Publications by authors named "F Fanjul"
Objective: With HIV now a chronic condition and an aging population, understanding the evolving profiles of older people with HIV (PWH) is crucial. In this longitudinal study, we examined changes in epidemiological and mortality trends among aging PWH aged 60 and above from 1998 to 2021.
Design: The study constructed four retrospective cohorts based on our calendar periods, reflecting the changing epidemiology of HIV - 1998-2003, 2004-2008, 2009-2014, and 2015-2021.
Article Synopsis
- A study was conducted to create a risk score to predict loss to follow-up (LTFU) in patients living with HIV (PLWH) in Catalonia and the Balearic Islands.
- The study analyzed 6,661 PLWH and identified key factors contributing to LTFU, including age, nationality, drug use, viral load, and time since diagnosis.
- The results indicated that a significant portion of PLWH (28.8%) was at medium risk and 3.4% at high risk for LTFU, highlighting the need for targeted interventions to retain patients in HIV care.
Article Synopsis
- The study focused on the impact of SARS-CoV-2 on people living with HIV in the Balearic Islands, specifically examining the incidence and factors contributing to infection and vaccination rates.
- A total of 3,567 HIV patients were analyzed, revealing a 29% SARS-CoV-2 infection rate, with men who have sex with men being at higher risk, while factors like African origin and vaccination coverage were associated with lower risk.
- The findings highlighted that vaccination is crucial for preventing SARS-CoV-2 infection, and revealed that older age and higher comorbidity scores led to increased vaccine uptake.
Prospective study for the early detection of lung carcinoma in patients with HIV infection (GESIDA study 8815).
Enferm Infecc Microbiol Clin (Engl Ed)
March 2025
Introduction: Lung cancer (LC) screening detects tumors early. The prospective GESIDA 8815 study was designed to assess the usefulness of this strategy in HIV + people (PLHIV) by performing a low-radiation computed tomography (CT) scan.
Patients And Methods: 371 heavy smokers patients were included (>20 packs/year), >45 years old and with a CD4+ <200 mm nadir.
Article Synopsis
- * The study analyzed cause of death using a modified protocol and found a significant decrease in all-cause mortality rates, dropping from 9.6 per 1000 person-years to 3.33. Major causes of death now include non-AIDS cancers, cardiovascular disease, and liver diseases.
- * Key predictors for both AIDS and non-AIDS mortality included factors like age, comorbidities, and ART adherence,