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Pablo Bachiller

@pablobachiller.bsky.social
226 followers 250 following 165 posts

"El primer paso hacia el conocimiento es reconocer nuestra ignorancia". Sócrates "El buen médico trata la enfermedad; el gran médico trata al paciente que tiene la enfermedad". Sir Williams Osler

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Pablo Bachiller @pablobachiller.bsky.social · 16/09/2026
Regímenes antibióticos cortos o largos en ortopedia | Revista de Medicina de Nueva Inglaterra www.nejm.org/doi/full/10....
nejm.org
Short or Long Antibiotic Regimens in Orthopedics | NEJM
Orthopedic infection is usually managed with surgery and prolonged systemic antibiotic therapy. Whether local antibiotics delivered by a product implanted at the infection site during surgery can r...
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Pablo Bachiller @pablobachiller.bsky.social · 16/07/2026
Safety and efficacy of mRNA vaccines: a mechanistic and public health perspective - The Lancet www.thelancet.com/journals/lan...
thelancet.com
Safety and efficacy of mRNA vaccines: a mechanistic and public health perspective
mRNA vaccines represent a transformative advance in vaccinology, combining rapid development timelines, scalable manufacturing, and strong immunogenicity with a favourable safety profile. Global deplo...
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Reposted by Pablo Bachiller
Juan E. Losa @juanelosag.bsky.social · 16/07/2026
El trípode del PROA: inicio, duración y espectro en antibioterapia. academic.oup.com/cid/advance-...
academic.oup.com
Start, Stop, and Select: The Steward's Hat Trick
The Infectious Diseases Society of America and Society for Healthcare Epidemiology of America formally defined antimicrobial stewardship in 1997, recognizi
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Reposted by Pablo Bachiller
Juan E. Losa @juanelosag.bsky.social · 16/07/2026
La Seimc confía en que la especialidad de Enfermedades Infecciosas quede aprobada este otoño y pueda incorporarse por primera vez a la oferta MIR de 2028. www.diariomedico.com/medicina/enf...
diariomedico.com
Infecciosas ve por fin la meta: llegar al MIR de 2028
La Seimc confía en que la especialidad de Enfermedades Infecciosas quede aprobada este otoño y pueda incorporarse por primera vez a la oferta MIR de 2028.
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Pablo Bachiller @pablobachiller.bsky.social · 16/07/2026
Health Care–Associated Infections in U.S. Hospitals, 2023 versus 2015 | New England Journal of Medicine www.nejm.org/doi/full/10....
nejm.org
Health Care–Associated Infections in U.S. Hospitals, 2023 versus 2015 | NEJM
Prevalence surveys in U.S. hospitals showed that on any given day, 1 of 25 patients had a health care–associated infection in 2011, as compared with 1 of 31 patients in 2015. We repeated the survey...
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Pablo Bachiller @pablobachiller.bsky.social · 16/07/2026
Bundibugyo Virus Disease in 2026 — Clinical and Public Health Responses | New England Journal of Medicine www.nejm.org/doi/full/10....
nejm.org
Bundibugyo Virus Disease in 2026 — Clinical and Public Health Responses | NEJM
Bundibugyo virus is a relatively rare orthoebolavirus that has caused only two previously recognized disease outbreaks but remains capable of producing severe epidemic disease with substantial mort...
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Pablo Bachiller @pablobachiller.bsky.social · 16/07/2026
Andes Virus — A Clinical Review | New England Journal of Medicine www.nejm.org/doi/full/10....
nejm.org
Andes Virus — A Clinical Review | NEJM
Andes virus (ANDV) is the sole orthohantavirus with documented human-to-human transmission. We summarize the epidemiology and clinical features of ANDV infection and review best practices in clinic...
