Articles Tagged With:
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Restricting Remdesivir in an Immune Era: No Harm, Big Savings
A quasi-experimental, eight-hospital, pre-post restriction of remdesivir to only symptomatic, oxygen-requiring, immunocompromised adults during July 2023 to June 2024 led to a 90% reduction in remdesivir use (37.7% to 4.1%) without any increase in 14- or 28-day all-cause mortality, 30-day readmission, or hospital length of stay. Medium- and high-risk covariate models confirmed no mortality signal, while an intriguing rise in intensive care unit admission and mechanical ventilation use among the few post-intervention recipients was most consistent with residual confounding and confounding by indication (i.e., the sickest patients being channeled to receive therapy). In an era of widespread hybrid immunity from Omicron-descended variants, broad remdesivir formulary restriction can be implemented safely and can yield substantial cost savings without compromising outcomes.
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Updated Recommendations for Drug-Susceptible and Drug-Resistant Tuberculosis
The authors provide an update of recommendations for the treatment of tuberculosis, including cases with drug resistance. The recommendations include the use of newer drugs that have undergone clinical trials and shorter durations of therapy.
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Baloxavir Prevents Household Transmission of Influenza
Treatment with a single dose of baloxavir led to an adjusted relative risk reduction of 29% in household transmission of influenza compared to placebo. There was no significant difference in safety signals between baloxavir and placebo.
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Staphylococcus aureus Endocarditis: A Selection of Just-Published Studies
A selection of reports published in the last two months cover microbiologic diagnosis and management issues.
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Measles Outbreaks in the United States
Several measles outbreaks have been active in the United States, with more than 1,000 cases reported already in 2025. Most outbreaks begin as unvaccinated individuals in the United States come into contact with an infected individual who has recently arrived after international travel. Vaccination is effective, but current U.S. vaccine coverage rates are below the 95% rate considered necessary to provide herd immunity.
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Ethical Concerns Raised by Surprising New Data on the Effect of the Revised Common Rule
The revised Common Rule (the U.S. Basic Federal Policy for Protection of Human Research Subjects) was implemented in 2019 to enhance protections for human research subjects. Min-Fu Tsan, MD, PhD, wanted to know how well the revised Rule has achieved its stated goals.
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Ethicists Can Counter Clinicians’ Perceptions of Consults as Unhelpful
Ethicists work hard to make sure that all stakeholders in complex cases are heard. Yet, when the consultation is completed, ethicists usually do not know how the clinical team feels about the process.
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Emerging Ethical Dilemmas with Deep Brain Stimulation
For decades, deep brain stimulation devices have been used to treat neuropsychiatric and neurological disorders. However, there are some ongoing — and emerging — ethical concerns with this technology.
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Bioethicists Are Obtaining Additional Training to Benefit Their Institutions — and Careers
As the clinical ethics field continues to professionalize, some ethicists are seeking to differentiate themselves or advance their careers by obtaining additional education.
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Researchers Have Unique Ethical Obligations in Early Phase Oncology Trials
Early phase oncology clinical trials demand a lot from participants but offer uncertain benefits in return.