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Infectious Disease 2026-W24 · Published Jul 22, 2026

This Week in Infectious Disease: PrEP Awareness and Antibiotic Efficacy

From the Journal of the International AIDS Society, a meta-analysis examined disparities in pre-exposure prophylaxis awareness among men who have sex with men [1].

The study identified significantly higher rates of both PrEP awareness and usage among gay men compared to bisexual men within their pooled analysis. Meanwhile, research from Clinical infectious diseases evaluated treatment options for hospital-acquired pneumonia using newer antibiotics versus generic formulations [5].

Data involving 2881 patients indicated that the updated antibiotic regimens reduced nephrotoxicity while improving eradication of carbapenem-resistant gram-negative bacilli in cases of HABP and VABP.

Elsewhere this week, a systematic review from Clinical and experimental dental research assessed adjunctive corticosteroid therapy for bacterial facial infections [2].

The authors observed significant reductions in hospital stay duration with these steroids; however, the evidence certainty was noted as low. A separate study reported findings on carbapenem-resistant Enterobacteriaceae colonization prevalence through a meta-analysis from American journal of infection control [3].

Across 89 studies involving over 100 participants, pooled CRE colonization rates were found to be higher in hospital-based screening settings compared to community approaches.

In the Journal of acquired immune deficiency syndromes (1999), an RCT described HIV incidence outcomes when comparing F/TAF versus F/TDF for PrEP in cisgender women [4].

The trial included predominantly cisgender women across East and South Africa, reporting specific incidence rates per 100 person-years. Findings suggest that while the two formulations showed similar HIV incidence, noninferiority was not proven due to adherence factors and statistical power limitations.

Articles in This Digest

Gay men show higher rates of PrEP awareness and use than bisexual men Gay men more likely to use HIV prevention tools
This meta-analysis of 514,543 individuals identified significantly higher rates of PrEP awareness and usage among gay men compared to bisexual men. While both g…
New data shows significant gaps in PrEP awareness and use among bisexual men compared to gay men, highlighting a need for targeted outreach.
Adjunctive corticosteroids may modestly reduce hospital stay for bacterial facial infections but evidence certainty is low Adding steroids to facial infection treatment may shorten hospital stays by about one and a half days
This systematic review and meta-analysis evaluated adjunctive corticosteroid therapy versus standard treatment alone in patients with bacterial facial infection…
A large review found that adding steroids to standard care for facial infections might shorten hospital stays, but the evidence is not yet strong enough to chan…
Hospital-based screening yields 18% CRE colonization prevalence, 20% with universal screening Hospital settings show higher CRE colonization rates than community locations
This systematic review and meta-analysis of 116,743 participants across 89 studies found a pooled CRE colonization prevalence of 14%. Hospital-based and univers…
A large analysis of over 116,000 people found that hospital settings have much higher rates of CRE colonization compared to community settings.
F/TAF PrEP shows similar HIV incidence to F/TDF in cisgender women but noninferiority not proven PrEP pill F/TAF shows similar HIV prevention as F/TDF in women
This RCT in 1380 predominantly cisgender women in East and South Africa compared daily oral F/TAF vs F/TDF for HIV PrEP over 6 months. HIV incidence was 0.86 vs…
A study in African women found that a newer PrEP pill (F/TAF) prevented HIV at similar rates to the standard pill (F/TDF), but the study was too small to prove …
Newer antibiotics reduce nephrotoxicity and improve eradication of carbapenem-resistant gram-negative bacilli versus generic antibiotics in HABP/VABP Newer antibiotics no better at preventing pneumonia deaths
This systematic review and meta-analysis evaluated newer antibiotics versus generic antibiotics for hospital-acquired and ventilator-associated bacterial pneumo…
Newer antibiotics for hospital-acquired pneumonia don't lower death risk more than older generics, but they do spare kidneys.
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