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Article ; Online: Home Care Assistance: Has Covid-19 had an Impact on the Complex Management of HIV Patients?

Dusina, Alex / Lombardi, Francesca / Tamburrini, Enrica / Onorati, Fiorella / Petrucci, Massimo / Di Giambenedetto, Simona

AIDS and behavior

2022 Volume 27, Issue 4, Page(s) 1173–1181

Abstract: During the COVID-19 pandemic, people living with HIV (PLWH) could have had to face problems with treatment adherence because of the difficulty of accessing services connected with antiretroviral therapy (ART) dispensation, which could have undermined ... ...

Abstract	During the COVID-19 pandemic, people living with HIV (PLWH) could have had to face problems with treatment adherence because of the difficulty of accessing services connected with antiretroviral therapy (ART) dispensation, which could have undermined their health. In this article, we described, over the period 2015-2020, both the activities of our home care assistance unit, the "Unità di Trattamento Domiciliare (UTD)", and the characteristics of the comorbid HIV patients followed-up. To determine whether the COVID-19 pandemic affected this service, we compared the number/type of services provided in 2020 with those provided in the preceding 5 years, i.e., 2015-2019. We also compared the proportion of monthly interventions carried out in 2018, 2019 and 2020. We found comparable values with some differences in the types of performances due to the heterogeneity of the population and their medical assistance needs. We also observed a stable viro-immunological status of the patients. All of these data suggest that the UTD was consistently active during the lockdown months and pandemic waves preventing therapy discontinuation, and was able to maintain optimal control of patients' HIV infections.
MeSH term(s)	Humans ; HIV Infections/drug therapy ; HIV Infections/epidemiology ; COVID-19/epidemiology ; Pandemics ; Communicable Disease Control ; Home Care Services
Language	English
Publishing date	2022-09-26
Publishing country	United States
Document type	Journal Article
ZDB-ID	1339885-4
ISSN	1573-3254 ; 1090-7165
ISSN (online)	1573-3254
ISSN	1090-7165
DOI	10.1007/s10461-022-03854-8
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Article ; Online: Clinical presentation of human monkeypox virus infection during the 2022 outbreak: descriptive case series from a large italian Research Hospital.

Salvo, Pierluigi Francesco / Farinacci, Damiano / Lombardi, Francesca / Ciccullo, Arturo / Tamburrini, Enrica / Santangelo, Rosaria / Borghetti, Alberto / Di Giambenedetto, Simona

Virology journal

2023 Volume 20, Issue 1, Page(s) 214

Abstract: Background: In May 2022, a new case of Monkeypox Virus (MPX) was reported in a non-endemic area, the United Kingdom, and since then, the number of confirmed cases in Europe has been increasing until WHO, on May 10 2023, declared that MPOX is no longer a ...

Abstract	Background: In May 2022, a new case of Monkeypox Virus (MPX) was reported in a non-endemic area, the United Kingdom, and since then, the number of confirmed cases in Europe has been increasing until WHO, on May 10 2023, declared that MPOX is no longer a public health emergency of international concern. We aimed to describe the clinical and microbiological characteristics of sixteen patients with a confirmed diagnosis of MPX followed by a single Italian clinical centre, the Fondazione Policlinico Universitario Agostino Gemelli, between May 20 and August 30. Materials and methods: A prospective observational study has been conducted, collecting microbiological samples during the time of the infection, as well as epidemiological and clinical data of the patients. All patients provided written informed consent. Results: During clinical practice, 16 individuals presenting with consistent symptoms tested positive for MPX on a polymerase chain reaction. All patients were men having sex with men (MSM). The most frequent clinical presentation was a vesicular erythematous cutaneous rash, mainly distributed on the genital and perianal area, but also regarding limbs, face, neck, chest and back in some of the patients. Systemic symptoms, such as fever or lymphadenopathy, involved eight patients. The symptom most frequently reported by patients was pruritus in the area of the vesicles. Thirteen patients also reported pain. Nine patients were HIV-1 coinfected, but no significant differences have been observed compared to other cohort patients. The median time between the onset of symptoms and the healing was 19.5 days (IQR 14.0-20.3). Conclusions: Our cohort of patients presented a mild manifestation of the disease with no complications and no need for antiviral therapy nor hospitalization. This population seems different from the ones reported in the literature during the previous outbreaks in endemic areas in epidemiological data and clinical manifestations but also from a cohort of patients described in the literature from the 2022 outbreak, suggesting the importance for healthcare workers to keep in mind the possibility of an MPX infection in the differential diagnosis of patients presenting with consistent symptoms, even in non-endemic areas, to ensure efficient isolation of the patient for infection control purposes and effective management of the infection preventing the development of MPOX-related complications.
MeSH term(s)	Male ; Humans ; Female ; Mpox (monkeypox)/diagnosis ; Mpox (monkeypox)/epidemiology ; Monkeypox virus/genetics ; Homosexuality, Male ; Sexual and Gender Minorities ; Hospitals ; Disease Outbreaks
Language	English
Publishing date	2023-09-18
Publishing country	England
Document type	Observational Study ; Journal Article
ZDB-ID	2160640-7
ISSN	1743-422X ; 1743-422X
ISSN (online)	1743-422X
ISSN	1743-422X
DOI	10.1186/s12985-023-02178-w
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Article ; Online: Early use of tecovirimat in a young man with severe mpox skin lesions: a case report.

