Trending
Mikki McGuinty's Avatar

Mikki McGuinty

@mykkymcg

Ottawa, Canada. ID Physician and Clinician Scientist. HIV, particularly in women and pregnancy, TB, and maternal & maternal/fetal infections and immunity

1,423
Followers
90
Following
26
Posts
10.11.2024
Joined
Posts Following

Latest posts by Mikki McGuinty @mykkymcg

Didn’t we… already know this?

08.05.2025 00:49 👍 1 🔁 0 💬 1 📌 0

Was… was an Infectious diseases physician or an IPAC expert involved… at all?

Do… do the surgeons think SSIs are caused by pathogens that float around in the air during surgery?

14.04.2025 01:26 👍 5 🔁 0 💬 1 📌 0

I’m so confused about what infection they thought HEPA filters would prevent.

14.04.2025 01:23 👍 2 🔁 0 💬 0 📌 0

I kind of agree I would like to see that oral Tx alone for the partner doesn’t suffice, it seems like it should logically follow that simultaneous treatment topically for women would help… but that ignores the reality that oral drugs are delivered to the mucosa quite well.

10.03.2025 18:02 👍 1 🔁 0 💬 1 📌 0

Epiglottis seems impossible not to be a problem, but also so wildly uncommon that I’m surprised to see it get its own line on such a table.

16.01.2025 01:34 👍 2 🔁 0 💬 0 📌 0

There were events in all the clinical trials, which only had about 20000 participants altogether, so this is not unexpected.

08.01.2025 01:05 👍 0 🔁 0 💬 0 📌 0
Preview
Sofosbuvir/Velpatasvir Pharmacokinetics, Safety, and Efficacy in Pregnant People with Hepatitis C Virus Treatment of hepatitis C virus (HCV) during pregnancy can cure maternal HCV and prevent perinatal HCV transmission. The primary objective was to compare the pharmacokinetics (PK) of sofosbuvir/velpatasvir (SOF/VEL) in pregnant versus nonpregnant people.

In CID, Catherine Chappell, MD MSc, and colleagues compare the pharmacokinetics (PK) of sofosbuvir/velpatasvir (SOF/VEL) in pregnant versus nonpregnant people.

26.12.2024 19:33 👍 6 🔁 1 💬 1 📌 0

But they’re so good though.

24.12.2024 00:21 👍 0 🔁 0 💬 0 📌 0

This feels too complicated to be helpful.

20.12.2024 03:19 👍 0 🔁 0 💬 0 📌 0

Gisele not being Time’s Person of the Year is why I will never take anything they publish seriously ever again.

20.12.2024 03:12 👍 2 🔁 0 💬 0 📌 0

Someone spoil it for me.

20.12.2024 03:09 👍 2 🔁 0 💬 0 📌 0

Ie… if you let as many exposure events accumulate in both studies would the girls end up with a couple infections too.

Girls metabolize injectable Cabitegravir differently than boys, could this also be true for Len?

Too many differences to compare!

17.12.2024 02:44 👍 2 🔁 0 💬 1 📌 0

One group also has vaginas. The other has fewer.

Not sure they quantified the frequency of sexual activity and average number of new partners, but would be important to know if you want to compare the intervention between these groups.

The boys also seemed better about taking oral PrEP.

17.12.2024 02:43 👍 1 🔁 0 💬 2 📌 0

A population-specific difference in risk/time is also at play in comparison.

16.12.2024 03:10 👍 1 🔁 0 💬 1 📌 0

2 infections is still an incredibly low number even in a PrEP trial, we’re only looking askance at it because PURPOSE-1 got to put up a “zero” here. But we knew it wasn’t going to be zero everywhere.

16.12.2024 02:14 👍 4 🔁 0 💬 1 📌 0
Video thumbnail

It’s Caturday. This cat in rural BC needs a new home. She’s so cuddly but very timid. Was so hard to catch her rescuers named her “Ghost”.

15.12.2024 04:29 👍 2 🔁 0 💬 0 📌 0

147 is so few women. I think these results make sense, and I use bictegravir unreservedly in pregnancy despite being the only center with documented failure, but these patients should have been included in clinical trials. No more presumptive exclusion.

15.12.2024 03:37 👍 1 🔁 0 💬 0 📌 0

AKA… just don’t. You don’t need this test. And you don’t need to wait for any positive test to treat what is most likely TB. If you diagnose something else you can always stop treating (or not).

15.12.2024 03:33 👍 5 🔁 1 💬 1 📌 0

“Likely” seems too weak.

28.11.2024 02:47 👍 6 🔁 1 💬 1 📌 0
Post image

I’m stuck.

26.11.2024 01:12 👍 4 🔁 0 💬 1 📌 0

Depends on how good the source control is. If it’s perfect, 5 days. Usually the wound looks like a hot mess at day 5. So then I treat until it isn’t.

26.11.2024 01:09 👍 2 🔁 0 💬 0 📌 0

It’s definitely the E. coli in the urine, Josh. Everyone knows this.

23.11.2024 22:58 👍 1 🔁 0 💬 1 📌 0
The Online TST/IGRA Interpreter

Interesting!
Will have to try it alongside the one routinely used now that does:

www.tstin3d.com/en/calc.html

21.11.2024 11:45 👍 2 🔁 0 💬 0 📌 0

I think the whole country probably has 10-20? At least the last time I asked!

16.11.2024 12:14 👍 3 🔁 0 💬 0 📌 0

Arguably, the greatest advance in healthcare in the past 100 years was the widespread vaccination of children.

14.11.2024 22:05 👍 2333 🔁 442 💬 72 📌 19
Preview
a woman is holding a blanket with the words a girl can hope below her ALT: a woman is holding a blanket with the words a girl can hope below her

Watching the PrEP session at #HIVGlasgow2024 and wondering… is there a future where we get a tiny baby dose of lenacapravir for infants exposed to HIV through BF?

13.11.2024 12:14 👍 1 🔁 0 💬 0 📌 0
Antiretrovirals in pregnancy research toolkit Open-access toolkit providing guidance, research materials and other resources relating to the inclusion of pregnant and breastfeeding women in research on treatment and prevention of HIV, viral hepat...

Great introduction by Dr Shahin Lockman at #HIVGlasgow2024 on including pregnant and BF participants in HIV research and the Antiretrovirals in Pregnancy Research Toolkit.
No more presumptive exclusion!

www.who.int/tools/antire...

11.11.2024 11:40 👍 8 🔁 1 💬 1 📌 0

It’s our empiric recommendation for cholangitis and cholecystitis. And we don’t check for sludge before starting it for other uses.

11.11.2024 11:25 👍 3 🔁 0 💬 1 📌 0