1
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Schmitt C, Hoefsmit EP, Fangmeier T, Kramer N, Kabakci C, Vera González J, Versluis JM, Compter A, Harrer T, Mijočević H, Schubert S, Hundsberger T, Menzies AM, Scolyer RA, Long GV, French LE, Blank CU, Heinzerling LM. Immune checkpoint inhibitor-induced neurotoxicity is not associated with seroprevalence of neurotropic infections. Cancer Immunol Immunother 2023; 72:3475-3489. [PMID: 37606856 PMCID: PMC10576679 DOI: 10.1007/s00262-023-03498-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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] [Received: 05/22/2023] [Accepted: 07/07/2023] [Indexed: 08/23/2023]
Abstract
BACKGROUND Immune checkpoint inhibitors (ICI) substantially improve outcome for patients with cancer. However, the majority of patients develops immune-related adverse events (irAEs), which can be persistent and significantly reduce quality of life. Neurological irAEs occur in 1-5% of patients and can induce severe, permanent sequelae or even be fatal. In order to improve the diagnosis and treatment of neurological irAEs and to better understand their pathogenesis, we assessed whether previous neurotropic infections are associated with neurological irAEs. METHODS Neurotropic infections that might predispose to ICI-induced neurological irAEs were analyzed in 61 melanoma patients from 3 countries, the Netherlands, Australia and Germany, including 24 patients with neurotoxicity and 37 control patients. In total, 14 viral, 6 bacterial, and 1 protozoal infections previously reported to trigger neurological pathologies were assessed using routine serology testing. The Dutch and Australian cohorts (NL) included pre-treatment plasma samples of patients treated with neoadjuvant ICI therapy (OpACIN-neo and PRADO trials; NCT02977052). In the Dutch/Australian cohort a total of 11 patients with neurological irAEs were compared to 27 control patients (patients without neurological irAEs). The German cohort (LMU) consisted of serum samples of 13 patients with neurological irAE and 10 control patients without any documented irAE under ICI therapy. RESULTS The association of neurological irAEs with 21 possible preceding infections was assessed by measuring specific antibodies against investigated agents. The seroprevalence of all the tested viral (cytomegalovirus, Epstein-Barr-Virus, varicella-zoster virus, measles, rubella, influenza A and B, human herpes virus 6 and 7, herpes simplex virus 1 and 2, parvovirus B19, hepatitis A and E and human T-lymphotropic virus type 1 and 2), bacterial (Borrelia burgdorferi sensu lato, Campylobacter jejuni, Mycoplasma pneumoniae, Coxiella burnetti, Helicobacter pylori, Yersinia enterocolitica and Y. pseudotuberculosis) and protozoal (Toxoplasma gondii) infections was similar for patients who developed neurological irAEs as compared to control patients. Thus, the analysis provided no evidence for an association of described agents tested for seroprevalence with ICI induced neurotoxicity. CONCLUSION Previous viral, bacterial and protozoal neurotropic infections appear not to be associated with the development of neurological irAEs in melanoma patients who underwent therapy with ICI across 3 countries. Further efforts are needed to unravel the factors underlying neurological irAEs in order to identify risk factors for these toxicities, especially with the increasing use of ICI in earlier stage disease.
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Affiliation(s)
- C Schmitt
- Department of Dermatology and Allergy, University Hospital, LMU Munich, Munich, Germany
| | - E P Hoefsmit
- Department of Molecular Oncology and Immunology, Netherlands Cancer Institute, Amsterdam, The Netherlands
| | - T Fangmeier
- Department of Dermatology and Allergy, University Hospital, LMU Munich, Munich, Germany
| | - N Kramer
- Department of Dermatology and Allergy, University Hospital, LMU Munich, Munich, Germany
| | - C Kabakci
- Department of Dermatology and Allergy, University Hospital, LMU Munich, Munich, Germany
| | - J Vera González
- Department of Dermatology, Uniklinikum Erlangen and Friedrich-Alexander-Universität (FAU) Erlangen-Nürnberg, Erlangen, Germany
| | - J M Versluis
- Department of Medical Oncology, Netherlands Cancer Institute, Amsterdam, The Netherlands
| | - A Compter
- Department of Neuro-Oncology, Netherlands Cancer Institute, Amsterdam, The Netherlands
| | - T Harrer
- Department of Internal Medicine 3, Infectious Diseases and Immunodeficiency Section, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
- Deutsches Zentrum Für Immuntherapie (DZI), Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU) and Universitätsklinikum Erlangen, Erlangen, Germany
| | - H Mijočević
- Max Von Pettenkofer Institute of Hygiene and Medical Microbiology, Faculty of Medicine, LMU Munich, Munich, Germany
| | - S Schubert
- Max Von Pettenkofer Institute of Hygiene and Medical Microbiology, Faculty of Medicine, LMU Munich, Munich, Germany
| | - T Hundsberger
- Departments of Neurology and Medical Oncology/Haematology, Cantonal Hospital, St. Gallen, Switzerland
| | - A M Menzies
- Melanoma Institute of Australia, The University of Sydney, Sydney, NSW, Australia
- Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
- Department of Medical Oncology, Royal North Shore and Mater Hospitals, Sydney, NSW, Australia
| | - R A Scolyer
- Melanoma Institute of Australia, The University of Sydney, Sydney, NSW, Australia
- Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
- Charles Perkins Centre, The University of Sydney, Sydney, NSW, Australia
- Tissue Pathology and Diagnostic Oncology, Royal Prince Alfred Hospital and NSW Health Pathology, Sydney, NSW, Australia
| | - G V Long
- Melanoma Institute of Australia, The University of Sydney, Sydney, NSW, Australia
- Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
- Department of Medical Oncology, Royal North Shore and Mater Hospitals, Sydney, NSW, Australia
- Charles Perkins Centre, The University of Sydney, Sydney, NSW, Australia
| | - L E French
- Department of Dermatology and Allergy, University Hospital, LMU Munich, Munich, Germany
- Dr. Philip Frost, Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, FL, USA
| | - C U Blank
- Department of Molecular Oncology and Immunology, Netherlands Cancer Institute, Amsterdam, The Netherlands
- Department of Medical Oncology, Netherlands Cancer Institute, Amsterdam, The Netherlands
- Department of Medical Oncology, Leiden University Medical Center, Leiden, The Netherlands
| | - L M Heinzerling
- Department of Dermatology and Allergy, University Hospital, LMU Munich, Munich, Germany.
- Department of Dermatology, Uniklinikum Erlangen and Friedrich-Alexander-Universität (FAU) Erlangen-Nürnberg, Erlangen, Germany.
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Bruhs J, Sandica E, Laser K, Grohmann J, Goerg R, Hummel J, Molatta S, Schubert S. Long-Term Experience with Heart Transplantation in Patients with Congenital Heart Disease - Focus on Single Ventricle Patients and Vad. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1322] [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: 04/05/2023] Open
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Rolfs N, Seidel F, Opgen-Rhein B, Böhne M, Wannenmacher B, Hecht T, Mannert J, Reineker K, Rentzsch A, Grafmann M, Wiegand G, Kiski D, Fischer M, Ruf B, Papakostas K, Hellwig R, Foth R, Kaestner M, Kramp J, Voges I, Blank A, Tarusinov G, Schweigmann U, Oezcan S, Graumann I, Knirsch W, Pickardt T, Schwarzkopf E, Klingel K, Messroghli D, Schubert S. Mechanical Circulatory Support, Heart Transplantation and Death in a Large-Scale Population of the Multicenter Registry for Suspected Pediatric Myocarditis - "MYKKE". J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.687] [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: 04/05/2023] Open
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4
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Miera O, Sandica E, Kamphues A, Schweiger M, Stiller B, Kozlik-Feldmann R, Perez M, Schubert S, Zimpfer D. A Novel Mobile Driving System Improves the Quality of Life of Children Treated with a Paracorporeal Ventricular Assist Device. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.027] [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: 04/05/2023] Open
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Hascoët S, Bentham J, Betrian-Blasco P, Houeijeh A, Jones M, Biernacka E, Karsenty C, Milani SGM, Dohlen G, Kantzis M, Valdeolmillos E, Georgiev S, Bedair R, Schubert S, Butera G, Kempny A, Del Cerro M, Guérin P, Tengler A, Fraisse A. Long-term outcomes following transcatheter pulmonary valve implantation with the SAPIEN 3 valve: An international multicentre registry. Archives of Cardiovascular Diseases Supplements 2023. [DOI: 10.1016/j.acvdsp.2022.10.262] [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: 12/31/2022]
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Rolfs N, Schwarzkopf E, Mentzer D, Opgen-Rhein B, Hellwig R, Frede W, Rentzsch A, Hecht T, Böhne M, Kiski D, Graumann I, Foth R, Fischer G, Voges I, Schweigmann U, Ruf B, Fischer M, Pattathu J, Wiegand G, Kramp J, Pickardt T, Messroghli D, Schubert S, Seidel F. Clinical Course and Short-Term Follow-up of SARS-CoV-2 Vaccine–Related Myocarditis in Children and Adolescents within the Prospective German Registry for Suspected Myocarditis “MYKKE”. Thorac Cardiovasc Surg 2023. [DOI: 10.1055/s-0043-1761868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/22/2023]
Affiliation(s)
- N. Rolfs
- German Heart Institute Berlin, Berlin, Deutschland
| | | | - D. Mentzer
- Paul Ehrlich Institute, Langen (Hessen), Deutschland
| | - B. Opgen-Rhein
- Pediatric Cardiology, Charité-Universitätsmedizin Berlin, Berlin, Deutschland
| | - R. Hellwig
- University Hospital Heidelberg, Heidelberg, Deutschland
| | - W. Frede
- University Hospital Heidelberg, Heidelberg, Deutschland
| | - A. Rentzsch
- Pediatric Cardiology, Universitätsklinikum des Saarlandes, Homburg, Deutschland
| | - T. Hecht
- HDZ NRW, Bad Oeynhausen, Deutschland
