A Themed Issue in Honor of Professor Helen Giamarellou—Outstanding Contributions in the Fields of Antimicrobial Resistance and Difficult-to-Treat Resistance Pathogens

A special issue of Antibiotics (ISSN 2079-6382). This special issue belongs to the section "Antibiotic Therapy in Infectious Diseases".

Deadline for manuscript submissions: 31 March 2025 | Viewed by 1435

Special Issue Editor


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Guest Editor
Intensive Care Unit, First Department of Respiratory Medicine, School of Medicine, Sotiria Chest Hospital, National and Kapodistrian University of Athens, 11527 Athens, Greece
Interests: antimicrobial chemotherapy; hospital-acquired infections; antimicrobial resistance; critical illness; sepsis

Special Issue Information

Dear Colleagues,

Prof. Helen Giamarellou received her medical degree from and completed her Doctoral Thesis (1970) at Athens University School of Medicine in Greece. She became a Research Fellow in Infectious Diseases at the Abraham Lincoln School of Medicine, University of Illinois, Chicago (1973-1974), under the auspices of the Infectious Diseases pioneer and famously known Prof. G.G. Jackson. She completed her postdoctoral training in Infectious Diseases at Wadsworth Medical Center in Los Angeles, as well as at the Memorial Sloan-Kettering Cancer Institute in New York City and at the Mayo Clinic in Rochester. In 1981, she obtained her PhD Thesis on “The Validity of Antibiotic Combination in vitro and in vivo” from Athens University Medical School.

In 1997, she became Professor of Internal Medicine at National and Kapodistrian University of Athens Medical School, where, from 1975 to 2023, she lectured in topics related to Internal Medicine and Infectious Diseases, whereas she was also the founder, organizer, and teacher of the innovative and successful Annual Interactive Course on Rational Use of Antibiotics to be run for all graduating students at the Greek Medical Schools (2006-2023).

From 1997 to 2009, Helen Giamarellou was the Head of the newly established 4th Internal Medicine Department of the University of Athens Medical School, of which she was the founder and the organizer, which was initially located in Sismanoglion General Hospital (1997-2003) in the suburbs of Athens, and subsequently at University General Hospital 'ATTIKON' (2003-2009), located in Athens. She also organized the well-known Infectious Diseases Research Labs and Inf. Dis. Outpatient Clinics, including that of HIV Medicine. The latter centers served as reference points (though not for research) for patients suffering from 'difficult to treat infections', offering treatment free of charge using both microbiological work-ups and therapeutic consultations. After becoming Professor Emeritus in 2010, she became the Head of the 1st Department of Internal Medicine-Infectious Diseases, as well as Head of the Infectious Diseases Research Lab at Hygeia General Hospital in Athens, working alongside with Athens Univ. School Med. for teaching and research.

From 2013 to 2017, she was elected by the National Public Health Organization (KEELPNO) as a “National Focal Point for Antimicrobial Resistance” at the ECDC in Stockholm, being the Official Representative of Greece.

After her personal efforts, the official subspecialty of Infectious Diseases was established in 1996 in Greece, and, therefore, she was officially qualified as the first Infectious Diseases Physician in her country. Her major research interests are focused on antibiotic stewardship, nosocomial infections, infection control, the epidemiology of resistance and the in vitro investigation of underlying resistance mechanisms, infections in the ICU, neutropenic host infections, indicated therapeutic approaches of MDR and XDR Gram-negative infections, and the pharmacokinetics/pharmacodynamics of newer antimicrobial agents.