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Pablo Bachiller @pablobachiller.bsky.social · 28/06/2026
Benzylpenicillin versus flucloxacillin or cloxacillin for the treatment of penicillin-susceptible Staphylococcus aureus bacteraemia (SNAP): an international, multicentre, open-label, non-inferiority randomised controlled trial - The Lancet www.thelancet.com/journals/lan...
thelancet.com
Benzylpenicillin versus flucloxacillin or cloxacillin for the treatment of penicillin-susceptible Staphylococcus aureus bacteraemia (SNAP): an international, multicentre, open-label, non-inferiority r...
Although the prespecified non-inferiority criterion for benzylpenicillin was not met, the probability of benzylpenicillin being non-inferior for mortality, along with a reduction in risk of AKI, indic...
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Pablo Bachiller @pablobachiller.bsky.social · 27/06/2026
Cefazolin for Methicillin-Susceptible Staphylococcus aureus Bacteremia | New England Journal of Medicine www.nejm.org/doi/full/10....
nejm.org
Cefazolin for Methicillin-Susceptible Staphylococcus aureus Bacteremia | NEJM
Staphylococcus aureus bacteremia is associated with high mortality. Whether cefazolin or an antistaphylococcal penicillin should be preferred for the treatment of methicillin-susceptible S. aureus ...
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Pablo Bachiller @pablobachiller.bsky.social · 04/06/2026
Phase 3 Results of Bepirovirsen Treatment for Chronic Hepatitis B Virus Infection | New England Journal of Medicine www.nejm.org/doi/full/10....
nejm.org
Phase 3 Results of Bepirovirsen Treatment for Chronic Hepatitis B Virus Infection | NEJM
Treatment with bepirovirsen, an antisense oligonucleotide targeting hepatitis B virus (HBV) transcripts, has the potential to result in a functional cure, defined by at least 24 weeks of a sustaine...
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Pablo Bachiller @pablobachiller.bsky.social · 04/06/2026
A Major Step toward a Cure for Hepatitis B Infection | New England Journal of Medicine www.nejm.org/doi/full/10....
nejm.org
A Major Step toward a Cure for Hepatitis B Infection | NEJM
The current treatment of chronic hepatitis B infection includes nucleoside or nucleotide analogue (NA) therapy and pegylated interferon. Both of these treatments are effective in suppressing hepati...
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Reposted by Pablo Bachiller
Juan E. Losa @juanelosag.bsky.social · 04/06/2026
De los 78,8 especialistas por millón de habitantes en Suecia a la ausencia de un título oficial en España; el mapa europeo de la infectología revela una disparidad que pone en jaque la respuesta ante futuras pandemias y resistencias. gacetamedica.com/profesion/in...
gacetamedica.com
El mapa de la infectología en Europa: España lidera la ciencia pero sigue en el limbo administrativo
De los 78,8 especialistas por millón de habitantes en Suecia a la ausencia de un título oficial en España; el mapa europeo de la infectología revela una disparidad que pone en jaque la respuesta ante ...
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Pablo Bachiller @pablobachiller.bsky.social · 04/06/2026
New drug ‘functionally cures’ many hepatitis B virus infections | Science | AAAS www.science.org/content/arti...
science.org
New drug ‘functionally cures’ many hepatitis B virus infections
GSK’s “bepi” performs better than expected in efficacy trials, but its global impact is likely limited
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Pablo Bachiller @pablobachiller.bsky.social · 24/05/2026
Brote de hantavirus en los Andes en un crucero, 2026 | New England Journal of Medicine www.nejm.org/doi/full/10....
nejm.org
Andes Hantavirus Outbreak on a Cruise Ship, 2026 | NEJM
On May 2, hantavirus infection was diagnosed in a patient who had been on a cruise ship. Subsequent evaluation revealed multiple cases of Andes hantavirus infection on the ship. To date, three asso...
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Pablo Bachiller @pablobachiller.bsky.social · 23/05/2026
Ebola outbreak spirals out of control: how might it have started? www.nature.com/articles/d41...
nature.com
Ebola outbreak spirals out of control: how might it have started?
Public-health researcher James Baguma has studied the interactions between bats, which can carry the virus, and people in the region near the latest epidemic.
