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  1. Article ; Online: SARS-CoV-2-Antikörper-Antwort auf die zweite COVID-19-Impfung bei neuromuskulären Patienten unter immunmodulierender Therapie.

    Hosseini, S S Justus / Dudakova, Anna / Kummer, Karsten / Zschüntzsch, Jana

    Der Nervenarzt

    2022  Volume 93, Issue 12, Page(s) 1219–1227

    Abstract: Successful vaccination (adequate elevation of anti-spike protein antibodies) is attributed with sufficient protection against a severe course of coronavirus disease 2019 (COVID-19). For patients with chronic inflammatory diseases (CID) and ... ...

    Title translation SARS-CoV-2 antibody response to the second COVID-19 vaccination in neuromuscular disease patients under immune modulating treatment.
    Abstract Successful vaccination (adequate elevation of anti-spike protein antibodies) is attributed with sufficient protection against a severe course of coronavirus disease 2019 (COVID-19). For patients with chronic inflammatory diseases (CID) and immunosuppression the success of vaccination is an ongoing scientific discourse. Therefore, we evaluated the antibody titer against the S1 antigen of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) 2 weeks after complete immunization in patients with an underlying neuromuscular disease (NMD), who presented to our neurological day clinic and outpatient department for regular infusions of immunoglobulins. The data show that patients with chronic autoimmune NMD and simultaneous immunosuppressive or immune modulating treatment show an antibody response after vaccination with both mRNA and vector vaccines. In comparison to healthy subjects there is a comparable number of seroconversions due to the vaccination. A correlation between immunoglobulin dose and vaccination response could not be found; however, in contrast, there was a significant reduction of specific antibody synthesis, especially for the combination of mycophenolate mofetil (MMF) and prednisolone.
    MeSH term(s) Humans ; SARS-CoV-2 ; COVID-19 Vaccines ; Antibody Formation ; COVID-19/prevention & control ; Antibodies, Viral ; Vaccination ; Neuromuscular Diseases/drug therapy ; Disease Progression
    Chemical Substances COVID-19 Vaccines ; Antibodies, Viral
    Language German
    Publishing date 2022-08-23
    Publishing country Germany
    Document type English Abstract ; Journal Article
    ZDB-ID 123291-5
    ISSN 1433-0407 ; 0028-2804
    ISSN (online) 1433-0407
    ISSN 0028-2804
    DOI 10.1007/s00115-022-01363-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Impact of routine bedside infectious diseases service on clinical management and prognosis of patients with Candida fungemia - an example for Antifungal Stewardship at university level in Germany.

    Dudakova, Anna / Blei, Claudia / Groß, Uwe / Schulze, Marco H

    International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases

    2022  Volume 119, Page(s) 150–159

    Abstract: Background: Candidemia is rare and has a high mortality rate. This study analyses the impact of bedside antifungal stewardship (AFS) on clinical management and prognosis of patients with candidemia at a university hospital in Germany.: Methods: All ... ...

    Abstract Background: Candidemia is rare and has a high mortality rate. This study analyses the impact of bedside antifungal stewardship (AFS) on clinical management and prognosis of patients with candidemia at a university hospital in Germany.
    Methods: All patients with at least one positive blood culture with Candida species between 2014 and 2016 received bedside AFS with standardized recommendations. Medical records were retrospectively analyzed. Results from the intervention period from 2014-2016 (n=109), with focus on 2016 (n=39), were compared with those from the pre-intervention period in 2013 (n=30).
    Results: Bedside AFS was performed in 24/35 (69%) surviving patients in 2016 within the first 3 days after diagnosis of candidemia. All surviving patients (n=35) in 2016 received antifungal treatment compared with 24/28 (86%) in 2013 (p=0.0344). Follow-up blood cultures were performed in 25/35 (71%) in 2016 compared with 10/25 (40%) in 2013 (p=0.0046). Survival in the intervention compared with the pre-intervention group did not differ significantly (p=0.58) one year after the diagnosis of candidemia was made. However, patients with candidemia often have multiple serious comorbidities.
    Conclusions: Individualized bedside AFS significantly improves adherence to recommendations for patients with Candida fungemia, especially guideline-oriented diagnostics and therapy. Improving the prognosis of patients with candidemia remains a huge challenge for AFS.
    MeSH term(s) Antifungal Agents/therapeutic use ; Candida ; Candidemia/diagnosis ; Candidemia/drug therapy ; Candidemia/microbiology ; Communicable Diseases/drug therapy ; Fungemia/diagnosis ; Fungemia/drug therapy ; Humans ; Prognosis ; Retrospective Studies
    Chemical Substances Antifungal Agents
    Language English
    Publishing date 2022-03-30
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 1331197-9
    ISSN 1878-3511 ; 1201-9712
    ISSN (online) 1878-3511
    ISSN 1201-9712
    DOI 10.1016/j.ijid.2022.03.054
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Präanalytik: Blutkultur, Urin, Stuhl