She serves as a member of 24 medical societies (8 Greek, 16 international) including the Hellenic Society Of Chemotherapy, for which she served as the elected Chairman of the Executive Committee from 1998 to 2024, the International Society of Chemotherapy (co-opted board member, 1989–1993), ESCMID (co-opted member of the Executive Committee, 2000–2003), F.E.S.C.I. (Chairman, 2003–2007), EORTC, APUA, the International Collaboration on Endocarditis ( Duke Univ., USA), British Society of Chemotherapy, and Amphiaraion Foundation of Chemotherapeutic Studies (General Secretary, 1985–2023). She also served as a member of 24 national and international societies in the field of Infectious Diseases, including the Greek National Hospital Infection Committee, the International Affairs Committee of the Infectious Diseases Society of America (1988-2001), the Hellenic Center of Disease Control and Prevention (Board Member 2006-2013), ESAC (European Surveillance Antimicrobial Consumption), ECDC (a member of the scientific Advisory Forum and as 'Resistance Focal Point' representative of Greece, 2007–2016).

She is an adhoc reviewer of 29 International journals, including Clinical Infectious Diseases, Clinical Microbiology and Infection, European Journal of Clinical Microbiology and Infectious Diseases, Drugs, Drug Investigation, Lancet Infect Dis, Journal Infection, Journal of Antimicrobial Chemotherapy, Antimicrobials Agents and Chemotherapy, Expert Opinion on Pharmacotherapy, Expert Opinion on Investigational Drugs, Expert Opinion on Anti-infective therapy, Eurosurveillance, Intensive Care Medicine, Critical Care, and International Journal Antimicrobial Agents (also serving as the Editor).

She has contributed as a member of organizing and/or scientific committees of 21 Congresses and Conferences in Greece and abroad.

Prof. Giamarellou is an author of 456 peer-reviewed journal articles (English literature) with 27.975 citations (SCOPUS). Her D-index is 85 and H-index 91.

She is a honorary Fellow of IDSA and ESCMID.

Because of her total contribution to Infectious Diseases, in 2014, she received the Ippokration Award, which until then had only been given to foreign distinguished scientists.

In 2018, she was included in the list of 6000 scientists from all over the world regarding her scientific influence (The Highly Cited Researchers).

In 2019, she was elected as a member of Academia Europaea.

She is currently Professor Emeritus of Internal Medicine and Infectious Diseases at National and Kapodistrian University of Athens Medical School.

OTHER SCIENTIFIC ACTIVITIES:

  • Founder of the Hellenic Infectious Diseases Society in 1993 (Chairman 1993-1996);
  • Organizer, in cooperation with the Hellenic Center for Disease Control and Prevention, of the “European Antibiotic Awareness Day”, annually, from 2007 to 2013, and “The International Antibiotic Awareness Week” since 2014;
  • Organizer of a free-of-charge Consultation Center at Hygeia Hospital on 'TORCH Infections in Pregnancy', 2011–present;
  • Founder of Educational Courses on 'Legends and Truths on Antibiotics and Vaccinations', targeting the public of different districts in Greece in cooperation with the Hellenic Society of Chemotherapy under the Auspices of the Athens Medical Society (2014–present);
  • Founder of Educational Courses for preliminary schoolteachers in Greece on ‘the Prudent Use of Antibiotics’, introducing also the e-bug as a tool for teachers;
  • Thirty studies have been awarded to her in Greece and internationally;
  • Author in >600 abstracts in International Conferences/Congresses and scientific meetings;
  • In total, >120 publications in Greek Medical Journals;
  • In total, 57 books and 41 chapters in 19 international medical books on Antimicrobial Chemotherapy and Infectious Diseases; 132 chapters in 36 Greek medical books; editor in 4 Greek medical books; and chapters in 2 Medical Guidebooks on “Rational Use of Antibiotics for the Hospitalized Patient”, published by the Hellenic Society of Chemotherapy (2 editions: 2017 and 2022);
  • In total, 155 Doctoral Theses (Athens University Medical School);
  • In total, >500 abstracts presented at conferences/congresses and scientific meetings in Greece;
  • Participation in >300 Greek and international conferences with lectures (>100 lectures and talks internationally and ~200 lectures in Greece).