| | - M. Böhne
- Pediatric Cardiology, Medizinische Hochschule Hannover, Hannover, Deutschland
| | - D. Kiski
- Pediatric Cardiology, Universitätsklinikum Münster, Münster, Deutschland
| | - I. Graumann
- University Hospital Halle (Saale), Halle (Saale), Deutschland
| | - R. Foth
- University Medicine Göttingen, Göttingen, Deutschland
| | - G. Fischer
- University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Deutschland
| | - I. Voges
- Universitätsklinikum Schleswig-Holstein, Campus Kiel, Kiel, Deutschland
| | | | - B. Ruf
- Pediatric Cardiology, Deutsches Herzzentrum München, Munich, Deutschland
| | - M. Fischer
- Ludwig Maximilian University of Munich, München, Deutschland
| | - J. Pattathu
- Ludwig Maximilian University of Munich, München, Deutschland
| | - G. Wiegand
- Department of Pediatric Cardiology, University of Tuebingen, Deutschland
| | - J. Kramp
- Uniklinik Köln, Köln, Deutschland
| | - T. Pickardt
- Competence Network for Congenital Heart Defects, Berlin, Deutschland
| | - D. Messroghli
- Department for Cardiology, Deutsches Herzzentrum Berlin, Berlin, Deutschland
| | | | - F. Seidel
- Augustenburger Platz 1, Berlin, Deutschland
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7
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Miera O, Schubert S, Kamphues A, Schweiger M, Perez MH, Kozlik-Feldmann R, Stiller B, Michel-Behnke I. E-Motion Study Reveals that Experience in Handling of the Novel Mobile Driving Unit Beneficially Impacts the Quality of Life of Pediatric Patients. Thorac Cardiovasc Surg 2023. [DOI: 10.1055/s-0043-1761877] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/22/2023]
Affiliation(s)
- O. Miera
- German Heart Institute Berlin, Berlin, Deutschland
| | - S. Schubert
- Heart and Diabetes Center NRW, Bad Oeynhausen, Deutschland
| | - A. Kamphues
- University Hospital, Division of Pediatric Cardiology and Intensive Care, LMU Munich, Deutschland
| | | | - M. H. Perez
- University of Lausanne, Lausanne, Switzerland
| | | | - B. Stiller
- Heart Center University of Freiburg, Freiburg im Breisgau, Deutschland
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8
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Kusmenkov E, Schubert S, Sandica E, Zakaraia I. Myokardinfarkt mit 12 Jahren—seltener Fall der familiären Hypercholesterinämie mit “small vessel disease” der Koronarien. Thorac Cardiovasc Surg 2023. [DOI: 10.1055/s-0043-1761901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/22/2023]
Affiliation(s)
- E. Kusmenkov
- Zentrum für angeborene Herzfehler, Herz- und Diabeteszentrum Nordrhein-Westfalen, Bad Oeynhausen, Deutschland
| | - S. Schubert
- Zentrum für angeborene Herzfehler, Herz- und Diabeteszentrum Nordrhein-Westfalen, Bad Oeynhausen, Deutschland
| | - E. Sandica
- Zentrum für angeborene Herzfehler, Herz- und Diabeteszentrum Nordrhein-Westfalen, Bad Oeynhausen, Deutschland
| | - I. Zakaraia
- Zentrum für angeborene Herzfehler, Herz- und Diabeteszentrum Nordrhein-Westfalen, Bad Oeynhausen, Deutschland
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9
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Reif S, Schubert S, Stiefel J, Husri F, Fischlein T, Pauschinger M, Klucken J. Supporting patients with heart failure with digital therapeutics-A pilot study in Germany. Digit Health 2022; 8:20552076221143899. [PMID: 36583086 PMCID: PMC9793018 DOI: 10.1177/20552076221143899] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2022] [Accepted: 11/18/2022] [Indexed: 12/24/2022] Open
Abstract
Objective Continuous monitoring and targeted behavioral interventions have been shown to improve health status and quality of life for heart failure patients. Digital therapeutics offer the possibility to make more frequent monitoring and targeted behavioral interventions available for more people. Methods We conduct a pilot study with 71 patients who were given a smartphone app and wearables for a 3-month period. Clinical indicators as well as patient-reported outcomes were collected at entry and exit examinations. Results The New York Heart Association class remained stable or improved. Most quantitative outcome measures improved (6-minute walk test distance + 21 m, Kansas City Cardiomyopathy Questionnaire summary score + 6.0 points, European Heard Failure Self-care Behavior Scale summary score + 6.6 points, correct answers in the Atlanta Heart Failure Knowledge Test + 2.1), although the changes were mainly not significantly different from zero. There was no change in EQ-5D weight and 9-item Shared Decision-Making Questionnaire summary score. Conclusions This before-after comparison shows that an app-based intervention can work as a digital therapeutic for heart failure patients.
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Affiliation(s)
- S. Reif
- ZEW – Leibniz Centre for European Economic Research, Mannheim,
Germany,S. Reif, ZEW - Leibniz Centre for European
Economic Research, L7 1, 68161 Mannheim, Germany.
| | - S. Schubert
- ZEW – Leibniz Centre for European Economic Research, Mannheim,
Germany,FAU University Erlangen-Nurnberg, Nürnberg, Germany
| | - J. Stiefel
- dmac – Medical Valley Digital Health Application Center, Bamberg,
Germany
| | - F. Husri
- Department of Cardiac Surgery, Klinikum Nürnberg (Cardiovascular
Center), Paracelsus Medical University, Nürnberg, Germany
| | - T. Fischlein
- Department of Cardiac Surgery, Klinikum Nürnberg (Cardiovascular
Center), Paracelsus Medical University, Nürnberg, Germany
| | - M. Pauschinger
- Department of Cardiology, Klinikum Nürnberg (Cardiovascular Center),
Paracelsus Medical University, Nürnberg, Germany
| | - J. Klucken
- Digital Medicine Group, Luxembourg Centre for Systems Biomedicine, University of Luxembourg, Esch-sur-Alzette, Luxembourg,Medicine Group, Department of Precision Health, Luxembourg Institute
of Health (LIH), Strassen, Luxembourg,Digital Medicine Group, Centre Hospitalier de Luxembourg (CHL),
Luxembourg
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10
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Schubert S, Dietl S, Pfaller-Eiwegger B, Lösch A. Verzögerte Intervallgeburt einer Zwillingsschwangerschaft nach Eizellspende im Alter von 55 Jahren. Geburtshilfe Frauenheilkd 2022. [DOI: 10.1055/s-0042-1750253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
Affiliation(s)
- S Schubert
- Klinische Abteilung für Gynäkologie und Geburtshilfe, Universitätsklinikum St.Pölten
| | - S Dietl
- Klinische Abteilung für Gynäkologie und Geburtshilfe, Universitätsklinikum St.Pölten
| | - B Pfaller-Eiwegger
- Klinische Abteilung für Innere Medizin1, Universitätsklinikum St. Pölten
| | - A Lösch
- Klinische Abteilung für Gynäkologie und Geburtshilfe, Universitätsklinikum St.Pölten
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11
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Schubert S, Danzinger S, Stachurova M, Heinz G, Kitzwögerer M, Lösch A. Therapie und Komplikationsmanagement beim Zervixkarzinom Stadium IVA:
ein Fallbericht. Geburtshilfe Frauenheilkd 2022. [DOI: 10.1055/s-0042-1746166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Affiliation(s)
- S Schubert
- Klinische Abteilung für Gynäkologie und Geburtshilfe,
Universitätsklinikum St. Pölten
| | - S Danzinger
- Klinische Abteilung für Gynäkologie und Geburtshilfe,
Universitätsklinikum St. Pölten
| | - M Stachurova
- Klinische Abteilung für Gynäkologie und Geburtshilfe,
Universitätsklinikum St. Pölten
| | - G Heinz
- Klinisches Institut für Medizinische Radiologie, Diagnostik,
Intervention, Universitätsklinikum St. Pölten
| | - M Kitzwögerer
- Klinisches Institut für Pathologie,
Universitätsklinikum St. Pölten
| | - A Lösch
- Klinische Abteilung für Gynäkologie und Geburtshilfe,
Universitätsklinikum St. Pölten
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Seidel F, Kuehnisch J, Klingel K, Dartsch J, Laser KT, Berger F, Thomas P, Milting H, Schubert S, Klaassen S. Pathogenic Variants in Cardiomyopathy and Not Immune Disorder Genes Cause Pediatric Myocarditis with Dilated Cardiomyopathy Phenotype. Thorac Cardiovasc Surg 2022. [DOI: 10.1055/s-0042-1742972] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- F. Seidel
- Augustenburger Platz 1, Berlin, Deutschland
| | - J. Kuehnisch
- Experimental and Clinical Research Center Berlin, Berlin, Deutschland
| | | | - J. Dartsch
- Dzhk (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany
- Experimental and Clinical Research Center Berlin, Berlin, Deutschland
| | | | - F. Berger
- Augustenburger Platz 1, Berlin, Deutschland
| | - P. Thomas
- Kompetenznetz Angeborene Herzfehler, Berlin, Deutschland
| | - H. Milting
- Herz- und Diabeteszentrum NRW, Georgstraße, Bad Oeynhausen, Germany, Bad Oeynhausen, Deutschland
| | | | - S. Klaassen
- Max-Delbrück-Centrum für Molekulare Medizin, Berlin, Deutschland
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13
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Laser KT, Hofs A, Salewski A, Mantsch H, Spannring S, Bergunde I, Sandica E, Schubert S, Pohrisch J. Specific Developmental Disorders of Scholastic Skills Can Successfully Be Treated with Individualized Cognitive and Metacognitive Strategies in Children with Complex Congenital Heart Disease. Thorac Cardiovasc Surg 2022. [DOI: 10.1055/s-0042-1743022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
| | - A. Hofs
- Georgstr. 11, Bad Oeynhausen, Deutschland
| | | | - H. Mantsch
- Georgstr. 11, Bad Oeynhausen, Deutschland
| | | | - I. Bergunde
- Der Bildungskompass Inh. Julia Pohrisch, Bad Oeynhausen, Deutschland
| | - E. Sandica
- Herz-,Diabetes- Zentrum, Bad Oeynhausen, Deutschland
| | | | - J. Pohrisch
- University of Kaiserslautern, Kaiserslautern, Deutschland
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14
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Laser KT, Gärtner A, Stanasiuk C, Klingel K, Laser V, M-P H, Sandica E, Schubert S, Milting H. High Prevalence of Genetic Etiologies in 105 Pediatric Patients with Manifestation of Severe and End-Stage Congestive Heart Failure—What Can We Learn? Thorac Cardiovasc Surg 2022. [DOI: 10.1055/s-0042-1743038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
