Armin Hinterwirth
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View article: Population-Based Viral Antibody Profiles of Preschool Children in Burkina Faso
Population-Based Viral Antibody Profiles of Preschool Children in Burkina Faso Open
Virus-associated infections remain a major burden of childhood morbidity and mortality in sub-Saharan Africa. This exploratory, population-based study used programmable phage immunoprecipitation and sequencing to simultaneously evaluate th…
View article: Effect of Biannual Azithromycin Distribution to Infants on Community Gut Resistome and Microbiome: A Cluster-Randomized, Controlled Trial
Effect of Biannual Azithromycin Distribution to Infants on Community Gut Resistome and Microbiome: A Cluster-Randomized, Controlled Trial Open
Biannual azithromycin administration to preschool children in sub-Saharan Africa improved childhood mortality but selected for antibiotic resistance (AMR). WHO guidelines recommended focusing treatment on infants ages 1–11 months old to re…
View article: Macrolide and non-macrolide resistance after 36 months of mass azithromycin distribution in Burkina Faso: A cluster randomized trial
Macrolide and non-macrolide resistance after 36 months of mass azithromycin distribution in Burkina Faso: A cluster randomized trial Open
Background Biannual mass azithromycin distribution to children aged 1-59 months reduces all-cause child mortality but is known to select for antimicrobial resistance (AMR). The World Health Organization (WHO) recommends ongoing surveillanc…
View article: The Effect of Metagenomic Sequencing on Patient Clinical Outcomes for Intraocular Infections: A Multicenter Randomized Controlled Trial
The Effect of Metagenomic Sequencing on Patient Clinical Outcomes for Intraocular Infections: A Multicenter Randomized Controlled Trial Open
View article: A Distinguishable Peripheral Blood and Conjunctival Transcriptome and Gut Microbiome in Sjögren's Disease: A Pilot Study
A Distinguishable Peripheral Blood and Conjunctival Transcriptome and Gut Microbiome in Sjögren's Disease: A Pilot Study Open
Objective: To create a comprehensive multi-tissue molecular atlas of Sjögren's disease by using unbiased RNA sequencing to identify differentially expressed genes (DEGs) in peripheral blood and conjunctival transcriptomes, and to character…
View article: Comparison of antimicrobial resistance genes on the ocular surface of patients with corneal infections in California and Malawi
Comparison of antimicrobial resistance genes on the ocular surface of patients with corneal infections in California and Malawi Open
Background Antimicrobial resistance (AMR) determinants on the ocular surface may contribute to poor treatment responses. Methods An exploratory comparative analysis of ocular surface AMR determinants, as determined by RNA-sequencing (RNA-s…
View article: Deep sequencing as a diagnostic tool in patients with suspected primary vitreoretinal lymphoma
Deep sequencing as a diagnostic tool in patients with suspected primary vitreoretinal lymphoma Open
Purpose To compare the diagnostic utility of metagenomic deep sequencing (MDS) to cytology, flow cytometry and gene rearrangement by PCR in ocular samples of patients with suspected vitreoretinal lymphoma (VRL). Methods Patients with suspe…
View article: Prolonged mass azithromycin distributions and macrolide resistance determinants among preschool children in Niger: A sub-study of a cluster-randomized trial (MORDOR)
Prolonged mass azithromycin distributions and macrolide resistance determinants among preschool children in Niger: A sub-study of a cluster-randomized trial (MORDOR) Open
Background Randomized controlled trials found that twice-yearly mass azithromycin administration (MDA) reduces childhood mortality, presumably by reducing infection burden. World Health Organization (WHO) issued conditional guidelines for …
View article: Could the effect of antimicrobials on antimicrobial resistance be saturated at high-antimicrobial consumption? A comparison of the MORDOR and ResistAZM studies
Could the effect of antimicrobials on antimicrobial resistance be saturated at high-antimicrobial consumption? A comparison of the MORDOR and ResistAZM studies Open
