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  1. Article ; Online: COVID-19: A Pediatric Update in Epidemiology, Management, Prevention, and Long-term Effects.

    Inagaki, Kengo / Hobbs, Charlotte V

    Pediatrics in review

    2023  Volume 44, Issue 5, Page(s) 243–254

    MeSH term(s) Child ; Humans ; COVID-19 ; SARS-CoV-2
    Language English
    Publishing date 2023-04-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 774515-1
    ISSN 1526-3347 ; 0191-9601
    ISSN (online) 1526-3347
    ISSN 0191-9601
    DOI 10.1542/pir.2022-005686
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Risk of Staphylococcus aureus Bacteremia Before and After Solid Organ Transplantation.

    Inagaki, Kengo / Weinberg, Jason B / Kaul, Daniel R

    Transplantation

    2023  Volume 107, Issue 8, Page(s) 1820–1827

    Abstract: Background: Solid organ transplant recipients are at high risk for Staphylococcus aureus bacteremia, but the risks before and after transplantation require further research.: Methods: We performed a population-based retrospective self-controlled ... ...

    Abstract Background: Solid organ transplant recipients are at high risk for Staphylococcus aureus bacteremia, but the risks before and after transplantation require further research.
    Methods: We performed a population-based retrospective self-controlled study using the State Inpatient Database from 10 states in the United States. Adult and pediatric patients who had solid organ transplantation from 2004 to 2018 were tracked longitudinally for 1 y before and after transplantation outside of the immediate peritransplant periods. The exposure of interest was solid organ transplantation, and the outcome of interest was hospitalization with S. aureus bacteremia.
    Results: Of 75 549 patients, 581 (0.77%) and 239 (0.32%) were hospitalized with S. aureus bacteremia in the pretransplant and posttransplant periods, respectively ( P < 0.001). Overall, the odds of hospitalization with S. aureus bacteremia increased from 7 to 12 mo to 1 to 6 mo before transplantation (odds ratio, 1.24; 95% confidence interval, 1.05-1.46) and then decreased following transplantation (odds ratio, 0.35; 95% confidence interval, 0.28-0.45; 7-12 mo after transplantation). The decreased rate after transplantation was driven by the cases associated with central line-associated bloodstream infections and endocarditis among kidney and heart transplant recipients. Odds of hospitalization with S. aureus bacteremia did not change after liver transplantation, whereas they increased after lung transplantation.
    Conclusions: In addition to immunosuppression, the reversal of organ failure and associated requirements for organ support following transplantation may play an important role in the risk of S. aureus bacteremia in solid organ transplant recipients. These results can guide infection prevention approaches and future research on S. aureus infections in transplant patients.
    MeSH term(s) Adult ; Humans ; Child ; United States/epidemiology ; Staphylococcus aureus ; Retrospective Studies ; Organ Transplantation/adverse effects ; Staphylococcal Infections/diagnosis ; Staphylococcal Infections/epidemiology ; Bacteremia/diagnosis ; Bacteremia/epidemiology ; Risk Factors
    Language English
    Publishing date 2023-03-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 208424-7
    ISSN 1534-6080 ; 0041-1337
    ISSN (online) 1534-6080
    ISSN 0041-1337
    DOI 10.1097/TP.0000000000004590
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Mucormycosis in children with cancer and hematopoietic cell transplant-A single center cohort study.

    Marón, Gabriela A / Inagaki, Kengo / Rodriguez, Alicia / Knapp, Katherine M / Hayden, Randall T / Adderson, Elisabeth E

    PloS one

    2024  Volume 19, Issue 2, Page(s) e0297590

    Abstract: Although mucormycosis is an important cause of morbidity and mortality in children with cancer, our understanding of the typical characteristics of these infections is incomplete. We reviewed all cases of mucormycosis diagnosed at a single pediatric ... ...

