Chest Medicine
[Preprint] Risk of severe COVID-19 is rare among fully vaccinated individuals in England.
14 Nov, 2021 | 20:10h | UTCCommentary: Risk of severe COVID-19 is rare among fully vaccinated individuals in England – News Medical
Phase 4 RCT: Concomitant administration of COVID-19 vaccines (AstraZeneca or Pfizer) with seasonal influenza vaccines in adults is safe and preserves antibody responses to both vaccines.
14 Nov, 2021 | 20:14h | UTC
Large populational study finds prior SARS-CoV-2 infection reduces the risk of breakthrough infection following mRNA vaccination.
14 Nov, 2021 | 20:12h | UTCCommentaries:
Vaccine plus previous infection may offer enhanced COVID-19 protection – CIDRAP
Commentary on Twitter
Study found prior #SARSCoV2 infection was associated with lower risk for breakthrough infection among persons receiving the SARS-CoV-2 mRNA vaccines; however, the observational study design precludes direct comparison of infection risk btwn the 2 vaccines https://t.co/1RLuKSGPjy
— JAMA (@JAMA_current) November 1, 2021
Populational study in Qatar showed the effectiveness against SARS-CoV-2 Delta-induced severe, critical or fatal disease was 93.4% for the Pfizer vaccine and 96.1% for Moderna.
14 Nov, 2021 | 20:11h | UTC
Commentary on Twitter
A study in @NatureMedicine shows that mRNA COVID-19 vaccines are highly effective at preventing severe outcomes and death caused by the SARS-CoV-2 Delta variant in Qatar despite substantially lower effectiveness at blocking infection. https://t.co/V09Ma583fy pic.twitter.com/QG2HaDsrCo
— Nature Portfolio (@NaturePortfolio) November 4, 2021
RCT: BBV152 (India’s COVAXIN) has an overall vaccine efficacy of 77.8% against symptomatic Covid-19 in adults.
12 Nov, 2021 | 10:43h | UTCInvited Commentary: Inactivated SARS-CoV-2 vaccine (BBV152)-induced protection against symptomatic COVID-19 – The Lancet
Related: WHO issues emergency use approval for India’s Covaxin.
Commentary on Twitter
NEW—Interim data from a phase 3 trial of #BBV152, a COVID-19 vaccine developed in India, suggests it is safe and two doses offer 77.8% protection against symptomatic #COVID19. https://t.co/QWtz0AWd1X
— The Lancet (@TheLancet) November 11, 2021
Infection control in the intensive care unit: expert consensus statements for SARS-CoV-2 using a Delphi method.
12 Nov, 2021 | 10:41h | UTC
Commentary from the author on Twitter (thread – click for more)
Honoured to lead this Delphi on Infection Control in ICU for SARS-CoV-2 with global experts https://t.co/39NTHgfyZR @Drnasap @ElieAzoulay5 @jigidivatia @AlhazzaniW @NaomiHammond @criticcaredoc @YaseenarabiYa @Laura_Evans_206 @FlaviaSepsis @AndersPerner @jlvincen @TheLancetInfDis pic.twitter.com/RWw6vXcHb0
— Sheila Myatra (@SheilaMyatra) November 11, 2021
Global surveillance, research, and collaboration needed to improve understanding and management of long COVID.
12 Nov, 2021 | 10:32h | UTCRelated:
Update to post-acute sequelae of SARS-CoV-2 infection: Caring for the ‘long-haulers’.
Systematic Review: Short-term and long-term rates of postacute sequelae of SARS-CoV-2 infection.
WHO Consensus: A clinical case definition of post COVID-19 condition (Long Covid).
Characterizing long COVID: a living systematic review.
Long Covid – The illness narratives.
New guidelines to help doctors manage long COVID patients published.
M-A: More than 50 long-term effects of COVID-19. (several articles on the subject)
Boosting immunity to COVID-19 vaccines – “New studies highlight the immunological benefits of COVID-19 vaccine boosters, but questions remain over how to best make use of a limited global supply”.
12 Nov, 2021 | 10:37h | UTCBoosting immunity to COVID-19 vaccines – Nature Medicine
ERS Guidelines: High-flow nasal cannula in acute respiratory failure.
12 Nov, 2021 | 10:29h | UTC
2022 ASA Guidelines for Management of the Difficult Airway.
12 Nov, 2021 | 10:31h | UTCRelated:
Consensus Guideline: Pediatric Airway Management in COVID-19 Patients
Guidelines for Awake Tracheal Intubation in Adults
Position Paper: Management of Unanticipated Difficult Airways in Children in Anesthetic Practice
Review: Difficult Airway Management Algorithms (several resources on the subject)
The Difficult Airway Trolley: A Narrative Review and Practical Guide
IDSA Guidelines on Infection Prevention for Healthcare Personnel Caring for Patients with Suspected or Known COVID-19.
