
Health Rounds: Common vaginal infection helped by also treating male partners
March 7 (Reuters) - (This is an excerpt of the Health Rounds newsletter, where we present latest medical studies on Tuesdays and Thursdays. To receive the full newsletter in your inbox for free sign up here, opens new tab)
A common bacterial infection of the vagina is actually a sexually transmitted disease that can be helped by also treating male sexual partners, researchers have discovered.
Bacterial vaginosis affects nearly a third of women worldwide and can cause infertility, premature births and newborn deaths. It has long been attributed to an imbalance in the distribution of healthy organisms living in the vagina, researchers said in a report in The New England Journal of Medicine., opens new tab
More than 50% of women have recurrent bacterial vaginosis within three months after the usual treatment with oral antibiotics.
In a trial, 164 women with recurrent infections who were in monogamous relationships all received the recommended antibiotics. Their male partners received either an oral antibiotic and a topical antibiotic cream, or placebo.
The researchers stopped the trial early when it became clear the recurrence rate was 50% lower in the partner treatment group.
They say their findings hold the key to reducing the high recurrence rates of bacterial vaginosis.
'This successful intervention is relatively cheap and short and has the potential for the first time to not only improve bacterial vaginosis cure for women' but also to prevent the infections and associated serious complications, study leader Catriona Bradshaw of Monash University in Australia said in a statement.
KIDNEY RECIPIENTS WITH DIABETES BENEFIT FROM GLP-1 DRUGS
Kidney transplant recipients with diabetes have better outcomes if they are prescribed GLP-1 drugs, a review of U.S. medical records suggests.
Those who started taking a drug from that widely used class of medicines post-transplant were 49% less likely to experience failure of the new organ and 31% less likely to die within five years of starting treatment, compared to similar patients who did not receive the medications, researchers reported in The Lancet Diabetes & Endocrinology, opens new tab.
The roughly 18,000 study subjects underwent kidney transplantation between 2013 and 2020. About 11% of them were prescribed any of several GLP-1 drugs at a median of 19 months post-transplant.
Eli Lilly's (LLY.N), opens new tab Trulicity (dulaglutide) was the most commonly used GLP-1 drug in the study. Some patients received Novo Nordisk's (NOVOb.CO), opens new tab Ozempic (semaglutide) or the company's older Victoza (liraglutide). Several other drugs in the class, also known for its weight-loss effects, were used in the trial.
Most of the serious GLP-1-associated complications such as pancreatitis and liver problems were not seen in the transplant patients, researchers said. The drugs also were not associated with medullary thyroid cancer as has been reported before in patients taking the types of immunosuppressive medications used after transplants.
The GLP-1 drugs did increase the risk of diabetic eye disease.
To manage the risk of diabetic retinopathy, study lead author Dr. Babak Orandi from the NYU Grossman School of Medicine recommends ensuring blood sugar levels are controlled before starting GLP-1 medications. He also advises gradually increasing GLP-1 doses for kidney transplant recipients with severe diabetes or a history of eye problems.
'Our research offers a large amount of real-world clinical data to guide the management of benefits and risks of GLP-1 use in kidney transplant recipients,' Orandi said in a statement.
ROBOTIC SLEEVE MAY SOMEDAY SUPPRESS HAND TREMORS
People whose hands tremble and shake uncontrollably may someday be able to wear a robotic device in a soft sleeve that will suppress their tremors and improve their ability to perform daily activities, a new invention suggests.
Such devices are not yet commercially available, but researchers in Germany have come a step closer to making them a reality.
They designed a 'mechanical patient' with a biorobotic arm that can precisely simulate the shaking of an individual patient's wrist and hand. They also came up with lightweight strands of artificial muscles that can contract and relax in a way that compensates for the movements of the robotic arm until the tremor can hardly be felt or seen.
'We see a great potential for our muscles to become the building blocks of a garment one can wear very discreetly so that others don't even realize the person suffers from a tremor,' study leader Alona Shagan Shomron of the Max Planck Institute for Intelligent Systems said in a statement.
Writing on Thursday in Device, opens new tab, the team expressed hope that their biorobotic arm will serve as a platform not just for their own work but also for other research teams to test artificial muscles, avoiding some of the time-consuming and costly clinical testing on real patients.
