Publications by authors named "Francesco Brizzi"

Background: Ritonavir-boosted nirmatrelvir (N/r) is an antiviral which targets the main viral protease, administered to prevent the progression of SARS-CoV-2 infection in patients at high risk for severe COVID-19. We present a real-life case-control study evaluating the efficacy of N/r therapy in SARS-CoV-2 omicron variants positive outpatients in Campania region, Italy, with the aim of assessing the occurrence of three outcomes (hospital admission, admission in ICU and death) in cases and controls.

Methods: We enrolled SARS-CoV-2 positive subjects that came to our attention in Early antiviral treatment ambulatory of Infectious Diseases ward of University Federico II of Naples, Italy from January 1st, 2022, to December 31st, 2022, during the first five days from symptoms occurrence.

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Bayesian historical borrowing has recently attracted growing interest due to the increasing availability of historical control data, as well as improved computational methodology and software. In this article, we argue that the statistical models used for borrowing may be suboptimal when they do not adjust for differing factors across historical studies such as covariates, dosing regimen, etc. We propose an alternative approach to address these shortcomings.

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Article Synopsis
  • The study examines the impact of treatment as prevention and pre-exposure prophylaxis (PrEP) on HIV incidence among men who have sex with men (MSM) in England from 2009 to 2018, aiming to evaluate the potential to meet international targets for HIV transmission elimination by 2030.
  • Researchers utilized a sophisticated Bayesian model to estimate HIV trends, finding that the highest incidence among MSM likely occurred in 2012 or 2013, with a significant decline in new infections following this peak.
  • Results showed that new infections among MSM decreased sharply after 2013, especially in the 25-34 age group, with hopes of reducing new infections to fewer than 10 per 10
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CD4-based multi-state back-calculation methods are key for monitoring the HIV epidemic, providing estimates of HIV incidence and diagnosis rates by disentangling their inter-related contribution to the observed surveillance data. This paper, extends existing approaches to age-specific settings, permitting the joint estimation of age- and time-specific incidence and diagnosis rates and the derivation of other epidemiological quantities of interest. This allows the identification of specific age-groups at higher risk of infection, which is crucial in directing public health interventions.

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