    Dudakova, Anna / Schulze, Marco H.

    Frauenheilkunde up2date

    2020  Volume 14, Issue 04, Page(s) 347–365

    Keywords Präanalytik ; mikrobiologische Diagnostik ; Transportzeit ; Blutkultur ; Urinprobe ; Stuhlprobe
    Language German
    Publishing date 2020-08-01
    Publisher Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 2272764-4
    ISSN 1611-650X ; 1439-3719
    ISSN (online) 1611-650X
    ISSN 1439-3719
    DOI 10.1055/a-1146-1358
    Database Thieme publisher's database

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  4. Article ; Online: Bacterial Spectrum and Infective Foci in Patients Operated for Infective Endocarditis: Time to Rethink Strategies?

    Saha, Shekhar / Dudakova, Anna / Danner, Bernhard C / Kutschka, Ingo / Schulze, Marco H / Niehaus, Heidi

    The Thoracic and cardiovascular surgeon

    2022  

    Abstract: Objective:  The rising incidence of infective endocarditis (IE) accompanied by the de-escalation of antibiotic prophylaxis and the complexity of surgical treatment makes IE a daunting foe. We reviewed all patients who underwent cardiac surgery for IE at ...

    Abstract Objective:  The rising incidence of infective endocarditis (IE) accompanied by the de-escalation of antibiotic prophylaxis and the complexity of surgical treatment makes IE a daunting foe. We reviewed all patients who underwent cardiac surgery for IE at our institution with a focus on causative organisms and infective foci.
    Methods:  A review of 3,952 consecutive patients who underwent cardiac surgery at our institution between January 2013 and December 2017 revealed 160 patients (4%) who were operated for IE.
    Results:  The predominantly affected valves were the aortic (30%) and mitral valve (26.9%) as well as a combination of both (8.8%). A total of 28.8% of patients suffered from prosthetic valve endocarditis (PVE). The most frequently identified causative organisms were
    Conclusions:  As the bacterial spectrum and the infective foci are still the "old acquaintances," and with regard to the increasing incidence of IE, current risk-benefit evaluations concerning antibiotic prophylaxis may need to be revisited.
    Language English
    Publishing date 2022-02-08
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 800050-5
    ISSN 1439-1902 ; 0171-6425 ; 0946-4778 ; 0172-6137
    ISSN (online) 1439-1902
    ISSN 0171-6425 ; 0946-4778 ; 0172-6137
    DOI 10.1055/s-0041-1740540
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Book ; Online ; Thesis: Geburtshilfliches Management und fetales Outcome bei Mehrlingsgeburten an der Klinik St. Hedwig in Regensburg 2000 - 2008

    Dudakova, Anna

    2013  

    Author's details vorgelegt von Anna Dudakova
    Language German
    Size Online-Ressource, Ill., graph. Darst.
    Document type Book ; Online ; Thesis
    Thesis / German Habilitation thesis Univ., Diss.--Regensburg, 2013
    Database Former special subject collection: coastal and deep sea fishing

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  6. Article: Präanalytik: Blutkultur, Urin, Stuhl

    Dudakova, Anna / Schulze, Marco H.

    Krankenhaushygiene up2date

    2018  Volume 13, Issue 04, Page(s) 451–469

    Keywords Präanalytik ; mikrobiologische Diagnostik ; Transportzeit ; Blutkultur ; Urinprobe ; Stuhlprobe
    Language German
    Publishing date 2018-12-01
    Publisher Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 2242136-1
    ISSN 1862-5800 ; 1862-5797
    ISSN (online) 1862-5800
    ISSN 1862-5797
    DOI 10.1055/s-0043-118640
    Database Thieme publisher's database

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  7. Article: Bacterial Spectrum and Infective Foci in Patients Operated for Infective Endocarditis: Time to Rethink Strategies?

