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  1. Article ; Online: To Lump or To Split: Does Strain Lineage for Clostridioides difficile Matter?

    Curry, Scott R

    Journal of clinical microbiology

    2019  Volume 57, Issue 5

    Abstract: Since 2001, numerous descriptive ecological studies ... ...

    Abstract Since 2001, numerous descriptive ecological studies of
    MeSH term(s) Canada ; Clostridioides difficile/genetics ; Clostridium Infections ; Humans ; Minisatellite Repeats
    Language English
    Publishing date 2019-04-26
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Comment
    ZDB-ID 390499-4
    ISSN 1098-660X ; 0095-1137
    ISSN (online) 1098-660X
    ISSN 0095-1137
    DOI 10.1128/JCM.00196-19
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Outcomes of discordant HIV screening test results at a southern academic medical center.

    Colbrunn, Danielle K / Jacks, Courtney / Curry, Scott R / Gebregziabher, Mulugeta / Meissner, Eric G

    AIDS (London, England)

    2024  

    Abstract: Objective: The aim of this study was to examine outcomes of follow-up for persons with discordant fourth-generation HIV screening test results.: Design: A retrospective chart review.: Methods: We analyzed the electronic health record at the ... ...

    Abstract Objective: The aim of this study was to examine outcomes of follow-up for persons with discordant fourth-generation HIV screening test results.
    Design: A retrospective chart review.
    Methods: We analyzed the electronic health record at the Medical University of South Carolina for a 10-year period spanning 2012-2022 to identify instances of discordant HIV screening test results, wherein initial antigen/antibody screening was positive, but reflex confirmatory testing for HIV-1 and HIV-2 antibodies was negative. We reviewed individual records to evaluate clinical follow-up and determine if the discordant test represented an acute HIV infection, a false-positive result, or was unresolved.
    Results: We identified 199 testing instances with discordant results. Most discordant results (n = 115) were subsequently determined to reflect a false-positive test, while 56 were unresolved without documented follow-up testing. Twenty-eight cases of acute HIV infection were identified of which 26 were linked to care within a month of initial testing. Two acute HIV cases were not identified in real time leading to delay in diagnosis and care. Testing done in the context of infectious symptoms and testing performed in the emergency department were associated with increased odds of a discordant test ultimately reflecting acute HIV infection.
    Conclusion: These results demonstrate the importance of appropriate and timely follow-up for discordant HIV screening test results.
    Language English
    Publishing date 2024-03-14
    Publishing country England
    Document type Journal Article
    ZDB-ID 639076-6
    ISSN 1473-5571 ; 0269-9370 ; 1350-2840
    ISSN (online) 1473-5571
    ISSN 0269-9370 ; 1350-2840
    DOI 10.1097/QAD.0000000000003884
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: When Hospitals Harm: Multimodal Entry of SARS-CoV-2 into Inpatient Healthcare.

    Curry, Scott R / Salgado, Cassandra D

    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

    2020  Volume 72, Issue 4, Page(s) 694–696

    MeSH term(s) COVID-19 ; Delivery of Health Care ; Health Personnel ; Hospitals ; Humans ; Inpatients ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-07-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1099781-7
    ISSN 1537-6591 ; 1058-4838
    ISSN (online) 1537-6591
    ISSN 1058-4838
    DOI 10.1093/cid/ciaa957
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Clostridium difficile.

    Curry, Scott R

    Clinics in laboratory medicine

    2017  Volume 37, Issue 2, Page(s) 341–369

    Abstract: Clostridium difficile infections (CDIs) have emerged as one of the principal threats to the health of hospitalized and immunocompromised patients. The importance of C difficile colonization is increasingly recognized not only as a source for false- ... ...

    Abstract Clostridium difficile infections (CDIs) have emerged as one of the principal threats to the health of hospitalized and immunocompromised patients. The importance of C difficile colonization is increasingly recognized not only as a source for false-positive clinical testing but also as a source of new infections within hospitals and other health care environments. In the last five years, several new treatment strategies that capitalize on the increasing understanding of the altered microbiome and host defenses in patients with CDI have completed clinical trials, including fecal microbiota transplantation. This article highlights the changing epidemiology, laboratory diagnostics, pathogenesis, and treatment of CDI.
    MeSH term(s) Clostridioides difficile/pathogenicity ; Clostridium Infections/diagnosis ; Clostridium Infections/epidemiology ; Clostridium Infections/therapy ; False Positive Reactions ; Fecal Microbiota Transplantation ; Hospitalization ; Humans ; Immunocompromised Host ; Microbiota
    Language English
    Publishing date 2017-03-22
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 604580-7
    ISSN 1557-9832 ; 0272-2712
    ISSN (online) 1557-9832
    ISSN 0272-2712
    DOI 10.1016/j.cll.2017.01.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: The hidden microbiome of hospital infection surveillance testing: biomarkers of health outcomes in MRSA and VRE colonization.