'With the combination of mechanical patient and biomechanical model we can measure if any tested artificial muscles are good enough to suppress all tremors, even very strong ones,' study coauthor Daniel Haufle of the University of Tubingen said in a statement.
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Scottish Sun
15 hours ago
- Scottish Sun
Heartbroken mum warns of killer mistake to never make with newborn babies after daughter dies from common infection
The virus can be very serious for a young baby, whose immune system will not have fully developed to fight off the virus - find out warning signs of the infection below 'TRAUMATISING' Heartbroken mum warns of killer mistake to never make with newborn babies after daughter dies from common infection Click to share on X/Twitter (Opens in new window) Click to share on Facebook (Opens in new window) A HEARTBROKEN mum is warning others of a common mistake made with newborns after losing her daughter to a deadly infection. Hailey Riches, 25, knew there was something wrong with Violet Constantinou after she refused to feed and had yellow skin. Sign up for Scottish Sun newsletter Sign up 5 At eight days old, it was discovered that Violet had neonatal herpes Credit: SWNS 5 Doctors noticed the newborn was having acute liver failure so was made highest priority for a liver transplant Credit: SWNS She was advised to take Violet to hospital as she "started getting worse". At eight days old it was discovered from a series of tests she had contracted neonatal herpes (HSV-1) - a serious infection in newborns caused by the herpes simplex virus (HSV). Violet was immediately given anti-viral medication, but her condition quickly deteriorated, and she began to experience seizures. She was consequently taken to Southampton Hospital where she was placed in intensive care. Doctors noticed the newborn was having acute liver failure and despite being put on highest priority in the UK for a liver transplant she tragically died at one month old while still waiting. They told mum Hailey and dad Dimitri Constantinou, 30, they would never know where the herpes came from. Hailey and her fiancé have vowed to spread awareness for people with cold sores, or those prone to the virus, to keep away from newborn babies. Hailey said: "I do see it online many times people saying 'but why can't we kiss a baby?' when it is not their baby - it frustrates me because of having gone through this situation. "This is why you have to be slightly protective and be aware. If you have got a cold sore don't go near a baby because it is deadly and can kill them. "This is not to scare new mums or pregnant women. It is to say if you are not feeling right in yourself and if the baby is not feeling right then to be persistent and get it checked." I kissed someone for the first time in a year and was left in a devastating state Hailey added: "I don't have genital herpes, none of my family or myself had a cold sore outbreak. They said it is most likely from an outsource but they are not sure who. "Anyone can spread the virus without even knowing. Even if you have got no symptoms you might still pass it on." From a normal pregnancy to critical ordeal Hailey Riches who works as a specialty coordinator for NHS said she had a "normal" pregnancy and gave birth to daughter Violet via an emergency caesarean on March 22, 2023. Despite the newborn seeming "fine and well", once the family returned home, mum Hailey noticed that Violet started to feed less, looking fatigued and had a yellow skin. A health visitor advised Hailey to take her to Worthing Hospital - where she was checked with a jaundice machine. The newborn was sent home but everything "started to get worse", explained Hailey. At eight days old, Violet was still having troubles feeding, so Hailey took her back into hospital, where a nurse discovered she had a high temperature. At that point mum Hailey was admitted with sepsis. This led to blood checks and a lumber puncture, which revealed that Violet had neonatal herpes (HSV-1) - a serious infection in newborns caused by the herpes simplex virus (HSV). It can be contracted before, during, or after birth. Type 1 (HSV-1) is mostly spread by oral contact through kissing, sharing drinks or utensils, and causes infections in or around the mouth, like cold sores. Violet was immediately given anti-viral medication, but her condition quickly deteriorated, and she began to experience seizures. On April 1, she was taken to Southampton Hospital where she was placed in intensive care. Hailey, of Billingshurst, Sussex, said: "The doctors said that we will be lucky to see her survive the next 24 to 48 hours. 