| | - A. Gärtner
- Georgstr. 11, Bad Oeynhausen, Deutschland
| | | | - K. Klingel
- Cardiopathology, Institue for Pathology and Neuropathology, Tübingen, Deutschland
| | - V. Laser
- Schillerstr. 8, Bad Oeynhausen, Deutschland
| | - Hitz M-P
- Arnold- Heller Str. 3, Haus 9, Kiel, Deutschland
| | - E. Sandica
- Herz-,Diabetes- Zentrum, Bad Oeynhausen, Deutschland
| | | | - H. Milting
- Herz- und Diabeteszentrum NRW, Georgstraße, Bad Oeynhausen, Germany, Bad Oeynhausen, Deutschland
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15
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Uden T, Seidel F, Opgen-Rhein B, Boecker D, Wannenmacher B, Rentzsch A, Reineker K, Böhne M, Wiegand G, Hecht T, Blank AE, Fischer M, Kaestner M, Steinmetz M, Freudenthal N, Fischer G, Ruf B, Boethig D, Pickardt T, Beerbaum P, Schubert S, Messroghli D. Scar and Edema Imaging by CMR in Pediatric Myocarditis—Preliminary Results from the MYKKE-Registry. Thorac Cardiovasc Surg 2022. [DOI: 10.1055/s-0042-1742958] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- T. Uden
- Medizinische Hochschule Hannover, Hannover, Deutschland
| | - F. Seidel
- German Heart Institute Berlin, Berlin, Deutschland
| | - B. Opgen-Rhein
- Charité – Universitätsmedizin Berlin, Berlin, Deutschland
| | - D. Boecker
- University Hospital Erlangen, Erlangen, Deutschland
| | - B. Wannenmacher
- Kinderkardiologie, Herzzentrum Leipzig, Leipzig, Deutschland
| | - A. Rentzsch
- Saarland University Medical Center, Homburg an der Saar, Deutschland
| | - K. Reineker
- Department of Congenital Heart Disease and Paediatric Cardiology, University Heart Centre Freiburg - Bad Krozingen, Medical Centre-University of Freiburg, Freiburg, Deutschland
| | - M. Böhne
- Medizinische Hochschule Hannover, Hannover, Deutschland
| | - G. Wiegand
- Department of Pediatric Cardiology, University of Tuebingen, Tübingen, Deutschland
| | - T. Hecht
- HDZ NRW, Bad Oeynhausen, Deutschland
| | - A.-E. Blank
- Pediatric Heart Center, Giessen, Deutschland
| | - M. Fischer
- Klinikum der Universität München, München, Deutschland
| | | | - M. Steinmetz
- University Medicine Göttingen, Göttingen, Deutschland
| | - N. Freudenthal
- Pediatric Cardiology, Universitätsklinikum Bonn, Bonn, Deutschland
| | - G. Fischer
- Department of Congenital Heart Disease and Pediatric Cardiology, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Deutschland
| | - B. Ruf
- Pediatric Cardiology, Deutsches Herzzentrum München, Munich, Deutschland
| | - D. Boethig
- Medizinische Hochschule Hannover, Hannover, Deutschland
| | - T. Pickardt
- Competence Network for Congenital Heart Defects, Berlin, Deutschland
| | - P. Beerbaum
- Medizinische Hochschule Hannover, Hannover, Deutschland
| | - S. Schubert
- German Heart Institute Berlin, Berlin, Deutschland
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Boethig D, Avsar M, Bauer U, Beerbaum P, Berger F, Cesnjevar R, Dähnert I, Dittrich S, Ewert P, Haverich A, Hörer J, Kostelka M, Photiadis J, Sandica E, Sarikouch S, Schubert S, Urban A, Westhoff-Bleck M, Bobylev D, Horke A. Lifetime Endocarditis Risk with Congenital Heart Disease and Pulmonary Valve Prosthesis (PVP): Results from the German Registry for Congenital Heart Defects (CHD). Thorac Cardiovasc Surg 2022. [DOI: 10.1055/s-0042-1742863] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
| | - M. Avsar
- Cardiac, thoracic, transplantation and vascular surgery, Hannover Medical School, Hanover, Deutschland
| | - U. Bauer
- Nationales Register Angeborene Herzfehler, Berlin, Deutschland
| | - P. Beerbaum
- Medizinische Hochschule Hannover, Hannover, Deutschland
| | - F. Berger
- Augustenburger Platz 1, Berlin, Deutschland
| | | | - I. Dähnert
- Kinderkardiologie, Herzzentrum Leipzig, Leipzig, Deutschland
| | | | - P. Ewert
- German Heart Centre Munich / Deutsches Herzzentrum München, München, Deutschland
| | - A. Haverich
- Carl-Neuberg-Straße 1, Hannover, Deutschland
| | | | | | | | - E. Sandica
- Herz-, Diabetes-Zentrum, Bad Oeynhausen, Deutschland
| | | | | | - A. Urban
- Nationales Register Angeborene Herzfehler, Berlin, Deutschland
| | | | - D. Bobylev
- Carl-Neuberg-Straße 1, Hannover, Deutschland
| | - A. Horke
- Carl-Neuberg-Str. 1, Hannover, Deutschland
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Geier J, Ballmer-Weber B, Buhl T, Rieker-Schwienbacher J, Mahler V, Dickel H, Schubert S. Is benzyl alcohol a significant contact sensitizer? J Eur Acad Dermatol Venereol 2022; 36:866-872. [PMID: 35080274 DOI: 10.1111/jdv.17968] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2021] [Accepted: 01/07/2022] [Indexed: 11/29/2022]
Abstract
BACKGROUND Benzyl alcohol is a widely used preservative, solvent, and fragrance material. According to published data, it is a rare sensitizer in humans. OBJECTIVES To identify characteristics and sensitization patterns of patients with positive patch test reactions to benzyl alcohol and to check the reliability of the patch test preparation benzyl alcohol 1% pet. PATIENTS AND METHODS Retrospective analysis of data from the Information Network of Departments of Dermatology (IVDK), 2010-2019. RESULTS Of 70,867 patients patch tested with benzyl alcohol 1% pet., 146 (0.21%) showed a positive reaction, most of them (89%) only weak positive. The number of doubtful and irritant reactions significantly exceeded the number of positive reactions. Reproducibility of positive test reactions was low. Among benzyl alcohol-positive patients, compared to benzyl alcohol negative patients, there were significantly more patients with leg dermatitis (17.8% vs. 8.6%), more patients aged 40 years or more (81.5% vs. 70.5%), and more patients who were tested because of a suspected intolerance reaction to topical medications (34.9% vs. 16.6%). Concomitant positive reactions were mainly seen to fragrances, preservatives, and ointment bases. CONCLUSIONS Sensitization to benzyl alcohol occurs very rarely, mainly in patients with stasis dermatitis. In view of our results, benzyl alcohol cannot be regarded as a significant contact allergen, and therefore marking it as skin sensitizer 1B and labelling it with H 317 is not helpful.
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Affiliation(s)
- J Geier
- Information Network of Departments of Dermatology (IVDK), Institute at the University Medical Center Göttingen, Göttingen, Germany
| | - B Ballmer-Weber
- Clinic of Dermatology and Allergology, Cantonal Hospital St, Gallen, St. Gallen, Switzerland
| | - T Buhl
- Department of Dermatology, Venereology and Allergy, University Medical Center Göttingen, Göttingen, Germany
| | - J Rieker-Schwienbacher
- Center for Dermatology, Phlebology and Allergology, Klinikum Stuttgart, Stuttgart, Germany
| | - V Mahler
- Department of Dermatology, University Hospital Erlangen, Erlangen, Germany.,current address Paul-Ehrlich-Institut, Langen, Germany
| | - H Dickel
- Department of Dermatology, Venereology and Allergology, St. Josef Hospital, Ruhr University Bochum, Bochum, Germany
| | - S Schubert
- Information Network of Departments of Dermatology (IVDK), Institute at the University Medical Center Göttingen, Göttingen, Germany
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Cai T, Devlies W, Pilatz A, Veeratterapillay R, Pradere B, Tunde M, Bruyère F, Bartoletti R, Koves B, Geerlings S, Schubert S, Wagenlehner F, Mantica G, James Smith E, Bonkat G. EAU recommendations for the diagnosis and treatment of human papillomavirus infections in men. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)00696-5] [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: 10/20/2022]
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Klemme M, Staffler A, De Maio N, Lauseker M, Schubert S, Innocenti P, Wurster TM, Foerster K, Herber-Jonat S, Mittal R, Messner H, Flemmer AW. Use of impregnated catheters to decrease colonization rates in neonates - A randomized controlled pilot trial. J Neonatal Perinatal Med 2021; 13:231-237. [PMID: 31609709 DOI: 10.3233/npm-190273] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [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: 11/15/2022]
Abstract
OBJECTIVE Nosocomial infections increase mortality and morbidity in preterm infants. Central venous line colonization is a major risk factor for the development of such infections. In adults and children, antibiotic and antimycotic impregnated catheters have been demonstrated to reduce colonization. However, recently published data showed no significant difference in bloodstream infection in neonates when an impregnated catheter was used. We investigated the effect of impregnation of percutaneously inserted micro-catheters (PICC) on colonization in preterm and sick term infants in our unit. METHODS Neonates were randomly assigned to receive either a standard (S-PICC; n = 34) or antibiotic and antimycotic impregnated (IP-PICC; n = 37) PICC. Catheters were placed and removed according to a standard procedure and subsequently examined by roll-out culture. The primary outcome was the rate of colonization defined as >15 colony-forming-units/ml. Additional outcomes were catheter associated or systemic infections. RESULTS The rate of colonization was lower in neonates who received an IP-PICC as compared to S-PICC (5.6% vs. 12.1% respectively; p = 0.42). However, the difference was not significant. In IP-PICC vs S-PICC, catheter related local infection (CRI) although lower was not statistically significant (2.9% vs. 6.1%; p = 0.60). We observed no difference in catheter related systemic infection (CR-SI) (0% vs. 3.1%, p = 0.48). The neonates whose catheters were colonized were predominantly of a lower gestational age (median 254/7, p = 0.05) and males (100%, p = 0.01). In addition, the median colony count in the colonized IP-PICC catheters was lower as compared to S- PICC group (53 vs 250, p = 0.06). CONCLUSIONS The use of antibiotic and antimycotic impregnated PICC-lines in neonates tended to decrease colonization rates in neonates in our centers but this difference was not significant. Lower gestational age and male sex are risk factors for catheter colonization.