    Hamidi, Bashir / Steed, Lisa L / Curry, Scott R / Salgado, Cassandra D / Alekseyenko, Alexander V

    Research square

    2023  

    Abstract: Background: Hospital-acquired infections present a major concern for healthcare systems in the U.S. and worldwide. Drug-resistant infections result in increased costs and prolonged hospital stays. Methicillin-resistant : Results: The VRE study showed ...

    Abstract Background: Hospital-acquired infections present a major concern for healthcare systems in the U.S. and worldwide. Drug-resistant infections result in increased costs and prolonged hospital stays. Methicillin-resistant
    Results: The VRE study showed considerably more
    Conclusions: The differences seen in the microbial communities from MRSA (or VRE) colonized samples as compared to non-colonized match-pairs are driven by the isolated communities of
    Language English
    Publishing date 2023-08-31
    Publishing country United States
    Document type Preprint
    DOI 10.21203/rs.3.rs-3299277/v1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: When Hospitals Harm

    Curry, Scott R / Salgado, Cassandra D

    Clinical Infectious Diseases ; ISSN 1058-4838 1537-6591

    Multimodal Entry of SARS-CoV-2 into Inpatient Healthcare

    2020  

    Keywords Microbiology (medical) ; Infectious Diseases ; covid19
    Language English
    Publisher Oxford University Press (OUP)
    Publishing country uk
    Document type Article ; Online
    DOI 10.1093/cid/ciaa957
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Successful treatment of SARS-CoV-2 in an immunocompromised patient with persistent infection for 245 days

    Victoria Overbeck / Bradford P. Taylor / Jacquelyn Turcinovic / Xueting Qiu / Beau Schaeffer / Scott Seitz / Scott R. Curry / William P. Hanage / John H. Connor / Krutika Kuppalli

    Heliyon, Vol 10, Iss 1, Pp e23699- (2024)

    A case report

    1481  

    Abstract: Background: Immunocompromised patients receiving B-cell-depleting therapies are at increased risk of persistent SARS-CoV-2 infection, with many experiencing fatal outcomes. We report a successful outcome in a patient with rheumatoid arthritis (RA) on ... ...

    Abstract Background: Immunocompromised patients receiving B-cell-depleting therapies are at increased risk of persistent SARS-CoV-2 infection, with many experiencing fatal outcomes. We report a successful outcome in a patient with rheumatoid arthritis (RA) on rituximab diagnosed with COVID-19 in July 2020 with persistent infection for over 245 days. Results: The patient received numerous treatment courses for persistent COVID-19 infection, including remdesivir, baricitinib, immunoglobulin and high doses of corticosteroids followed by a prolonged taper due to persistent respiratory symptoms and cryptogenic organizing pneumonia. Her clinical course was complicated by Pseudomonas aeruginosa sinusitis with secondary bacteremia, and cytomegalovirus (CMV) viremia and pneumonitis. SARS-CoV-2 positive RNA samples were extracted from two nasopharyngeal swabs and sequenced using targeted amplicon Next-Generation Sequencing which were analyzed for virus evolution over time. Viral sequencing indicated lineage B.1.585.3 SARS-CoV-2 accumulated Spike protein mutations associated with immune evasion and resistance to therapeutics. Upon slowly decreasing the patient's steroids, she had resolution of her symptoms and had a negative nasopharyngeal SARS-CoV-2 PCR and serum CMV PCR in March 2021. Conclusion: A patient with RA on B-cell depleting therapy developed persistent SARS-CoV-2 infection allowing for virus evolution and had numerous complications, including viral and bacterial co-infections with opportunistic pathogens. Despite intra-host evolution with a more immune evasive SARS-CoV-2 lineage, it was cleared after 245 days with reconstitution of the patient's immune system.
    Keywords COVID-19 ; Persistent infection ; Variant of concern ; Virus evolution ; Immunocompromised ; Science (General) ; Q1-390 ; Social sciences (General) ; H1-99
    Subject code 616
    Language English
    Publishing date 2024-01-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Reproductive ecology of muskellunge (Esox masquinongy), an introduced predator, in the lower Wolastoq/Saint John River, New Brunswick, Canada.

