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Osterholm MT, Rabadán-Diehl C, Anzinger J, Bottazzi ME, Christie-Samuels C, Erondu N, Marrazzo J, Milan S, Quashie PK, Schwaab T, Williams D. Full Technical Report: Insights from Cuba's COVID-19 Vaccine Enterprise: Report from a High Level Fact-Finding Delegation to Cuba. MEDICC Rev 2022; 24:72-108. [PMID: 36417340 DOI: 10.37757/mr2022.v24.n3-4.14] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/07/2023]
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Osterholm MT, Rabadán-Diehl C, Anzinger J, Bottazzi ME, Christie-Samuels C, Erondu N, Marrazzo J, Milan S, Quashie PK, Schwaab T, Williams D. EXECUTIVE SUMMARY Insights from Cuba’s COVID-19 Vaccine Enterprise: Report from a High Level Fact-Finding Delegation to Cuba. MEDICC Rev 2022; 24:109-128. [PMID: 36417339 DOI: 10.37757/mr2022.v24.n3-4.13] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/03/2023]
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Elopre L, Ott C, Lambert CC, Amico KR, Sullivan PS, Marrazzo J, Mugavero MJ, Turan JM. Missed Prevention Opportunities: Why Young, Black MSM with Recent HIV Diagnosis did not Access HIV Pre-exposure Prophylaxis Services. AIDS Behav 2021; 25:1464-1473. [PMID: 32749626 PMCID: PMC7858694 DOI: 10.1007/s10461-020-02985-0] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
In the United States, HIV infection rate inequities persist, with new infections highest among young, Black men who have sex with men (YBMSM) in the South. We conducted 23 in-depth interviews with YBMSM newly diagnosed with HIV to explore awareness of and barriers to uptake of HIV pre-exposure prophylaxis (PrEP). Participants were recruited from two university-based HIV Clinics in Alabama and were: (1) 16-29 years of age, (2) diagnosed with HIV within the prior 365 days, (3) Black race, (4) self-identified as a cis-gender male reporting sex with men AND (5) did not report prior PrEP use. Interview guides were grounded in Anderson's Behavioral Healthcare Utilization Model (ABM), with embedded constructs from the situated Information, Motivation and Behavioral Skills theoretical framework. Coding was conducted by three independent coders using thematic analysis methods. Participants (N = 23) median age was 24, more than two-thirds reported annual incomes less than $15,000 and the majority (84%) identified as gay. Major themes that emerged as barriers to accessing PrEP included low prioritization and interests in using PrEP; low perceived HIV risk due to feelings of invincibility and trust in sex partners; lack of information about accessing PrEP; negative beliefs around PrEP; and the suggestion to change PrEP messaging from only targeting YBMSM. These findings indicate that there are important missed opportunities for HIV prevention with PrEP among YBMSM in the South. In these high-risk young men, tailored interventions are needed to better inform and frame perceptions around risk, knowledge, access and prioritization of PrEP.
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Affiliation(s)
- Latesha Elopre
- Department of Medicine, University of Alabama at Birmingham, 845 19th Street South, BBRB 206, Birmingham, AL, 35205, USA.
| | - Corilyn Ott
- University of Alabama School of Nursing, Birmingham, USA
| | | | - K Rivet Amico
- University of Michigan School of Public Health, Ann Arbor, USA
| | - P S Sullivan
- Emory University Rollins School of Public Health, Atlanta, USA
| | - J Marrazzo
- Department of Medicine, University of Alabama at Birmingham, 845 19th Street South, BBRB 206, Birmingham, AL, 35205, USA
| | - Michael J Mugavero
- Department of Medicine, University of Alabama at Birmingham, 845 19th Street South, BBRB 206, Birmingham, AL, 35205, USA
| | - Janet M Turan
- University of Alabama at Birmingham School of Public Health, Birmingham, USA
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Choksi N, Hayward M, Kwon D, Marrazzo J, Mitchell C. Genetic variation of lactobacilllus crispatus strains isolated from a woman during and after bacterial vaginosis. Am J Obstet Gynecol 2018. [DOI: 10.1016/j.ajog.2018.10.061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Dionne-Odom J, Westfall A, Fry K, Van Der Pol B, Marrazzo J. Bacterial STI screening among women living with HIV in the southeastern united states. Am J Obstet Gynecol 2017. [DOI: 10.1016/j.ajog.2017.08.078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Gaydos CA, Schwebke J, Dombrowski J, Marrazzo J, Coleman J, Silver B, Barnes M, Crane L, Fine P. Clinical performance of the Solana® Point-of-Care Trichomonas Assay from clinician-collected vaginal swabs and urine specimens from symptomatic and asymptomatic women. Expert Rev Mol Diagn 2017; 17:303-306. [PMID: 28092466 DOI: 10.1080/14737159.2017.1282823] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
BACKGROUND Solana® (Quidel) is a new rapid (<40 min.) point-of-care (POC) test for qualitative detection of Trichomonas vaginalis (TV) DNA. The assay has two steps: 1) specimen preparation, and 2) amplification and detection using isothermal Helicase-Dependent Amplification (HDA). The objective was to demonstrate the performance of Solana for vaginal swabs and female urines based on comparison to wet mount and TV culture. Performance was also compared to the Aptima-TV assay. METHODS Urine and four clinician-collected vaginal swabs were collected. The first two were used for FDA composite reference (wet mount; InPouch TV Culture). The third swab was used for Solana. Sensitivity/specificity were based on the reference method. A specimen was considered positive if either test was positive. The fourth swab was for Aptima-TV. RESULTS Vaginal swabs and urines were obtained from 501 asymptomatic and 543 symptomatic women. Prevalence of TV by was 11.5%. For swabs, Solana® demonstrated high sensitivity and specificity from asymptomatic (100%/98.9%) and symptomatic (98.6%/98.5%) women, as well as for urines from asymptomatic (98.0%/98.4%) and symptomatic (92.9%/97.9%) women, compared to the reference method. Compared to Aptima-TV, the sensitivity/specificity was 89.7%/99.0% for swabs and 100%/98.9% for urines. CONCLUSION The Solana® assay performed well compared to the reference assays.