    Abstract Although mucormycosis is an important cause of morbidity and mortality in children with cancer, our understanding of the typical characteristics of these infections is incomplete. We reviewed all cases of mucormycosis diagnosed at a single pediatric cancer center over 5 decades to identify the clinical features of mucormycosis in pediatric oncology patients and to identify risk factors for mortality. There were 44 cases of mucormycosis diagnosed between 1970-2019. Most patients (89%) had hematological malignancies and a history of prolonged and severe neutropenia (91%). In this series, hyperglycemia and exposure to corticosteroids were common. Pulmonary (36%) and disseminated infections (32%) were most common; rhino-orbital-cerebral infections were relatively infrequent (11%). Rhizopus spp. was the most common etiological agent (40%) followed by Mucor spp. (31%), and Cunninghamella spp. (19%). Overall mortality was 44% and 51% and attributable mortality was 39% and 41% at the end of antifungal therapy and end of follow up, respectively. Attributable mortality fell to 18% in 2010-2019, from 58-60% in previous decades; adjunctive surgery was associated with decreased mortality. Mortality remains unacceptably high despite aggressive antifungal therapy and adjunctive surgery, suggesting novel therapeutic strategies are needed.
    MeSH term(s) Humans ; Child ; Mucormycosis/diagnosis ; Antifungal Agents/therapeutic use ; Hematopoietic Stem Cell Transplantation/adverse effects ; Cohort Studies ; Hematologic Neoplasms/complications ; Hematologic Neoplasms/drug therapy ; Neutropenia/complications
    Chemical Substances Antifungal Agents
    Language English
    Publishing date 2024-02-09
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0297590
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  4. Article ; Online: Hospitalizations Associated With Strongyloidiasis in the United States, 2003-2018.

    Inagaki, Kengo / Bradbury, Richard S / Hobbs, Charlotte V

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

    2022  Volume 75, Issue 9, Page(s) 1548–1555

    Abstract: Background: Strongyloides stercoralis is considered to be historically endemic in Appalachia and the American South, but recent surveillance data, especially data evaluating strongyloidiasis associated with hospitalization, are lacking in most parts of ... ...

    Abstract Background: Strongyloides stercoralis is considered to be historically endemic in Appalachia and the American South, but recent surveillance data, especially data evaluating strongyloidiasis associated with hospitalization, are lacking in most parts of the United States.
    Methods: We performed a population-based retrospective analysis on strongyloidiasis using the National Inpatient Sample from 2003 to 2018. Geographic distribution of strongyloidiasis associated hospitalization was assessed. Logistic regression was used to identify risk factors associated with strongyloidiasis.
    Results: We identified 6931 hospitalizations associated with strongyloidiasis during the study period (11.8 per million hospitalizations). The rate of strongyloidiasis was highest in the Northeast US region, including the Middle Atlantic division (47.1 cases per million population; adjusted odds ratio, 2.00 [95% confidence interval: 1.58-2.53]), and the East South Central division (27.5 cases per million; adjusted odds ratio, 2.77 [2.02-3.80]). Older age, male sex, nonwhite race/ethnicity (particularly Hispanic and Asian), nonprivate insurance, and residence in neighborhoods with low median income were also associated with strongyloidiasis. Immunocompromising conditions, particularly human immunodeficiency virus infection, were present in 41.3% of hospitalizations with strongyloidiasis. In-hospital death occurred in 7.8% of patients with strongyloidiasis-associated hospitalization.
    Conclusions: Strongyloidiasis-associated hospitalization is rare in the United States but can be associated with increased mortality rate/mortality risk . It occurs more frequently in poor and marginalized populations. Immunocompromised conditions were common among hospitalized patients with strongyloidiasis. Enhanced surveillance efforts are needed to inform health policies for improving the health of at-risk populations.
    MeSH term(s) Animals ; United States/epidemiology ; Humans ; Male ; Strongyloidiasis/epidemiology ; Retrospective Studies ; Hospital Mortality ; Strongyloides stercoralis ; Hospitalization
    Language English
    Publishing date 2022-03-20
    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/ciac220
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Readmission after hospitalization with Staphylococcus aureus bacteremia in children.

    Inagaki, Kengo / Ansari, Md Abu Yusuf / Hobbs, Charlotte V

    American journal of infection control

    2021  Volume 49, Issue 11, Page(s) 1402–1407

    Abstract: Background: Readmission rate is an important quality measure and can inform patient care. However, readmission of S. aureus bacteremia in children requires further research.: Methods: We performed a population-based longitudinal observational study ... ...