5 At one month old Violet tragically died, still waiting for a liver transplant Credit: SWNS 5 The couple were told they would never find out what caused the infection Credit: SWNS 5 On August 16, 2024, Hayley and her fiancé Dimitri welcomed daughter Lily into the world Credit: SWNS "She was deteriorating further and then they decided to flew her by helicopter to King's College Hospital in London because they realised she was having acute liver failure." Violet was put on highest priority in the UK for a liver transplant but tragically died on April 21 while still waiting. Hayley said: "It was absolutely traumatising. The worst time of our family's life - I don't think our family has ever gone through such a traumatic time. "Every day something was happening and she was deteriorating further - it affected her brain, her lungs, she then had a cardiac arrest at one point where we watched her being resuscitated for nine minutes. "It just got worse and worse and it was time to say goodbye at the end." Doctors told mum Hailey and dad Dimitri, who works as a driver for builders merchants, they would never know where the herpes came from. Anyone can spread the virus without even knowing. Even if you have got no symptoms you might still pass it on Hailey Riches Hailey added: "I don't have genital herpes, none of my family or myself had a cold sore outbreak. They said it is most likely from an outsource but they are not sure who. "Anyone can spread the virus without even knowing. Even if you have got no symptoms you might still pass it on." On August 16, 2024, Hayley and her fiancé welcomed daughter Lily into the world. But Hailey explained she was "terrified" during the first months of giving birth following her experience with Violet. She said: "I had consultants telling me the first six weeks are crucial to protect her because they have no immune system. "I had always said to people no kissing, wash your hands when you come in or if you want to hold her. We were very protective because of the situation we went through. "I do see it online many times people saying 'but why can't we kiss a baby?' when it is not their baby - it frustrates me because of having gone through the situation. "This is why you have to be slightly protective and be aware. If you have got a cold sore don't go near a baby because it is deadly and can kill them. "This is not to scare new mums or pregnant women. It is to say if you are not feeling right in yourself and if the baby is not feeling right then to be persistent and get it checked." Hailey concluded: "Thank you to Southampton General Hospital, the Pediatric Unit and Ronald McDonald charity who accommodated us in Southampton and London during these tragic times."


The Sun
15 hours ago
- The Sun
Heartbroken mum warns of killer mistake to never make with newborn babies after daughter dies from common infection
A HEARTBROKEN mum is warning others of a common mistake made with newborns after losing her daughter to a deadly infection. Hailey Riches, 25, knew there was something wrong with Violet Constantinou after she refused to feed and had yellow skin. 5 5 She was advised to take Violet to hospital as she "started getting worse". At eight days old it was discovered from a series of tests she had contracted neonatal herpes (HSV-1) - a serious infection in newborns caused by the herpes simplex virus (HSV). Violet was immediately given anti-viral medication, but her condition quickly deteriorated, and she began to experience seizures. She was consequently taken to Southampton Hospital where she was placed in intensive care. Doctors noticed the newborn was having acute liver failure and despite being put on highest priority in the UK for a liver transplant she tragically died at one month old while still waiting. They told mum Hailey and dad Dimitri Constantinou, 30, they would never know where the herpes came from. Hailey and her fiancé have vowed to spread awareness for people with cold sores, or those prone to the virus, to keep away from newborn babies. Hailey said: "I do see it online many times people saying 'but why can't we kiss a baby?' when it is not their baby - it frustrates me because of having gone through this situation. "This is why you have to be slightly protective and be aware. If you have got a cold sore don't go near a baby because it is deadly and can kill them. "This is not to scare new mums or pregnant women. It is to say if you are not feeling right in yourself and if the baby is not feeling right then to be persistent and get it checked." Hailey added: "I don't have genital herpes, none of my family or myself had a cold sore outbreak. They said it is most likely from an outsource but they are not sure who. "Anyone can spread the virus without even knowing. Even if you have got no symptoms you might still pass it on." From a normal pregnancy to critical ordeal Hailey Riches who works as a specialty coordinator for NHS said she had a "normal" pregnancy and gave birth to daughter Violet via an emergency caesarean on March 22, 2023. Despite the newborn seeming "fine and well", once the family returned home, mum Hailey noticed that Violet started to feed less, looking fatigued and had a yellow skin. A health visitor advised Hailey to take her to Worthing Hospital - where she was checked with a jaundice machine. The newborn was sent home but everything "started to get worse", explained Hailey. At eight days old, Violet was still having troubles feeding, so Hailey took her back into hospital, where a nurse discovered she had a high temperature. At that point mum Hailey was admitted with sepsis. This led to blood checks and a lumber puncture, which revealed that Violet had neonatal herpes (HSV-1) - a serious infection in newborns caused by the herpes simplex virus (HSV). It can be contracted before, during, or after birth. Type 1 (HSV-1) is mostly spread by oral contact through kissing, sharing drinks or utensils, and causes infections in or around the mouth, like cold sores. Violet was immediately given anti-viral medication, but her condition quickly deteriorated, and she began to experience seizures. On April 1, she was taken to Southampton Hospital where she was placed in intensive care. Hailey, of Billingshurst, Sussex, said: "The doctors said that we will be lucky to see her survive the next 24 to 48 hours. 