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RE: Should we use rifampicin in periprosthetic joint infections caused by staphylococci when the implant has been exchanged? A multicenter observational cohort study by Kramer et al RE:在更换假体时,我们是否应该对由葡萄球菌引起的假体周围关节感染使用利福平?Kramer等人的一项多中心观察性队列研究
Pub Date : 2024-02-08 DOI: 10.1093/ofid/ofae074
Heime Rieber
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引用次数: 0
Things We Do for No Reason – Ordering Streptococcus pneumoniae Urinary Antigen in Patients with Community-Acquired Pneumonia 我们无缘无故做的事 - 为社区获得性肺炎患者订购肺炎链球菌尿抗原
Pub Date : 2024-02-08 DOI: 10.1093/ofid/ofae089
Matthew R Davis, E. McCreary, Alex M Trzebucki
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引用次数: 0
RE: Should we use rifampicin in periprosthetic joint infections caused by staphylococci when the implant has been exchanged? A multicenter observational cohort study by Kramer et al RE:在更换假体时,我们是否应该对由葡萄球菌引起的假体周围关节感染使用利福平?Kramer等人的一项多中心观察性队列研究
Pub Date : 2024-02-08 DOI: 10.1093/ofid/ofae074
Heime Rieber
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引用次数: 0
Do infectious diseases after kidney re-transplantation differ from those after first kidney transplantation? 肾脏再移植后的感染性疾病与首次肾脏移植后的感染性疾病是否有所不同?
Pub Date : 2024-02-06 DOI: 10.1093/ofid/ofae055
K. Kusejko, D. Neofytos, C. van Delden, H. Hirsch, Pascal Meylan, K. Boggian, Cédric Hirzel, C. Garzoni, D. Sidler, A. Schnyder, S. Schaub, D. Golshayan, Fadi Haidar, M. Bonani, R. Kouyos, N. J. Mueller, P. Schreiber, P. Amico, John-David Aubert, V. Banz, S. Beckmann, G. Beldi, C. Berger, E. Berishvili, A. Berzigotti, I. Binet, P. Bochud, S. Branca, H. Bucher, E. Catana, A. Cairoli, Y. Chalandon, S. de Geest, O. de Rougemont, S. de Seigneux, M. Dickenmann, J. Dreifuss, M. Duchosal, T. Fehr, S. Ferrari-Lacraz, C. Garzoni, D. Golshayan, N. Goossens, F. H. J. Halter, D. Heim, C. Hess, S. Hillinger, H. Hirsch, P. Hirt, G. Hofbauer, U. Huynh-Do, F. Immer, M. Koller, M. Laager, B. Laesser, F. Lamoth, R. Lehmann, A. Leichtle, O. Manuel, H. Marti, M. Martinelli, V. McLin, K. Mellac, A. Merçay, K. Mettler, A. Müller, N. J. Mueller, U. Müller-Arndt, B. Müllhaupt, M. Nägeli, G. Oldani, M. Pascual, J. Passweg, R. Pazeller, K. Posfay-Barbe, J. Rick, A. Rosselet, S. Rossi, S. Rothlin, F. Ruschitzka, T. Schachtner, U. S
Infectious diseases (ID) are highly relevant after solid organ transplantation in terms of morbidity and mortality, being among the most common causes of death. Patients undergoing kidney re-transplantation (re-K-Tx) have been already receiving immunosuppressive therapy over a prolonged period potentially facilitating subsequent infections. Comparing ID events after re-K-Tx and first kidney transplantation (f-K-Tx) can delineate patterns and risks of ID events associated with prolonged immunosuppression. We included adult patients with records on the f-K-Tx and re-K-Tx in the Swiss Transplant Cohort Study. We analyzed ID events after f-K-Tx and re-K-Tx within the same patients, and compared infection rates, causative pathogens and infection sites. Recurrent time to event analyses were performed for comparison of infection rates. A total of 59 patients with a median age of 47 years (range = 18 - 73) were included. Overall, 312 ID events in 52 patients occurred. In multivariable recurrent event modelling, the rate of ID events was significantly lower after re-K-Tx (HR = 0.70, p = 0.02). More bacterial (68.9% versus 60.4%) and fungal (4.0% versus 1.1%) infections were observed after f-K-Tx, but less viral infections (27.0% versus 38.5%) as compared to after re-K-Tx (p = 0.11). After f-K-Tx, urinary tract and gastrointestinal tract infections were more frequent; after re-K-Tx, respiratory tract and surgical site infections were more frequent (p < 0.001). Infectious disease events were less frequent after re-K-Tx. Affected sites differed significantly after f-K-Tx compared to after re-K-Tx.
传染病(ID)与实体器官移植后的发病率和死亡率密切相关,是最常见的死亡原因之一。接受肾脏再移植(re-K-Tx)的患者已经长期接受免疫抑制治疗,这可能会促进后续感染的发生。比较再次肾移植(re-K-Tx)和首次肾移植(f-K-Tx)后的ID事件,可以确定与长期免疫抑制相关的ID事件的模式和风险。 我们纳入了瑞士移植队列研究(Swiss Transplant Cohort Study)中有 f-K-Tx 和 re-K-Tx 记录的成年患者。我们分析了同一患者在进行 f-K-Tx 和 re-K-Tx 后发生的 ID 事件,并比较了感染率、致病病原体和感染部位。为了比较感染率,我们还进行了复发时间分析。 共纳入 59 名患者,中位年龄为 47 岁(18 - 73 岁)。52名患者共发生了312例ID事件。在多变量复发事件模型中,重新进行 K-Tx 治疗后的 ID 事件发生率明显降低(HR = 0.70,P = 0.02)。f-K-Tx 后观察到的细菌感染(68.9% 对 60.4%)和真菌感染(4.0% 对 1.1%)更多,但病毒感染(27.0% 对 38.5%)少于 re-K-Tx 后(p = 0.11)。f-K-Tx 后,泌尿道和胃肠道感染更为频繁;re-K-Tx 后,呼吸道和手术部位感染更为频繁(p < 0.001)。 重新进行 K-Tx 治疗后,感染性疾病的发生率较低。f-K-Tx 与 re-K-Tx 相比,受影响的部位有很大不同。
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引用次数: 0
Do infectious diseases after kidney re-transplantation differ from those after first kidney transplantation? 肾脏再移植后的感染性疾病与首次肾脏移植后的感染性疾病是否有所不同?