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Pablo Bachiller @pablobachiller.bsky.social · 24/04/2026
Tratamiento de las infecciones no complicadas del tracto urinario inferior en mujeres - The Lancet www.thelancet.com/journals/lan...
thelancet.com
Treatment of uncomplicated lower urinary tract infections in women
Lower urinary tract infections (UTIs; cystitis) are very frequent: at least 50% of women will have at least one episode during their lifetime, and many have more than one episode,1 making it a frequen...
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Pablo Bachiller @pablobachiller.bsky.social · 24/04/2026
Clinical and bacteriological effectiveness of three different short-course antibiotic regimens and single-dose fosfomycin for uncomplicated lower urinary tract infections in women (SCOUT): a pragmatic, multicentre, open-label, randomised clinical trial - The Lancet www.thelancet.com/journals/lan...
thelancet.com
Clinical and bacteriological effectiveness of three different short-course antibiotic regimens and single-dose fosfomycin for uncomplicated lower urinary tract infections in women (SCOUT): a pragmatic...
Nitrofurantoin was the most effective treatment and single-dose fosfomycin the least effective treatment for UTIs. Adverse events were mild. The role of fosfomycin as a first-line antibiotic for uncom...
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Pablo Bachiller @pablobachiller.bsky.social · 14/04/2026
Unlocking the Diagnostic Challenge of Tuberculous Pleural Effusions | NEJM Evidence evidence.nejm.org/doi/full/10....
evidence.nejm.org
Unlocking the Diagnostic Challenge of Tuberculous Pleural Effusions
This editorial contextualizes a study of sequencing of pleural fluid and plasma for tuberculous pleuritis.
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Pablo Bachiller @pablobachiller.bsky.social · 14/04/2026
Secuenciación del líquido pleural y el plasma para la pleuritis tuberculosa | NEJM Evidence evidence.nejm.org/doi/full/10....
evidence.nejm.org
Sequencing of Pleural Fluid and Plasma for Tuberculous Pleuritis
The laboratory diagnosis of tuberculous pleuritis (TBP) is hindered by the paucibacillary nature of Mycobacterium tuberculosis in the pleural space, resulting in low sensitivity of microbiological ...
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Pablo Bachiller @pablobachiller.bsky.social · 13/04/2026
Ivermectin to Control Malaria — A Cluster-Randomized Trial | New England Journal of Medicine www.nejm.org/doi/10.1056/...
nejm.org
Ivermectin to Control Malaria — A Cluster-Randomized Trial | NEJM
Malaria control and elimination is threatened by the spread of insecticide resistance and behavioral adaptation of vectors. Whether mass administration of ivermectin, a broad-spectrum antiparasitic...
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Pablo Bachiller @pablobachiller.bsky.social · 08/04/2026
Hope for control of a centuries-old epidemic www.nature.com/articles/d41...
nature.com
Hope for control of a centuries-old epidemic
After decades of stagnation, a renewed push in tuberculosis research is expanding the drug and vaccine pipeline to bring one of humanity’s oldest and deadliest infectious diseases under control.
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Pablo Bachiller @pablobachiller.bsky.social · 04/04/2026
voices.nejm.org/doi/full/10....
voices.nejm.org
One-Month Treatment for Latent Tuberculosis
Why aren’t we using it?
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Reposted by Pablo Bachiller
Cesida - Coordinadora Estatal de VIH y sida @cesida.bsky.social · 24/03/2026
👉 Las entidades impulsoras del Pacto de Estado contra los discursos de odio reconocen el nuevo paso hacia su aprobación e insisten en la necesidad de agilizar el proceso: ▶️ Más información: cesida.org/blog/pacto-d...
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Reposted by Pablo Bachiller
JAMA @jama.com · 24/03/2026
In adults with uncomplicated #appendicitis, 44% treated with antibiotics required appendectomy within 10 years, but complication rates were lower and quality of life similar to surgery. ja.ma/41pukJv
JAMA | Original Investigation: Kaplan-Meier graph showing time to true appendicitis recurrence after antibiotic therapy at 10-year follow-up. The graph shows increasing recurrence over time, from 0 to around 37% at 10 years.
