The impact of initial antibiotic treatment failure: Real-world insights in patients with complicated, health care-associated intra-abdominal infection

Purpose: The RECOMMEND study (NCT02364284; D4280R00005) assessed the clinical management patterns and treatment outcomes associated with initial antibiotic therapy (IAT; antibiotics administered ≤48 hours post-initiation of antibiotic therapy) for health care-associated infections across five countries. Patients and methods: Data were collected from a retrospective chart review of patients aged ≥18 years with health care-associated complicated intra-abdominal infection (cIAI). Potential risk factors for IAT failure were identified using logistic regression analyses. Results: Of 385 patients with complete IAT data, bacterial pathogens were identified in 270 (70.1%), including Gram-negative isolates in 221 (81.9%) and Gram-positive isolates in 92 (34.1%). Multidrug-resistant (MDR) pathogens were identified in 112 patients (41.5% of patients with a pathogen identified). IAT failure rate was 68.3% and in-hospital mortality rate was 40.8%. Multivariate regression analysis demonstrated three factors to be significantly associated with IAT failure: patients admitted/transferred to the intensive care unit during index hospitalization, isolation of an MDR pathogen and previous treatment with β-lactam antibiotics. Conclusion: We reveal the real-world insights into the high rates of IAT failure and mortality observed among patients with cIAI. These data highlight the challenges associated with choosing IAT, the impact of MDR pathogens on IAT outcomes and the importance of tailoring IAT selection to account for local epidemiology and patient history

Framing and visual type: Effect on future Zika vaccine uptake intent

Introduction: The Zika virus is associated with the birth defect microcephaly, and while a vaccine was not available in early- 2017, several were under development. This study’s purpose was to identify effective communication strategies to promote uptake of a new vaccine, particularly among women of reproductive age.Design and methods: In order to study the effects of Zika message framing (gain vs. loss) and visual type (photo vs. infographic) on future Zika vaccine uptake intent, a 2×2 between-subjects experiment was performed via an online survey in 2017 among 339 U.S. women of reproductive age (18-49 years). Participants were exposed to one of four messages, all resembling Instagram posts: gain-framed vs. loss-framed infographic, and gain-framed vs. loss-framed photo. These messages were followed by questions about Zika vaccine uptake intent as well as intermediate psychosocial variables that could lead to intent. Results: There was no interaction between framing and visual type (P=0.116), and there was no effect for framing (P=0.185) or visual type (P=0.724) on future Zika vaccine uptake intent, which is likely indicative of insufficient dosage of the intervention. However, when focusing on intermediate psychosocial constructs that are known to influence behavior and intent, gain-framed messages were more effective in increasing subjective norms (P=0.005) as related to a future Zika vaccine, as well as perceived benefits (P=0.016) and self-efficacy (P=0.032). Conclusions: Gain-framed messages seem to be more effective than loss-framed messages to increase several constructs that could, in turn, affect future Zika vaccine uptake intent. This is a novel finding since, traditionally, loss-framed messages are considered more beneficial in promoting vaccine-related health behaviors

