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  1. Article

    Open Access

    Improving the representativeness of UK’s national COVID-19 Infection Survey through spatio-temporal regression and post-stratification

    Population-representative estimates of SARS-CoV-2 infection prevalence and antibody levels in specific geographic areas at different time points are needed to optimise policy responses. However, even populatio...

    Koen B. Pouwels, David W. Eyre, Thomas House, Ben Aspey in Nature Communications (2024)

  2. Article

    Open Access

    Overcoming challenges in the economic evaluation of interventions to optimise antibiotic use

    Bacteria are becoming increasingly resistant to antibiotics, reducing our ability to treat infections and threatening to undermine modern health care. Optimising antibiotic use is a key element in tackling the...

    Laurence S. J. Roope, Liz Morrell, James Buchanan, Alice Ledda in Communications Medicine (2024)

  3. Article

    Open Access

    Risk of SARS-CoV-2 reinfection during multiple Omicron variant waves in the UK general population

    SARS-CoV-2 reinfections increased substantially after Omicron variants emerged. Large-scale community-based comparisons across multiple Omicron waves of reinfection characteristics, risk factors, and protectio...

    Jia Wei, Nicole Stoesser, Philippa C. Matthews, Tarnjit Khera in Nature Communications (2024)

  4. Article

    Open Access

    Incidence of Respiratory Syncytial Virus Infection in Older Adults: Limitations of Current Data

    Respiratory syncytial virus (RSV) is an important cause of severe respiratory illness in older adults and adults with respiratory or cardiovascular comorbidities. Published estimates of its incidence and preva...

    Mark H. Rozenbaum, Elizabeth Begier, Samantha K. Kurosky in Infectious Diseases and Therapy (2023)

  5. Article

    Open Access

    COVID-19 vaccination, risk-compensatory behaviours, and contacts in the UK

    The physiological effects of vaccination against SARS-CoV-2 (COVID-19) are well documented, yet the behavioural effects not well known. Risk compensation suggests that gains in personal safety, as a result of ...

    John Buckell, Joel Jones, Philippa C. Matthews, Sir Ian Diamond in Scientific Reports (2023)

  6. Article

    Open Access

    Protection against SARS-CoV-2 Omicron BA.4/5 variant following booster vaccination or breakthrough infection in the UK

    Following primary SARS-CoV-2 vaccination, whether boosters or breakthrough infections provide greater protection against SARS-CoV-2 infection is incompletely understood. Here we investigated SARS-CoV-2 antibod...

    Jia Wei, Philippa C. Matthews, Nicole Stoesser, John N. Newton in Nature Communications (2023)

  7. Article

    Open Access

    Estimation of the impact of hospital-onset SARS-CoV-2 infections on length of stay in English hospitals using causal inference

    From March 2020 through August 2021, 97,762 hospital-onset SARS-CoV-2 infections were detected in English hospitals. Resulting excess length of stay (LoS) created a potentially substantial health and economic ...

    James Stimson, Koen B. Pouwels, Russell Hope, Ben S. Cooper in BMC Infectious Diseases (2022)

  8. Article

    Open Access

    Modelling decay in effectiveness for evaluation of behaviour change interventions: a tutorial for public health economists

    Recent methodological reviews of evaluations of behaviour change interventions in public health have highlighted that the decay in effectiveness over time has been mostly overlooked, potentially leading to sub...

    Paolo Candio, Koen B. Pouwels, David Meads in The European Journal of Health Economics (2022)

  9. Article

    Open Access

    SARS-CoV-2 antibody trajectories after a single COVID-19 vaccination with and without prior infection

    Given high SARS-CoV-2 incidence, coupled with slow and inequitable vaccine roll-out in many settings, there is a need for evidence to underpin optimum vaccine deployment, aiming to maximise global population i...

    Jia Wei, Philippa C. Matthews, Nicole Stoesser, Ian Diamond in Nature Communications (2022)

  10. Article

    Open Access

    Antibody responses and correlates of protection in the general population after two doses of the ChAdOx1 or BNT162b2 vaccines

    Antibody responses are an important part of immunity after Coronavirus Disease 2019 (COVID-19) vaccination. However, antibody trajectories and the associated duration of protection after a second vaccine dose ...

