Dr Scriven focuses primarily on translational research and clinical trials aiming to improve understanding and outcomes in meningitis, particularly in low-resource countries.
Immune pathology and the development of host-directed therapy in Meningitis
During his doctoral work and since then, Dr Scriven has worked on a variety of projects in South Africa, Malawi and Uganda utilising techniques such as flow cytometry, proteomics and transcriptomics to improve understanding of host immune pathology in Cryptococcal and Tuberculous meningitis. These projects have been in collaboration with local researchers and collaborators from the London School of Hygiene and Tropical Medicine and University of Minnesota and have provided vital insights into the disease pathology of these conditions.
Improving the diagnosis and management of raised intracranial pressure in Cryptococcal meningitis
Adapting techniques from neuroscience and collaborating with experts in neuro-ophthalmology, Dr Scriven is currently working on projects in Uganda that are studying a variety of retinal imaging techniques to determine whether they can be used as non-invasive measures of raised intracranial pressure.
Understanding changes in cerebral haemodynamics and the development of stroke in TB meningitis
In collaboration with brain blood flow physiologists at the University of Birmingham, Dr Scriven is working on projects that use transcranial doppler to improve understanding of the relationship between cerebral haemodynamic changes, immune response, and stroke in patients with TB meningitis.
Use of metagenomic next-generation sequencing to improve diagnosis of brain infections
In collaboration with the Loman lab, the NIHR BBRC Infection and Acute Medicine theme, Dr Scriven has been involved in projects examining how next generation sequencing could be used to diagnose brain infections.
Mycobacterium chimaera infections following cardiac surgery
Working with Public Health England (now UK Health Security Agency) Dr Scriven led the clinical aspects of a public health investigation into an outbreak of disseminated Mycobacterial chimaera infections following cardiac surgery. This produced vital information on the spectrum of disease to inform clinicians and important data on outcome, highlighting the importance of repeat surgery to remove infected prosthetic material.