Publications by authors named "M Luisa Garcia-Alcalde"

Background: Reliable non-invasive methods for the evaluation of liver fibrosis are desirable, and the risk factors associated with fibrosis are not fully identified.

Methods: A cross-sectional study of a cohort of 805 HIV-HCV-coinfected patients with active HCV replication, most (95.2%) of whom were intravenous drug users, was conducted.

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Objective: To study the characteristics of HIV infection in the gypsy (Roma) population in Spain, as compared with those of the Caucasian, non-gypsy majority.

Design: Cross-sectional, historical cohort study from the Spanish VACH Cohort.

Methods: Patients attending VACH clinics between 1 June 2004 and 30 November 2004 were classified according to their racial and ethnic origin as "gypsies", Caucasian non-gypsy Spanish natives (CNGN), and "other" (the last being excluded from this study).

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Article Synopsis
  • Spontaneous bacterial meningitis (SBM) is significantly more common among HIV-1-infected individuals, with an incidence rate of 62 cases per 100,000 compared to just 3.2 cases per 100,000 in uninfected persons.
  • The study found that predictors for developing SBM in HIV-1 patients included having a CD4 count lower than 200/mm and the presence of extrameningeal infections like pneumonia and bacteremia.
  • HIV-1-infected patients with SBM faced worse outcomes, including higher rates of neurologic complications and a greater case fatality rate, underscoring the severe impact of SBM in this population.
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Background: Preliminary data suggest that a once-daily combination of lamivudine, didanosine and efavirenz is an effective alternative regimen for antiretroviral-naive HIV-1-infected patients. However, data from randomized trials comparing this combination versus standard first-line regimens are not available yet. In an observational study, we analyse the efficacy and tolerability of didanosine plus lamivudine and efavirenz versus zidovudine plus lamivudine and efavirenz in a cohort of therapy naive patients.

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