Chest Medicine
RCT: Fast multiplex bacterial PCR of bronchoalveolar lavage for antibiotic stewardship in hospitalized patients with pneumonia at risk of Gram-negative bacterial infection.
31 May, 2022 | 10:55h | UTCFast multiplex bacterial PCR of bronchoalveolar lavage for antibiotic stewardship in hospitalised patients with pneumonia at risk of Gram-negative bacterial infection (Flagship II): a multicentre, randomised controlled trial – The Lancet Respiratory Medicine (link to abstract – $ for full-text)
Commentary on Twitter
NEW Research—Multiplex bacterial PCR examination of bronchoalveolar lavage decreases duration of inappropriate antibiotic therapy of pts admitted to hospital w/ pneumonia & at risk of Gram-negative rod infection
From @AndreiMDarie & colleagues https://t.co/jnBak5SkJo pic.twitter.com/Py28aFqMw9
— The Lancet Respiratory Medicine (@LancetRespirMed) May 25, 2022
Analysis/Opinion: The unintended consequences of COVID-19 vaccine policy: “why mandates, passports and restrictions may cause more harm than good”.
30 May, 2022 | 11:46h | UTC
Commentary on Twitter (thread – click for more)
📢 Our paper on COVID-19 vaccine policy has been published💉🦠
We discuss 12 unintended consequences of mandates and passports across society
& argue that pandemic vaccine policies have caused more social harm than good
Read the paper: https://t.co/TeyTki0nWI pic.twitter.com/BRJQRURbUc
— Kevin Bardosh (@KevinBardosh) May 26, 2022
Right ventricular failure is strongly associated with mortality in patients with moderate-to-severe COVID-19-related ARDS and appears related to respiratory worsening.
27 May, 2022 | 12:17h | UTC
Commentary on Twitter
RV failure in moderate-to-severe #COVID19 #ARDS
➡️strong predictor of mortality
➡️significant worsening of PaO2/FiO2, PaCO2 & ventilatory ratio (⬆️ pulm vasoconstriction) & ⬆️ driving P could contribute#POCUS mandatory especially if resp deterioration.
📎 https://t.co/OE56BuxeWz pic.twitter.com/dNIeo1yHcP— Intensive Care Medicine (@yourICM) May 16, 2022
Cohort Study: Thromboembolic risk in patients with pneumonia and new-onset atrial fibrillation not receiving anticoagulation therapy.
27 May, 2022 | 11:47h | UTC
M-A: Efficacy of physiotherapy interventions on weaning in mechanically ventilated critically ill patients.
27 May, 2022 | 11:29h | UTC
Cohort Study: Protection and waning of natural and hybrid immunity to SARS-CoV-2.
26 May, 2022 | 11:07h | UTCProtection and Waning of Natural and Hybrid Immunity to SARS-CoV-2 – New England Journal of Medicine
Editorial: Audio Interview: Waning Immunity against Covid-19
Commentary on Twitter
Protection against SARS-CoV-2 waned over time in both vaccinated and previously infected persons; an additional vaccine dose restored protection, find investigators from Israel. https://t.co/617uBmWu8l pic.twitter.com/yiDnBbCuQ5
— NEJM (@NEJM) May 25, 2022
Study Commentary: Long COVID risk falls only slightly after vaccination, huge study shows.
26 May, 2022 | 11:25h | UTCCommentary: Long COVID risk falls only slightly after vaccination, huge study shows – Nature
Original Study: Long COVID after breakthrough SARS-CoV-2 infection – Nature Medicine
Commentary from the author on Twitter (thread – click for more)
The latest from our team in @NatureMedicine
Does vaccination protect from #LongCovid?
Vaccines modestly reduce but do not eliminate risk of Long Covid @VAResearch @vahsrd @WUSTLmed @WUSTLnews @VREFSTL@Biostayan @BCBowe https://t.co/UEexmL8svS
A thread 🧵
— Ziyad Al-Aly, MD (@zalaly) May 25, 2022
Cohort Study: Trajectory of long covid symptoms after covid-19 vaccination.