    Zelman, Kaleb / Harrison, Phillip / O'Sullivan, Antóin M / Andrews, Samuel / Peake, Stephen / Linnansaari, Tommi / Pavey, Scott A / Curry, R Allen

    Journal of fish biology

    2023  Volume 102, Issue 3, Page(s) 643–654

    Abstract: Introduced predators can have harmful top-down effects on their newly colonized system through competition with and direct predation on native species. Following an initial introduction of muskellunge in Lac Frontière, Québec in the 1970s at the ... ...

    Abstract Introduced predators can have harmful top-down effects on their newly colonized system through competition with and direct predation on native species. Following an initial introduction of muskellunge in Lac Frontière, Québec in the 1970s at the headwaters of the Wolastoq/Saint John River, the species rapidly migrated downstream, expanding its range by ~500 km over ~20 years. Despite this expansive colonization and concern over possible threats to native species, little is known about the basic ecology of muskellunge in this system. The last downstream barrier is the hydroelectric facility, Mactaquac Generating Station (MGS), 150 km upstream of the sea. While there are no downstream fish passage facilities at MGS, adult muskellunge have been recorded downstream. In this study, muskellunge (n = 23) were surgically tagged with very-high-frequency (VHF) radio or combined acoustic radio telemetry (CART) tags and tracked over two spawning seasons. We sought to determine if there was a reproducing population downstream of MGS and tracked Tagged muskellunge over two spawning seasons. We tracked fish to locate and confirm spawning sites, and followed up with egg and/or juvenile sampling surveys. Tagged muskellunge (90%) moved upstream towards the MGS during the spawning period in each year (2016 and 2017), where they remained throughout the entire spawning period. No spawning or nursery sites were confirmed near MGS, but in 2016 three distinct spawning locations and six distinct nursery sites were confirmed 10-12 km downstream amongst a chain of flooded islands. In 2016, eggs, sac-fry and juveniles were collected and confirmed as muskellunge by genetic sequencing, providing the first empirical observation of successful spawning downstream of MGS.
    MeSH term(s) Animals ; Esocidae ; New Brunswick ; Fishes ; Canada ; Quebec
    Language English
    Publishing date 2023-01-24
    Publishing country England
    Document type Journal Article
    ZDB-ID 410564-3
    ISSN 1095-8649 ; 0022-1112
    ISSN (online) 1095-8649
    ISSN 0022-1112
    DOI 10.1111/jfb.15302
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Successful treatment of SARS-CoV-2 in an immunocompromised patient with persistent infection for 245 days: A case report.

    Overbeck, Victoria / Taylor, Bradford P / Turcinovic, Jacquelyn / Qiu, Xueting / Schaeffer, Beau / Seitz, Scott / Curry, Scott R / Hanage, William P / Connor, John H / Kuppalli, Krutika

    Heliyon

    2023  Volume 10, Issue 1, Page(s) e23699

    Abstract: Background: Immunocompromised patients receiving B-cell-depleting therapies are at increased risk of persistent SARS-CoV-2 infection, with many experiencing fatal outcomes. We report a successful outcome in a patient with rheumatoid arthritis (RA) on ... ...

    Abstract Background: Immunocompromised patients receiving B-cell-depleting therapies are at increased risk of persistent SARS-CoV-2 infection, with many experiencing fatal outcomes. We report a successful outcome in a patient with rheumatoid arthritis (RA) on rituximab diagnosed with COVID-19 in July 2020 with persistent infection for over 245 days.
    Results: The patient received numerous treatment courses for persistent COVID-19 infection, including remdesivir, baricitinib, immunoglobulin and high doses of corticosteroids followed by a prolonged taper due to persistent respiratory symptoms and cryptogenic organizing pneumonia. Her clinical course was complicated by
    Conclusion: A patient with RA on B-cell depleting therapy developed persistent SARS-CoV-2 infection allowing for virus evolution and had numerous complications, including viral and bacterial co-infections with opportunistic pathogens. Despite intra-host evolution with a more immune evasive SARS-CoV-2 lineage, it was cleared after 245 days with reconstitution of the patient's immune system.
    Language English
    Publishing date 2023-12-14
    Publishing country England
    Document type Case Reports
    ZDB-ID 2835763-2
    ISSN 2405-8440
    ISSN 2405-8440
    DOI 10.1016/j.heliyon.2023.e23699
    Database MEDical Literature Analysis and Retrieval System OnLINE

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