5 5 "She was deteriorating further and then they decided to flew her by helicopter to King's College Hospital in London because they realised she was having acute liver failure." Violet was put on highest priority in the UK for a liver transplant but tragically died on April 21 while still waiting. Hayley said: "It was absolutely traumatising. The worst time of our family's life - I don't think our family has ever gone through such a traumatic time. "Every day something was happening and she was deteriorating further - it affected her brain, her lungs, she then had a cardiac arrest at one point where we watched her being resuscitated for nine minutes. "It just got worse and worse and it was time to say goodbye at the end." Doctors told mum Hailey and dad Dimitri, who works as a driver for builders merchants, they would never know where the herpes came from. Anyone can spread the virus without even knowing. Even if you have got no symptoms you might still pass it on Hailey Riches Hailey added: "I don't have genital herpes, none of my family or myself had a cold sore outbreak. They said it is most likely from an outsource but they are not sure who. "Anyone can spread the virus without even knowing. Even if you have got no symptoms you might still pass it on." On August 16, 2024, Hayley and her fiancé welcomed daughter Lily into the world. But Hailey explained she was "terrified" during the first months of giving birth following her experience with Violet. She said: "I had consultants telling me the first six weeks are crucial to protect her because they have no immune system. "I had always said to people no kissing, wash your hands when you come in or if you want to hold her. We were very protective because of the situation we went through. "I do see it online many times people saying 'but why can't we kiss a baby?' when it is not their baby - it frustrates me because of having gone through the situation. "This is why you have to be slightly protective and be aware. If you have got a cold sore don't go near a baby because it is deadly and can kill them. "This is not to scare new mums or pregnant women. It is to say if you are not feeling right in yourself and if the baby is not feeling right then to be persistent and get it checked." Hailey concluded: "Thank you to Southampton General Hospital, the Pediatric Unit and Ronald McDonald charity who accommodated us in Southampton and London during these tragic times." Neonatal herpes - the warning signs Neonatal herpes is a herpes infection in a young baby. The younger the baby, the more vulnerable they are to the harmful effects of infection. Herpes can be very serious for a young baby, whose immune system will not have fully developed to fight off the virus. The herpes simplex virus can be passed to a baby through a cold sore if a person has a cold sore and kisses the baby. The herpes virus can also be spread to your baby if you have a blister caused by herpes on your breast and you feed your baby with the affected breast or expressed breast milk from the affected breast. A baby is most at risk of getting a herpes infection in the first 4 weeks after birth. You should not kiss a baby if you have a cold sore to reduce the risk of spreading infection. Warning signs If you see the following warning signs in your baby call a GP or contact 111 straight away: is lethargic or irritable is not feeding has a high temperature (fever) – find out how to take your baby's temperature has a rash or sores on the skin, eyes and inside the mouth Call 999 immediately if your baby: is lacking in energy (listless) is becoming floppy and unresponsive is difficult to wake up from sleep has breathing difficulties or starts grunting breathes rapidly has a blue tongue and skin (cyanosis) – if they have brown or black skin this may be easier to see on their lips, tongue and gums, under their nails and around their eyes How is it treated? Neonatal herpes is usually treated with antiviral medicines given directly into the baby's vein (intravenously). This treatment may be needed for several weeks. Any related complications, such as fits (seizures), will also need to be treated. How can it be prevented? If you're pregnant and have a history of genital herpes, tell your doctor or midwife. You may need to take medicine during the last month of pregnancy to prevent an outbreak of vaginal sores during labour. Delivery by caesarean section is recommended if the genital herpes has occurred for the first time in the last 6 weeks of your pregnancy. If you develop a cold sore or have any signs of a herpes infection, take these precautions: do not kiss any babies wash your hands before contact with a baby wash your hands before breastfeeding cover up any cold sores, lesions or signs of a herpes infection anywhere on your body to avoid passing on the virus Source: NHS