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Affiliation(s)
- M Klemme
- Division of Neonatology, Dr. v. Hauner Children's Hospital and Perinatal Center Munich - Grosshadern, LMU Munich, Germany
| | - A Staffler
- Division of Neonatology, Central Teaching Hospital of Bolzano/Bozen, Bolzano, Italy
| | - N De Maio
- Division of Neonatology, Dr. v. Hauner Children's Hospital and Perinatal Center Munich - Grosshadern, LMU Munich, Germany
| | - M Lauseker
- Institute for Medical Information Processing, Biometry, and Epidemiology, Ludwig Maximilians University, Munich, Germany
| | - S Schubert
- Max von Pettenkofer Institute of Hygiene and Medical Microbiology, Faculty of Medicine, LMU Munich, Germany
| | - P Innocenti
- Laboratory of Microbiology and Virology, Bolzano Health District, Bolzano, Italy
| | - T M Wurster
- Division of Neonatology, Central Teaching Hospital of Bolzano/Bozen, Bolzano, Italy
| | - K Foerster
- Division of Neonatology, Dr. v. Hauner Children's Hospital and Perinatal Center Munich - Grosshadern, LMU Munich, Germany
| | - S Herber-Jonat
- Division of Neonatology, Dr. v. Hauner Children's Hospital and Perinatal Center Munich - Grosshadern, LMU Munich, Germany
| | - R Mittal
- Division of Neonatology, Dr. v. Hauner Children's Hospital and Perinatal Center Munich - Grosshadern, LMU Munich, Germany
| | - H Messner
- Division of Neonatology, Central Teaching Hospital of Bolzano/Bozen, Bolzano, Italy
| | - A W Flemmer
- Division of Neonatology, Dr. v. Hauner Children's Hospital and Perinatal Center Munich - Grosshadern, LMU Munich, Germany
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Bergmann M, Germann CP, Nordmeyer J, Peters B, Berger F, Schubert S. Short- and Long-term Outcome After Interventional VSD Closure: A Single-Center Experience in Pediatric and Adult Patients. Pediatr Cardiol 2021; 42:78-88. [PMID: 33009919 PMCID: PMC7864847 DOI: 10.1007/s00246-020-02456-2] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/13/2020] [Accepted: 09/16/2020] [Indexed: 11/30/2022]
Abstract
Interventional closure of congenital ventricular septal defects (VSD) is recording a continuous rise in acceptance. Complete atrioventricular block (cAVB) and residual shunting are major concerns during follow-up, but long-term data for both are still limited. We retrospectively evaluated the outcome of patients with interventional VSD closure and focused on long-term results (> 1 year follow-up). Transcatheter VSD closures were performed between 1993 and 2015, in 149 patients requiring 155 procedures (104 perimembranous, 29 muscular, 19 residual post-surgical VSDs, and 3 with multiple defects). The following devices were used: 65 × Amplatzer™ Membranous VSD Occluder, 33 × Duct Occluder II, 27 × Muscular VSD Occluder, 3 × Duct Occluder I, 24 × PFM-Nit-Occlud®, and 3 × Rashkind-Occluder. The median age at time of implantation was 6.2 (0.01-66.1) years, median height 117 (49-188) cm, and median weight 20.9 (3.2-117) kg. Median follow-up time was 6.2 (1.1-21.3) years and closure rate was 86.2% at last follow-up. Complications resulting in device explantation include one case of cAVB with a Membranous VSD occluder 7 days after implantation and four cases due to residual shunt/malposition. Six (4%) deaths occurred during follow-up with only one procedural related death from a hybrid VSD closure. Overall, our reported results of interventional VSD closure show favorable outcomes with only one (0.7%) episode of cAVB. Interventional closure offers a good alternative to surgical closure and shows improved performance by using softer devices. However, prospective long-term data in the current era with different devices are still mandatory to assess the effectiveness and safety of this procedure.
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Affiliation(s)
- M. Bergmann
- grid.418209.60000 0001 0000 0404Department of Pediatric Cardiology and Congenital Heart Diseases, German Heart Center Berlin, Augustenburger Platz 1, 13353 Berlin, Germany
| | - C. P. Germann
- grid.418209.60000 0001 0000 0404Department of Pediatric Cardiology and Congenital Heart Diseases, German Heart Center Berlin, Augustenburger Platz 1, 13353 Berlin, Germany
| | - J. Nordmeyer
- grid.418209.60000 0001 0000 0404Department of Pediatric Cardiology and Congenital Heart Diseases, German Heart Center Berlin, Augustenburger Platz 1, 13353 Berlin, Germany
| | - B. Peters
- grid.418209.60000 0001 0000 0404Department of Pediatric Cardiology and Congenital Heart Diseases, German Heart Center Berlin, Augustenburger Platz 1, 13353 Berlin, Germany
| | - F. Berger
- grid.418209.60000 0001 0000 0404Department of Pediatric Cardiology and Congenital Heart Diseases, German Heart Center Berlin, Augustenburger Platz 1, 13353 Berlin, Germany
| | - S. Schubert
- grid.418209.60000 0001 0000 0404Department of Pediatric Cardiology and Congenital Heart Diseases, German Heart Center Berlin, Augustenburger Platz 1, 13353 Berlin, Germany ,grid.418457.b0000 0001 0723 8327Clinic for Pediatric Cardiology and Congenital Heart Defects, Herz- Und Diabeteszentrum NRW, Ruhr University of Bochum, Georgstraße 11, 32545 Bad Oeynhausen, Germany
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21
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Degener F, Opgen-Rhein B, Hegel K, Pickardt T, Berger F, Messroghli D, Schubert S. Inflammatory Responses in Pediatric Patients with Suspected Myocarditis. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.1029] [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: 10/24/2022] Open
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22
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Schubert S, Brans R, Reich A, Hansen A, Buhl T, Skudlik C, Mempel M, Schön M, John S, Geier J. Assessment of occupational exposure and spectrum of contact sensitization in metalworkers with occupational dermatitis: results of a cohort study within the
OCCUDERM
project. J Eur Acad Dermatol Venereol 2020; 34:1536-1544. [DOI: 10.1111/jdv.16130] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2019] [Accepted: 11/20/2019] [Indexed: 11/28/2022]
Affiliation(s)
- S. Schubert
- Information Network of Departments of Dermatology (IVDK) Institute at the University Medical Center Göttingen Göttingen Germany
- Lower‐Saxonian Institute of Occupational Dermatology Georg‐August University Göttingen Germany
| | - R. Brans
- Lower‐Saxonian Institute of Occupational Dermatology Georg‐August University Göttingen Germany
- University of Osnabrück Osnabrück Germany
- Institute for Interdisciplinary Dermatologic Prevention and Rehabilitation (iDerm) University of Osnabrück Osnabrück Germany
- Department of Dermatology, Environmental Medicine and Health Theory University of Osnabrück Osnabrück Germany
| | - A. Reich
- Lower‐Saxonian Institute of Occupational Dermatology Georg‐August University Göttingen Germany
- Department of Dermatology, Venereology and Allergology University Medical Center Göttingen Göttingen Germany
| | - A. Hansen
- Lower‐Saxonian Institute of Occupational Dermatology Georg‐August University Göttingen Germany
- University of Osnabrück Osnabrück Germany
- Institute for Interdisciplinary Dermatologic Prevention and Rehabilitation (iDerm) University of Osnabrück Osnabrück Germany
- Department of Dermatology, Environmental Medicine and Health Theory University of Osnabrück Osnabrück Germany
| | - T. Buhl
- Lower‐Saxonian Institute of Occupational Dermatology Georg‐August University Göttingen Germany
- Department of Dermatology, Venereology and Allergology University Medical Center Göttingen Göttingen Germany
| | - C. Skudlik
- Lower‐Saxonian Institute of Occupational Dermatology Georg‐August University Göttingen Germany
- University of Osnabrück Osnabrück Germany
- Institute for Interdisciplinary Dermatologic Prevention and Rehabilitation (iDerm) University of Osnabrück Osnabrück Germany
- Department of Dermatology, Environmental Medicine and Health Theory University of Osnabrück Osnabrück Germany
| | - M. Mempel
- Hautarztpraxis Elmshorn Elmshorn Germany
| | - M.P. Schön
- Lower‐Saxonian Institute of Occupational Dermatology Georg‐August University Göttingen Germany
- Department of Dermatology, Venereology and Allergology University Medical Center Göttingen Göttingen Germany
| | - S.M. John
- Lower‐Saxonian Institute of Occupational Dermatology Georg‐August University Göttingen Germany
- University of Osnabrück Osnabrück Germany
- Institute for Interdisciplinary Dermatologic Prevention and Rehabilitation (iDerm) University of Osnabrück Osnabrück Germany
- Department of Dermatology, Environmental Medicine and Health Theory University of Osnabrück Osnabrück Germany
| | - J. Geier
- Information Network of Departments of Dermatology (IVDK) Institute at the University Medical Center Göttingen Göttingen Germany
- Lower‐Saxonian Institute of Occupational Dermatology Georg‐August University Göttingen Germany
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23
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Schubert S, Nordmeyer J, Peters B, Kramer P, Photiadis J, Berger F. Covered Stenting in Adult and Pediatric Patient with Native or Residual Coarctation of the Aorta. Thorac Cardiovasc Surg 2020. [DOI: 10.1055/s-0040-1705573] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Schubert S, Góreczny S, Nordmeyer J, Kramer P, Kühne T, Jenny EZ, Morgan G, Kim SH, Paweł D, Berger F. Results from an International Multicenter Prospective Registry of Cardiac Catheterizations Guided with Fusion of Computed Tomography and Magnetic Resonance Imaging. Thorac Cardiovasc Surg 2020. [DOI: 10.1055/s-0040-1705536] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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25
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Degener F, Opgen-Rhein B, Wagner R, Boehne M, Boecker D, Reineker K, Wiegand G, Racolta A, Müller G, Kiski D, Rentzsch A, Fischer M, Papakostas K, Ruf B, Hannes T, Khalil M, Kaestner M, Steinmetz M, ÖZcan S, Fischer G, Freudenthal N, Schweigmann U, Pickardt T, Huber C, Messroghli D, Schubert S. Prognostic Parameters for a Severe Disease Course in Pediatric Patients with Suspected Myocarditis: Data from the Prospective Multicenter Registry “MYKKE”. Thorac Cardiovasc Surg 2020. [DOI: 10.1055/s-0040-1705542] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
| | | | | | | | | | | | - G. Wiegand
- University of Tuebingen, Tuebingen, Germany
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26
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Germann CP, Bergmann M, Nordmeyer J, Peters B, Berger F, Schmitt K, Schubert S. Long-Term Performance after Interventional VSD Closure—Single Center Experience in Pediatric and Adult Patients. Thorac Cardiovasc Surg 2020. [DOI: 10.1055/s-0040-1705545] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Abstract
BACKGROUND The food sector is one of the high-risk areas for occupational irritative and allergic contact eczema. OBJECTIVES The present work provides an overview of the main allergens as well as sensitization frequencies and risk in various food industry occupations. METHODS The literature on type IV sensitization in the food sector is summarized. RESULTS The relative risk of developing a work-related eczema in food processing is increased by more than 3 times. The comparison group was calculated on the basis of the proportion of documented cases in the IVDK (Informationsverbund Dermatologischer Kliniken) network per 100,000 working persons in relation to the average of the years 2005 and 2010. For this purpose, the average risk of all patients was set as reference to 1. Bakers, pastry chefs, cooks and meat and fish processors are mainly affected. In addition to irritant contact eczema, allergic contact eczema and protein contact dermatitis often occur. Leading haptens (main allergens) are rubber ingredients, but also disinfectants and compositae. CONCLUSION Only a few contact allergens are responsible for the majority of job-relevant sensitizations in the food industry.
