Publications by authors named "C Kraef"
Specialist training in infectious diseases in Europe.
Clin Microbiol Infect
December 2024
Objectives: The objectives were to determine the structure of training programmes and assessment of physicians training to become infectious disease (ID) specialists in Europe in early 2024 and to document the provision of specialists, trainees and training centres in each country.
Methods: Delegates to the ID Section and Board of the European Union of Medical Specialists entered national data on a web-based survey tool in late 2023-early 2024. Results were compared with European Union of Medical Specialists recommendations on the structure and content of postgraduate training in ID in Europe (2018), and to results of a similar survey in early 2021.
Objectives: Tuberculosis (TB) risk after initiation of antiretroviral treatment (ART) is not well described in a European setting, with an average TB incidence of 25/10 in the background population.
Methods: We included all adult persons with HIV starting ART in the RESPOND cohort between 2012 and 2020. TB incidence rates (IR) were assessed for consecutive time intervals post-ART initiation.
Background: All-cause and AIDS-mortality in Europe has been decreasing between 1996 and 2020. However, regional differences as well as their drivers remain unclear. This study investigates mortality differences and their drivers, including usage of and response to antiretroviral therapy (ART) and active tuberculosis (TB), among people with HIV across Europe.
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- - Life expectancy for people with HIV is improving, but the prevalence of non-communicable diseases, especially mental health disorders, is increasing, prompting a study in Rwanda to assess this issue.
- - The study involved 428 participants from 12 HIV clinics, revealing that 16.4% had mental health disorders, with major depression being the most common; however, most were unaware or not receiving treatment.
- - Mental health issues were tied to experiences of stigma and discrimination related to HIV, suggesting the need for better integration of mental health care in HIV services, potentially using trained HIV nurses for diagnosis.
Objectives: We aimed to assess the extent of integration of non-communicable disease (NCD) assessment and management in HIV clinics across Europe.
Methods: A structured electronic questionnaire with 41 multiple-choice and rating-scale questions assessing NCD assessment and management was sent to 88 HIV clinics across the WHO European Region during March-May 2023. One response per clinic was collected.