11 Nov, 2021 | 09:01h | UTC
Commentary on Twitter
New recommendation on the use of eye protection as well as revised recommendations and literature on the use of PPE now available in IDSA’s COVID-19 Infection Prevention Guideline: https://t.co/MiACvSoG92#COVID19Guidelines pic.twitter.com/Zp7s0Ely9J
— IDSA (@IDSAInfo) November 5, 2021
Podcast | COVID Updates: The Outpatient Edition.
11 Nov, 2021 | 08:57h | UTCCOVID Updates: The Outpatient Edition – The Curbsiders
Commentary on Twitter
Who gets a #COVID booster? Can we mix & match vaccines? What are monoclonal antibodies & when should we use them? Shots for kids? Ready yourself to answer these questions & more w/ @MonicaGandhi9 #vaccine #MedEd #FOAMed https://t.co/URrfwtuxVf pic.twitter.com/o26ElbPNaJ
— The Curbsiders (@thecurbsiders) November 8, 2021
COVID antiviral pills: what scientists still want to know – “Drugs like Molnupiravir and Paxlovid could change the course of the pandemic if clinical trial results hold up in the real world”.
11 Nov, 2021 | 08:59h | UTCCOVID antiviral pills: what scientists still want to know – Nature
Related:
The U.K. approves Merck’s COVID-19 antiviral pill, calling it a world first.
Merck to allow other nations to produce new COVID-19 antiviral.
Video: Merck’s Covid pill could transform treatment. Here’s how it works.
How antiviral pill Molnupiravir shot ahead in the COVID drug hunt.
What we know — and don’t know — about Merck’s new Covid-19 pill.
Merck’s Covid-19 pill is great news but may not be a game-changer.
Video | A Pill For COVID? A Doctor Explains Molnupiravir.
M-A: Low vitamin D levels do not aggravate COVID-19 risk or death, and vitamin D supplementation does not improve outcomes in hospitalized patients with COVID-19.
11 Nov, 2021 | 08:53h | UTC
Perspective | COVID’s endgame: Scientists have a clue about where SARS-CoV-2 is headed.
11 Nov, 2021 | 08:55h | UTCCOVID’s endgame: Scientists have a clue about where SARS-CoV-2 is headed – NPR
[Preprint] RCT: In hypoxic but not critically ill patients with COVID-19, an intervention to increase prone positioning did not improve outcomes.
10 Nov, 2021 | 07:20h | UTCRCT: Prone positioning of patients with moderate hypoxia due to COVID-19 – medRxiv
Related:
RCT: Awake prone positioning reduces the need for intubation in patients with COVID-19.
Commentary from the author on Twitter (thread – click for more)
The results from the COVID-PRONE pragmatic RCT are available @medRxiv! This was a massive team effort with my co-PIs @AmolAVerma, @drfahadrazak. Our goal was to evaluate the effectiveness of prone positioning for pts hospitalized with COVID19. https://t.co/6SpjdPvT2U 🧵 1/5 pic.twitter.com/WH10ciBn4w
— Michael Fralick (@FralickMike) November 8, 2021
A prominent virologist warns new COVID-19 pill could unleash dangerous mutants. Others see little cause for alarm.
10 Nov, 2021 | 07:13h | UTCOriginal viewpoint: Supercharging New Viral Variants: The Dangers Of Molnupiravir (Part 1) – Forbes
Related:
The U.K. approves Merck’s COVID-19 antiviral pill, calling it a world first.
Merck to allow other nations to produce new COVID-19 antiviral.
Video: Merck’s Covid pill could transform treatment. Here’s how it works.
How antiviral pill Molnupiravir shot ahead in the COVID drug hunt.
What we know — and don’t know — about Merck’s new Covid-19 pill.
Merck’s Covid-19 pill is great news but may not be a game-changer.
Video | A Pill For COVID? A Doctor Explains Molnupiravir.
Opinion | Protective immunity after recovery from SARS-CoV-2 infection.
10 Nov, 2021 | 07:15h | UTCProtective immunity after recovery from SARS-CoV-2 infection – The Lancet Infectious Diseases
Commentary on Twitter
"Policy makers should consider recovery from previous SARS-CoV-2 infection equal to immunity from vaccination for purposes related to entry to public events, businesses, and the workplace,or travel requirements"
Do you agree with this?
I don't #IDtwitter https://t.co/FHbgXILD8Z— Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟 (@ABsteward) November 9, 2021
Practice Review: COVID-19 rapid diagnostics.
