- Aspergillus-Mucorales co-infections: implications for first-line antifungal treatment? [Journal Article]Curr Opin Infect Dis. 2026 Oct 14. [Online ahead of print]CO
- CONCLUSIONS: Clinicians should estimate Mucorales probability from host factors, prior prophylaxis, imaging, and local epidemiology and deploy PCR early. If the estimated probability is ~10% (consider at 5%), start a Mucorales-active first-line therapy while diagnostics proceed. Decisions must balance toxicity and organ function against the high cost of delay. Research should validate risk models, refine definitions/algorithms, and test new agents up-front.
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- Optimizing cefiderocol use in clinical practice. [Journal Article]Curr Opin Infect Dis. 2026 Oct 27. [Online ahead of print]CO
- CONCLUSIONS: With its unique structure and broad activity against resistant gram-negative pathogens, cefiderocol represents an important and evolving addition to the AMR therapeutic landscape.
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- Clinical and genetic risk factors for apolipoprotein L1-mediated chronic kidney disease in people of African ancestry with HIV. [Journal Article]Curr Opin Infect Dis. 2026 Oct 12. [Online ahead of print]CO
- CONCLUSIONS: Genetic variants of APOL1 are causally implicated in HIVAN and other forms of severe CKD in populations of African ancestry with HIV. Genetic, epigenetic and environmental factors influence the risk of developing APOL1-mediated CKD, and emerging APOL1-directed therapies offer the prospect of clinical remission to those with established APOL1-mediated CKD.
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- Reducing antibiotic burden in gram-negative bacteraemia: duration optimization and early oral transition. [Journal Article]Curr Opin Infect Dis. 2026 Oct 12. [Online ahead of print]CO
- CONCLUSIONS: Current evidence supports reducing antibiotic exposure in selected patients with Gram-negative bloodstream infections by combining shorter treatment durations and early oral step-down therapy. Future studies should address remaining evidence gaps, particularly in frail patients.
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- Severe strongyloidiasis and Gram-negative bacterial superinfections: epidemiology, clinical implications, and therapeutic strategies. [Journal Article]Curr Opin Infect Dis. 2026 Oct 09. [Online ahead of print]CO
- CONCLUSIONS: Enteric Gram-negative bacteraemia or meningitis in an at-risk patient, particularly if recurrent or polymicrobial, should prompt parasitological investigation. As treatment of established disease is unproven, detecting and treating chronic infection before immunosuppression, including transplant donors and recipients, remains the intervention most likely to reduce mortality.
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- Screening for multidrug-resistant organism: clinical benefit or unquestioned routine. [Journal Article]Curr Opin Infect Dis. 2026 Oct 12. [Online ahead of print]CO
- CONCLUSIONS: We propose that physiological bacterial translocation from the intestinal microbiota is a common phenomenon and may represent one of the mechanisms of bloodstream infection in critically ill and immunocompromised patients. In this model, progression to invasive infection depends on intestinal pathobiont burden exceeding the capacity of host immune clearance. If validated, this concept would support a transition from qualitative MDRO screening to quantitative assessment of intestinal pathobiont burden to guide antimicrobial stewardship and targeted preventive strategies.
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- Endemic Mycoses in 2026: can we keep the pace of redrawing maps? [Journal Article]Curr Opin Infect Dis. 2026 Sep 18. [Online ahead of print]CO
- CONCLUSIONS: Climate change, human mobility, socioeconomic disparities, and a growing immunosuppressed patient population affected the geographic distribution of dimorphic fungal infections and will challenge mycologist to keep up with the pace of redrawing the maps for these infections. There is a need for more research and public health initiatives in this field. Clinicians should have a high index of suspicion for dimorphic fungal infections, and all patients with compatible syndromes should receive appropriate testing, even in historically nonendemic areas.
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- Adenovirus infection after cellular therapy: diagnostic and therapeutic challenges. [Journal Article]Curr Opin Infect Dis. 2026 Sep 18. [Online ahead of print]CO
- CONCLUSIONS: HAdV remains an important cause of morbidity and mortality following HCT, particularly in patients with impaired T-cell immunity. Key challenges include optimal surveillance strategies, treatment thresholds, and management of high-risk patients. Advances in molecular diagnostics, standardized disease definitions, brincidofovir, and virus-specific T-cell therapies may facilitate higher quality clinical research and support more standardized, evidence-based approaches to HAdV management.
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- Machine learning to differentiate colonization from infection in multidrug-resistant Gram-negative bacteria: implications for further research. [Journal Article]Curr Opin Infect Dis. 2026 Aug 27. [Online ahead of print]CO
- CONCLUSIONS: The main challenge for machine learning in predicting MDR-GNB infection in colonized patients may lie not in developing increasingly sophisticated algorithms, but in generating clinically representative datasets and adopting rigorous methodological standards for model development, validation, calibration, and implementation. Future research should prioritize clinically meaningful target populations and demonstrate improvements in patient outcomes and antimicrobial stewardship beyond conventional measures of predictive performance.
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- Fungal diseases in burn and blast-injured patients: tensions are rising, and awareness must keep pace. [Journal Article]Curr Opin Infect Dis. 2026 Sep 02. [Online ahead of print]CO
- CONCLUSIONS: Optimal management of IFD in burn patients requires a multidisciplinary approach combining immune risk stratification, refined diagnostic algorithms, and individualized antifungal therapy. Consensus on case definitions and prospective multicentre data are urgently needed to consolidate the evidence base and meaningfully improve outcomes in this vulnerable population.
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- Using bacteriophage cocktails in MDR Gram-negative infections: a practical manual. [Journal Article]Curr Opin Infect Dis. 2026 Aug 27. [Online ahead of print]CO
- CONCLUSIONS: Understanding the protocol for phage therapy in addition to the potential setbacks is essential to eventually formulating "off-the-shelf" therapy.
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- Managing KPC infections in daily practice: when BLBLIs are interchangeable - and when they are not. [Journal Article]Curr Opin Infect Dis. 2026 Oct 09. [Online ahead of print]CO
- CONCLUSIONS: BLBLI with KPC activity interchangeability is clinically reasonable only in selected, microbiologically confirmed, low-risk scenarios. In complex infections, therapy should be guided according to resistance mechanism, infection site, pharmacokinetics/pharmacodynamics (PK/PD) parameters, and host factors.
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- Antiviral targets in the prevention and treatment of measles. [Journal Article]Curr Opin Infect Dis. 2026 Aug 27. [Online ahead of print]CO
- CONCLUSIONS: The recent advances in the development and preclinical testing of MeV-targeting antivirals offer multiple independent avenues for their clinical evaluation.
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- Rates of azole resistance in aspergillosis: a worldwide overview. [Journal Article]Curr Opin Infect Dis. 2026 Aug 27. [Online ahead of print]CO
- CONCLUSIONS: Triazole-resistant A. fumigatus is an emerging issue both clinically and in the environment. Greater attention and more resources are needed to better understand the extent of the problem.
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- Alveolar echinococcosis. [Review]
- CONCLUSIONS: Treatment options for alveolar echinococcosis have not changed in decades. Cure is only available for early and limited hepatic disease amenable to R0-surgical resection. Advanced disease, ineligible for surgery, is treated with benzimidazoles with a parasitostatic effect on Echinococcus multilocularis. The prognosis of alveolar echinococcosis ranges from excellent to poor depending mainly on the extent of hepatopathy induced by irreversible damage to the biliary and vascular system of the liver. Benzimidazole intolerance dramatically worsens prognosis, as parasitic growth cannot be suppressed in inoperable patients.
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