Publications by authors named "Giulia Savelloni"

Background: Recently, carbapenemase (KPC)-producing (KPC-Kp) with resistance to ceftazidime/avibactam (CZA-R) has been described, including KPC variants that restore carbapenem susceptibility. The aim of the study was to analyze the clinical characteristics and outcomes of infections caused by CZA-R KPC-Kp.

Methods: From 2019 to 2021, a retrospective 2-center study including patients with infections due to CZA-R KPC-Kp hospitalized at 2 academic hospitals in Rome was conducted.

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Article Synopsis
  • The study analyzed clinical characteristics and mortality risk factors for COVID-19 patients in an Italian hospital from March to May 2020, involving 258 patients with a mortality rate of 13.2%.
  • Key findings included that most patients were middle-aged (median age 62), with common symptoms like fever and cough, and a significant number had underlying health issues (66.7%).
  • Factors associated with higher mortality included older age, being male, high blood urea levels, and a decreased PaO2/FiO2 ratio, indicating severity in respiratory distress.
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Background: Remdesivir (REM) has shown potent antiviral activity and efficacy in animal models of COVID-19; nevertheless, clinical trials and real-life reports have shown conflicting data on its effectiveness. Aims of the study were to evaluate the impact of remdesivir on I) Intensive Care Unit (ICU) admission, II) need for orotracheal intubation (OTI) and III) in-hospital mortality. Furthermore, we estimated the kinetics of laboratory parameters and assessed the risk factors for in-hospital mortality in the remdesivir population.

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Background: Electrocardiogram (ECG) offers a valuable resource easily available in the emergency setting. Objective: Aim of the study was to describe ECG alterations on emergency department (ED) presentation or that developed during hospitalization in SARS-CoV-2-infected patients and their association with 28-day mortality. Methods: A retrospective, single-center study including hospitalized patients with SARS-CoV-2 was conducted.

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Convalescent plasma (CP) therapy might be effective in patients with haematological malignanciesand B-cell depletion. We report a single-centre experience of COVID-19 patients with non-Hodgkinlymphoma and absence of B-cells as a consequence of anti-CD20 therapy successfully treated withCP from October 2020 to May 2021. CP was given in the presence of pneumonia with respiratoryfailure despite standard treatment and consisted of three infusions on an alternate-day basis.

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Article Synopsis
  • NK cells are primarily involved in COVID-19 pneumonia, but NKT cells, which link innate and adaptive immunity, are less understood.
  • In a study of 45 patients with COVID-19 pneumonia and 19 healthy donors, researchers found that COVID-19 patients had more NK cells and fewer NKT and CD56bright cells, with severe cases showing particularly low NKT cell levels.
  • The study suggests that low percentages of NKT cells in COVID-19 patients might be linked to greater disease severity, highlighting their potential importance in the illness.
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Drug-induced aseptic meningitis (DIAM) represents a diagnostic challenge since clinical and cerebrospinal fluid (CSF) findings may be indistinguishable from a bacterial meningitis. Intravenous immunoglobulin (IVIg) are commonly used in a variety of diseases, including inflammatory and autoimmune disorders. Although usually well-tolerated, various adverse effects have been reported.

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The new QuantiFERON-TB Gold Plus employs modified peptides optimized to elicit an IFNγ response from CD8 cytotoxic T lymphocytes in addition to CD4 T cells. With a view to improve the difficult identification of TB cases, we assessed the combination of two specific immunological markers comprising IFNγ secretion and T cells co-expression of CD25 and CD134 in response to Mycobacterium tuberculosis-specific antigens. A total of 34 subjects with suspected TB and 10 age-matched HD were prospectively enrolled.

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