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josh farkas 💊 @pulmcrit.bsky.social · 23/03/2026
Surviving Sepsis 2026 is here & it's even more loony tunes than I was expecting. They're promoting pre-hospital ABX & preemptive broad-spectrum IV antibiotics for intubated patients. This insane fever dream is an antimicrobial stewardship nightmare. Embarrassment for SCCM. #EMIMCC
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GeSIDA-SEIMC @gesida-seimc.bsky.social · 18/12/2025
Gracias por tu valentía y por ayudar a dar visibilidad a la situación que viven miles personas con #VIH, realidad sobre la que hemos puesto el foco en nuestro 30 aniversario. Cuentas con el apoyo y la atención de quienes nos dedicamos a tratar el virus.
elpais.com
Eduardo Casanova anuncia que tiene VIH: “Hoy rompo este silencio tan doloroso”
El actor y director se visibiliza como un referente seropositivo en España, donde ningún personaje tan popular había dado ese paso: “Deseo que esto pueda ayudar a más gente”
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GeSIDA-SEIMC @gesida-seimc.bsky.social · 19/12/2025
🫂 Los socios y socias de GeSIDA estamos con Eduardo Casanova. Por su valentía a la hora de manifestar su estado serológico y ayudar a derribar el estigma que soportan muchas personas. Y también, porque estamos a su disposición para cuidar su salud y a disfrutar de la mayor calidad de vida. #MeToo
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Pablo Bachiller @pablobachiller.bsky.social · 22/12/2025
Clinical Practice Guideline by Infectious Diseases Society of America (IDSA): 2025 Guideline on Management and Treatment of Complicated Urinary Tract Infections: Timing of Intravenous to Oral Antibiotics Transition for Complicated UTI url: academic.oup.com/cid/article/...
academic.oup.com
Clinical Practice Guideline by Infectious Diseases Society of America (IDSA): 2025 Guideline on Management and Treatment of Complicated Urinary Tract Infections: Timing of Intravenous to Oral Antibiot...
Barbara W Trautner, Nicolás W Cortés-Penfield, Kalpana Gupta, Elizabeth B Hirsch, Molly Horstman, Gregory J Moran, Richard Colgan, John C O’Horo, Muhammad
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Pablo Bachiller @pablobachiller.bsky.social · 19/12/2025
Recurrent Clostridioides difficile Infections url: jamanetwork.com/journals/jam...
jamanetwork.com
Recurrent Clostridioides difficile Infections
This JAMA Insights discusses the epidemiology, diagnosis, and treatment of recurrent Clostridioides difficile infections.
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Pablo Bachiller @pablobachiller.bsky.social · 07/12/2025
www.atsjournals.org/doi/abs/10.1...
atsjournals.org
Diagnosis and Management of Community-acquired Pneumonia. An Official American Thoracic Society Clinical Practice Guideline | American Journal of Respiratory and Critical Care Medicine | Articles in P...
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Pablo Bachiller @pablobachiller.bsky.social · 07/12/2025
Infectious Diseases Society of America (IDSA) Position Statement: Why IDSA Did Not Endorse the Community-Acquired Pneumonia Guidelines 2025 Update url: academic.oup.com/cid/article-...
academic.oup.com
Infectious Diseases Society of America (IDSA) Position Statement: Why IDSA Did Not Endorse the Community-Acquired Pneumonia Guidelines 2025 Update
The Infectious Diseases Society of America (IDSA) did not endorse updated community-acquired pneumonia guidelines because they recommend antibiotics for pa
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Pablo Bachiller @pablobachiller.bsky.social · 05/12/2025
From TRIO to one: simplification to bictegravir/emtricitabine/tenofovir alafenamide in highly treatment-experienced people living with MDR HIV url: academic.oup.com/jac/article-...
