Jenny Shelton highlights the potential for invasive and chronic fungal lung infections with Aspergillus fumigatus in COVID-19 patients and the dangers posed by growing antifungal resistance.
Virtually unknown just a few months ago, the COVID-19 pandemic has affected millions worldwide. The pathogen responsible, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), infects alveolar cells in the lungs. Parallels are already emerging between severe COVID-19 infection and severe influenza. Influenza, or ‘the flu’, is also caused by a virus that infects cells along the respiratory tract and is associated with similar symptoms to COVID-19 but has a lower death rate (<0.1%). Studies have found that up to 65% of individuals hospitalised with severe influenza infection are co-infected with bacteria. A recent review found 9 studies, undertaken in China and USA, that reported bacterial coinfection in a combined 62 of 806 (8%) individuals admitted to hospital with COVID-19 infection and the majority of patients (72%) received antimicrobial drugs.
Another secondary infection associated with severe influenza is invasive pulmonary aspergillosis (IPA), which develops when spores from the fungus Aspergillus fumigatus grow in the lung and pass into the bloodstream to cause sepsis. IPA is diagnosed in up to 19% of individuals hospitalised with influenza, with significantly higher mortality in the patients with IPA. (more…)
Dr Teresa Thurston shares her experience as a relatively new PI of looking after a new-born, homeschooling and keeping in touch with her lab during lockdown.
The pressure of the pandemic has been felt particularly hard by parents juggling work and childcare, often with fewer hours available for work. In some households, the burden of care work continues to fall disproportionately on women and this may be true for academia as well; journal editors have noted that early evidence suggests fewer paper submissions from women than men whilst under quarantine.
Every one of us has been hit by lockdown and many people are struggling to juggle work with kids at home. It has been more than 50 days since my family of five begun isolation. My husband came down with a fever and cough and went to bed and I picked up the kids for the last time. After telling our afterschool nanny not to come over, panic hit. I had no idea how I was going to cope. I was still recovering from delivering a 5Kg baby who was just four weeks old and now I was solely responsible for three kids and a sick husband. This was not going to be any ordinary maternity leave. (more…)
Professor Danny Altmann explores how the pandemic has offered new perspectives on his research, leading to new collaborations and engaging with policy.
If any of us ever wished for greater prominence, respect, or public understanding of our scientific contributions to society, this is not the way we would have wished to achieve it. For so many at Imperial working in diverse aspects of infection, immunity and global health, this has been a time of much urgent soul-searching as to how we can best bring our skill sets to bear on the problem most effectively, whether as clinicians, disease modellers, vaccinologists or basic immunologists. It’s hard to turn on a news broadcast or open a newspaper without seeing opinions from Imperial colleagues, clinical and scientific.
At a time when the mantra is ‘policy led by the science’, this is absolutely as it should be. We often have it ingrained as scientists to keep our heads down lest we be accused of showboating or playing ‘Johnny-Big-Potato’ by making inflated claims about our research. Yet, this is a time when it’s OK and even laudable to stick your head above the parapet: when it genuinely matters, and people genuinely want to know, what are these different types of antibody tests, is antibody protective and how long does it last, which may be the most effective vaccines. This surely is the time to step up to the plate, whether by adapting the research focus of our labs to the current issues, by communicating and trying to clarify the nuances, and of course, by remembering our commitments to our students and trying to work out how to keep them stimulated and scientifically productive despite lockdown. (more…)
Historian of medicine Dr Jennifer Wallis explores some of the parallels between 19th-century health concerns and the current pandemic, and introduces us to one of her favourite Victorian objects.
I spent most of Sunday afternoon sewing face masks out of old t-shirts, pretty inexpertly and with more than a few pricked fingers. In a recent article for the BMJ, Professor Trisha Greenhalgh and colleagues argue for the precautionary principle when it comes to mask-wearing during the COVID-19 crisis. They argue that ‘we have little to lose and potentially something to gain’ from wearing masks. A quick Google search for news items about masks yields a constantly growing number of results and questions: Who should be wearing masks and where? What should masks be made of? Can/should masks be fashion items? (more…)