Clinical Microbiology Newsletter最新文献

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A special invitation to authors 对作者的特别邀请
Clinical Microbiology Newsletter Pub Date : 2023-11-01 DOI: 10.1016/j.clinmicnews.2024.01.002
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引用次数: 0
Histopathology of Infectious Diseases: a Practical Approach to Slide Examination and Interpretation: Part II of II 传染病的组织病理学:切片检查和解释的实用方法:第二部分
Clinical Microbiology Newsletter Pub Date : 2023-11-01 DOI: 10.1016/j.clinmicnews.2024.01.001
Rebecca M. Marrero Rolon M.D.
{"title":"Histopathology of Infectious Diseases: a Practical Approach to Slide Examination and Interpretation: Part II of II","authors":"Rebecca M. Marrero Rolon M.D.","doi":"10.1016/j.clinmicnews.2024.01.001","DOIUrl":"10.1016/j.clinmicnews.2024.01.001","url":null,"abstract":"<div><div>The definitive diagnosis of infections requires a multidisciplinary approach that integrates clinical assessment, imaging studies, and microbiologic studies. Histopathology<span><span> and cytopathology<span><span><span><span> are well-recognized diagnostic modalities that allow visualization, not only of infectious agents, but of the host response to an infection. These preparations allow rapid and direct examination of patient specimens and can help establish a diagnosis of infection and guide patient management. Anatomic pathologists and microbiologists play an important role in the </span>interpretation of findings in histopathology and cytopathology, and their collaborations can enhance the utility of these diagnostic tools. Identification of unique morphologic features of infectious agents in tissue and other patient specimens and understanding the </span>pathophysiology<span> of infections and the tissue reaction they elicit are important skills. Familiarity with available ancillary stains and tests that can be employed for tissue and specimen examination is also important for a complete diagnostic evaluation. Part II of this two-part article covers fungal infections, </span></span>viral infections, and </span></span>parasitic infections.</span></div></div>","PeriodicalId":39211,"journal":{"name":"Clinical Microbiology Newsletter","volume":"45 21","pages":"Pages 177-186"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143290848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Histopathology of Infectious Diseases: a Practical Approach to Slide Examination and Interpretation: Part I of II 传染病的组织病理学:切片检查和解释的实用方法:第二部分之一
Clinical Microbiology Newsletter Pub Date : 2023-10-15 DOI: 10.1016/j.clinmicnews.2023.12.001
Rebecca M. Marrero Rolon M.D.
{"title":"Histopathology of Infectious Diseases: a Practical Approach to Slide Examination and Interpretation: Part I of II","authors":"Rebecca M. Marrero Rolon M.D.","doi":"10.1016/j.clinmicnews.2023.12.001","DOIUrl":"10.1016/j.clinmicnews.2023.12.001","url":null,"abstract":"<div><div>The definitive diagnosis of infections requires a multidisciplinary approach that integrates clinical assessment, imaging studies, and microbiologic studies. Histopathology<span> and cytopathology<span><span><span> are well-recognized diagnostic modalities that allow visualization, not only of infectious agents, but of the host response to an infection. These preparations allow rapid and direct examination of patient specimens and can help establish a diagnosis of infection and guide patient management. Anatomic pathologists and microbiologists play an important role in the </span>interpretation of findings in histopathology and cytopathology, and their collaborations can enhance the utility of these diagnostic tools. Identification of unique morphologic features of infectious agents in tissue and other patient specimens and understanding the </span>pathophysiology of infections and the tissue reaction they elicit are important skills. Familiarity with available ancillary stains and tests that can be employed for tissue and specimen examination is also important for a complete diagnostic evaluation. Part I of this two-part article provides and overview of the approach to examination of histopathologic and cytopathologic sections, and bacterial infections.</span></span></div></div>","PeriodicalId":39211,"journal":{"name":"Clinical Microbiology Newsletter","volume":"45 20","pages":"Pages 167-176"},"PeriodicalIF":0.0,"publicationDate":"2023-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143222986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Day in the Life of a Medical Microbiology Fellow: Four Perspectives 医学微生物学研究员的一天:四个视角
Clinical Microbiology Newsletter Pub Date : 2023-10-01 DOI: 10.1016/j.clinmicnews.2023.11.001
Jennifer D. Bowling Ph.D., MLS(ASCP)CM , Hannah K. Gray Ph.D., M(ASCP)CM , Esther Vaugon M.D. , Lucas J. Osborn Ph.D., MLS(ASCP)CM