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Pablo Bachiller @pablobachiller.bsky.social · 05/12/2025
Post-exposure prophylaxis with doxycycline (DoxyPEP) to prevent STIs in a real-world setting: the PRIDOX study url: academic.oup.com/jac/article/...
academic.oup.com
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Pablo Bachiller @pablobachiller.bsky.social · 05/12/2025
Rifampicin as monotherapy for infections caused by Staphylococcus aureus: considerations for not applying ‘breakpoints in brackets’ url: academic.oup.com/jac/article/...
academic.oup.com
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Pablo Bachiller @pablobachiller.bsky.social · 04/12/2025
Actualización de 2025 de las Directrices Wiki para el tratamiento de la osteomielitis piógena en adultos - The American Journal of Medicine www.amjmed.com/article/S000...
amjmed.com
2025 Update to WikiGuidelines for the Management of Pyogenic Osteomyelitis in Adults
The WikiGuidelines for Pyogenic Osteomyelitis was first published in May 2022.1 Herein we summarize updates as of October 2025, detailed and highlighted in the complete revised guideline (Supplement 1...
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Pablo Bachiller @pablobachiller.bsky.social · 02/12/2025
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Pablo Bachiller @pablobachiller.bsky.social · 02/12/2025
Prophylactic Antibiotics for Upper Gastrointestinal Bleeding in Patients With Cirrhosis url: jamanetwork.com/journals/jam...
jamanetwork.com
Prophylactic Antibiotics for Upper Gastrointestinal Bleeding in Patients With Cirrhosis
This systematic review and meta-analysis evaluates the evidence supporting the current guidelines antibiotic prophylaxis use in patients with cirrhosis and upper gastrointestinal bleeding.
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Reposted by Pablo Bachiller
Brad Spellberg @bradspellberg.bsky.social · 25/05/2025
Thanks to @absteward.bsky.social for finding the most recent Shorter is Better: TB Is Complex Study. Shows 8 week regimens are inferior to 24 week for cure. Sets a lower boundary for TB. Slides and website updated. www.bradspellberg.com/shorter-is-b...
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Pablo Bachiller @pablobachiller.bsky.social · 02/12/2025
Prophylactic Antibiotics for Upper Gastrointestinal Bleeding in Patients With Cirrhosis url: jamanetwork.com/journals/jam...
jamanetwork.com
Prophylactic Antibiotics for Upper Gastrointestinal Bleeding in Patients With Cirrhosis
This systematic review and meta-analysis evaluates the evidence supporting the current guidelines antibiotic prophylaxis use in patients with cirrhosis and upper gastrointestinal bleeding.
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Pablo Bachiller @pablobachiller.bsky.social · 02/12/2025
2025 Update to WikiGuidelines for the Management of Pyogenic Osteomyelitis in Adults - The American Journal of Medicine www.amjmed.com/article/S000...
amjmed.com
2025 Update to WikiGuidelines for the Management of Pyogenic Osteomyelitis in Adults
The WikiGuidelines for Pyogenic Osteomyelitis was first published in May 2022.1 Herein we summarize updates as of October 2025, detailed and highlighted in the complete revised guideline (Supplement 1...
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Pablo Bachiller @pablobachiller.bsky.social · 02/12/2025
acpjournals.publicaciones.saludcastillayleon.es/doi/10.7326/...
acpjournals.publicaciones.saludcastillayleon.es
Systemic Corticosteroids, Mortality, and Infections in Pneumonia and Acute Respiratory Distress Syndrome: A Systematic Review and Meta-analysis: Annals of Internal Medicine: Vol 0, No 0
Background: The benefit–risk profile of systemic corticosteroids in non–COVID-19 pneumonia and acute respiratory distress syndrome (ARDS) remains debated. Purpose: To assess corticosteroid effects on ...
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UNAIDS Global @unaids.org · 25/11/2025
In 2025, sudden US funding cuts and reductions from key donors shocked the global AIDS response.​ Today, we're releasing a new report showing how these disruptions unfolded & the resilience of communities and countries protecting progress.​ Join live at 2pm CET: webtv.un.org/en/asset/k1x...