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Affiliation(s)
- A Bauer
- Klinik und Poliklinik für Dermatologie, Universitäts AllergieCentrum, Universitätsklinikum Carl Gustav Carus, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.
| | - S Schubert
- Informationsverbund Dermatologischer Kliniken (IVDK), Universitätsmedizin Göttingen, Georg-August Universität Göttingen, Göttingen, Deutschland
| | - J Geier
- Informationsverbund Dermatologischer Kliniken (IVDK), Universitätsmedizin Göttingen, Georg-August Universität Göttingen, Göttingen, Deutschland
| | - V Mahler
- Paul-Ehrlich-Institut, Langen, Deutschland.,Med. Fakultät, Universität Erlangen-Nürnberg, Erlangen, Deutschland
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Schnuch A, Schubert S, Geier J. Clinicians vs. epidemiologists: patch testing with methyldibromo glutaronitrile as a controversial issue. J Eur Acad Dermatol Venereol 2019; 33:e242-e244. [DOI: 10.1111/jdv.15505] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- A. Schnuch
- Information Network of Departments of Dermatology (IVDK) University Medical Center Göttingen 37073 Germany
| | - S. Schubert
- Information Network of Departments of Dermatology (IVDK) University Medical Center Göttingen 37073 Germany
| | - J. Geier
- Information Network of Departments of Dermatology (IVDK) University Medical Center Göttingen 37073 Germany
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29
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Claßen A, Buhl T, Schubert S, Worm M, Bauer A, Geier J, Molin S. Allergic contact dermatitis in psoriasis. Br J Dermatol 2019. [DOI: 10.1111/bjd.17478] [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: 11/28/2022]
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30
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Claßen A, Buhl T, Schubert S, Worm M, Bauer A, Geier J, Molin S. 银屑病患者发生过敏性接触性皮炎的情况. Br J Dermatol 2019. [DOI: 10.1111/bjd.17491] [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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31
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Claßen A, Buhl T, Schubert S, Worm M, Bauer A, Geier J, Molin S. The frequency of specific contact allergies is reduced in patients with psoriasis. Br J Dermatol 2018; 180:315-320. [DOI: 10.1111/bjd.17080] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/01/2018] [Indexed: 12/17/2022]
Affiliation(s)
- A. Claßen
- Department of Dermatology and Allergology University Medical Center Göttingen Göttingen Germany
| | - T. Buhl
- Department of Dermatology and Allergology University Medical Center Göttingen Göttingen Germany
| | - S. Schubert
- Information Network of Departments of Dermatology (IVDK) University of Göttingen Göttingen Germany
| | - M. Worm
- Department of Dermatology and Allergology Allergy‐Center‐Charité, Charité – Universitätsmedizin Berlin Berlin Germany
| | - A. Bauer
- Department of Dermatology University Hospital Carl Gustav Carus Technical University Dresden Dresden Germany
| | - J. Geier
- Information Network of Departments of Dermatology (IVDK) University of Göttingen Göttingen Germany
| | - S. Molin
- Department of Dermatology and Allergy Ludwig Maximilian University Munich Germany
- Division of Dermatology Queen's University 166 Brock Street C3‐027 Kingston ON K7L 5G2 Canada
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Ahrberg AB, Horstmeier C, Berner D, Brehm W, Gittel C, Hillmann A, Josten C, Rossi G, Schubert S, Winter K, Burk J. Effects of mesenchymal stromal cells versus serum on tendon healing in a controlled experimental trial in an equine model. BMC Musculoskelet Disord 2018; 19:230. [PMID: 30021608 PMCID: PMC6052633 DOI: 10.1186/s12891-018-2163-y] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/27/2018] [Accepted: 06/28/2018] [Indexed: 01/16/2023] Open
Abstract
BACKGROUND Mesenchymal stromal cells (MSC) have shown promising results in the treatment of tendinopathy in equine medicine, making this therapeutic approach seem favorable for translation to human medicine. Having demonstrated that MSC engraft within the tendon lesions after local injection in an equine model, we hypothesized that they would improve tendon healing superior to serum injection alone. METHODS Quadrilateral tendon lesions were induced in six horses by mechanical tissue disruption combined with collagenase application 3 weeks before treatment. Adipose-derived MSC suspended in serum or serum alone were then injected intralesionally. Clinical examinations, ultrasound and magnetic resonance imaging were performed over 24 weeks. Tendon biopsies for histological assessment were taken from the hindlimbs 3 weeks after treatment. Horses were sacrificed after 24 weeks and forelimb tendons were subjected to macroscopic and histological examination as well as analysis of musculoskeletal marker expression. RESULTS Tendons injected with MSC showed a transient increase in inflammation and lesion size, as indicated by clinical and imaging parameters between week 3 and 6 (p < 0.05). Thereafter, symptoms decreased in both groups and, except that in MSC-treated tendons, mean lesion signal intensity as seen in T2w magnetic resonance imaging and cellularity as seen in the histology (p < 0.05) were lower, no major differences could be found at week 24. CONCLUSIONS These data suggest that MSC have influenced the inflammatory reaction in a way not described in tendinopathy studies before. However, at the endpoint of the current study, 24 weeks after treatment, no distinct improvement was observed in MSC-treated tendons compared to the serum-injected controls. Future studies are necessary to elucidate whether and under which conditions MSC are beneficial for tendon healing before translation into human medicine.
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Affiliation(s)
- A B Ahrberg
- Department of Orthopedics, Traumatology and Plastic Surgery, University of Leipzig, Liebigstr. 20, 04103, Leipzig, Germany. .,Translational Center for Regenerative Medicine (TRM), University of Leipzig, Leipzig, Germany.
| | - C Horstmeier
- Translational Center for Regenerative Medicine (TRM), University of Leipzig, Leipzig, Germany.,Saxon Incubator for Clinical Translation (SIKT), University of Leipzig, Leipzig, Germany.,University Equine Hospital, University of Leipzig, Leipzig, Germany
| | - D Berner
- Department of Clinical Science and Services, The Royal Veterinary College, University of London, London, UK
| | - W Brehm
- Translational Center for Regenerative Medicine (TRM), University of Leipzig, Leipzig, Germany.,Saxon Incubator for Clinical Translation (SIKT), University of Leipzig, Leipzig, Germany.,University Equine Hospital, University of Leipzig, Leipzig, Germany
| | - C Gittel
- University Equine Hospital, University of Leipzig, Leipzig, Germany
| | - A Hillmann
- Translational Center for Regenerative Medicine (TRM), University of Leipzig, Leipzig, Germany.,Saxon Incubator for Clinical Translation (SIKT), University of Leipzig, Leipzig, Germany
| | - C Josten
- Department of Orthopedics, Traumatology and Plastic Surgery, University of Leipzig, Liebigstr. 20, 04103, Leipzig, Germany
| | - G Rossi
- School of Biosciences and Veterinary Medicine, University of Camerino, Camerino, Italy
| | - S Schubert
- Translational Center for Regenerative Medicine (TRM), University of Leipzig, Leipzig, Germany.,Saxon Incubator for Clinical Translation (SIKT), University of Leipzig, Leipzig, Germany.,Institute of Veterinary Physiology, University of Leipzig, Leipzig, Germany
| | - K Winter
- University Equine Hospital, University of Leipzig, Leipzig, Germany.,Institute of Anatomy, Medical Faculty, University of Leipzig, Leipzig, Germany
| | - J Burk
- Translational Center for Regenerative Medicine (TRM), University of Leipzig, Leipzig, Germany.,Saxon Incubator for Clinical Translation (SIKT), University of Leipzig, Leipzig, Germany.,Institute of Veterinary Physiology, University of Leipzig, Leipzig, Germany.,Department of Biotechnology, University of Natural Resources and Life Sciences, Vienna, Austria
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Abstract
Microbiological diagnostic procedures have changed rapidly in recent years. This is especially true in the field of molecular diagnostics. Classical culture-based techniques are still the gold standard in many areas; however, they are already complemented by automated and also molecular techniques to guarantee faster and better quality results. The most commonly used techniques include real-time polymerase chain reaction (RT-PCR) based systems and nucleic acid hybridization. These procedures are used most powerfully from direct patient samples or in assays to detect the presence of nonculturable or fastidious organisms. Further techniques such as DNA sequencing are not yet used routinely for urological samples and can be considered experimental. However, in conjunction with dropping prices and further technical developments, these techniques promise to be used much more in the near future. Regarding bacterial identification from culture, mass spectrometry (MALDI-TOF MS) has become the technique of choice in recent years especially in Europe. It has tremendously shortened the time to result. This is now going to be extended to antibiotic susceptibility testing. This is of paramount importance in view of ever rising antimicrobial resistance rates. Techniques described in this review offer a faster and better microbiological diagnosis. Such continuous improvements are critical especially in times of cost pressure and rising antimicrobial resistance rates. It is in our interest to provide the best possible care for patients and in this regard a good and effective communication between the laboratory and the clinician is of vital importance.