Book Reviews

Book reviews of: Hattiesburg: An American City in Black and White By William Sturkey. (Cambridge: Harvard University Press, 2019. Acknowledgements, illustrations, map, notes, index. Pp. 442. $29.95 cloth. ISBN 978-0-674-97635-1.) Confederate Generals in the Trans-Mississippi, Volume 3: Essays on America’s Civil War. Edited by Thomas E. Schott and Lawrence Lee Hewitt. (Knoxville: University of Tennessee Press, 2019. Maps, photos, notes, appendix, bibliography, index. Pp. xxiv, 374.$64.95 cloth. ISBN: 978-1-62190-454-0.) Mothers of Massive Resistance: White Women and the Politics of White Supremacy. By Elizabeth Gillespie McRae. (New York: Oxford University Press, 2018. Acknowledgements, Abbreviations, illustrations, notes, index. Pp. xiv, 343. $34.95 hardcover. ISBN: 978-0-19-027171-8.) Poll Power: The Voter Education Project and the Movement for the Ballot in the American South. By Evan Faulkenbury. (Chapel Hill: University of North Carolina Press, 2019. Acknowledgements, illustrations, notes, index. Pp. xi, 200.$90 cloth, $27.95 paper. ISBN: 978-1-4696-5131-6.) Let Us Make Men: The Twentieth Century Black Press and a Manly Vision for Racial Advancement. By D’Weston Haywood. (Chapel Hill: University of North Carolina Press, 2018. Acknowledgements, illustrations, map, notes, index. Pp. xi, 340.$55 cloth, $19.50 paper. ISBN: 978-1-4696-4338-0.) The Man Who Punched Jefferson Davis: The Political Life of Henry S. Foote, Southern Unionist. By Ben Wynne. (Baton Rouge, Louisiana State University Press, 2018. Acknowledgements, illustrations, notes, index. Pp. ix, 323.$47.50 cloth. ISBN: 978-0-8071-6933-9.) Desegregating Dixie: The Catholic Church in the South and Desegregation, 1945-1992. By Mark Newman. (Jackson: University Press of Mississippi, 2018. Acknowledgements, appendices, notes, bibliography, index. Pp. xvii, 455. $90 cloth,$30 paper. ISBN: 978-1-4968-1886-7.) The Loyal Republic: Traitors, Slaves, and the Remaking of Citizenship in Civil War America. By Erik Mathisen. (Chapel Hill: The University of North Carolina Press, 2018. Acknowledgments, illustrations, map, notes, index. Pp. xi, 219. $34.95 cloth. ISBN: 978-1-4696-3632-0.) Aberration of Mind: Suicide and Suffering in the Civil War-Era South. By Diane Miller Sommerville. (Chapel Hill: University of North Carolina Press, 2018. Acknowledgements, notes, bibliography, index. Pp. 448.$105 cloth, $34.95 paper. ISBN: 978-1-4696-4330-4.) Women’s War: Fighting and Surviving the American Civil War. By Stephanie McCurry. (Cambridge, Massachusetts: The Belknap Press of Harvard University Press, 2019. notes, acknowledgements, index. Pp ix, 297.$26.95 hardcover. ISBN: 978-0-674-98797-5.) Lines Were Drawn: Remembering Court-Ordered Integration at a Mississippi High School. Edited By Teena F. Horn, Alan Huffman, and John G. Jones. (Jackson: University Press of Mississippi, 2016. Acknowledgments, illustrations, map, notes, index. Pp. xi, 266. $35 hard back. ISBN: 978-1-62846-231-9.) Industrial Development and Manufacturing in the Antebellum Gulf South: A Reevaluation. By Michael S. Frawley. (Baton Rouge: Louisiana State University Press. 2019. ix, 256 pp. Cloth,$45.00, ISBN 978-0-8071-7068-7.) Integration Now: Alexander v. Holmes and the End of Jim Crow Education. By William P. Hustwit. (Chapel Hill: University of North Carolina Press, 2019. 8 halftones, 1 map, notes, bibl., index. 288 pp. $39.95, hardcover. ISBN: 978-1-4696-4855-2.

Appalachian Spring

A large mural that was created by 19 studio art and education students in 2009. Renowned Latina artist Judith Baca worked alongside the students.https://scholarworks.moreheadstate.edu/university_art_collection/1090/thumbnail.jp

Early Science with the Oscura Integration Test

Oscura is a planned light-dark matter search experiment using Skipper-CCDs with a total active mass of 10 kg. As part of the detector development, the collaboration plans to build the Oscura Integration Test (OIT), an engineering test experiment with 10% of the Oscura's total mass. Here we discuss the early science opportunities with the OIT to search for millicharged particles (mCPs) using the NuMI beam at Fermilab. mCPs would be produced at low energies through photon-mediated processes from decays of scalar, pseudoscalar, and vector mesons, or direct Drell-Yan productions. Estimates show that the OIT would be a world-leading probe for low-mass mCPs.Comment: 21 pages, 13 figure

Antibiotic research and development: business as usual?

This article contends that poor economic incentives are an important reason for the lack of new drugs and explains how the DRIVE-AB intends to change the landscape by harnessing the expertise, motivation and diversity of its partner

Finishing the euchromatic sequence of the human genome

The sequence of the human genome encodes the genetic instructions for human physiology, as well as rich information about human evolution. In 2001, the International Human Genome Sequencing Consortium reported a draft sequence of the euchromatic portion of the human genome. Since then, the international collaboration has worked to convert this draft into a genome sequence with high accuracy and nearly complete coverage. Here, we report the result of this finishing process. The current genome sequence (Build 35) contains 2.85 billion nucleotides interrupted by only 341 gaps. It covers ∼99% of the euchromatic genome and is accurate to an error rate of ∼1 event per 100,000 bases. Many of the remaining euchromatic gaps are associated with segmental duplications and will require focused work with new methods. The near-complete sequence, the first for a vertebrate, greatly improves the precision of biological analyses of the human genome including studies of gene number, birth and death. Notably, the human enome seems to encode only 20,000-25,000 protein-coding genes. The genome sequence reported here should serve as a firm foundation for biomedical research in the decades ahead