    Abstract Background: Readmission rate is an important quality measure and can inform patient care. However, readmission of S. aureus bacteremia in children requires further research.
    Methods: We performed a population-based longitudinal observational study using the State Inpatient Database from New York, Florida, and Washington, 2009-2015. Children aged 18 years or younger hospitalized with S. aureus bacteremia were included. The outcome of non-elective readmission was assessed by developing Cox proportional hazards regression models.
    Results: Of 1240 children with S. aureus bacteremia, 223 (18.0%) and 351 (28.3%) had non-elective readmission within 30 days and 90 days after discharge, respectively. On multivariable analysis, catheter related infection (hazard ratio, HR: 1.79, 95% confidence interval, CI: 1.31-2.45) was associated with 30-day readmission. The median cost of the original hospitalization for S. aureus bacteremia was $29 914 (interquartile range, IQR: $13 276-$71 284), and that of 30 day readmission was $10 956 (IQR: $5765-$24 753).
    Conclusions: S. aureus bacteremia is associated with a high rate of readmission in children, particularly in those with catheter related infection. Hospitalization with S. aureus bacteremia and readmission are costly. Future research should seek interventions to improve outcomes of S. aureus bacteremia in children, and the results of this study can serve as a benchmark.
    MeSH term(s) Bacteremia/epidemiology ; Child ; Hospitalization ; Humans ; Methicillin-Resistant Staphylococcus aureus ; Patient Readmission ; Risk Factors ; Staphylococcal Infections/epidemiology ; Staphylococcus aureus
    Language English
    Publishing date 2021-05-12
    Publishing country United States
    Document type Journal Article ; Observational Study
    ZDB-ID 392362-9
    ISSN 1527-3296 ; 0196-6553
    ISSN (online) 1527-3296
    ISSN 0196-6553
    DOI 10.1016/j.ajic.2021.04.088
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  6. Article ; Online: Severe Acute Respiratory Syndrome Coronavirus 2: Manifestations of Disease and Approaches to Treatment and Prevention in Humans.

    Watson, Michael E / Inagaki, Kengo / Weinberg, Jason B

    Comparative medicine

    2021  Volume 71, Issue 5, Page(s) 342–358

    Abstract: The coronavirus disease 2019 (COVID-19) pandemic was caused by a novel coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). This virus has challenged civilization and modern science in ways that few infectious diseases and natural ... ...

    Abstract The coronavirus disease 2019 (COVID-19) pandemic was caused by a novel coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). This virus has challenged civilization and modern science in ways that few infectious diseases and natural disasters have previously, causing globally significant human morbidity and mortality and triggering economic downturns across financial markets that will be dealt with for generations. Despite this, the pandemic has also brought an opportunity for humanity to come together and participate in a shared scientific investigation. Clinically, SARS-CoV-2 is associated with lower mortality rates than other recently emerged coronaviruses, such as SARS-CoV and the Middle East respiratory syndrome coronavirus (MERS-CoV). However, SARS-CoV-2 exhibits efficient human-to-human spread, with transmission often occurring before symptom recognition; this feature averts containment strategies that had worked previ- ously for SARS-CoV and MERS-CoV. Severe COVID-19 disease is characterized by dysregulated inflammatory responses associated with pulmonary congestion and intravascular coagulopathy leading to pneumonia, vascular insults, and multiorgan disease. Approaches to treatment have combined supportive care with antivirals, such as remdesivir, with immunomodulatory medications, including corticosteroids and cytokine-blocking antibody therapies; these treatments have advanced rapidly through clinical trials. Innovative approaches to vaccine development have facilitated rapid advances in design, testing, and distribution. Much remains to be learned about SARS-CoV-2 and COVID-19, and further biomedical research is necessary, including comparative medicine studies in animal models. This overview of COVID-19 in humans will highlight important aspects of disease, relevant pathophysiology, underlying immunology, and therapeutics that have been developed to date.
    MeSH term(s) Animals ; Antiviral Agents ; COVID-19/mortality ; COVID-19/transmission ; Humans ; Middle East Respiratory Syndrome Coronavirus ; Pandemics ; Severe acute respiratory syndrome-related coronavirus ; SARS-CoV-2 ; COVID-19 Drug Treatment
    Chemical Substances Antiviral Agents
    Language English
    Publishing date 2021-09-17
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2006425-1
    ISSN 2769-819X ; 0023-6764 ; 1532-0820
    ISSN (online) 2769-819X
    ISSN 0023-6764 ; 1532-0820
    DOI 10.30802/AALAS-CM-21-000011
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: SARS-CoV-2 Positivity Rates Among Children of Racial and Ethnic Minority Groups in Mississippi.