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Affiliation(s)
- C A Gaydos
- a Division of Infectious Diseases , Johns Hopkins University School of Medicine , Baltimore , Maryland , USA
| | - J Schwebke
- b Division of Infectious Diseases , University of Alabama at Birmingham School of Medicine , Birmingham , Alabama , USA
| | - J Dombrowski
- c Division of Infectious Diseases , University of Washington School of Medicine , Seattle , Washigton , USA
| | - J Marrazzo
- b Division of Infectious Diseases , University of Alabama at Birmingham School of Medicine , Birmingham , Alabama , USA.,c Division of Infectious Diseases , University of Washington School of Medicine , Seattle , Washigton , USA
| | - J Coleman
- a Division of Infectious Diseases , Johns Hopkins University School of Medicine , Baltimore , Maryland , USA
| | - B Silver
- a Division of Infectious Diseases , Johns Hopkins University School of Medicine , Baltimore , Maryland , USA
| | - M Barnes
- a Division of Infectious Diseases , Johns Hopkins University School of Medicine , Baltimore , Maryland , USA
| | - L Crane
- d Planned Parenthood , Houston , Texas , USA
| | - P Fine
- d Planned Parenthood , Houston , Texas , USA
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Sycuro L, Gorgos L, Srinivasan S, Fiedler T, Morgan M, Balkus J, McClelland R, Fredricks D, Marrazzo J. 15: Relationship of specific bacteria in the cervical and vaginal microbiotas with cervicitis. Am J Obstet Gynecol 2015. [DOI: 10.1016/j.ajog.2015.09.047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Chernesky M, Gaydos C, Marrazzo J, Hobbs M, Schwebke J. O10.5 Rapid diagnosis of trichomonas vaginalisby testing vaginal swabs in an isothermal helicase-dependent amplivue ®assay. Br J Vener Dis 2015. [DOI: 10.1136/sextrans-2015-052270.136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Marrazzo J, Rabe L, Kelly C, Livant T, Chirenje M, Richardson B, Deal C, Piper J, Hillier S. O11.1 Herpes Simplex Virus (HSV) Infection in the VOICE (MTN 003) Study: Pre-Exposure Prophylaxis (PrEP) For HIV with Daily Use of Oral Tenofovir, Oral Tenofovir-Emtricitabine, or Vaginal Tenofovir Gel. Sex Transm Infect 2013. [DOI: 10.1136/sextrans-2013-051184.0143] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Madan RP, Dezzutti CS, Rabe L, Hillier SL, Marrazzo J, McGowan I, Richardson BA, Herold BC. P3.363 Inflammatory Soluble Immune Mediators and Pathogenic Vaginal Bacteria Impact E. Coli Bactericidal Activity in Female Genital Tract Secretions. Br J Vener Dis 2013. [DOI: 10.1136/sextrans-2013-051184.0816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Balkus J, Jaoko W, Mandaliya K, Richardson B, Masese L, Gitau R, Kiarie J, Marrazzo J, Farquhar C, McClelland RS. O3-S5.04 The post-trial effect of periodic presumptive treatment for vaginal infections on the incidence of bacterial vaginosis and Lactobacillus colonisation. Br J Vener Dis 2011. [DOI: 10.1136/sextrans-2011-050109.130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Abstract
In a 10-year experience with 4,784 consecutive colonoscopic polypectomies, the need for operative intervention in just two of seven perforations indicates that patients with specially defined, limited perforations can usually be treated nonoperatively. This specific complication, which has been termed "mini-perforation," is generally detected within 6-24 hours of polypectomy, and is characterized by local pain and tenderness, without signs of diffuse or spreading peritoneal irritation. Free intra-abdominal or retroperitoneal air on x-ray documents the actual perforation. Complete resolution of symptoms within 24-48 hours confirms the diagnosis of "mini-perforation." Success depends on good bowel preparation for colonoscopy, and early recognition of perforation, with institution of bowel rest and intravenous antibiotics. The "mini-perforation" spontaneously closes, probably by omental adherence. Frequent serial clinical examinations are mandatory so that frank perforation with advancing peritonitis will be promptly recognized and treated surgically. An understanding of the three levels of cautery injury to the colon wall--"serosal burn," "mini-perforation," and "frank perforation" are essential in managing the complications of colonoscopic polypectomy.
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Marrazzo J. Impending FDA regulations of healthcare software. First stop: blood banking. Interview by Bill W. Childs. US Healthc 1988; 5:17-8. [PMID: 10291018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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