26 May, 2022 | 11:23h | UTCTrajectory of long covid symptoms after covid-19 vaccination: community based cohort study – The BMJ
Editorial: Are vaccines a potential treatment for long covid? – The BMJ
News Release: Vaccination after SARS-CoV-2 infection linked to a decrease in long covid symptoms – BMJ Newsroom
Commentary on Twitter
LONG COVID: Number of well controlled studies (controls means comparison group of 1) unvaccinated and 2) those who have never had COVID) that show vaccination works to reduce or eliminate long COVID symptoms increasing. BMJ below + biggest from Israel herehttps://t.co/jtZ6aoDmFA https://t.co/n5oDs0Zxe9
— Monica Gandhi MD, MPH (@MonicaGandhi9) May 19, 2022
Test-negative, case–control study: effectiveness of homologous and heterologous Covid-19 boosters against Omicron.
26 May, 2022 | 10:59h | UTC
RCT: Baricitinib vs. dexamethasone for adults hospitalized with COVID-19.
25 May, 2022 | 11:38h | UTC
Commentary on Twitter
💥Just Out
ACTT-4 Trial👉First Double Placebo-Controlled Double-Blind Randomized-Stratified Head-to-Head#DEXAMETHASONE vs #BARICITINIB for hospitalized pts w/#COVID19 Low/High-Flow/NIV
Relevant👉Patient Care/Public Health/Guidelines
Our results
👇https://t.co/4Tmue7HK7V
🧵1/4 pic.twitter.com/aF1Y7BAdu3— Andre Kalil, MD MPH (@DrAndreKalil) May 24, 2022
Cohort Study: Analysis of neuropsychiatric diagnoses after montelukast initiation.
25 May, 2022 | 11:05h | UTCAnalysis of Neuropsychiatric Diagnoses After Montelukast Initiation – JAMA Network Open
Related:
Adverse drug reactions of montelukast in children and adults – Pharmacology Research & Perspectives
Commentary on Twitter
This cohort study of patients with asthma or allergic rhinitis found montelukast use is associated with higher odds of neuropsychiatric outcomes, including anxiety and insomnia. https://t.co/HAzcADsHZc
— JAMA Network Open (@JAMANetworkOpen) May 24, 2022
Cohort Study: Risk of venous thromboembolism in men with prostate cancer compared with men in the general population.
25 May, 2022 | 11:01h | UTCNews Release: Men with prostate cancer have a higher risk of serious blood clots – BMJ
Commentary on Twitter
Men with prostate cancer have a 50% higher risk of developing venous thrombosis during the 5 years following their cancer diagnosishttps://t.co/RrYAB5lSrb pic.twitter.com/VGMI7GILgE
— K Pavithran (@drkpavithran) May 24, 2022
Under a http://creativecommons.org/licenses/by-nc/4.0/ license
Systematic Review: Xpert MTB/XDR for detection of pulmonary tuberculosis and resistance to isoniazid, fluoroquinolones, ethionamide, and amikacin.
25 May, 2022 | 10:46h | UTCSummary: Xpert MTB/XDR, a rapid test for resistance to tuberculosis drugs – Cochrane Library
Modeling Study: 20% of multi-drug resistant tuberculosis cases in children could be averted by household testing and treatment.
25 May, 2022 | 10:44h | UTCInvited Commentary: Investing in drug-resistant tuberculosis household contact management and preventive treatment – The Lancet Global Health
Cohort Study: Pneumococcal urinary antigen testing for antimicrobial guidance in community-acquired pneumonia.
24 May, 2022 | 07:36h | UTC
Commentary on Twitter
🆕💥Large register-based cohort study
To evaluate the effect of pneumococcal urinary antigen test usage on broad-spectrum antibiotic treatment in CAP
Performing urinary antigen test has little effect on antibiotic therapy in pneumonia #IDTwitterhttps://t.co/Cxg9FDEUqk— Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟 (@ABsteward) May 23, 2022
Under a CC BY 4.0 license
Strategies to prevent ventilator-associated pneumonia, ventilator-associated events, and nonventilator hospital-acquired pneumonia in acute-care hospitals: 2022 Update.
