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31.
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Rodríguez-Nóvoa S Morello J Barreiro P Maida I García-Gascó P Vispo E González-Pardo G Parra A Jiménez-Nácher I Soriano V 《AIDS research and human retroviruses》2008,24(6):821-825
Plasma concentration of atazanavir (ATV) may be reduced when coadministered with tenofovir (TDF) or proton pump inhibitors. Boosting ATV exposure with ritonavir (r) may make it possible to overcome these drug interactions. However, jaundice and loss of the metabolic advantages of ATV are more frequent using ATV/r than ATV alone. Herein, we assessed whether therapeutic drug monitoring (TDM) could make it possible to identify the subset of patients in whom removal of ritonavir could be attempted without risk of suboptimal plasma ATV exposure and subsequent virological failure. A total of 56 patients with undetectable plasma HIV-RNA under a stable triple regimen containing ATV 300/100 mg qd were switched to ATV 400 mg qd. Plasma ATV concentrations were measured using a reliable high-performance liquid chromatography method. Median plasma ATV C(min) fell from 880 to 283 ng/ml (p = 0.03) after removal of ritonavir. While all patients on ATV/r showed ATV plasma concentrations within therapeutic values (IC(min) above 150 ng/ml) before switching, four patients (7%) fell below this threshold after switching to ATV 400 mg qd. However, only one of this group experienced virological failure at week 24 of follow-up. TDF was part of the antiretroviral regimen in all four cases. From a total of 29 (52%) patients on ATV/r showing grade 3-4 hyperbilirubinemia, only 7 (12%) remained on it upon switching to ATV 400 mg qd (p < 0.001). Patients with complete viral suppression under ATV/r 300/100 mg qd may benefit from switching to ATV 400 mg qd guided by TDM, which may make it possible to minimize adverse events without compromising antiviral efficacy in most cases. 相似文献
33.
María Jesús Pérez-Granda José María Barrio Raquel Cruces Beatriz Alonso Pablo Martín-Rabadán Inmaculada Collado María Guembe 《Enfermedades infecciosas y microbiología clínica》2021,39(2):72-77
IntroductionOur objective was to determine whether there is a cut-off in the needleless connectors’ (NCs) cultures that when combined with skin cultures it was as efficient as conventional superficial cultures to rule-out catheter colonization (CC) and catheter-related bloodstream infection (CRBSI).MethodsDuring 10 months, we collected samples and then we analyzed the validity values of skin + NCs cultures for CC and CRBSI considering the best cut-off showing at least >90% of specificity to have a high negative predictive value using a ROC curve.ResultsWe collected a total of 167 catheters. The optimal cut-off of NCs culture was 1000 cfu/NC. The validity values for CC and CRBSI combining skin cultures and NCs cultures using the selected cut-off were, respectively: S, 42.9%/16.7%; SP, 83.6%/75.8%; PPV, 27.3%/2.5%; and NPV, 91.0%/96.0%.ConclusionsThe combination of skin cultures and quantitative NCs cultures could be used for ruling-out CC and CRBSI. 相似文献
34.
Inmaculada Ruz‐Maldonado PhD Attilio Pingitore PhD Bo Liu PhD Patricio Atanes PhD Guo Cai Huang PhD David Baker PhD Francisco José Alonso PhD Francisco Javier Bermúdez‐Silva PhD Shanta J. Persaud PhD 《Diabetes, obesity & metabolism》2018,20(4):i-i
The cover image, by Inmaculada Ruz‐Maldonado et al., is based on the Original Article LH‐21 and abnormal cannabidiol improve β‐cell function in isolated human and mouse islets through GPR55‐dependent and ‐independent signalling, DOI: 10.1111/dom.13180 .
35.
Incidence and risk factors associated with the development of pressure ulcers in an intensive care unit 下载免费PDF全文
36.
Inmaculada Cabezos Maria José Luque Dolores de Fez Vicenta Moncho Vicente Camps 《Indian journal of ophthalmology》2015,63(2):146-151
Background:Some diseases that affect the visual system may show loss of chromatic-achromatic sensitivity before obvious physical signs appear in the usual examination of the eye''s posterior segment. A perimetric study has been conducted with four typical patients with glaucoma and diabetes, at different stages of the disease.Results:The results seem to indicate losses in the achromatic-parvocellular perimetry and both chromatic perimetry tests, undetected by conventional SAP.Conclusions:Our results illustrate that our patients without visible retinal alterations show signs of suspicion in multichannel perimetry. 相似文献
37.
38.
Mena-Vázquez Natalia Jimenez-Núñez Francisco Gabriel Godoy-Navarrete Francisco Javier Manrique-Arija Sara Aguilar-Hurtado María Carmen Romero-Barco Carmen María Ureña-Garnica Inmaculada Espildora F. Padin-Martín María Isabel Fernández-Nebro Antonio 《Clinical rheumatology》2021,40(6):2377-2385
Clinical Rheumatology - To analyze the diagnostic utility of lung ultrasound (US) to detect interstitial lung disease (ILD) in rheumatoid arthritis (RA) patients comparing with high-resolution... 相似文献
39.
Palacios R Alonso I Hidalgo A Aguilar I Sánchez MA Valdivielso P González-Santos P Santos J 《AIDS research and human retroviruses》2008,24(8):1043-1046
Our objective was to analyze the prevalence of peripheral arterial disease (PAD) in HIV patients at risk and to compare them with the general population. All HIV patients older than 50 years who attended our unit from October 2005-July 2006 and all persons attending for an annual medical checkup at an employees' insurance association during the same period were invited to participate in the study. Of the latter (n = 407), a person of the same sex and age (+/-5 years) was included for each HIV patient. PAD was assessed by the ankle-brachial index (ABI) in all subjects, and all completed the Edinburgh questionnaire. Ninety-nine HIV patients and 99 persons from the general population of the same age and sex were included in the study. The HIV patients had a greater prevalence of dyslipidemia, diabetes, and PAD, which was symptomatic in five of them and in one subject from the general population. Patients with HIV infection older than 50 had a high prevalence of PAD, and as it was asymptomatic in half the cases, an ABI may be performed in this population to actively look for PAD. Control of cardiovascular risk factors and the use of such drugs as platelet antiaggregation agents should therefore be optimized in this population. 相似文献
40.
Valls-Pascual E Alegre-Sancho JJ Ivorra-Cortés J Román-Ivorra JA Fernández-Llanio-Comella N Chalmeta-Verdejo I Muñoz-Gil S Senabre-Gallego JM 《Reumatología clinica》2008,4(4):155-158
Streptococcus agalactiae (S agalactiae) is a germ habitually associated with infections in neonates and women during the pregnancy and the immediate puerperiumum. S. agalactiae has also been related with bacteriemias, endocarditis and bone, joint, skin and soft tissues infections in adults with concomitant diseases and even in immunocompetent patients. In the last years more than 70 cases of septic arthritis in adults due to this germ have been communicated. We present two cases of axial and peripheral joint infection due to S. agalactiae, comparing finds, treatment and evolution with the cases published until April, 2008. 相似文献