollara, to Microbiology

Clear trends in hospital Group A strep admissions in UK. ⬇️ during and ⬆️ after #COVID19.

This is national Hospital Episode Statistics , which matches UKHSA data.

Next question: what exactly drove the recent rise?

Hospital admissions for group A streptococcal infections in England: current rates and historical perspective
#GAS #StrepA #GroupAstrep #bacteria #microbiology #IDMastodon #medicine #MedMastodon #infectiousdiseases
https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(23)00428-0/fulltext?dgcid=raven_jbs_aip_email

CastlTrAstonDrs, to random
@CastlTrAstonDrs@med-mastodon.com avatar

#IDMastodon #Epidemiology #pedslD Persistent clinical features beyond 3 mth among children and adolescents with proven #COVID19 are common ,the symptom spectrum is wide in #LongCovid & #LongCovidKids ,Female gender was found to be associated with a higher risk of developing certain LC symptoms, ie, sleep disturbance ,headache …
https://publications.aap.org/pediatrics/article/doi/10.1542/peds.2022-060351/192816/A-Systematic-Review-of-Persistent-Clinical?autologincheck

CastlTrAstonDrs, to random
@CastlTrAstonDrs@med-mastodon.com avatar

#IDMastodon #Viralimmunology #publichealth Never to late to 😷up #CovidIsNotOver The mutation called HLA-B*15:01 was carried by about 20% of the people in the study and while it doesn’t prevent infection by #SARSCoV2 , it does prevent people from showing any symptoms @latrobe @ucsfmedicine @Nature
https://www.nature.com/articles/s41586-023-06331-x

CastlTrAstonDrs,
@CastlTrAstonDrs@med-mastodon.com avatar
CastlTrAstonDrs, to random
@CastlTrAstonDrs@med-mastodon.com avatar

#IDMastodon #Viralimmunity #Immunology At least 20% of people who become infected with the #SARSCoV2 infection never feel sick. Now scientists have identified a genetic mutation that is linked to a higher likelihood of avoiding symptoms during infection.

CastlTrAstonDrs, to random
@CastlTrAstonDrs@med-mastodon.com avatar

#IDMastodon #Viralimmunology @thelancetinfdis Data were collected & analysed between April 25 - Sept 25, 2022. For 157 861 #omicron-infected symptomatic individuals
📌Cough was the most common symptom (99 032 patients)
-Sore throat (95 838 [62·7%] patients),
-Nasal discharge (69 968 [60·7%] patients)
-Fever (61 218 [38·8%] patients).
Omicron BA.5 infection was associated with a higher prevalence of systemic symptoms than BA.2 in vaccinated & unvaccinated individuals

CastlTrAstonDrs, to random
@CastlTrAstonDrs@med-mastodon.com avatar

#IDMastodon #thombosis @scireports
#COVID19 severity linked to #Autoantibodies against blood clotting protein . Considering VWF, ADAMTS13 activity, & ADAMTS13 autoantibodies levels during the diagnostic workup of #COVID19 may also provide important insights into disease severity.
📌 https://www.nature.com/articles/s41598-023-37405-5
📌 https://www.news-medical.net/news/20230702/COVID-19-severity-linked-to-autoantibodies-against-blood-clotting-protein.aspx

gpollara, to Microbiology

Interesting: Vaginal Microbiota Transplantation (VMT)

We're probably going to start seeing a lot more of this as we appreciate how microbiomes of different organs impact health and disease.

Personally the key is to have clinical measures of success, as here, not just measuring % of different species changing.
#IDMastodon #MedMastodon #AMR #antibiotics #microbiology #microbiome #transplant

https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(23)00247-X/fulltext?dgcid=raven_jbs_aip_email

CastlTrAstonDrs, to random
@CastlTrAstonDrs@med-mastodon.com avatar

#IDMastodon #cardiomastodon #COVIDheart Cardiovascular manifestations of #longCOVID inl stroke, chest pain, electrocardiographic abnormalities, postural tachycardia syndrome, atrial fibrillation, acute coronary syndrome,chronic thromboembolic pulmonary hypertension. A cohort of 153 760 infected individuals showed that #COVID19 patients are at ⏫️risk for & 1-year burden of incident CVDs, incl cerebrovascular disorders, arrhythmias, ischemic and nonischemic #CVD , thrombotic disorders.

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