Iannone, Valentina / Ciccullo, Arturo / Farinacci, Damiano / Borghetti, Alberto / Visconti, Elena / Marchetti, Simona / Sanguinetti, Maurizio / Tamburrini, Enrica / Di Giambenedetto, Simona

Journal of medical virology

2023 Volume 95, Issue 2, Page(s) e28528

MeSH term(s)	Male ; Humans ; Mpox (monkeypox) ; Benzamides ; Isoindoles
Chemical Substances	Benzamides ; Isoindoles
Language	English
Publishing date	2023-01-25
Publishing country	United States
Document type	Case Reports ; Letter
ZDB-ID	752392-0
ISSN	1096-9071 ; 0146-6615
ISSN (online)	1096-9071
ISSN	0146-6615
DOI	10.1002/jmv.28528
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Zs.A 1320: Show issues

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Article ; Online: Healthcare associated infections in gynecologic oncology: clinical and economic impact.

Biscione, Antonella / Corrado, Giacomo / Quagliozzi, Lorena / Federico, Alex / Franco, Rita / Franza, Laura / Tamburrini, Enrica / Spanu, Teresa / Scambia, Giovanni / Fagotti, Anna

International journal of gynecological cancer : official journal of the International Gynecological Cancer Society

2023 Volume 33, Issue 2, Page(s) 278–284

Abstract: Objective: The purpose of this study was to assess the rate and type of infections in gynecological cancer patients. We also performed an economic analysis to provide an overview of costs related to healthcare associated infections.: Methods: We ... ...

Abstract	Objective: The purpose of this study was to assess the rate and type of infections in gynecological cancer patients. We also performed an economic analysis to provide an overview of costs related to healthcare associated infections. Methods: We retrospectively collected data from culture samples at the site of infection from patients undergoing surgery or chemotherapy, admitted to the Gynecologic Oncology Unit, Fondazione Policlinico Agostino Gemelli IRCCS, from January 2017 to December 2018. We performed univariate and multivariate analyses to calculate potential risk factors for prolonged length of hospitalization. The average cost per patient was calculated, including the cost of hospital stay, operating room, medications, and diagnostic and invasive procedures. Results: Among 5682 patients, 322 (5.6%) gynecological cancer patients with healthcare associated infections were identified. A total of 249 patients (77.3%) had undergone surgery in the previous 30 days and 73 (22.7%) patients were receiving chemotherapy. In the whole population, the most common healthcare associated infections were urinary infections (58%) and surgical wound infections (42.1%). In addition, 14.5% of patients had central venous catheter infections and 21.7% had blood stream infections. Median length of stay was 20 days (range 1-100). Among surgical patients, advanced age (odds ratio (OR) 1.233, 95% confidence interval (CI) 1.001 to 1.519, p=0.049), bowel resection (OR 2.659, 95% CI 1.493 to 4.735, p=0.001), surgical site infection (OR 10.447, 95% CI 1.143 to 95.5, p=0.038), and central venous catheter infection (OR 9.856, 95% CI 1.139 to 85.319, p=0.038) were independently associated with an increased risk of prolonged hospital stay (>20 days). The overall direct cost of healthcare associated infections was $6 273 852 per year. Conclusions: The infection rate in our population was 5.6%. The most common healthcare associated infections were urinary and surgical wound infections. Among surgical patients, advanced age, bowel resection, surgical site, and central venous catheter infection were associated with an increased length of hospitalization. Healthcare associated infections cause an increase in the length of stay after surgery and hospital costs.
MeSH term(s)	Humans ; Female ; Surgical Wound Infection/epidemiology ; Surgical Wound Infection/etiology ; Genital Neoplasms, Female/epidemiology ; Genital Neoplasms, Female/surgery ; Retrospective Studies ; Cross Infection/epidemiology ; Cross Infection/etiology ; Hospitalization ; Length of Stay
Language	English
Publishing date	2023-02-06
Publishing country	England
Document type	Journal Article
ZDB-ID	1070385-8
ISSN	1525-1438 ; 1048-891X
ISSN (online)	1525-1438
ISSN	1048-891X
DOI	10.1136/ijgc-2022-003847
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Zs.A 3198: Show issues

