Carina Marquez MD
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carinamarquez.bsky.social
Carina Marquez MD
@carinamarquez.bsky.social
Infectious Disease physician and research, Associate Professor at UCSF. Interests- Tuberculosis, HIV, Respiratory Viruses and community and social network-based strategies to reduce infectious diseases
Reposted by Carina Marquez MD
This is really interesting! We recently showed very similar associations f on genomic and spatial analysis of drug sensitive TB www.medrxiv.org/content/10.1...
Distribution and transmission of M. tuberculosis in a high-HIV prevalence city in Malawi: a genomic and spatial analysis
Background Delays in identifying and treating individuals with infectious tuberculosis (TB) contribute to poor health outcomes and allow ongoing community transmission of M. tuberculosis ( Mtb ). Curr...
www.medrxiv.org
March 12, 2025 at 7:36 AM
@petermacp.bsky.social wow this work is fantastic, i am looking forward to reading more in depth! Thanks for posting!
March 12, 2025 at 3:55 PM
#CROI2025 TB Day 2 (cont)- 3. Eric Nuermberger -an excellent summary of long acting tx for TB! We saw the impact of LA in HIV prevention, could revolutionize TPT
🤔Can we get to one shot and you're done TPT?
Bedaquiline looks promising in mouse model. Now Phase 1 trial! More drugs in development!
March 12, 2025 at 3:50 PM
#CROI2025 TB Day 2 (cont.) TB-Feron FIA vs QFT-PLUS in Vietnam. Simplified IGRA
-Overall, sensi (90.2%) but suboptimal spec (73.9%) , subgroups below.
- With good spec. could it be used as a near POC for TPT? Maybe, but would need to compare cost-effectiveness to other tools including CRP.
March 12, 2025 at 3:50 PM
#CROI2025 🔥 2. Poster-Andrew Kerkhoff #UCSF and #CIRDZ team shared data from an active case finding at social drinking venues in Zambia with digital CXR and XPRT. Yield: 9.6% of bar staff (N-52) and 4.6% of patrons (N=388) with new diagnosis of TB, NNT=19. Acceptability was high! #TBSky
March 12, 2025 at 3:50 PM
Allwood highlights post TB lung disease burden- 155 million TB survivors, with 10-15% severe lung impairment.
📍TB tx trials should consider PROs and long term lung outcomes
📍Data needed on prevention and treatment.
🔬Will host-directed therapies will mitigate the damage? early data on NAC, doxy
March 12, 2025 at 3:50 PM
What about once daily DTG? The DOLPIN moms team did PK simulations...
❌ NO for daily DTG with 1HP in pregnancy, but 3HP is a possibility (troughs above goal). PK sampling of pregnant women taking daily DTG and 3HP is underway!
March 11, 2025 at 6:01 PM
Great to see a study on TB prevention in pregnancy! Jyoti Matad presents 🐬 Dolphin Moms -PK study of DTG in pregnant women (20-34 weeks gestation) taking 1HP or 3HP.
Primary PK outcome: ✅ BID DTG levels therapeutic with both 1HP and 3HP. 2 women did not have therapeutic levels, due to adherence.
March 11, 2025 at 6:01 PM