{"title":"A Day in the Life of a Medical Microbiology Fellow: Four Perspectives","authors":"Jennifer D. Bowling Ph.D., MLS(ASCP)CM ,&nbsp;Hannah K. Gray Ph.D., M(ASCP)CM ,&nbsp;Esther Vaugon M.D. ,&nbsp;Lucas J. Osborn Ph.D., MLS(ASCP)CM","doi":"10.1016/j.clinmicnews.2023.11.001","DOIUrl":"https://doi.org/10.1016/j.clinmicnews.2023.11.001","url":null,"abstract":"<div><p>Medical microbiology<span> is a dynamic science essential to the clinical diagnosis and management of infectious diseases. Medical microbiologists serve as content experts in bacteria, fungi, viruses, and parasites as they pertain to human infections. There are several different paths one may take to become the director of a medical microbiology laboratory, the most common of which are enrollment in an Accreditation Council for Graduate Medical Education (ACGME)-approved fellowship for applicants with medical degrees or an American Society for Microbiology (ASM) Subcommittee on Post-Graduate Education Programs (CPEP) fellowship for those with a Ph.D., M.D., Sc.D., D.O. and Dr. P.H. Upon completion of either track, fellows are eligible to sit for the American Board of Medical Microbiology (ABMM) examination. Additional eligibility tracks are available for equivalent training experiences in Canada and also through non-fellowship medical microbiology experience.</span></p><p>A day in the life of a medical microbiology fellow can vary drastically but can typically be summarized by three primary responsibilities in descending order of effort: clinical service, research, and teaching. A medical microbiology fellowship represents an opportunity to acquire new knowledge, apply what you have learned, and develop the skills necessary to direct a laboratory. While all fellowship programs lead to eligibility for the ABMM examination, certain aspects are unique to the training experience at each program. Here, we present the distinct perspectives of four current medical microbiology fellows, highlighting the common themes and diversity of experiences leading up to and during fellowship.</p></div>","PeriodicalId":39211,"journal":{"name":"Clinical Microbiology Newsletter","volume":"45 19","pages":"Pages 159-166"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138471745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Echinococcus multilocularis and Alveolar Echinococcosis: Should We Be Concerned? 多房棘球蚴病和肺泡棘球蚴病:我们应该关注吗?
Clinical Microbiology Newsletter Pub Date : 2023-09-15 DOI: 10.1016/j.clinmicnews.2023.10.001
Kinga T. Kowalewska-Grochowska M.D., FRCP(C)
{"title":"Echinococcus multilocularis and Alveolar Echinococcosis: Should We Be Concerned?","authors":"Kinga T. Kowalewska-Grochowska M.D., FRCP(C)","doi":"10.1016/j.clinmicnews.2023.10.001","DOIUrl":"10.1016/j.clinmicnews.2023.10.001","url":null,"abstract":"<div><div><span>Alveolar echinococcosis<span> (AE) is a life-threatening zoonotic infection caused by </span></span><span><span>Echinococcus multilocularis</span></span><span><span><span>, an intestinal cestode<span> of carnivorous animals (mostly canids). Its life cycle<span> includes an adult stage in the intestines of carnivores and a larval stage (metacestode) in tissues of herbivores or omnivores<span>. Humans are accidental/aberrant hosts and harbor the metacestode only. The disease presents as a continuously growing tumor-like liver mass with local or metastatic spread to distant organs, with mortality approaching 90% if untreated or partially treated. Diagnosis is based on characteristic imaging, </span></span></span></span>serology and </span>histopathology<span>, and confirmation by nucleic acid amplification test. The geographical distribution of </span></span><em>E. multilocularis</em><span> covers most of the northern hemisphere, with human cases in Europe, Japan, Central Asia, and now North America. The recent establishment of a new parasite<span> strain that is pathogenic to humans in Canada and the United States poses an emerging medical and public health threat and warrants a reassessment of our approach to this parasite.</span></span></div></div>","PeriodicalId":39211,"journal":{"name":"Clinical Microbiology Newsletter","volume":"45 18","pages":"Pages 151-156"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143212136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Special Invitation to Authors 对作者的特别邀请
Clinical Microbiology Newsletter Pub Date : 2023-09-15 DOI: 10.1016/j.clinmicnews.2023.10.002
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引用次数: 0
Chagas Disease: a Review and Perspective on Laboratory Diagnostics in the United States 查加斯病:美国实验室诊断的回顾与展望
Clinical Microbiology Newsletter Pub Date : 2023-09-01 DOI: 10.1016/j.clinmicnews.2023.09.001
Jeffrey D. Whitman
{"title":"Chagas Disease: a Review and Perspective on Laboratory Diagnostics in the United States","authors":"Jeffrey D. Whitman","doi":"10.1016/j.clinmicnews.2023.09.001","DOIUrl":"https://doi.org/10.1016/j.clinmicnews.2023.09.001","url":null,"abstract":"<div><p>Chagas disease is a chronic infection by the protozoan parasite <em>Trypanosoma cruzi</em>. The epidemiology of the disease results from the distribution of its arthropod vector, the triatomine bug, throughout Latin America and the southern United States, as well as migration of chronically infected individuals worldwide. In mammals, the parasite cycles through an extracellular infective form and an intracellular replicative form with tropism for cardiac and gastrointestinal (GI) tissues. Over decades, the low-grade inflammatory response can lead to cardiomyopathy and GI dysmotility disorders. This natural history necessitates presentation-dependent diagnostic approaches for clinical workup and risk-based screening, as well as blood donor and organ transplant screening. Implementing effective Chagas disease testing in the U.S. is an increasing topic of interest but is hindered by low provider awareness, few FDA-cleared assays, and limited laboratory capacity for multi-step confirmatory testing. This article provides a clinically focused review of Chagas disease, outlines the current status of clinical testing in the U.S., and reports on new innovations in diagnostics and research that may impact the field.