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The Levy CIMAR’s Dr. Bree Aldridge Explains Combination Drug Therapies, DiaMOND, and How Researchers are Working to Improve Patient Outcomes
Using two or more drugs together as treatment is a simple idea with a complicated underpinning. In order to combine drugs to treat complex infections such as tuberculosis, HIV, and most cancers, we have to understand how their mechanisms work together first. One drug may target one pathway, another drug another pathway. If infected cells grow at different rates, some classes of antibiotics kill the fast-growing cells better, while others are better at killing the slow ones. There can be thousands of combinations to measure. If the right combinations are found, such multidrug therapy may increase treatment efficacy and prevent the development of drug resistance, both important long-term goals.

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Antibiotic Choices for Skin, Soft Tissue Infections Vary by Race
The Levy CIMAR’s Alysse G. Wurcel, M.D., from Tufts Medical Center in Boston, and colleagues assessed disparities in SSTI treatment using data from the national survey of Acute Care Hospital Groups within Vizient Inc. (Oct.16, 2018, to Jan. 13, 2019). The researchers found that Cefazolin was more commonly used in White inpatients versus Black inpatients (13 versus 5 percent), while clindamycin was more frequently used in Black inpatients than White inpatients (12 versus 7 percent). Cefazolin is one of the first-line SSTI treatments. Clindamycin is not recommended given frequent dosing and high potential for adverse effects including Clostridioides difficile infection.

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The Breakthrough Problem, or Why the Drugs Don’t Work Like They Used To
The discovery of drugs appears to obey a rule christened Eroom’s Law. In a nutshell, the number of drugs approved for every billion dollars’ worth of research and development (R&D) halves every nine years. This pattern has remained largely consistent for over 70 years. Since 1950, the cost of developing a new drug has risen at least 80-fold. A Tufts University study suggests that the cost of developing a drug approved by the U.S. Food and Drug Administration (FDA) rose at least 13 times between 1975 and 2009. By the mid-2000s it was $1.3 billion. In the 1960s, by contrast, costs per drug developed were around $5 million. Timelines, at least pre-Covid, are likewise extended. Eroom’s Law shows that it takes more and more effort and money to develop new drugs. Achieving a pharmaceutical breakthrough is on a trend of increasing difficulty.

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Boston Doctors Explain How to Time Your Flu, Booster Shots
The scientific community generally recommends vaccination even in people who have already had COVID-19. \u0022The most common question I’m getting is, ‘How should I time my booster and my flu shot?’\u0022 says Levy CIMAR’s Dr. Shira Doron of Tufts Medical Center. \u0022Or my first COVID vaccine shot, or my second COVID vaccine shot and my flu shot. And the answer is, whatever works for you. There are no rules.\u0022 The only important thing to note, Doron says, is that the flu shot should be given at least one inch apart from your COVID shot if you get them at the same time. People can receive both shots on the same day at the same time, she said, or they can be spaced out over time.

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Drug-Resistant Infections in the US Have Risen Sharply During the Pandemic, and Experts Warn it’s Getting Worse as COVID Patients Overwhelm Hospital Resources
Drug-resistant “superbugs” pose a dire threat in hospitals, where an antibiotic-resistant germ like MRSA could leave an already sick patient without any treatment options. Superbugs were a topic of concern in the medical community long before COVID-19 was in our vocabulary, says the Levy CIMAR’s Helen Boucher, MD, an infectious disease physician at Tufts Medical Center and interim dean of Tufts University School of Medicine. “It’s a growing problem, and many of us call it a silent pandemic, because it is, ever, ever so much still with us, despite our very appropriate focus on COVID,” she says.\n\n

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Bacteriophage Therapy Market 2021 Share Leaders, Current Status, Industry Size By Major Key Vendors, Trends
Coherent Market Insights recently published an in depth study of Bacteriophages Therapy Market covering interesting aspects of the market with supporting development scenarios starting from 2021-2027. The report delivers the clean elaborated structure of the Market comprising each and each business-related information of the market at a worldwide level. the entire range of data associated with the worldwide Market is obtained through various sources. PhagePro, Inc., co-founded by the Levy CIMAR’s Andrew Camilli, PhD, is listed among key players focusing on bacteriophage therapies.