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Article ; Online: Blood telomere length gain in people living with HIV switching to dolutegravir plus lamivudine versus continuing triple regimen: a longitudinal, prospective, matched, controlled study.

Lombardi, Francesca / Sanfilippo, Alessia / Fabbiani, Massimiliano / Borghetti, Alberto / Ciccullo, Arturo / Tamburrini, Enrica / Di Giambenedetto, Simona

The Journal of antimicrobial chemotherapy

2023 Volume 78, Issue 9, Page(s) 2315–2322

Abstract: Background: Blood telomere length (BTL) is a validated biomarker of aging. ART reduces immunosenescence and has benefits in terms of BTL in people living with HIV (PLWH). However, it has also been observed that ART containing NRTIs, such as tenofovir or ...

Abstract	Background: Blood telomere length (BTL) is a validated biomarker of aging. ART reduces immunosenescence and has benefits in terms of BTL in people living with HIV (PLWH). However, it has also been observed that ART containing NRTIs, such as tenofovir or abacavir, which are potent inhibitors of human telomerase activity in vitro, might negatively affect BTL. Here we investigated the effects on BTL 1 year after switching to a dual therapy (DT) with dolutegravir + lamivudine versus maintaining a standard triple therapy (TT) with a two-NRTI backbone and an anchor drug. Methods: This was a longitudinal, prospective, matched, controlled study that included virologically suppressed adults on stable three-drug ART who either switched at baseline (BL) to DT or maintained TT. The DT and TT groups were 1:1 matched for age, sex, years since HIV diagnosis, years on ART and anchor drug. BTL was assessed by a monochrome multiplex qPCR at BL and after 48 weeks (W48). Results: We enrolled 120 PLWH, i.e. 60 participants in each group. At BL, the BTL means were comparable between the two groups (P = 0.973). At W48, viro-immunological status was stable and an overall increase in the mean BTL was observed, i.e., +0.161 (95%CI, 0.054-0.268) (P = 0.004). However, the within-group analysis showed a significant mean BTL gain in the DT group (P = 0.003) but not in the TT group (P = 0.656). Conclusions: In this setting of virologically suppressed PLWH, simplifying to dolutegravir + lamivudine was associated with a higher gain in BTL than maintaining triple therapy after the 1 year follow-up. These findings suggest that as a simplification strategy dolutegravir + lamivudine might have a positive effect on BTL.
MeSH term(s)	Adult ; Humans ; Lamivudine/therapeutic use ; Lamivudine/pharmacology ; HIV Infections/drug therapy ; Anti-HIV Agents/therapeutic use ; Anti-HIV Agents/pharmacology ; Prospective Studies ; Oxazines/pharmacology ; Heterocyclic Compounds, 3-Ring/therapeutic use ; Heterocyclic Compounds, 3-Ring/pharmacology ; Pyridones/pharmacology ; Telomere ; Viral Load
Chemical Substances	Lamivudine (2T8Q726O95) ; dolutegravir (DKO1W9H7M1) ; Anti-HIV Agents ; Oxazines ; Heterocyclic Compounds, 3-Ring ; Pyridones
Language	English
Publishing date	2023-08-02
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	191709-2
ISSN	1460-2091 ; 0305-7453
ISSN (online)	1460-2091
ISSN	0305-7453
DOI	10.1093/jac/dkad237
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Zs.A 1197: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
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Article: Implementing a Personalized Antimicrobial Stewardship Program for Women with Gynecological Cancers and Healthcare-Associated Infections.

