Preexisting Immunity to the 2009 H1N1 Virus
SUMMARY AND COMMENT
Very few individuals younger than 30 have protective levels of cross-reactive neutralizing antibodies against this virus.
Reviewing:
Hancock K et al., N Engl J Med 2009 Sep 10
At Home with MRSA
SUMMARY AND COMMENT
Older household contacts, and those who provide home healthcare to individuals with MRSA colonization, are at risk for MRSA colonization.
Reviewing:
Lucet J-C et al., Arch Intern Med 2009 Aug 10/24; 169:1372
Endocarditis and Brain Embolization
SUMMARY AND COMMENT
Among persons with left-sided infective endocarditis, subclinical brain embolization occurs more often than previously believed.
Reviewing:
Cooper HA et al., Circulation 2009 Aug 18; 120:585
ART and Kaposi Sarcoma: Mostly Good News
SUMMARY AND COMMENT
Antiretroviral therapy alone is generally effective in controlling early-stage Kaposi sarcoma.
Reviewing:
Bower M et al., AIDS 2009 Aug 24; 23:1701
Azithromycin Reduces Child Mortality in Ethiopia
SUMMARY AND COMMENT
A single mass oral azithromycin treatment to control trachoma was associated with a substantial reduction in child mortality.
Reviewing:
Porco TC et al., JAMA 2009 Sep 2; 302:962
Upper-Airway Specimens at ICU Admission to Guide VAP Treatment?
SUMMARY AND COMMENT
September 2, 2009
Thomas Glück, MD
Microorganisms identified in upper-airway specimens fairly accurately predicted the pathogens underlying early-onset ventilator-associated pneumonia.
Reviewing:
Pirracchio R et al., Crit Care Med 2009 Sep; 37:2559
Who Should Receive Flu Vaccine?
SUMMARY AND COMMENT
A mathematical model incorporating transmission dynamics suggests that priority be given to immunizing schoolchildren and adults aged 30 to 39.
Reviewing:
Medlock J and Galvani AP., Science 2009 Aug 20
Typhoid Fever in the U.S.
SUMMARY AND COMMENT
Most cases of typhoid fever in the U.S. are associated with travel to the Indian subcontinent; drug-resistant organisms underlie an increasing proportion of such infections.
Reviewing:
Lynch MF et al., JAMA 2009 Aug 26; 302:859
Bhutta ZA and Threlfall J., JAMA 2009 Aug 26; 302:898
A Genetic Susceptibility to Candidiasis?
SUMMARY AND COMMENT
In a cohort of hematopoietic stem cell transplant recipients, heterozygosity for a DECTIN-1 polymorphism was associated with increased risk for Candida colonization.
Reviewing:
Plantinga TS et al., Clin Infect Dis 2009 Sep 1; 49:724
Bochud P-Y and Calandra T., Clin Infect Dis 2009 Sep 1; 49:733
Linezolid for Persistent MRSA Bacteremia?
SUMMARY AND COMMENT
Linezolid-based regimens were significantly more likely than continued vancomycin-based therapy to clear blood cultures within 72 hours and to prevent S. aureus –related death.
Reviewing:
Jang H-C et al., Clin Infect Dis 2009 Aug 1; 49:395