</p></div>","PeriodicalId":39211,"journal":{"name":"Clinical Microbiology Newsletter","volume":"45 17","pages":"Pages 141-149"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49750033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A special invitation to authors 对作者的特别邀请
Clinical Microbiology Newsletter Pub Date : 2023-09-01 DOI: 10.1016/j.clinmicnews.2023.09.002
{"title":"A special invitation to authors","authors":"","doi":"10.1016/j.clinmicnews.2023.09.002","DOIUrl":"https://doi.org/10.1016/j.clinmicnews.2023.09.002","url":null,"abstract":"","PeriodicalId":39211,"journal":{"name":"Clinical Microbiology Newsletter","volume":"45 17","pages":"Page 150"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49701366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Brief Summary of the Current Role of Human Papillomavirus Testing in Cervical Cancer Screening 人类乳头瘤病毒检测在宫颈癌症筛查中的作用综述
Clinical Microbiology Newsletter Pub Date : 2023-08-15 DOI: 10.1016/j.clinmicnews.2023.08.002
Tam T. Van Ph.D., D(ABMM)
{"title":"A Brief Summary of the Current Role of Human Papillomavirus Testing in Cervical Cancer Screening","authors":"Tam T. Van Ph.D., D(ABMM)","doi":"10.1016/j.clinmicnews.2023.08.002","DOIUrl":"10.1016/j.clinmicnews.2023.08.002","url":null,"abstract":"<div><p>Cervical cancer screening recommendations proposed by natural societies and organizations have been reviewed and revised numerous times over the last decade. The most recent guidelines from the American Cancer Society and U.S. Preventive Services Task Force added human papillomavirus (HPV) primary screening for women starting at age 25 or 30 years, respectively, and ending at age 65 for those with an adequate history of negative screening. Cervical cancer screening for HPV has significantly reduced the incidence of cervical cancer. Currently, the majority of cervical cancers are reported among women who have never been screened or who were under-screened. Many organizations and institutions have explored different strategies to improve screening participation among the difficult-to-reach populations, including community outreach and specimen self-collection for HPV testing.</p></div>","PeriodicalId":39211,"journal":{"name":"Clinical Microbiology Newsletter","volume":"45 16","pages":"Pages 133-140"},"PeriodicalIF":0.0,"publicationDate":"2023-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48896603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An Update on Schistosomiasis 血吸虫病研究进展
Clinical Microbiology Newsletter Pub Date : 2023-08-01 DOI: 10.1016/j.clinmicnews.2023.08.001
L. Payne , P.L. Chiodini , A.L. Bustinduy
{"title":"An Update on Schistosomiasis","authors":"L. Payne ,&nbsp;P.L. Chiodini ,&nbsp;A.L. Bustinduy","doi":"10.1016/j.clinmicnews.2023.08.001","DOIUrl":"10.1016/j.clinmicnews.2023.08.001","url":null,"abstract":"<div><p>Human schistosomiasis is caused by trematode parasites of the genus <em>Schistosoma</em>. Four species and two distinct clinical syndromes are relevant to humans, including <em>S. haematobium</em>, which is associated with urogenital schistosomiasis, whereas <em>S. mansoni, S. mekongi</em>, and <em>S. japonicum</em> are responsible for intestinal schistosomiasis. These flukes reside in the venous plexus of the human bladder and in mesenteric veins and release eggs that, when trapped in tissues, cause inflammation and fibrosis. More specifically, <em>S. mansoni, S. mekongi</em>, and <em>S. japonicum</em> can cause intestinal inflammation, hepatosplenic periportal fibrosis, portal hypertension, and esophageal varices that can bleed and cause death. In contrast, <em>S. haematobium</em>, a recognized carcinogenic organism, can drive bladder carcinoma and contribute to infertility and cervical cancer. Additionally, schistosomiasis can cause general anaemia, stunted growth, and cognitive impairment.</p><p>Despite the chronic complications associated with schistosomiasis, public awareness in areas of non-endemicity is limited, and travelers rarely consider risk of infection. We describe the diagnostics available in areas of endemicity, as well as in reference laboratories, to diagnose schistosomiasis in returning travelers or migrants to resource-rich locations.</p></div>","PeriodicalId":39211,"journal":{"name":"Clinical Microbiology Newsletter","volume":"45 15","pages":"Pages 125-132"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47232788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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