Di Giambenedetto, Simona / Borghetti, Alberto / Quagliozzi, Lorena / Gallucci, Valeria / Lombardi, Francesca / Ciccullo, Arturo / Fagotti, Anna / Tamburrini, Enrica / Scambia, Giovanni

Journal of personalized medicine

2022 Volume 12, Issue 4

Abstract: Healthcare-associated infections (HCAIs) represent a major cause of morbidity and mortality in gynecologic cancer patients, requiring personalized cures. A retrospective study on gynecologic patients with HCAIs, managed through an antimicrobial ... ...

Abstract	Healthcare-associated infections (HCAIs) represent a major cause of morbidity and mortality in gynecologic cancer patients, requiring personalized cures. A retrospective study on gynecologic patients with HCAIs, managed through an antimicrobial stewardship program, was performed, focusing on rates of clinical cure, breakthrough/relapse of infections, death, and time of hospital stay (THS). In total, 27 patients (median 60 years, mainly suffering from ovarian, cervical, and uterine cancer) were evaluated by a specialist in infectious diseases and were mainly diagnosed with complicated urinary tract (cUTIs, 12 cases, 44.4%) and bloodstream infections (BSIs, 9 cases, 33.3%). A total of 15 cases (11 cUTIs, 73.3%) were managed with no need for hospitalization and received a median of 11 days of outpatient parenteral antimicrobial therapy (OPAT). In the remaining 12 cases (BSIs in 8 cases, 66.7%), the median THS was 11 days, with 15 days median overall duration of antimicrobial therapy (median 5-day reduction in THS). The management of patients also included source control and wound care. All patients reached clinical cure, with no case of breakthrough infection, one case of relapse, and one death within 30 days (not attributable to the infection). HCAIs in patients with gynecologic tumors can be managed through a patient-centered, multidisciplinary antimicrobial stewardship program.
Language	English
Publishing date	2022-04-18
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2662248-8
ISSN	2075-4426
ISSN	2075-4426
DOI	10.3390/jpm12040650
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Article ; Online: COVID-19 diagnosis does not rule out other concomitant diseases.

Borghetti, Alberto / Ciccullo, Arturo / Visconti, Elena / Tamburrini, Enrica / Di Giambenedetto, Simona

European journal of clinical investigation

2020 Volume 50, Issue 6, Page(s) e13241

MeSH term(s)	Adrenal Cortex Hormones/therapeutic use ; Adult ; COVID-19 ; Coronavirus Infections/complications ; Coronavirus Infections/diagnosis ; Deglutition Disorders/etiology ; Dyspnea/etiology ; Female ; Humans ; Infectious Mononucleosis/complications ; Infectious Mononucleosis/diagnosis ; Infectious Mononucleosis/drug therapy ; Pandemics ; Pharyngitis/etiology ; Pneumonia, Viral/complications ; Pneumonia, Viral/diagnosis
Chemical Substances	Adrenal Cortex Hormones
Keywords	covid19
Language	English
Publishing date	2020-05-05
Publishing country	England
Document type	Case Reports ; Letter
ZDB-ID	186196-7
ISSN	1365-2362 ; 0014-2972 ; 0960-135X
ISSN (online)	1365-2362
ISSN	0014-2972 ; 0960-135X
DOI	10.1111/eci.13241
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Article: Evaluation of Everolimus Activity against

Bianco, Delia Mercedes / De Maio, Flavio / Santarelli, Giulia / Palucci, Ivana / Salustri, Alessandro / Bianchetti, Giada / Maulucci, Giuseppe / Citterio, Franco / Sanguinetti, Maurizio / Tamburrini, Enrica / Sali, Michela / Delogu, Giovanni

Antibiotics (Basel, Switzerland)

2023 Volume 12, Issue 1

Abstract: Even though Everolimus has been investigated in a phase II randomized trial as a host-directed therapy (HDT) to treat tuberculosis (TB), an oncological patient treated with Everolimus for a neuroendocrine pancreatic neoplasia developed active TB twice ... ...