Antibiotics is pleased to announce a Special Issue honoring Professor Helen Giamarellou for her outstanding contributions to the knowledge of antimicrobial resistance and difficult-to-treat resistance pathogens. This Special Issue is dedicated to all aspects of antibiotic resistance in, but not limited to, the following topics:

  • Antibiotic stewardship;
  • Nosocomial infections;
  • Infection control;
  • Epidemiology of resistance plus in vitro investigation of underlying resistance mechanisms;
  • Infections in the ICU;
  • Neutropenic host infections;
  • Indicated therapeutic approach of MDR and XDR Gram-negative infections;
  • Pharmacokinetics/pharmacodynamics of newer antimicrobial agents.

We are pleased to invite you to submit a manuscript to this Special Issue; regular articles, communications, and reviews are all welcome.

Dr. Konstantinos Pontikis
Guest Editor

Manuscript Submission Information

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Keywords

  • antibiotic stewardship
  • nosocomial infections
  • infection control
  • epidemiology of resistance plus in vitro investigation of underlying resistance mechanisms
  • infections in the ICU
  • neutropenic host infections
  • indicated therapeutic approach of MDR and XDR gram-negative infections
  • pharmacokinetics/pharmacodynamics of newer antimicrobial agents

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Published Papers (1 paper)

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Research

15 pages, 1637 KiB  
Article
Assessment of De-Escalation of Empirical Antimicrobial Therapy in Medical Wards with Recognized Prevalence of Multi-Drug-Resistant Pathogens: A Multicenter Prospective Cohort Study in Non-ICU Patients with Microbiologically Documented Infection
by Vasiliki Rapti, Garyfallia Poulakou, Anastasia Mousouli, Athanasios Kakasis, Stamata Pagoni, Evmorfia Pechlivanidou, Aikaterini Masgala, Styliani Sympardi, Vasileios Apostolopoulos, Charalampos Giannopoulos, Nikolaos Alexiou, Kostoula Arvaniti, Christina Trakatelli, Apostolos Prionas, Michael Samarkos, George L. Daikos and Helen Giamarellou
Antibiotics 2024, 13(9), 812; https://doi.org/10.3390/antibiotics13090812 - 27 Aug 2024
Viewed by 1181
Abstract
Antimicrobial resistance poses a major threat to human health worldwide and the implementation of antimicrobial stewardship programs (ASPs), including antimicrobial de-escalation (ADE), is a multifaceted tool for minimizing unnecessary or inappropriate antibiotic exposure. This was a prospective observational study of 142 non-Intensive Care [...] Read more.
Antimicrobial resistance poses a major threat to human health worldwide and the implementation of antimicrobial stewardship programs (ASPs), including antimicrobial de-escalation (ADE), is a multifaceted tool for minimizing unnecessary or inappropriate antibiotic exposure. This was a prospective observational study of 142 non-Intensive Care Unit (ICU) patients with microbiologically documented infection who were initially administered empirical antimicrobial therapy and admitted to the medical wards of 6 tertiary-care hospitals in Greece from January 2017 to December 2018. Patients were divided into two groups, the ADE and non-ADE group, based on whether ADE was applied or not, respectively. Exploratory end-points were ADE feasibility, safety and efficacy. ADE was applied in 76 patients at a median time of 4 days (IQR: 3, 5). An increased likelihood of ADE was observed in patients with urinary tract (OR: 10.04, 95% CI: 2.91, 34.57; p < 0.001), skin and soft tissue (OR: 16.28, 95% CI: 1.68, 158.08; p = 0.016) and bloodstream infections (OR: 2.52, 95% CI: 1, 6.36; p = 0.05). Factors significantly associated with higher rates of ADE were clarithromycin administration, diagnosis of urinary tract infection (UTI), isolation of E. coli, age and symptoms type on admission. Mortality was lower in the ADE group (18.4% vs. 30.3% p < 0.1) and ADE was not significantly associated with the probability of death (p = 0.432). ADE was associated with favorable clinical outcomes and can be performed even in settings with high prevalence of multi-drug resistant (MDR) pathogens without compromising safety. Full article
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