Publications by authors named "Alexandra Martin-Onraet"

Article Synopsis
  • Kaposi sarcoma (KS) remains a common cancer in AIDS patients in Mexico, highlighting issues with early HIV diagnosis despite access to treatment.
  • The study analyzed 18 cases of KS in HIV patients who died within 30 days of hospital admission, revealing a young median age of 31 and significant delays in both admission and HIV diagnosis.
  • The findings emphasize the need for improved early detection strategies, as increased screening could reduce KS-related deaths and lead to savings in healthcare costs.
View Article and Find Full Text PDF

Objectives: Vaccination is the best preventive measure for SARS-CoV-2 infection; however, efficacy is lower in cancer patients. During the pandemic period, Mexico was characterized by the use of seven different COVID-19 vaccine platforms, and oncologic patients were not prioritized for vaccination. We report the outcomes of COVID-19 in cancer patients after the beginning of the national vaccine campaign in Mexico.

View Article and Find Full Text PDF

Background: The proportion of older people living with HIV (PLWH) has increased. Non-communicable diseases occur earlier in PLWH than in the general population.

Objective: The goal of this study was to estimate the prevalence of comorbidities in PLWH and cancer in a tertiary referral center in Mexico City.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigated the prevalence of high-risk human papillomavirus (HR-HPV) in the anal canal among people living with HIV who have a history of cancer.
  • A total of 155 predominantly male patients were analyzed, revealing an alarming 89% prevalence of HR-HPV, with many experiencing co-infections and significant levels of anal lesions.
  • The findings emphasize the critical need for anal cancer screening in this high-risk group, particularly considering the presence of prevalent HR-HPV types 16 and 18, even among younger patients.
View Article and Find Full Text PDF

Background: While existing research on people living with HIV (PWH) during the COVID-19 pandemic primarily focused on their clinical outcomes, a critical gap remains in understanding the implications of COVID-19 delivery of in-hospital care services to PWH. Our study aimed to describe the characteristics and outcomes of PWH hospitalised during 2020 in Mexico City, comparing patients admitted due to COVID-19 vs. patients admitted due to other causes.

View Article and Find Full Text PDF
Article Synopsis
  • Hematopoietic stem cell transplant (HSCT) patients are at high risk for severe outcomes from COVID-19, and this study compares outcomes during the pre-Omicron and Omicron periods.
  • The study analyzed 53 post-HSCT COVID-19 patients, finding that vaccination rates significantly increased from the pre-Omicron (16%) to the Omicron period (91%), leading to fewer severe cases (23% to 9%) and improved mortality rates (16% to 9%).
  • The findings highlight the importance of vaccines and antivirals in reducing severe outcomes in high-risk patients, emphasizing the need for better infection control and access to healthcare resources.
View Article and Find Full Text PDF

Background: Health care workers (HCWs) are occupationally exposed to severe acute respiratory syndrome coronavirus (SARS-CoV-2). This study aimed to characterize COVID-19 in HCWs at an oncology hospital in Mexico City over 2-years, identify factors associated with severity, and establish transmission dynamics.

Methods: This retrospective study included HCWs with confirmed COVID-19.

View Article and Find Full Text PDF
Article Synopsis
  • Vaccination significantly reduces SARS-CoV-2-related illness, but there's still uncertainty about how cancer patients' immune responses work after vaccination.
  • This study compared the antibody responses to the BNT162b2 and AZD122 vaccines in cancer patients and healthcare workers, revealing differences in antibody levels between the two groups.
  • The results indicated that the BNT162b2 vaccine led to stronger antibody responses, but active cancer patients had a tougher time developing high antibody levels, highlighting the need for tailored vaccination strategies for immunosuppressed individuals.
View Article and Find Full Text PDF

Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causing coronavirus disease 2019 (COVID-19) is the most transmissible ß-coronavirus in history, affecting all population groups. Immunocompromised patients, particularly cancer patients, have been highlighted as a reservoir to promote accumulation of viral mutations throughout persistent infection.

Case Presentation: We aimed to describe the clinical course and SARS-CoV-2 mutation profile for 102 days in an immunocompromised patient with non-Hodgkin's lymphoma and COVID-19.

View Article and Find Full Text PDF

Purpose: There are currently no standard definitions for assessing the severity of Clostridioides difficile infection (CDI) in cancer patients. We evaluated the performance of scoring systems for severity and analyzed risk factors for mortality in a cancer cohort.

Methods: We conducted an observational study in patients with cancer and CDI.

View Article and Find Full Text PDF

Background: People living with HIV(PLWH) and cancer are among the most vulnerable patients and require constant access to medical services. We compared the characteristics of PLWH and cancer in Mexico, before and during the COVID-19 pandemic.

Methods: Patients admitted 1 year before (pre-pandemic) and 1 year after the start of the pandemic (pandemic) were included.

View Article and Find Full Text PDF

Purposes: Patients with hematologic malignancies (HM) are among the individuals with highest risk of COVID-19 complications. We report the impact of remdesivir in patients with hematologic malignancies (HM) during Omicron in Mexico City.

