Timothy D. McHugh

ORCID: 0000-0003-4658-8594
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About
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Research Areas
  • Tuberculosis Research and Epidemiology
  • Mycobacterium research and diagnosis
  • Pneumonia and Respiratory Infections
  • Antibiotic Resistance in Bacteria
  • Infectious Diseases and Tuberculosis
  • Diagnosis and treatment of tuberculosis
  • Pneumocystis jirovecii pneumonia detection and treatment
  • Cancer therapeutics and mechanisms
  • Antibiotic Use and Resistance
  • Pediatric health and respiratory diseases
  • Bacterial Identification and Susceptibility Testing
  • Chronic Obstructive Pulmonary Disease (COPD) Research
  • SARS-CoV-2 and COVID-19 Research
  • Antibiotics Pharmacokinetics and Efficacy
  • Respiratory viral infections research
  • Viral Infections and Outbreaks Research
  • Bacterial Infections and Vaccines
  • COVID-19 Clinical Research Studies
  • Evolution and Genetic Dynamics
  • Bacterial biofilms and quorum sensing
  • Microbial infections and disease research
  • Zoonotic diseases and public health
  • Bacteriophages and microbial interactions
  • Respiratory and Cough-Related Research
  • Enterobacteriaceae and Cronobacter Research

University College London
2016-2025

University Medical Center
2025

Institute of Medical Microbiology and Hygiene
2025

Helmholtz Zentrum München
2025

Uppsala University
2025

University of California, San Francisco
2025

Radboud University Nijmegen
2025

Radboud University Medical Center
2025

Ludwig-Maximilians-Universität München
2025

Roland Hill (United Kingdom)
2014-2024

The October 2020 Global TB report reviews control strategies and United Nations (UN) targets set in the political declaration at September 2018 UN General Assembly high-level meeting on held New York. Progress care prevention has been very slow. In 2019, remained most common cause of death from a single infectious pathogen. Globally, an estimated 10.0 million people developed disease there were 1.2 deaths among HIV-negative additional 208, 000 living with HIV. Adults accounted for 88%...

10.1016/j.ijid.2021.02.107 article EN cc-by-nc-nd International Journal of Infectious Diseases 2021-03-12

Early-phase and preclinical studies suggest that moxifloxacin-containing regimens could allow for effective 4-month treatment of uncomplicated, smear-positive pulmonary tuberculosis.

10.1056/nejmoa1407426 article EN New England Journal of Medicine 2014-09-07

The bedaquiline-pretomanid-linezolid regimen has been reported to have 90% efficacy against highly drug-resistant tuberculosis, but the incidence of adverse events with 1200 mg linezolid daily high. appropriate dose and duration treatment this agent minimize toxic effects while maintaining tuberculosis are unclear.We enrolled participants extensively (XDR) (i.e., resistant rifampin, a fluoroquinolone, an aminoglycoside), pre-XDR rifampin either fluoroquinolone or rifampin-resistant that was...

10.1056/nejmoa2119430 article EN New England Journal of Medicine 2022-08-31

Rifampin at a dose of 10 mg/kg was introduced in 1971 based on pharmacokinetic, toxicity, and cost considerations. Available data mice humans showed that an increase may shorten the duration tuberculosis treatment.To evaluate safety tolerability, pharmacokinetics, extended early bactericidal activity increasing doses rifampin.Patients with drug-susceptible were enrolled into control group eight patients receiving standard rifampin, followed by consecutive experimental groups 15 each rifampin...

10.1164/rccm.201407-1264oc article EN American Journal of Respiratory and Critical Care Medicine 2015-02-05

ABSTRACT The rapid identification of antimicrobial resistance is essential for effective treatment highly resistant Mycobacterium tuberculosis . Whole-genome sequencing provides comprehensive data on mutations and strain typing monitoring transmission, but unlike conventional molecular tests, this has previously been achievable only from cultures M. Here we describe a method utilizing biotinylated RNA baits designed specifically DNA to capture full genomes directly infected sputum samples,...

10.1128/jcm.00486-15 article EN Journal of Clinical Microbiology 2015-05-14

Prevalence and load of airway bacteria in stable exacerbated chronic obstructive pulmonary disease (COPD) has been previously studied using microbiological culture. Molecular techniques, such as quantitative PCR (qPCR), may be more informative.In this study, 373 sputum samples from 134 COPD outpatients were assessed for prevalence typical (Haemophilus influenzae, Streptococcus pneumoniae, Moraxella catarrhalis) by multiplex qPCR, with 176 analysed atypical bacteria. Paired exacerbation data...

10.1136/thoraxjnl-2012-201924 article EN Thorax 2012-08-03

Recurrence of tuberculosis after treatment makes management difficult and is a key factor for determining efficacy. Two processes can cause recurrence: relapse the primary infection or re-infection with an exogenous strain. Although does occur, its importance to epidemiology biological basis still debated. We used whole-genome sequencing-which more accurate than conventional typing date-to assess frequency recurrence gain insight into re-infection.We assessed patients from REMoxTB trial-a...

10.1016/s2213-2600(13)70231-5 article EN cc-by The Lancet Respiratory Medicine 2013-11-21

In patients with rifampin-resistant tuberculosis, all-oral treatment regimens that are more effective, shorter, and have a acceptable side-effect profile than current needed.We conducted an open-label, phase 2-3, multicenter, randomized, controlled, noninferiority trial to evaluate the efficacy safety of three 24-week, for tuberculosis. Patients in Belarus, South Africa, Uzbekistan who were 15 years age or older had pulmonary tuberculosis enrolled. stage 2 trial, 24-week regimen bedaquiline,...

10.1056/nejmoa2117166 article EN New England Journal of Medicine 2022-12-21

<h2>Summary</h2><h3>Background</h3> Directly observed treatment (DOT) has been the standard of care for tuberculosis since early 1990s, but it is inconvenient patients and service providers. Video-observed therapy (VOT) conditionally recommended by WHO as an alternative to DOT. We tested whether levels observation were improved with VOT. <h3>Methods</h3> did a multicentre, analyst-blinded, randomised controlled superiority trial in 22 clinics England (UK). Eligible participants aged at least...

10.1016/s0140-6736(18)32993-3 article EN cc-by The Lancet 2019-02-21

The current methods available to diagnose antimicrobial-resistant Mycobacterium tuberculosis infections require a positive culture or only test limited number of resistance-associated mutations. A rapid accurate identification antimicrobial resistance enables the prompt initiation effective treatment.

10.1128/jcm.00666-18 article EN cc-by Journal of Clinical Microbiology 2018-05-31

The World Health Organization defines a zoonosis as any infection naturally transmissible from vertebrate animals to humans. pandemic of Coronavirus disease (COVID-19) caused by SARS-CoV-2 has been classified zoonotic disease, however, no animal reservoir yet found, so this classification is premature. We propose that COVID-19 should instead be an “ emerging infectious (EID) probable origin .” To explore if fits our proposed re-categorization vs. the contemporary definitions zoonoses, we...

10.3389/fpubh.2020.596944 article EN cc-by Frontiers in Public Health 2020-11-26
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