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Affiliation(s)
- S Schubert
- Max von Pettenkofer-Institut für Hygiene und Medizinische Mikrobiologie, Ludwig-Maximilians-Universität München, Marchioninistr. 17, 81377, München, Deutschland.
| | - A Wieser
- Max von Pettenkofer-Institut für Hygiene und Medizinische Mikrobiologie, Ludwig-Maximilians-Universität München, Marchioninistr. 17, 81377, München, Deutschland.,Abteilung für Infektions- und Tropenmedizin der LMU, Leopoldstrasse 5, 80802, München, Deutschland.,Deutsches Zentrum für Infektionsforschung (DZIF), Standort München, München, Deutschland
| | - G Bonkat
- alta uro AG, Centralbahnplatz 6, 4051, Basel, Schweiz
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Seifert H, Körber-Irrgang B, Kresken M, Göbel U, Swidsinski S, Rath PM, Steinmann J, MacKenzie C, Mutters R, Peters G, Becker K, Podbielski A, Weise M, Siegel E, Glöckle B, Kniehl E, Becker A, Wichelhaus TA, Schubert S. In-vitro activity of ceftolozane/tazobactam against Pseudomonas aeruginosa and Enterobacteriaceae isolates recovered from hospitalized patients in Germany. Int J Antimicrob Agents 2018; 51:227-234. [DOI: 10.1016/j.ijantimicag.2017.06.024] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2017] [Revised: 06/11/2017] [Accepted: 06/24/2017] [Indexed: 11/28/2022]
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Abstract
ZusammenfassungWir berichten von einem sechsjährigen Patienten mit akut aufgetretenem Waschzwang, der nach oraler Penizillintherapie komplette Symptomfreiheit gezeigt hat. Auf Grund zahlreicher Infektionen mit β-hämolysierenden Strepto-kokken der Gruppe A (GABHS) in der Familie und erhöhtem Antistreptolysin O-Titer diagnostizierten wir PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections). Das schnelle und deutliche Verschwinden der Zwangssymptomatik nach oraler Penizillintherapie ist ein neuer Hinweis auf das immer wieder kontrovers diskutierte PANDAS.
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Schmidt-Wilcke P, Schubert S, Knorr S, Wilhelm T. Akutes Abdomen einer Bulimiepatientin. Chirurg 2018; 89:59-62. [DOI: 10.1007/s00104-017-0518-9] [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: 12/01/2022]
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Degener F, Opgen-Rhein B, Böhne M, Weigelt A, Wagner R, Müller G, Racolta A, Rentzsch A, Papakostas K, Reineker K, Kiski D, Ruf B, Wiegand G, Hannes T, Khalil M, Fischer M, Kaestner M, Steinmetz M, Fischer G, Freudenthal N, Pickardt T, Messroghli D, Schubert S. Four-Year Experience of the German Multicenter Registry for Pediatric Patients with Suspected Myocarditis: MYKKE. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1628324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- F. Degener
- Deutsches Herzzentrum Berlin, Klinik für Angeborene Herzfehler - Kinderkardiologie, Berlin, Germany
| | - B. Opgen-Rhein
- Charité - Universitätsmedizin Berlin, Klinik für Pädiatrie mit Schwerpunkt Kardiologie, Berlin, Germany
| | - M. Böhne
- Medizinische Hochschule Hannover, Kinderkardiologie, Hannover, Germany
| | - A. Weigelt
- Universitätsklinikum Erlangen, Kinderkardiologie, Erlangen, Germany
| | - R. Wagner
- Herzzentrum Leipzig, Kinderkardiologie, Leipzig, Germany
| | - G. Müller
- Universitäres Herzzentrum Hamburg, Kinderkardiologie, Hamburg, Germany
| | - A. Racolta
- Herz- und Diabeteszentrum NRW, Zentrum für angeborene Herzfehler, Bad Oeynhausen, Germany
| | - A. Rentzsch
- Universität des Saarlandes, Kinderkardiologie, Homburg/Saar, Germany
| | - K. Papakostas
- Klinikum Links der Weser, Strukturelle und angeborene Herzfehler / Kinderkardiologie, Bremen, Germany
| | - K. Reineker
- Universitäts Herzzentrum Freiburg Bad Krozingen, Kinderkardiologie, Freiburg, Germany
| | - D. Kiski
- Universitätsklinikum Münster, Klinik für Kinder- und Jugendmedizin/Pädiatrische Kardiologie, Münster, Germany
| | - B. Ruf
- Deutsches Herzzentrum München, Technische Universität München, Angeborene Herzfehler/Kinderkardiologie, München, Germany
| | - G. Wiegand
- Universitätskinderklinik Tübingen, Kinderkardiologie, Tübingen, Germany
| | - T. Hannes
- Uniklinik Köln, Klinik für angeborene Herzfehler und Pädiatrische Kardiologie, Köln, Germany
| | - M. Khalil
- Universitätsklinik Giessen, Abteilung für Kinderkardiologie, Giessen, Germany
| | - M. Fischer
- Klinikum der Universität München, Abteilung Kinderkardiologie und Pädiatrische Intensivmedizin, München, Germany
| | - M. Kaestner
- Universitätsklinikum Ulm, Kinderkardiologie, Ulm, Germany
| | - M. Steinmetz
- Universitätsmedizin Göttingen, Klinik für Pädiatrische Kardiologie und Intensivmedizin, Göttingen, Germany
| | - G. Fischer
- Universitätsklinikum Schleswig-Holstein, Klinik für angeborene Herzfehler und Kinderkardiologie, Kiel, Germany
| | - N. Freudenthal
- Universitätsklinikum Bonn, Abteilung für Kinderkardiologie, Bonn, Germany
| | - T. Pickardt
- Kompetenznetz Angeborene Herzfehler, Berlin, Germany
| | - D. Messroghli
- DZHK (Deutsches Zentrum für Herz-Kreislauf-Forschung), Standort Berlin, Berlin, Germany
| | - S. Schubert
- Deutsches Herzzentrum Berlin, Klinik für Angeborene Herzfehler - Kinderkardiologie, Berlin, Germany
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Kretschmar O, Grohmann J, Bertram H, Jux C, Wiegand G, Tarusinov G, Dittrich S, Dähnert I, Bangen U, Fakler U, Moysich A, Schubert S, Knirsch W. New-Onset of Migraine and Nonmigraine Headache Attacks after Percutaneous Device-Closure of Atrial Septal Defect in Children: A Prospective Multicenter Trial. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1628126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- O. Kretschmar
- Klinik für Kinderkardiologie und angeborene Herzfehler, Universitätskinderklinik Zürich, Zürich, Switzerland
| | - J. Grohmann
- Klinik für Angeborene Herzfehler und Pädiatrische Kardiologie, Universitätsklinik Freiburg, Freiburg, Germany
| | - H. Bertram
- Klinik für Pädiatrische Kardiologie und, Medizinische Hochschule Hannover, Hannover, Germany
| | - C. Jux
- Klinik für Kinder- und Jugendmedizin, Universitätsklinikum Münster, Münster, Germany
| | - G. Wiegand
- Universitätskinderklinik Tübingen, Tübingen, Germany
| | - G. Tarusinov
- Klinik für Kinderkardiologie und angeborene Herzfehler, Herzzentrum Duisburg, Duisburg, Germany
| | - S. Dittrich
- Kinderkardiologie, Universitätsklinikum Erlangen, Erlangen, Germany
| | - I. Dähnert
- Klinik für Kinderkardiologie, Herzzentrum Leipzig, Leipzig, Germany
| | - U. Bangen
- Klinik und Poliklinik für Kinderkardiologie, Univers. Herzzentrum Köln, Köln, Germany
| | - U. Fakler
- Klinik für Kinderkardiologie und angeborene Herzfehler, Deutsches Herzzentrum München, München, Germany
| | - A. Moysich
- Klinik für Kinderkardiologie und angeborene Herzfehler, Universitätsklinikum Giessen, Giessen, Germany
| | - S. Schubert
- Klinik für Kinderkardiologie, Deutsches Herzzentrum Berlin, Berlin, Germany
| | - W. Knirsch
- Klinik für Kinderkardiologie und angeborene Herzfehler, Universitätskinderklinik Zürich, Zürich, Switzerland
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Abstract
BACKGROUND Spondylodiscitis in children is rare. The condition has an incidence of 2 to 4 % of all infectious skeletal diseases in children. AIM Aim of the article is the presentation of epidemiology, the clinical signs, radiological findings as well the treatment options of non-specific and specific spondylodiscitis in children. METHODS The available literature was reviewed. RESULTS Non-specific spondylodiscitis in children is caused by haematogenous spread of pathogens. Staphylococcus aureus is the most frequently detected bacterium. The clinical signs are unspecific and an Magnetic Resonance Imaging of the spine is the standard radiological procedure to detect spondylodiscitis. In general, the treatment is conservative and includes an antibiotic therapy as well an immobilization of the spine. In endemic areas of the world, specific spondylodiscitis is more common and is caused by Mycobacterium tuberculosis or Brucellae. The treatment is also conservative. For all entities of spondylodiscitis in children, a surgical intervention is only necessary in the case of severe deformities due to the infection or in the case of neurological symptoms. CONCLUSION Elevated infectious laboratory values and back pain or other unspecific symptoms can indicate spondylodiscitis in children. MRI of the spine is necessary to rule out spondylodiscitis.