Methods: All patients with HM and COVID-19 during December 2021-March 2022 were included.

View Article and Find Full Text PDF

Background: Literature on severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in cancer patients is scarce in Latin America. This population seems to have a higher risk for adverse outcomes. This study aims to correlate clinical characteristics with outcomes in patients with cancer.

View Article and Find Full Text PDF

Objective: To determine the prevalence of Latent Tuberculosis in patients with hematological neoplasms at the Instituto Nacional de Cancerología in Mexico City using the Tuberculin skin test (TST).

Methods: This retrospective study included all patients with a recent diagnosis of hematological neoplasms who were admitted for treatment from 2017 to 2018 and who were screened for latent tuberculosis with the TST. The prevalence of latent tuberculosis in this group, tolerance and therapeutic adherence in treated patients are described.

View Article and Find Full Text PDF

We present the case of a man with acute lymphoblastic leukemia and prolonged profound neutropenia, who developed an invasive infection by , acquired via non-cutaneous entry, with gastrointestinal symptoms, sigmoid perforation and liver abscesses due to portal dissemination. The etiologic agent was identified using the 18S-ITS1-5.8S-ITS2-28S rRNA sequence gene, from a liver biopsy.

View Article and Find Full Text PDF

The epidemiology of lymphomas has changed since the use of antiretroviral therapy. The incidence of Non-Hodgkin Lymphomas (NHL) has significantly decreased in high income countries but not in low and middle-income countries where AIDS-related events remain high. This observational study describes the characteristics, infectious complications and main outcomes of patients diagnosed with HIV and lymphoma at the Instituto Nacional de Cancerología.

View Article and Find Full Text PDF

Background: Immunosupressed patients are at high risk of influenza-related complications. Influenza AH1N1 has been hypothesized to induce worse outcomes in patients with malignancies, but after the A(H1N1)pdm09 few publications have analyzed the presentation and complications related to influenza afterward.

Objectives: We aimed to describe the characteristics, risk factors, and outcomes of influenza in an oncologic center after the 2009 pandemic and to compare our case distribution to the National community acquired influenza databases in Mexico and the United States.

View Article and Find Full Text PDF

Antimicrobial resistance is an increasing worldwide concern, which poses unique challenges for the effective prevention and treatment of several infections, especially the ones triggered by organisms producing extended-spectrum β-lactamases (ESBL). Here, we present the surveillance results of the Study for Monitoring Antimicrobial Resistance Trends (SMART) of Gram-negative bacilli isolated from intra-abdominal infections (IAI, n = 1,235) and urinary-tract infections (UTI, n = 2,682), collected in Mexico from 2009 to 2015. Susceptibility and ESBL status were determined according to the Clinical and Laboratory Standards Institute (CLSI) broth microdilution method.

View Article and Find Full Text PDF

The aim of this study was to evaluate the implementation of human immunodeficiency virus (HIV) screening with rapid tests in an oncologic center in Mexico City, report the HIV prevalence, and describe contacts screening and linkage to HIV care while identifying barriers to the performance of the program. In 2014, an HIV rapid test program was implemented in four departments of the hospital "Instituto Nacional de Cancerología". From 2014 to 2016, 3032 HIV rapid tests were performed in the hospital.

View Article and Find Full Text PDF

National HIV preventive programs in Mexico focus on high-risk groups that do not consider women, apart from prenatal screening. Nonetheless, the epidemic in women is growing, and there is a need to better understand sociodemographic factors in women living with HIV (WLH). We performed a case-control study in Mexico City, including HIV+ and HIV- women with a recent pregnancy to compare their sociodemographic characteristics and describe the circumstances of diagnosis in HIV+ women, as well as prenatal screening frequency in both groups.

View Article and Find Full Text PDF

Background: Antiretroviral therapy (ART) substantially decreases morbidity and mortality in people living with HIV. In this study, we describe population-level trends in the adult life expectancy and trends in the residual burden of HIV mortality after the roll-out of a public sector ART programme in KwaZulu-Natal, South Africa, one of the populations with the most severe HIV epidemics in the world.

Methods: Data come from the Africa Centre Demographic Information System (ACDIS), an observational community cohort study in the uMkhanyakude district in northern KwaZulu-Natal, South Africa.

View Article and Find Full Text PDF

Late diagnosis of HIV remains a public health issue in Mexico. Most national programs target high-risk groups, not including women. More data on factors associated with late diagnosis and access to care in women are needed.

View Article and Find Full Text PDF

Objective: To establish the characteristics and causes of death of HIV patients who die while hospitalized.

Materials And Methods: We included HIV+ patients who died during hospitalization, in three hospitals in Mexico City between 2010 and 2013. Sociodemographic and clinical data were collected as well as causes of death.

View Article and Find Full Text PDF

The scenario of a renal transplant recipient who is diagnosed with HIV infection in the late post transplant period is very uncommon. The viral infection effect on immunologic stability, regulatory cells, and allogeneic response during immune quiescence and graft acceptance provides a fertile ground in organ transplantation research and translational immunology.

View Article and Find Full Text PDF