9 Nov, 2021 | 01:52h | UTCCOVID-19 rapid diagnostics: practice review – Emergency Medicine Journal
Provocative study suggests that persistent physical symptoms after COVID-19 infection may be associated more with the belief in having been infected with SARS-CoV-2 than with having laboratory-confirmed COVID-19 infection.
9 Nov, 2021 | 01:46h | UTCAuthor Interview: Association of Self-reported COVID-19 Infection and SARS-CoV-2 Serology Results With Persistent Physical Symptoms – JAMA Internal Medicine
Related:
Update to post-acute sequelae of SARS-CoV-2 infection: Caring for the ‘long-haulers’.
Systematic Review: Short-term and long-term rates of postacute sequelae of SARS-CoV-2 infection.
WHO Consensus: A clinical case definition of post COVID-19 condition (Long Covid).
Characterizing long COVID: a living systematic review.
Long Covid – The illness narratives.
New guidelines to help doctors manage long COVID patients published.
M-A: More than 50 long-term effects of COVID-19. (several articles on the subject)
Commentary on Twitter
Except for anosmia, persistent symptoms after COVID-19 may be more related to the belief of having had #COVID19 than to actual SARS-Co-V2 infection. Clinicians and researchers should also consider general mechanisms that may not be specific to #SARSCoV2 https://t.co/IdSh5GhdQ6
— JAMA Internal Medicine (@JAMAInternalMed) November 8, 2021
Review: Antineutrophil cytoplasmic antibody-associated interstitial lung disease.
10 Nov, 2021 | 06:46h | UTC
[Press release – not published yet] RCT: Pfizer’s novel Covid-19 oral antiviral treatment candidate reduced risk of hospitalization or death by 89% in interim analysis of phase 2/3 EPIC-HR study.
7 Nov, 2021 | 20:35h | UTCCommentaries:
Pfizer’s Good News Is the World’s Good News – Science
Experimental Pfizer pill prevents Covid hospitalizations and deaths – STAT
Pfizer reports good results against severe COVID-19 for its antiviral pill – CIDRAP
Covid: Pfizer says antiviral pill 89% effective in high-risk cases – BBC
Pfizer says COVID-19 pill cut hospital, death risk by 90% – Associated Press
Commentary on Twitter (thread – click for more)
Pfizer’s oral protease inhibitor PF-07321332 for #COVID19 Reduced Risk of Hospitalization or Death from 6.7% (41/612) to 1.0% (6/607) when starting within 5 days of symptom onset.
10 vs 0 deaths. #idtwitter https://t.co/ZAIm6Y5mAt— David Boulware, MD MPH (@boulware_dr) November 5, 2021
COVID-19 vaccination in pregnancy, pediatrics, immunocompromised patients, and persons with history of allergy or prior SARS-CoV-2 infection: overview of current recommendations and pre- and post-marketing evidence for vaccine efficacy and safety.
7 Nov, 2021 | 20:27h | UTC
Study compares the decline in effectiveness for Moderna, Pfizer, and Janssen vaccines and consequences for mortality.
5 Nov, 2021 | 09:59h | UTCOriginal study: SARS-CoV-2 vaccine protection and deaths among US veterans during 2021 – Science
Commentary on Twitter
A new study of more than 780,000 United States Veterans shows that, although vaccination remains protective against #SARSCoV2 infection, protection waned as the Delta variant emerged in America.
Read more: https://t.co/8qRlKE107H #ScienceResearch pic.twitter.com/XmDQ7frIlT
— Science Magazine (@ScienceMagazine) November 4, 2021
Review: SARS-CoV-2 indoor air transmission is a threat that can be addressed with science.
5 Nov, 2021 | 09:55h | UTCRelated:
Ten scientific reasons in support of airborne transmission of SARS-CoV-2
Editorial: Covid-19 has redefined airborne transmission
Covid-19: What do we know about airborne transmission of SARS-CoV-2?
Real-world data show that filters clean COVID-causing virus from air.
Recommendations for ventilation of indoor spaces to reduce COVID-19 transmission.
We studied how to reduce airborne COVID spread in hospitals. Here’s what we learnt.
WHO: Roadmap to improve and ensure good indoor ventilation in the context of COVID-19
CDC releases new ventilation guidelines for indoor environments to reduce Covid-19 risk
It’s not just SARS-CoV-2: Most respiratory viruses spread by aerosols.
Commentary on Twitter
Addressing #CovidisAirborne with sciencehttps://t.co/puzxHQ6xGD
proceedings of a workshop with the experts @PNASNews w/ @Smogdr @linseymarr @kprather88 @Lakdawala_Lab @Prof_Lowe pic.twitter.com/xdjjFZ8Uto— Eric Topol (@EricTopol) November 5, 2021