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Tufts Epidemiologist Breaks Down How New Mask Guidance Applies To Mass.
As COVID-19 cases rise once again, and as variants continue to spread, the Centers for Disease Control and Prevention are recommending that vaccinated people start wearing masks indoors, in many situations. The recommendation applies to areas considered to have a \u0022high and substantial transmission\u0022 of COVID-19, and in K-12 schools. The Levy CIMAR’s Dr. Shira Doron, an infectious disease physician and hospital epidemiologist at Tufts Medical Center, joined WBUR’s Morning Edition to discuss what this means for Americanas and how this affects Massachusetts residents in particular.

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‘Silent Pandemic’ Threatens to Turn Back Century of Medical Progress
\u0022Before antibiotics, a simple skin infection had a 10% chance of killing you. People never think about that today, because we have antibiotics that cure all bacterial skin infections. We don’t think about skin infections as being a problem at all,\u0022 says Dr. Helen W. Boucher of the Levy CIMAR and interim Dean of the Tufts University School of Medicine in Boston. But now, she warns, time for many of these drugs is running out. Antimicrobial resistance is turning back nearly a century of work to prevent deaths from bacterial and fungal infections. In the U.S. alone, nearly 3 million people annually are believed to fall ill to antibiotic-resistant bacterial infections, and more than 35,000 of the patients die.

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A Few Days on Antibiotics Are Often as Good as Weeks, Research Shows
Dozens of studies show that for many bacterial infections, a short course of antibiotics, measured in days, performs as well as the traditional course, measured in weeks. Shorter courses also carry a lower risk of side effects. In April the strength of this research persuaded the American College of Physicians to issue new \u0022best practice advice\u0022 for four kinds of infections: pneumonia (the kind acquired in the community rather than in a hospital), \u0022uncomplicated\u0022 urinary tract infections (UTIs), skin infections known as cellulitis (provided there is no pus) and acute bronchitis in people with chronic obstructive pulmonary disease.

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Concerned About the Delta Variant? This Sports Analogy Helps Explain the Risk
Many people are worried that the rise of the delta variant of the coronavirus, which is more contagious than the earlier variants and has become the dominant strain in the U.S., as well as in Massachusetts. Among the questions people have been wondering is whether they need to wear masks inside again indoors, even if they’ve been vaccinated. The World Health Organization recently said they should, but the U.S. Centers for Disease Control and Prevention says that’s unnecessary.Experts including the Levy CIMAR’s Dr. Shira Doron, an infectious disease physician and epidemiologist at Tufts Medical Center, weigh in.

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There’s a Vaccine for Lyme Disease. So Why Can’t We Get It?
Thanks to vaccines, the number of COVID-19 cases has plummeted in the U.S. and restrictions are being lifted across the country. But as we return to our normal activities, we face a more familiar summertime scourge. We’re in the thick of Lyme disease season, the two-month run from early June to the end of July when 85 percent of infections take place. Surprisingly, vaccines may have allowed us to avoid this epidemic, too. A vaccine called LYMErix has existed for decades, but it’s no longer available. In this article, you will learn why LYMErix is no longer available and discover where the research stands today.

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Helen Boucher Named Interim Dean at Tufts University School of Medicine
Helen Boucher, MD, chief of the Division of Geographic Medicine and Infectious Diseases at Tufts Medical Center, professor of medicine at Tufts University School of Medicine, and a director of the Stuart B. Levy Center for Integrated Management of Antimicrobial Resistance (Levy CIMAR), has been named to a new, joint position as interim dean for Tufts University School of Medicine and chief academic officer for Wellforce, beginning July 1. Dr. Boucher will be the first woman to lead the School of Medicine in its 128-year history. Cheleste Thorpe, MD, will step in as Interim Director to lead the Levy CIMAR alongside Director Ralph Isberg, PhD.