    Saha, Shekhar / Dudakova, Anna / Danner, Bernhard C. / Kutschka, Ingo / Schulze, Marco H. / Niehaus, Heidi

    The Thoracic and Cardiovascular Surgeon

    2022  Volume 71, Issue 01, Page(s) 2–11

    Abstract: Objective: The rising incidence of infective endocarditis (IE) accompanied by the de-escalation of antibiotic prophylaxis and the complexity of surgical treatment makes IE a daunting foe. We reviewed all patients who underwent cardiac surgery for IE at ... ...

    Abstract Objective: The rising incidence of infective endocarditis (IE) accompanied by the de-escalation of antibiotic prophylaxis and the complexity of surgical treatment makes IE a daunting foe. We reviewed all patients who underwent cardiac surgery for IE at our institution with a focus on causative organisms and infective foci.
    Methods: A review of 3,952 consecutive patients who underwent cardiac surgery at our institution between January 2013 and December 2017 revealed 160 patients (4%) who were operated for IE.
    Results: The predominantly affected valves were the aortic (30%) and mitral valve (26.9%) as well as a combination of both (8.8%). A total of 28.8% of patients suffered from prosthetic valve endocarditis (PVE). The most frequently identified causative organisms were Staphylococcus (45.7%), Streptococcus (27.5%), and Enterococcus species (16.7%), which was predominantly associated with PVE ( p  = 0.050). In 13.1% of patients, a causative organism has not been detected. The most frequent infective foci were dental (15%), soft-tissue infections (15%), spondylodiscitis (10%), and infected intravascular implants (8.8%). Relevant predisposing factors were immunosuppression (9.4%) and intravenous drug abuse (4.4%). Septic cerebral infarctions were diagnosed in 28.8% of patients. Postoperative mortality was 22.5%.
    Conclusions: As the bacterial spectrum and the infective foci are still the “old acquaintances,” and with regard to the increasing incidence of IE, current risk–benefit evaluations concerning antibiotic prophylaxis may need to be revisited.
    Keywords infective endocarditis ; bacterial spectrum ; Infective focus ; antibiotic prophylaxis
    Language English
    Publishing date 2022-02-08
    Publisher Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 800050-5
    ISSN 1439-1902 ; 0171-6425 ; 0946-4778 ; 0172-6137
    ISSN (online) 1439-1902
    ISSN 0171-6425 ; 0946-4778 ; 0172-6137
    DOI 10.1055/s-0041-1740540
    Database Thieme publisher's database

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  8. Article ; Online: Feasibility of Continuous Infusion of Cefiderocol in Conjunction with the Establishment of Therapeutic Drug Monitoring in Patients with Extensively Drug-Resistant Gram-Negative Bacteria.

    Prinz, Carolin / Streit, Frank / Schumann, Christian / Dudakova, Anna / Lanckohr, Christian / Schanz, Julie / Bohn, Matthias / Groß, Uwe / Meissner, Konrad / Moerer, Onnen / Harnisch, Lars-Olav

    Clinical drug investigation

    2023  Volume 43, Issue 4, Page(s) 307–314

    Abstract: Background and objective: Resistance to antibacterial substances is a huge and still emerging issue, especially with regard to Gram-negative bacteria and in critically ill patients. We report a study in six patients infected with extensively drug- ... ...