Pub Date : 2024-02-06 DOI: 10.1093/ofid/ofae055
K. Kusejko, D. Neofytos, C. van Delden, H. Hirsch, Pascal Meylan, K. Boggian, Cédric Hirzel, C. Garzoni, D. Sidler, A. Schnyder, S. Schaub, D. Golshayan, Fadi Haidar, M. Bonani, R. Kouyos, N. J. Mueller, P. Schreiber, P. Amico, John-David Aubert, V. Banz, S. Beckmann, G. Beldi, C. Berger, E. Berishvili, A. Berzigotti, I. Binet, P. Bochud, S. Branca, H. Bucher, E. Catana, A. Cairoli, Y. Chalandon, S. de Geest, O. de Rougemont, S. de Seigneux, M. Dickenmann, J. Dreifuss, M. Duchosal, T. Fehr, S. Ferrari-Lacraz, C. Garzoni, D. Golshayan, N. Goossens, F. H. J. Halter, D. Heim, C. Hess, S. Hillinger, H. Hirsch, P. Hirt, G. Hofbauer, U. Huynh-Do, F. Immer, M. Koller, M. Laager, B. Laesser, F. Lamoth, R. Lehmann, A. Leichtle, O. Manuel, H. Marti, M. Martinelli, V. McLin, K. Mellac, A. Merçay, K. Mettler, A. Müller, N. J. Mueller, U. Müller-Arndt, B. Müllhaupt, M. Nägeli, G. Oldani, M. Pascual, J. Passweg, R. Pazeller, K. Posfay-Barbe, J. Rick, A. Rosselet, S. Rossi, S. Rothlin, F. Ruschitzka, T. Schachtner, U. S
Infectious diseases (ID) are highly relevant after solid organ transplantation in terms of morbidity and mortality, being among the most common causes of death. Patients undergoing kidney re-transplantation (re-K-Tx) have been already receiving immunosuppressive therapy over a prolonged period potentially facilitating subsequent infections. Comparing ID events after re-K-Tx and first kidney transplantation (f-K-Tx) can delineate patterns and risks of ID events associated with prolonged immunosuppression. We included adult patients with records on the f-K-Tx and re-K-Tx in the Swiss Transplant Cohort Study. We analyzed ID events after f-K-Tx and re-K-Tx within the same patients, and compared infection rates, causative pathogens and infection sites. Recurrent time to event analyses were performed for comparison of infection rates. A total of 59 patients with a median age of 47 years (range = 18 - 73) were included. Overall, 312 ID events in 52 patients occurred. In multivariable recurrent event modelling, the rate of ID events was significantly lower after re-K-Tx (HR = 0.70, p = 0.02). More bacterial (68.9% versus 60.4%) and fungal (4.0% versus 1.1%) infections were observed after f-K-Tx, but less viral infections (27.0% versus 38.5%) as compared to after re-K-Tx (p = 0.11). After f-K-Tx, urinary tract and gastrointestinal tract infections were more frequent; after re-K-Tx, respiratory tract and surgical site infections were more frequent (p < 0.001). Infectious disease events were less frequent after re-K-Tx. Affected sites differed significantly after f-K-Tx compared to after re-K-Tx.
传染病(ID)与实体器官移植后的发病率和死亡率密切相关,是最常见的死亡原因之一。接受肾脏再移植(re-K-Tx)的患者已经长期接受免疫抑制治疗,这可能会促进后续感染的发生。比较再次肾移植(re-K-Tx)和首次肾移植(f-K-Tx)后的ID事件,可以确定与长期免疫抑制相关的ID事件的模式和风险。 我们纳入了瑞士移植队列研究(Swiss Transplant Cohort Study)中有 f-K-Tx 和 re-K-Tx 记录的成年患者。我们分析了同一患者在进行 f-K-Tx 和 re-K-Tx 后发生的 ID 事件,并比较了感染率、致病病原体和感染部位。为了比较感染率,我们还进行了复发时间分析。 共纳入 59 名患者,中位年龄为 47 岁(18 - 73 岁)。52名患者共发生了312例ID事件。在多变量复发事件模型中,重新进行 K-Tx 治疗后的 ID 事件发生率明显降低(HR = 0.70,P = 0.02)。f-K-Tx 后观察到的细菌感染(68.9% 对 60.4%)和真菌感染(4.0% 对 1.1%)更多,但病毒感染(27.0% 对 38.5%)少于 re-K-Tx 后(p = 0.11)。f-K-Tx 后,泌尿道和胃肠道感染更为频繁;re-K-Tx 后,呼吸道和手术部位感染更为频繁(p < 0.001)。 重新进行 K-Tx 治疗后,感染性疾病的发生率较低。f-K-Tx 与 re-K-Tx 相比,受影响的部位有很大不同。
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引用次数: 0
Laboratory report of HIV-1 low-level viremia HIV-1 低水平病毒血症的实验室报告
Pub Date : 2024-01-11 DOI: 10.1093/ofid/ofad667
H. Álvarez, J. Llibre
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引用次数: 0
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Open Forum Infectious Diseases
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