The findings are compatible with our hypothesis. Thus, in populations with high-antimicrobial use, the relationship between antimicrobial consumption and AMR may be diminished due to saturation. These findings are vital for future studies …
View article: Gut Microbiome Diversity and Antimicrobial Resistance After a Single Dose of Oral Azithromycin in Children: A Randomized Placebo-Controlled Trial
Gut Microbiome Diversity and Antimicrobial Resistance After a Single Dose of Oral Azithromycin in Children: A Randomized Placebo-Controlled Trial Open
Mass antibiotic distribution to preschool children resulted in alterations of the gut microbiome months after distribution. This individually randomized, placebo-controlled trial evaluated changes in the gut microbiome and resistome in chi…
View article: Pathogen Profiles of Infectious Conjunctivitis in Ho Chi Minh City, Vietnam
Pathogen Profiles of Infectious Conjunctivitis in Ho Chi Minh City, Vietnam Open
Purpose: Conjunctivitis epidemics and pandemics remain a global burden. This study aims to comprehensively identify pathogens associated with conjunctivitis in Vietnam. Methods: Patients with acute infectious conjunctivitis who presented t…
View article: Comprehensive Profile of Pathogens and Antimicrobial Resistance in Conjunctivitis Cases from Niger
Comprehensive Profile of Pathogens and Antimicrobial Resistance in Conjunctivitis Cases from Niger Open
Infectious conjunctivitis outbreaks remain a public health burden. This study focuses on the pathogen and antimicrobial resistance (AMR) profiles identified in Niger. Sixty-two patients with acute infectious conjunctivitis who presented to…
View article: Pathogen Surveillance for Acute Infectious Conjunctivitis
Pathogen Surveillance for Acute Infectious Conjunctivitis Open
Importance Acute infectious conjunctivitis is a common ocular condition with major public health consequences. Objective To assess regional variations and microbial etiologies of acute infectious conjunctivitis to guide treatment. Design, …
View article: Heterogenous pathogen profile associated with acute conjunctivitis in Nepal
Heterogenous pathogen profile associated with acute conjunctivitis in Nepal Open
Background Infectious conjunctivitis is common in Nepal. Materials and Methods This prospective study recruited 60 patients with presumed acute infectious conjunctivitis from the B.P. Koirala Lions Center for Ophthalmic Studies in Kathmand…
View article: Wastewater-Based Surveillance of Antimicrobial Resistance in Niger: An Exploratory Study
Wastewater-Based Surveillance of Antimicrobial Resistance in Niger: An Exploratory Study Open
Wastewater-based surveillance is increasingly recognized as an important approach to monitoring population-level antimicrobial resistance (AMR). In this exploratory study, we examined the use of metagenomics to evaluate AMR using untreated…
View article: Apollo Rising: Acute Conjunctivitis Outbreak in India, 2022
Apollo Rising: Acute Conjunctivitis Outbreak in India, 2022 Open
Purpose: The purpose of this study was to identify pathogens associated with the 2022 conjunctivitis outbreak in Tamil Nadu, India. Methods: This prospective study was conducted in November 2022. Patients with presumed acute infectious con…
View article: Metagenomic Deep Sequencing for Orbital Inflammatory Disease
Metagenomic Deep Sequencing for Orbital Inflammatory Disease Open
A unique transcriptome signature was found when comparing idiopathic dacryoadenitis to IgG4-RD. This suggests that MDS can identify differentially expressed genes in OID. Such insight could potentially provide a better understanding of hos…
View article: Case Series: Unbiased Deep Sequencing Analysis of Acute Infectious Conjunctivitis in an Ambulatory Eye Center in Berkeley, California
Case Series: Unbiased Deep Sequencing Analysis of Acute Infectious Conjunctivitis in an Ambulatory Eye Center in Berkeley, California Open
SIGNIFICANCE Acute infectious conjunctivitis poses significant challenges to eye care providers. It can be highly transmissible, and because etiology is often presumed, correct treatment and management can be difficult. This study uses unb…
View article: Viruses Associated with Acute Conjunctivitis in Vanuatu
