Publications by authors named "B J Grundy"

We aimed to highlight the complexity of the field of clinical infectious diseases compared with other medical specialties. Using available metrics, the body of knowledge within clinical infectious diseases is comparatively large and complex. This increasing complexity is underappreciated by current physician compensation schemes, needs to be carefully managed to educate future physicians, and may serve as a barrier to recruitment into the field.

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Metagenomic sequencing is a promising new method for pathogen detection. We aimed to detect pathogens from archived plasma using metagenomic sequencing in a previously well-characterized cohort of 254 predominantly HIV-infected patients with sepsis in Uganda. We used Illumina sequencing and the Chan Zuckerberg ID metagenomics platform to sequence and identify pathogens.

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Background: Mortality from tuberculosis (TB) sepsis is common among patients living with human immunodeficiency virus (PLHIV). We aimed to detect M. tuberculosis (MTB) and additional sepsis etiologies, and mortality determinants in PLHIV.

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Acute febrile illnesses are common reasons to seek healthcare globally. They can be caused by diverse infectious diseases which require complex diagnostics. Current clinical guidelines provide guidance on how to manage severe illness, common localizing infections like pneumonia and urinary tract infections, as well as malaria.

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Article Synopsis
  • This study evaluated the effectiveness of using quantitative PCR (qPCR) on dried blood spots (DBS) to detect various pathogens in children and adolescents from Burkina Faso, Sudan, and Madagascar, testing a total of 115 samples.
  • For detecting Plasmodium spp. (the malaria parasite), DBS showed good results, with a 94.1% sensitivity at a cutoff of 27, compared to the whole blood cutoff of 21.
  • However, for other pathogens, the sensitivity dropped significantly to only 8.5%, indicating that while DBS is reliable for malaria detection, further research is needed for other infectious diseases.
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