Abstract	Even though Everolimus has been investigated in a phase II randomized trial as a host-directed therapy (HDT) to treat tuberculosis (TB), an oncological patient treated with Everolimus for a neuroendocrine pancreatic neoplasia developed active TB twice and a non-tuberculous mycobacterial (NTM) infection in a year and a half time span. To investigate this interesting case, we isolated and genotypically characterized the
Language	English
Publishing date	2023-01-13
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2681345-2
ISSN	2079-6382
ISSN	2079-6382
DOI	10.3390/antibiotics12010171
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Article: Differences in the Long-term Impact of the COVID-19 Pandemic on the Mental Health and Professional Quality of Life of Resident and Specialist Physicians.

Delle Donne, Valentina / Massaroni, Valentina / Ciccarelli, Nicoletta / Borghetti, Alberto / Ciccullo, Arturo / Baldin, Gianmaria / Giuliano, Gabriele / Dusina, Alex / Visconti, Elena / Tamburrini, Enrica / Di Giambendetto, Simona

La Medicina del lavoro

2023 Volume 114, Issue 2, Page(s) e2023012

Abstract: Background: The COVID-19 pandemic created an extremely difficult situation for healthcare workers (HCWs) worldwide. We aimed to compare the mental health and professional quality of life of residents and specialist physicians in a cohort of Italian HCWs ...

Abstract	Background: The COVID-19 pandemic created an extremely difficult situation for healthcare workers (HCWs) worldwide. We aimed to compare the mental health and professional quality of life of residents and specialist physicians in a cohort of Italian HCWs caring for patients with COVID-19 about two years after the start of the COVID-19 pandemic. Methods: In November 2021, an online survey investigating the emotional states of depression, anxiety, stress, compassion satisfaction and compassion fatigue was administered to HCWs (N= 78) at the Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome. Results: Our findings suggest that from 5 to 20% of our cohort of HCWs still showed the effects of the adverse psychological impact of the pandemic and more than half of them experienced medium levels of compassion fatigue as well as a medium level of compassion satisfaction. Our results also show that those with fewer years of clinical practice might be at greater risk of burnout (p= 0.021), anxiety and stress symptoms (both ps= 0.027) and might develop a lower level of compassion satisfaction (p=0.018). Moreover, the factors that potentially contribute to poor mental health, compassion fatigue and compassion satisfaction seem to differ between residents and specialist physicians. Conclusions: This overview presents one of the first pictures of the long-term effects of the pandemic on the mental health and professional quality of life of an Italian sample of HCWs. Moreover, it also helps identify professionals who are most in need of support and emphasises the importance of improving the psychological and professional wellbeing of these individuals especially during a pandemic-like crisis with long lasting effects.
MeSH term(s)	Humans ; Burnout, Professional/epidemiology ; Burnout, Professional/psychology ; Compassion Fatigue ; COVID-19/epidemiology ; Mental Health ; Pandemics ; Physicians ; Quality of Life/psychology
Language	English
Publishing date	2023-04-13
Publishing country	Italy
Document type	Journal Article ; Review
ZDB-ID	123678-7
ISSN	0025-7818
ISSN	0025-7818
DOI	10.23749/mdl.v114i2.13829
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Article ; Online: Real-Life Safety of Doravirine in Treatment-Experienced, Virologically Suppressed PLWHIV.

Ciccullo, Arturo / D'Angelillo, Anna / Iannone, Valentina / Farinacci, Damiano / Lombardi, Francesca / Visconti, Elena / Tamburrini, Enrica / Di Giambenedetto, Simona

Journal of acquired immune deficiency syndromes (1999)

2021 Volume 88, Issue 1, Page(s) e5–e6

MeSH term(s)	Anti-HIV Agents/adverse effects ; HIV Infections/drug therapy ; Humans ; Pyridones/therapeutic use ; Reverse Transcriptase Inhibitors/therapeutic use ; Triazoles
Chemical Substances	Anti-HIV Agents ; Pyridones ; Reverse Transcriptase Inhibitors ; Triazoles ; doravirine (913P6LK81M)
Language	English
Publishing date	2021-08-16
Publishing country	United States
Document type	Letter ; Comment
ZDB-ID	645053-2
ISSN	1944-7884 ; 1077-9450 ; 0897-5965 ; 0894-9255 ; 1525-4135
ISSN (online)	1944-7884 ; 1077-9450
ISSN	0897-5965 ; 0894-9255 ; 1525-4135
DOI	10.1097/QAI.0000000000002730
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