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Affiliation(s)
- A Völker
- Klinik und Poliklinik für Orthopädie, Unfallchirurgie und plastische Chirurgie, Bereich Wirbelsäulenchirurgie, Universitätsklinikum Leipzig, Liebigstraße 20, 04103, Leipzig, Deutschland
| | - S Schubert
- Klinik für Gastroenterologie und Rheumatologie, Fachbereich Infektions- und Tropenmedizin, Universitätsklinikum Leipzig, Liebigstraße 20, 04103, Leipzig, Deutschland
| | - C-E Heyde
- Klinik und Poliklinik für Orthopädie, Unfallchirurgie und plastische Chirurgie, Bereich Wirbelsäulenchirurgie, Universitätsklinikum Leipzig, Liebigstraße 20, 04103, Leipzig, Deutschland.
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Dalhoff A, Schubert S, Vente A. Pharmacodynamics of Finafloxacin, Ciprofloxacin, and Levofloxacin in Serum and Urine against TEM- and SHV-Type Extended-Spectrum-β-Lactamase-Producing Enterobacteriaceae Isolates from Patients with Urinary Tract Infections. Antimicrob Agents Chemother 2017; 61:e02446-16. [PMID: 28193648 PMCID: PMC5404535 DOI: 10.1128/aac.02446-16] [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] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2016] [Accepted: 01/31/2017] [Indexed: 12/17/2022] Open
Abstract
The pharmacodynamics of finafloxacin, ciprofloxacin, and levofloxacin against extended-spectrum-β-lactamase (ESBL)-producing Enterobacteriaceae isolates were compared. Since quinolones lose activity in acidic media, and particularly in urine, their activities were tested in parallel under conventional conditions and in acidic artificial urine. For this purpose, TEM- and SHV-type ESBL-producing Escherichia coli and Klebsiella pneumoniae strains and their wild-type counterparts were exposed in a modified Grasso model to simulated concentrations of drugs in serum and urine following oral doses of either finafloxacin at 800 mg once a day (q.d.), immediate-release ciprofloxacin at 500 mg twice a day (b.i.d.), extended-release ciprofloxacin at 1,000 mg q.d., or levofloxacin at 500 or 750 mg q.d. The concentrations of the drugs in urine were fitted by compartmental modeling. Bacteria were cultivated in Mueller-Hinton broth (MHB) at pH 7.2 or 5.8 or in artificial urine at pH 5.8. Bacteria were counted every 2 h until 10 h and at 24 h; the areas under the bacterial-count-versus-time curves were calculated. It was found that finafloxacin eliminated all strains within 2 h under all the conditions studied. At all doses studied, ciprofloxacin and levofloxacin were highly active against wild-type strains in MHB at pH 7.2 but lost activity in MHB, and particularly in urine, at pH 5.8. Viable counts of ESBL producers were reduced for 6 to 8 h by 3 log10 titers, but the bacteria regrew thereafter. Ciprofloxacin and levofloxacin were almost inactive against the SHV producer grown in artificial urine. We conclude that pharmacodynamic models using artificial urine may mirror the physiology of urinary tract infections more closely than those using conventional media. In contrast to ciprofloxacin and levofloxacin, finafloxacin gained activity in this model at an acidic pH, maintained activity in artificial urine, and was active against TEM and SHV producers.
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Affiliation(s)
- A Dalhoff
- University Hospital Kiel, Institute for Infection Medicine, Kiel, Germany
| | - S Schubert
- University Hospital Kiel, Institute for Infection Medicine, Kiel, Germany
| | - A Vente
- MerLion Pharmaceuticals, Berlin, Germany
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41
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Abstract
Urinary tract infections are among the most common bacterial infections worldwide. The management has become a public health concern of socioeconomic importance. Every second woman will experience at least one episode in her lifetime. Due to the emergence of multiresistant pathogens and the developmental void, treatment has become more challenging over the years. Deciphering the complex molecular interaction between host and pathogen is necessary to identify potent treatment targets for future approaches. The objective of this review is to present novel aspects on the pathogenesis of urinary tract infections and its relevance for clinical practice.
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Affiliation(s)
- G Magistro
- Urologische Klinik und Poliklinik der Universität München, Campus Großhadern, Ludwig-Maximilians-Universität München, Marchioninistr. 15, 81377, München, Deutschland.
| | - J Marcon
- Urologische Klinik und Poliklinik der Universität München, Campus Großhadern, Ludwig-Maximilians-Universität München, Marchioninistr. 15, 81377, München, Deutschland
| | - S Schubert
- Max von Pettenkofer-Institut für Hygiene und Medizinische Mikrobiologie, Ludwig-Maximilians-Universität München, München, Deutschland
| | - C Gratzke
- Urologische Klinik und Poliklinik der Universität München, Campus Großhadern, Ludwig-Maximilians-Universität München, Marchioninistr. 15, 81377, München, Deutschland
| | - C G Stief
- Urologische Klinik und Poliklinik der Universität München, Campus Großhadern, Ludwig-Maximilians-Universität München, Marchioninistr. 15, 81377, München, Deutschland
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Burk J, Glauche SM, Brehm W, Crovace A, Francioso E, Hillmann A, Schubert S, Lacitignola L. Characterisation and intracellular labelling of mesenchymal stromal cells derived from synovial fluid of horses and sheep. Vet J 2017; 222:1-8. [PMID: 28410670 DOI: 10.1016/j.tvjl.2017.02.006] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2016] [Revised: 02/09/2017] [Accepted: 02/21/2017] [Indexed: 01/10/2023]
Abstract
Multipotent mesenchymal stromal cells (MSCs) derived from synovial fluid (SF) are considered to be a promising cell type for therapeutic applications in joint disease. However, despite their potential relevance for clinical and experimental studies, there is insufficient knowledge about SF-derived MSCs isolated from horses and sheep. In this study, cells were recovered from healthy SF and bone marrow (BM) of sheep, and from healthy and osteoarthritic SF of horses. Ovine SF-MSCs were used to assess the efficiency of intracellular labelling with quantum dots (QDs). Colony forming units, generation times, trilineage differentiation potential and expression of CD73, CD90 and CD105 at mRNA level were assessed. QD labelling was efficient, with >98% positive cells directly after labelling at 10 nmol/L and >95% positive cells directly after labelling at 2 nmol/L. The label decreased over 7 days of culture, with more persistence at the higher labelling concentration. No significant differences in proliferation were observed. All MSCs had trilineage differentiation potential, but adipogenesis was more distinct in equine samples and chondrogenesis was most pronounced in ovine SF-MSCs. CD73, CD90 and CD105 were expressed in equine and ovine MSCs.
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Affiliation(s)
- J Burk
- Saxon Incubator for Clinical Translation (SIKT), University of Leipzig, Philipp-Rosenthal-Str. 55, Leipzig 04103, Germany; Institute of Veterinary Physiology, University of Leipzig, An den Tierkliniken 7, Leipzig 04103, Germany.