    Inagaki, Kengo / Garg, Padma / Hobbs, Charlotte V

    Pediatrics

    2020  Volume 147, Issue 1

    MeSH term(s) Adolescent ; COVID-19/diagnosis ; COVID-19/ethnology ; COVID-19 Nucleic Acid Testing/trends ; Child ; Child, Preschool ; Continental Population Groups/ethnology ; Ethnic Groups ; Female ; Humans ; Infant ; Male ; Minority Groups ; Mississippi/ethnology ; Registries ; Retrospective Studies ; SARS-CoV-2/isolation & purification
    Keywords covid19
    Language English
    Publishing date 2020-10-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 207677-9
    ISSN 1098-4275 ; 0031-4005
    ISSN (online) 1098-4275
    ISSN 0031-4005
    DOI 10.1542/peds.2020-024349
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  8. Article ; Online: Impaired Dynamic Response of Oxygen Saturation During the 6-min Walk Test Is Associated With Mortality in Chronic Fibrosing Interstitial Pneumonia.

    Imamura, Soh / Inagaki, Takeshi / Abe, Mitsuhiro / Terada, Jiro / Kawasaki, Takeshi / Nagashima, Kengo / Tatsumi, Koichiro / Suzuki, Takuji

    Respiratory care

    2023  Volume 68, Issue 3, Page(s) 356–365

    Abstract: Background: The 6-min walk test (6MWT) is a common assessment of exercise-induced hypoxemia and exercise capacity used in patients with chronic fibrosing interstitial pneumonia (CFIP). However, whether the dynamic changes in S: Methods: This ... ...

    Abstract Background: The 6-min walk test (6MWT) is a common assessment of exercise-induced hypoxemia and exercise capacity used in patients with chronic fibrosing interstitial pneumonia (CFIP). However, whether the dynamic changes in S
    Methods: This retrospective study enrolled 63 subjects with mild to severe CFIP who underwent the 6MWT. Subjects with CFIP were divided into 2 groups according to disease severity: mild, diffusing capacity of the lungs for carbon monoxide percentage predicted (%D
    Results: Compared with subjects with mild CFIP, subjects with severe CFIP had significantly larger ΔS
    Conclusions: Dynamic changes in S
    MeSH term(s) Humans ; Walk Test ; Retrospective Studies ; Oxygen Saturation ; Exercise Test ; Lung Diseases, Interstitial ; Oxygen
    Chemical Substances Oxygen (S88TT14065)
    Language English
    Publishing date 2023-02-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 603252-7
    ISSN 1943-3654 ; 0098-9142 ; 0020-1324
    ISSN (online) 1943-3654
    ISSN 0098-9142 ; 0020-1324
    DOI 10.4187/respcare.10231
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  9. Article ; Online: Reply to McGuire, et al.

    Inagaki, Kengo / Lucar, Jose / Blackshear, Chad / Hobbs, Charlotte V

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

    2020  Volume 71, Issue 10, Page(s) 2767

    MeSH term(s) Bacteremia ; Hospital Mortality ; Humans ; Length of Stay ; Methicillin ; Methicillin-Resistant Staphylococcus aureus ; Patient Readmission ; United States
    Chemical Substances Methicillin (Q91FH1328A)
    Language English
    Publishing date 2020-02-03
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 1099781-7
    ISSN 1537-6591 ; 1058-4838
    ISSN (online) 1537-6591
    ISSN 1058-4838
    DOI 10.1093/cid/ciaa110
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