    Jia Wei, Koen B. Pouwels, Nicole Stoesser, Philippa C. Matthews in Nature Medicine (2022)

  11. Article

    Open Access

    Improving local prevalence estimates of SARS-CoV-2 infections using a causal debiasing framework

    Global and national surveillance of SARS-CoV-2 epidemiology is mostly based on targeted schemes focused on testing individuals with symptoms. These tested groups are often unrepresentative of the wider populat...

    George Nicholson, Brieuc Lehmann, Tullia Padellini, Koen B. Pouwels in Nature Microbiology (2022)

  12. Article

    Open Access

    Effect of Delta variant on viral burden and vaccine effectiveness against new SARS-CoV-2 infections in the UK

    The effectiveness of the BNT162b2 and ChAdOx1 vaccines against new severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections requires continuous re-evaluation, given the increasingly dominant B.1...

    Koen B. Pouwels, Emma Pritchard, Philippa C. Matthews, Nicole Stoesser in Nature Medicine (2021)

  13. Article

    Open Access

    Anti-spike antibody response to natural SARS-CoV-2 infection in the general population

    Understanding the trajectory, duration, and determinants of antibody responses after SARS-CoV-2 infection can inform subsequent protection and risk of reinfection, however large-scale representative studies ar...

    Jia Wei, Philippa C. Matthews, Nicole Stoesser, Thomas Maddox in Nature Communications (2021)

  14. No Access

    Article

    Does bariatric surgery reduce future hospital costs? A propensity score-matched analysis using UK Biobank Study data

    To estimate the hospital costs among persons with obesity undergoing bariatric surgery compared with those without bariatric surgery.

    Tingting Wu, Koen B. Pouwels, Richard Welbourn in International Journal of Obesity (2021)

  15. Article

    Open Access

    Prospective trial of different antimicrobial treatment durations for presumptive canine urinary tract infections

    Avoidance of unnecessary antimicrobial administration is a key tenet of antimicrobial stewardship; knowing the optimal duration of therapy obviates over-treatment. However, little research has been performed t...

    Fergus Allerton, Koen B. Pouwels, Julien Bazelle, Sarah Caddy in BMC Veterinary Research (2021)

  16. Article

    Open Access

    Antibody responses to SARS-CoV-2 vaccines in 45,965 adults from the general population of the United Kingdom

    We report that in a cohort of 45,965 adults, who were receiving either the ChAdOx1 or the BNT162b2 SARS-CoV-2 vaccines, in those who had no prior infection with SARS-CoV-2, seroconversion rates and quantitativ...

    Jia Wei, Nicole Stoesser, Philippa C. Matthews, Daniel Ayoubkhani in Nature Microbiology (2021)

  17. Article

    Open Access

    Impact of vaccination on new SARS-CoV-2 infections in the United Kingdom

    The effectiveness of COVID-19 vaccination in preventing new severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections in the general community is still unclear. Here, we used the Office for Natio...

    Emma Pritchard, Philippa C. Matthews, Nicole Stoesser, David W. Eyre in Nature Medicine (2021)

  18. Article

    Open Access

    Preferences for Medical Consultations from Online Providers: Evidence from a Discrete Choice Experiment in the United Kingdom

    In the UK, consultations for prescription medicines are available via private providers such as online pharmacies. However, these providers may have lower thresholds for prescribing certain drugs. This is a pa...

    James Buchanan, Laurence S. J. Roope in Applied Health Economics and Health Policy (2021)

  19. Article

    Open Access

    Optimizing COVID-19 surveillance in long-term care facilities: a modelling study

    Long-term care facilities (LTCFs) are vulnerable to outbreaks of coronavirus disease 2019 (COVID-19). Timely epidemiological surveillance is essential for outbreak response, but is complicated by a high propor...

    David R. M. Smith, Audrey Duval, Koen B. Pouwels, Didier Guillemot in BMC Medicine (2020)

  20. Article

    Open Access

    Why do hospital prescribers continue antibiotics when it is safe to stop? Results of a choice experiment survey

    Deciding whether to discontinue antibiotics at early review is a cornerstone of hospital antimicrobial stewardship practice worldwide. In England, this approach is described in government guidance (‘Start Smar...

    Laurence S. J. Roope, James Buchanan, Liz Morrell, Koen B. Pouwels in BMC Medicine (2020)

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