Publications by authors named "T Miethke"

Periprosthetic joint infections (PJI) pose a significant challenge in orthopaedic surgery, often requiring extensive surgical debridement and prolonged antibiotic treatment to eliminate the causative pathogens. Rifampin, known for its potent activity against biofilms, has been crucial in managing PJI by penetrating and disrupting these formations, thereby improving treatment efficacy. In this sense, antibiotic protocols lacking rifampin have shown increased failure rates.

View Article and Find Full Text PDF

Background: Understanding the transmission dynamics of carbapenem-resistant Enterobacterales (CRE) is critical to addressing the escalating global threat of antimicrobial resistance (AMR). Although hospital transmission of CRE has been extensively studied, information on community transmission is lacking.

Aim: To identify genomic clusters of CRE from two nearby institutions that may be indicative of community or inter-facility transmission.

View Article and Find Full Text PDF
Article Synopsis
  • Antimicrobial resistance (AMR) is a big problem in healthcare, especially with some germs becoming resistant to antibiotics, particularly in urinary tract infections (UTIs).
  • Different germs that cause UTIs can become more harmful and resist treatments over time, and this can be affected by things like past antibiotic use and how our bodies work.
  • New treatments besides antibiotics, like antimicrobial peptides and bacteriophages, are being researched to help fight these resistant germs effectively.
View Article and Find Full Text PDF

Viral pneumonia is frequently complicated by bacterial co- or superinfection (c/s) with adverse effects on patients' outcomes. However, the incidence of c/s and its impact on the outcomes of patients might be dependent on the type of viral pneumonia. We performed a retrospective observational study in patients with confirmed COVID-19 pneumonia (CP) or influenza pneumonia (IP) from 01/2009 to 04/2022, investigating the incidence of c/s using a competing risk model and its impact on mortality in these patients in a tertiary referral center using multivariate logistic regressions.

View Article and Find Full Text PDF

We aimed to automate Gram-stain analysis to speed up the detection of bacterial strains in patients suffering from infections. We performed comparative analyses of visual transformers (VT) using various configurations including model size (small vs. large), training epochs (1 vs.

View Article and Find Full Text PDF