| | - S M Glauche
- Saxon Incubator for Clinical Translation (SIKT), University of Leipzig, Philipp-Rosenthal-Str. 55, Leipzig 04103, Germany
| | - W Brehm
- Saxon Incubator for Clinical Translation (SIKT), University of Leipzig, Philipp-Rosenthal-Str. 55, Leipzig 04103, Germany; Large Animal Clinic for Surgery, University of Leipzig, An den Tierkliniken 21, Leipzig 04103, Germany
| | - A Crovace
- Department of Emergency and Organ Transplants (DEOT), University of Bari 'Aldo Moro', Strada Provinciale per Casamassima km. 3, Valenzano 70010, Italy
| | - E Francioso
- Department of Emergency and Organ Transplants (DEOT), University of Bari 'Aldo Moro', Strada Provinciale per Casamassima km. 3, Valenzano 70010, Italy
| | - A Hillmann
- Saxon Incubator for Clinical Translation (SIKT), University of Leipzig, Philipp-Rosenthal-Str. 55, Leipzig 04103, Germany
| | - S Schubert
- Saxon Incubator for Clinical Translation (SIKT), University of Leipzig, Philipp-Rosenthal-Str. 55, Leipzig 04103, Germany
| | - L Lacitignola
- Department of Emergency and Organ Transplants (DEOT), University of Bari 'Aldo Moro', Strada Provinciale per Casamassima km. 3, Valenzano 70010, Italy
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Schubert S, Hosking M, Balbacid E, Berger F, Voss C, Lee N, Harris K. Optical Coherence Tomography (OCT) Detects Early Coronary Changes Related to Cardiac Allograft Vasculopathy in Pediatric Transplant Recipients: Results from a Multicenter Study Group. Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1599013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- S. Schubert
- Department of Congenital Heart Disease/Ped. Cardiology, Deutsches Herzzentrum Berlin, Berlin, Germany
| | - M. Hosking
- Division of Cardiology, Department of Pediatrics, University of British Columbia, BC Children's Hospital, Vancouver, Canada
| | - E. Balbacid
- Department of Pediatric Cardiology and GUCH, Hospital Universitario La Paz, Madrid, Spain
| | - F. Berger
- Department of Congenital Heart Disease/Ped. Cardiology, Deutsches Herzzentrum Berlin, Berlin, Germany
| | - C. Voss
- Division of Cardiology, Department of Pediatrics, University of British Columbia, BC Children's Hospital, Vancouver, Canada
| | - N. Lee
- Division of Cardiology, Department of Pediatrics, University of British Columbia, BC Children's Hospital, Vancouver, Canada
| | - K. Harris
- Division of Cardiology, Department of Pediatrics, University of British Columbia, BC Children's Hospital, Vancouver, Canada
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Schubert S, Peters B, Nordmeyer J, Berger F. PFO-Verschluss mit dem Gore-Septal-Okkluder bei Patienten mit Vorhofseptumaneurysma (ASA) und Z.n. Schlaganfall. Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1599037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- S. Schubert
- Deutsches Herzzentrum Berlin, Angeborene Herzfehler/Kinderkardiologie, Berlin, Germany
| | - B. Peters
- Deutsches Herzzentrum Berlin, Angeborene Herzfehler/Kinderkardiologie, Berlin, Germany
| | - J. Nordmeyer
- Deutsches Herzzentrum Berlin, Angeborene Herzfehler/Kinderkardiologie, Berlin, Germany
| | - F. Berger
- Deutsches Herzzentrum Berlin, Angeborene Herzfehler/Kinderkardiologie, Berlin, Germany
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Schubert S, Kühne T, Dryzek P, Moszura T, Lukaszewski M, Moll J, Nordmeyer S, Berger F, Goreczny S. Two-Center Experience with Novel Image Fusion Software for 3D Guidance of Percutaneous Pulmonary Valve Implantation (PPVI). Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1599028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- S. Schubert
- Department of Congenital Heart Disease/Pediatric Cardiology, Deutsches Herzzentrum Berlin, Berlin, Germany
| | - T. Kühne
- Department of Congenital Heart Disease/Pediatric Cardiology, Deutsches Herzzentrum Berlin, Berlin, Germany
| | - P. Dryzek
- Department of Cardiology, Research Institute, Polish Mother's Memorial Hospital, Lodz, Poland
| | - T. Moszura
- Department of Cardiology, Research Institute, Polish Mother's Memorial Hospital, Lodz, Poland
| | - M. Lukaszewski
- Department of Cardiology, Research Institute, Polish Mother's Memorial Hospital, Lodz, Poland
| | - J.A. Moll
- Department of Cardiology, Research Institute, Polish Mother's Memorial Hospital, Lodz, Poland
| | - S. Nordmeyer
- Department of Congenital Heart Disease/Pediatric Cardiology, Deutsches Herzzentrum Berlin, Berlin, Germany
| | - F. Berger
- Department of Congenital Heart Disease/Pediatric Cardiology, Deutsches Herzzentrum Berlin, Berlin, Germany
| | - S. Goreczny
- Department of Cardiology, Research Institute, Polish Mother's Memorial Hospital, Lodz, Poland
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Delmo E, Schubert S, Hetzer R. The Impact of Rejection Episodes after Heart Transplantation on Cardiac Growth in Children. Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1598983] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- E.M. Delmo
- Unfallkrankenhaus Berlin, Berlin, Germany
| | - S. Schubert
- Deutsches Herzzentrum Berlin, Berlin, Germany
| | - R. Hetzer
- Cardio Centrum Berlin, Berlin, Germany
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47
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Degener F, Opgen-Rhein B, Schmidt F, Weigelt A, Wagner R, Müller G, Rentzsch A, Racolta A, Papakostas K, Wiegand G, Ruf B, Hannes T, Reineker K, Kiski D, Khalil M, Steinmetz M, Fischer G, Pickardt T, Messroghli D, Schubert S. Update on Baseline Data and First 1-Year Follow-up of the German Multicenter Myocarditis Registry for Pediatric Patients: “MYKKE”. Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1599006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- F. Degener
- Deutsches Herzzentrum Berlin, Klinik für Angeborene Herzfehler/Kinderkardiologie, Berlin, Germany
| | - B. Opgen-Rhein
- Charité Universitätsmedizin Berlin, Klinik für Pädiatrie mit Schwerpunkt Kardiologie, Berlin, Germany
| | - F. Schmidt
- Medizinische Hochschule Hannover, Kinderkardiologie, Hannover, Germany
| | - A. Weigelt
- Universitätsklinikum Erlangen, Kinderkardiologie, Erlangen, Germany
| | - R. Wagner
- Herzzentrum Leipzig, Kinderkardiologie, Leipzig, Germany
| | - G. Müller
- Universitäres Herzzentrum Hamburg, Hamburg, Germany
| | - A. Rentzsch
- Universitätsklinikum des Saarlandes, Kinderkardiologie, Hombrg/Saar, Germany
| | - A. Racolta
- Herz- und Diabeteszentrum NRW, Zentrum für angeborene Herzfehler, Bad Oeynhausen, Germany
| | - K. Papakostas
- Klinikum Links der Weser, Strukturelle und angeborene Herzfehler / Kinderkardiologie, Bremen, Germany
| | - G. Wiegand
- Universitätsklinikum Tübingen, Klinik für Kinder- und Jugendmedizin, Kinderkardiologie, Tübingen, Germany
| | - B. Ruf
- Deutsches Herzzentrum München, Technische Universität München, Angeborene Herzfehler/Kinderkardiologie, München, Germany
| | - T. Hannes
- Uniklinik Köln, Kinderkardiologie, Köln, Germany
| | - K. Reineker
- Universitäts-Herzzentrum Freiburg Bad Krozingen, Klinik für angeborene Herzfehler und Pädiatrische Kardiologie, Freiburg, Germany
| | - D. Kiski
- Universitätsklinikum Münster, Klinik für Kinder- und Jugendmedizin/Pädiatrische Kardiologie, Münster, Germany
| | - M. Khalil
- Universitätsklinik Gießen, Abteilung für Kinderkardiologie, Giessen, Germany
| | - M. Steinmetz
- Universitätsmedizin Göttingen, Kinderherzklinik, Klinik für Pädiatrische Kardiologie und Intensivmedizin, Göttingen, Germany
| | - G. Fischer
- Universitätsklinikum Schleswig-Holstein, Klinik für angeborene Herzfehler und Kinderkardiologie, Kiel, Germany
| | - T. Pickardt
- Kompetenznetz Angeborene Herzfehler, Berlin, Germany
| | - D. Messroghli
- Deutsches Herzzentrum Berlin, Klinik für Angeborene Herzfehler/Kinderkardiologie, Berlin, Germany
| | - S. Schubert
- Deutsches Herzzentrum Berlin, Klinik für Angeborene Herzfehler/Kinderkardiologie, Berlin, Germany
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Hosking M, Schubert S, Voss C, Balbacid E, Harris K. QUANTITATIVE ASSESSMENT OF INTIMAL THICKENING USING OPTICAL COHERENCE TOMOGRAPHY - RELATIONSHIP TO CARDIAC ALLOGRAFT VASCULOPATHY. Can J Cardiol 2016. [DOI: 10.1016/j.cjca.2016.07.111] [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: 11/25/2022] Open
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Harris K, Schubert S, Voss C, Balbacid E, Hosking M. IMPACT OF OPTICAL COHERENCE TOMOGRAPHY ON MANAGEMENT OF PEDIATRIC HEART TRANSPLANT RECIPIENTS: DATA FROM THE INTERNATIONAL PEDIATRIC OCT REGISTRY. Can J Cardiol 2016. [DOI: 10.1016/j.cjca.2016.07.112] [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: 10/20/2022] Open
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Schubert S, Bauer A, Molin S, Skudlik C, Geier J. Occupational contact sensitization in female geriatric nurses: Data of the Information Network of Departments of Dermatology (IVDK) 2005-2014. J Eur Acad Dermatol Venereol 2016; 31:469-476. [PMID: 27518760 DOI: 10.1111/jdv.13915] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2016] [Accepted: 07/08/2016] [Indexed: 11/28/2022]
Abstract
BACKGROUND Geriatric nurses (GN) have a high risk of occupational contact dermatitis (OCD), with chronic irritant contact dermatitis predominating. However, allergic contact dermatitis is an important issue as well. Little is known whether the relevant occupational allergen spectrum reported in the 1990s, including fragrances, preservatives, rubber chemicals and ingredients of surface disinfectants to be the most common sensitizers in GN, is still valid. OBJECTIVES To monitor the current allergen spectrum in GN with OCD and verify the validity of the patch test recommendations (baseline-, preservative-, ointment base-, rubber-, disinfectant, series and fragrances) in GN with suspected OCD given by the German Contact Dermatitis Research Group (DKG). METHODS Retrospective analysis of IVDK data (2005-2014) of 743 female GN with OCD, in comparison to 695 GN without OCD. RESULTS GN with OCD reacted significantly more frequently to both fragrance mixes, hydroxyisohexyl 3-cyclohexene carboxaldehyde (HICC), thiuram mix, zinc diethyldithiocarbamate and mercaptobenzothiazole than GN without OCD. Reactions to MDBGN, methylchloroisothiazolinone/methylisothiazolinone and oil of turpentine occurred substantially, but not significantly more frequently among GN with OCD. The latter may be due to former use of a special alcoholic liniment in geriatric care. Among material from the patients' workplaces, tetrazepam was a frequent allergen, due to dust exposure from pill crushing. Furthermore, occupationally used protective gloves, body care products as well as surface disinfectants were often tested positively. CONCLUSIONS The general allergen spectrum in GN with OCD is unchanged, so the DKG patch test recommendations are still valid. Prevention of occupational sensitization should focus on fragrance-free hygiene and body care products, usage of accelerator-free protective gloves and avoidance of drug dust exposure.
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Affiliation(s)
- S Schubert
- Information Network of Departments of Dermatology, University of Göttingen, Göttingen, Germany
| | - A Bauer
- Department of Dermatology, University of Dresden, Dresden, Germany
| | - S Molin
- Department of Dermatology and Allergy, Ludwig-Maximilians-University München, Munich, Germany
| | - C Skudlik
- Department of Dermatology, Environmental Medicine and Health Theory, University of Osnabrück, Osnabrück, Germany
| | - J Geier
- Information Network of Departments of Dermatology, University of Göttingen, Göttingen, Germany
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