    Abstract Background and objective: Resistance to antibacterial substances is a huge and still emerging issue, especially with regard to Gram-negative bacteria and in critically ill patients. We report a study in six patients infected with extensively drug-resistant Gram-negative bacteria in a limited outbreak who were successfully managed with a quasi-continuous infusion of cefiderocol.
    Methods: Patients were initially treated with prolonged infusions of cefiderocol over 3 h every 8 h, and the application mode was then switched to a quasi-continuous infusion of 2 g over 8 h, i.e. 6 g in 24 h. Therapeutic drug monitoring (TDM) was established using an in-house liquid chromatography-tandem mass spectrometry (LC-MS/MS) method.
    Results: Determined trough plasma concentrations were a median of 50.00 mg/L [95% confidence interval (CI) 27.20, 74.60] and steady-state plasma concentrations were a median of 90.96 mg/L [95% CI 37.80, 124]. No significant differences were detected with respect to acute kidney injury/continuous renal replacement therapy. Plasma concentrations determined from different modes of storage were almost equal when frozen or cooled, but markedly reduced when stored at room temperature.
    Conclusions: (Quasi) continuous application of cefiderocol 6 g/24 h in conjunction with TDM is a feasible mode of application; the sample for TDM should either be immediately analyzed, cooled, or frozen prior to analysis.
    MeSH term(s) Humans ; Chromatography, Liquid ; Drug Monitoring ; Feasibility Studies ; Tandem Mass Spectrometry ; Anti-Bacterial Agents/therapeutic use ; Gram-Negative Bacteria ; Cefiderocol
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2023-04-05
    Publishing country New Zealand
    Document type Journal Article
    ZDB-ID 1220136-4
    ISSN 1179-1918 ; 0114-2402 ; 1173-2563
    ISSN (online) 1179-1918
    ISSN 0114-2402 ; 1173-2563
    DOI 10.1007/s40261-023-01257-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Blood Culture Headspace Gas Analysis Enables Early Detection of

    Euler, Maximilian / Perl, Thorsten / Eickel, Isabell / Dudakova, Anna / Maguilla Rosado, Esther / Drees, Carolin / Vautz, Wolfgang / Wieditz, Johannes / Meissner, Konrad / Kunze-Szikszay, Nils

    Antibiotics (Basel, Switzerland)

    2022  Volume 11, Issue 8

    Abstract: 1) Background: Automated blood culture headspace analysis for the detection of volatile organic compounds of microbial origin (mVOC) could be a non-invasive method for bedside rapid pathogen identification. We investigated whether analyzing the gaseous ... ...

    Abstract (1) Background: Automated blood culture headspace analysis for the detection of volatile organic compounds of microbial origin (mVOC) could be a non-invasive method for bedside rapid pathogen identification. We investigated whether analyzing the gaseous headspace of blood culture (BC) bottles through gas chromatography-ion mobility spectrometry (GC-IMS) enables differentiation of infected and non-infected; (2) Methods: BC were gained out of a rabbit model, with sepsis induced by intravenous administration of E. coli (EC group; n = 6) and control group (n = 6) receiving sterile LB medium intravenously. After 10 h, a pair of blood cultures was obtained and incubated for 36 h. The headspace from aerobic and anaerobic BC was sampled every two hours using an autosampler and analyzed using a GC-IMS device. MALDI-TOF MS was performed to confirm or exclude microbial growth in BCs; (3) Results: Signal intensities (SI) of 113 mVOC peak regions were statistically analyzed. In 24 regions, the SI trends differed between the groups and were considered to be useful for differentiation. The principal component analysis showed differentiation between EC and control group after 6 h, with 62.2% of the data variance described by the principal components 1 and 2. Single peak regions, for example peak region P_15, show significant SI differences after 6 h in the anaerobic environment (p < 0.001) and after 8 h in the aerobic environment (p < 0.001); (4) Conclusions: The results are promising and warrant further evaluation in studies with an extended microbial panel and indications concerning its transferability to human samples.
    Language English
    Publishing date 2022-07-23
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2681345-2
    ISSN 2079-6382
    ISSN 2079-6382
    DOI 10.3390/antibiotics11080992
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Phenotypic Variability in a Coinfection With Three Independent

    Gómez-Molero, Emilia / Willis, Jesse R / Dudakova, Anna / Carreté, Laia / Weig, Michael / Groß, Uwe / Gácser, Attila / Gabaldón, Toni / Bader, Oliver

    Frontiers in microbiology

    2020  Volume 11, Page(s) 1994

    Abstract: The human pathogenic ... ...

    Abstract The human pathogenic yeast
    Language English
    Publishing date 2020-08-27
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2587354-4
    ISSN 1664-302X
    ISSN 1664-302X
    DOI 10.3389/fmicb.2020.01994
    Database MEDical Literature Analysis and Retrieval System OnLINE

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