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Pablo Bachiller @pablobachiller.bsky.social · 23/11/2025
Tuberculosis infection screening recommendations for targeted immunotherapies: comparison of U.S. prescribing information, clinical resources and quality measures url: academic.oup.com/cid/article/...
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Pablo Bachiller @pablobachiller.bsky.social · 22/11/2025
Lenacapavir: es hora de cambiar las reglas del juego para todos - The Lancet Infectious Diseases www.thelancet.com/journals/lan...
thelancet.com
Lenacapavir—time to change the game for everyone
Lenacapavir is a twice-yearly injectable drug produced by Gilead Sciences that is aimed at preventing HIV infection. In 2024, the findings of the PURPOSE 1 and PURPOSE 2 trials testing lenacapavir for...
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Pablo Bachiller @pablobachiller.bsky.social · 21/11/2025
Estimating antibiotic resistance following antibiotic treatment in outpatients: a retrospective study - Clinical Microbiology and Infection www.clinicalmicrobiologyandinfection.org/article/S119...
clinicalmicrobiologyandinfection.org
Estimating antibiotic resistance following antibiotic treatment in outpatients: a retrospective study
Understanding the impact of antibiotic use on future resistant infections is essential for appropriate antibiotic therapy. Our objective was to assess the effect of exposure to commonly used antibioti...
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Reposted by Pablo Bachiller
Fundación iO @fundacionio.com · 18/11/2025
🛑 Risk Update – Ethiopia Ethiopia’s risk index has been updated following the confirmation of a Marburg virus disease outbreak, hashtag#GlobalRiskAtlas hashtag#Marburg hashtag#GlobalHealth hashtag#RiskUpdate hashtag#EpidemiologicalSurveillance globalriskatlas.com/en/%f0%9f%9b...
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Pablo Bachiller @pablobachiller.bsky.social · 18/11/2025
Direct-to-Consumer Tests for Chlamydia and Gonorrhea url: jamanetwork.com/journals/jam...
jamanetwork.com
Direct-to-Consumer Tests for Chlamydia and Gonorrhea
This Viewpoint discusses the disadvantages of direct-to-consumer home tests for chlamydia and gonorrhea in terms of the goals of public health authorities related to the management and control of sexu...
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Reposted by Pablo Bachiller
Fundación iO @fundacionio.com · 09/11/2025
😌 Domingo. Fin de la semana epidemiológica. Los virus también descansan… o eso quisiéramos creer. Mientras el mundo apaga las luces, los datos siguen llegando. Cada brote deja una señal, cada alerta una historia. 🛰️ hradar.com | 🌍 globalriskatlas.com #HRadar #GlobalRiskAtlas #FundacioniO
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NEJM.org @nejm.org · 09/11/2025
Tobevibart plus elebsiran and tobevibart alone both lowered HDV RNA and ALT levels. The combination resulted in a high incidence of undetectable HDV RNA and an HBsAg level below 10 IU/ml at week 48. Full SOLSTICE phase 2 trial results: nej.md/4qIXpuM @aasldnews.bsky.social | #TLM25
American Association for the Study of Liver Diseases Meeting 2025 
Original Article | Nov 9, 2025 | NEJM.org 
A Phase 2 Trial of Tobevibart plus Elebsiran in Hepatitis D 

Figure 2A. HDV RNA Responses. 

The NEJM identity sits at the bottom.
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Pablo Bachiller @pablobachiller.bsky.social · 10/11/2025
Caffeinated Coffee Consumption or Abstinence to Reduce Atrial Fibrillation: Research Summary url: jamanetwork.com/journals/jam... Menor recurrencia de fibrilación auricular (FA) en el grupo que consumía café (47% de recurrencia de FA) frente al grupo abstinente (64% de recurrencia de FA)
jamanetwork.com
Caffeinated Coffee Consumption or Abstinence to Reduce Atrial Fibrillation: Research Summary
This study investigated whether consuming caffeinated coffee affects the risk of recurrent atrial fibrillation episodes compared with abstaining from coffee and caffeine after successful cardioversion...
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