23 May, 2022 | 01:58h | UTC
Commentary on Twitter
Just published 💥💥 @ICHEJournal @SHEA_Epi @IDSAInfo @APIC
Strategies to prevent ventilator-associated pneumonia, ventilator-associated events, and nonventilator hospital-acquired pneumonia in acute-care hospitals: 2022 Update #IDTwitter https://t.co/fipGfkyHi6 pic.twitter.com/c88X5GL0d6— Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟 (@ABsteward) May 20, 2022
Under a http://creativecommons.org/licenses/by/4.0/ license
NICE rapid guideline update on the management of Covid-19.
23 May, 2022 | 01:56h | UTCCOVID-19 rapid guideline: managing COVID-19 – National Institute for Health and Care Excellence
RCT: High-flow nasal oxygen is not beneficial for patients with COVID-19 pneumonia and mild hypoxemia.
23 May, 2022 | 01:51h | UTC
Covid-19: Second boosters may benefit at-risk groups but have “minimal” impact for others, says WHO.
20 May, 2022 | 11:08h | UTCOriginal Statement: Interim statement on the use of additional booster doses of Emergency Use Listed mRNA vaccines against COVID-19 – World Health Organization
Related recommendations:
COVID-19 evidence: a Cochrane round-up.
20 May, 2022 | 11:14h | UTCCOVID-19 evidence: a Cochrane round-up – Cochrane Library
Systematic Review: Thoracic imaging tests for the diagnosis of COVID‐19.
20 May, 2022 | 11:13h | UTCThoracic imaging tests for the diagnosis of COVID‐19 – Cochrane Library
Summary: How accurate is chest imaging for diagnosing COVID-19? – Cochrane Library
M-A: Antibiotic duration for community acquired pneumonia in outpatient children in high-income countries – treatment duration of 3–5 days is equally effective and safe vs. 7–10 days.
20 May, 2022 | 11:10h | UTCRelated:
Antibiotics for Pediatric Pneumonia: Might Less Be Enough? – Annals of Emergency Medicine
Commentary on Twitter
Antibiotic treatment duration for community acquired pneumonia in outpatient children in high-income countries – a systematic review and meta-analysis https://t.co/HxKywgCiXS
A short AB treatment of 3–5 days was equally effective and safe compared to the longer – 7–10 days— Dr. Alex 💊🩺🎮 (@DrAlexxx78) May 17, 2022
Cytomegalovirus blood reactivation in COVID-19 critically ill patients: risk factors and impact on mortality.
20 May, 2022 | 11:06h | UTC
Commentary on Twitter
CMV reactivation in #COVID19 critically ill pts:
🦠frequent! >20% in this study
🧪risk depends on severity of illness/occurrence of secondary bacterial infections in #ICU
🏥 prolonged hospital stay & higher mortality but independent association lacking.
📎 https://t.co/N8JVD1GyPQ pic.twitter.com/KYRtLmxtJg— Intensive Care Medicine (@yourICM) May 18, 2022
Pollution and health: a progress update.
19 May, 2022 | 11:12h | UTCPollution and health: a progress update – The Lancet Planetary Health
Commentaries:
One in six killed by pollution worldwide, study finds – CNN
Pollution responsible for one in six deaths across planet, scientists warn – The Guardian
Commentary on Twitter
Pollution resulted in more than 9 million deaths and major losses in economic output in 2019, and there’s been little progress since 2015. Read more in the new update to the Lancet Commission on pollution and health. #SolvePollution #PollutionCommissionhttps://t.co/JQqCiS9s2e pic.twitter.com/hNoePKtRew
— The Lancet Planetary Health (@TheLancetPlanet) May 18, 2022
The pandemic’s true health cost: how much of our lives has COVID stolen?
19 May, 2022 | 11:09h | UTCThe pandemic’s true health cost: how much of our lives has COVID stolen? – Nature
Commentary on Twitter
What's missed by our fixation on hospitalization and death metrics for the pandemic—the disability toll—the impact by disability-adjusted life years (DALYs) https://t.co/dFWNuVah3z@HollyElse @Nature #LongCovid pic.twitter.com/Fql0a4ObLH
— Eric Topol (@EricTopol) May 18, 2022