Viruses Associated with Acute Conjunctivitis in Vanuatu Open
The first manifestation of a viral infection may be conjunctivitis. There are limited data on the etiology of viral conjunctivitis in Vanuatu, a country in the South Pacific Ocean. Patients presenting to one of two Vanuatu health centers w…
View article: Gut Microbiome among Children with Uncomplicated Severe Acute Malnutrition in a Randomized Controlled Trial of Azithromycin versus Amoxicillin
Gut Microbiome among Children with Uncomplicated Severe Acute Malnutrition in a Randomized Controlled Trial of Azithromycin versus Amoxicillin Open
Antibiotics are routinely used as part of the management of severe acute malnutrition and are known to reduce gut microbial diversity in non-malnourished children. We evaluated gut microbiomes in children participating in a randomized cont…
View article: Deep sequencing analysis of clinical samples from patients with acute infectious conjunctivitis during the COVID-19 delta surge in Madurai, India
Deep sequencing analysis of clinical samples from patients with acute infectious conjunctivitis during the COVID-19 delta surge in Madurai, India Open
View article: Outpatient human coronavirus associated conjunctivitis in India
Outpatient human coronavirus associated conjunctivitis in India Open
View article: Effect of Biannual Mass Azithromycin Distributions to Preschool-Aged Children on Trachoma Prevalence in Niger
Effect of Biannual Mass Azithromycin Distributions to Preschool-Aged Children on Trachoma Prevalence in Niger Open
ClinicalTrials.gov Identifier: NCT02048007.
View article: Gut Resistome after Antibiotics among Children with Uncomplicated Severe Acute Malnutrition: A Randomized Controlled Trial
Gut Resistome after Antibiotics among Children with Uncomplicated Severe Acute Malnutrition: A Randomized Controlled Trial Open
A broad-spectrum antibiotic, typically amoxicillin, is included in many country guidelines as part of the management of uncomplicated severe acute malnutrition (SAM) in children without overt clinical symptoms of infection. Alternative ant…
View article: Biomarkers for primary open-angle glaucoma progression
Biomarkers for primary open-angle glaucoma progression Open
Glaucoma is a heterogeneous group of progressive optic neurodegenerative. Although most patients with primary open angle glaucoma (POAG) are stable for many years, certain subgroups of POAG patients could progress over time even with treat…
View article: Deep sequencing analysis of acute conjunctivitis in Burkina Faso, Africa
Deep sequencing analysis of acute conjunctivitis in Burkina Faso, Africa Open
Background Seasonal and epidemic conjunctivitis (pink eye) infections are highly contagious and impose a significant economic burden worldwide. Long-term visual impairment can occur. Methods This study used metagenomic deep sequencing to e…
View article: Effect of Mass Azithromycin Distributions on Childhood Growth in Niger
Effect of Mass Azithromycin Distributions on Childhood Growth in Niger Open
ClinicalTrials.gov Identifier: NCT02048007.
View article: Effect of Azithromycin on the Ocular Surface Microbiome of Children in a High Prevalence Trachoma Area
Effect of Azithromycin on the Ocular Surface Microbiome of Children in a High Prevalence Trachoma Area Open
Purpose: The aim of this study was to evaluate the effect of the 4 times per year mass azithromycin distributions on the ocular surface microbiome of children in a trachoma endemic area. Methods: In this cluster-randomized controlled trial…
View article: Effect of Oral Azithromycin vs Placebo on COVID-19 Symptoms in Outpatients With SARS-CoV-2 Infection
Effect of Oral Azithromycin vs Placebo on COVID-19 Symptoms in Outpatients With SARS-CoV-2 Infection Open
ClinicalTrials.gov Identifier: NCT04332107.
View article: Gut Resistome of Preschool Children After Prolonged Mass Azithromycin Distribution: A Cluster-randomized Trial
Gut Resistome of Preschool Children After Prolonged Mass Azithromycin Distribution: A Cluster-randomized Trial Open
We evaluated the gut resistome of children from communities treated with 10 twice-yearly azithromycin distributions. Although the macrolide resistance remained higher in the azithromycin arm, the selection of non-macrolide resistance obser…