Publications by authors named "M T Bracchi"

Article Synopsis
  • A 30-year-old trans woman sought sexual health services and was diagnosed with both HIV and syphilis, leading to her treatment with antiretrovirals and benzathine penicillin G.
  • She tested positive for tuberculosis (TB), requiring a switch in her HIV treatment due to a drug interaction with her TB medication.
  • The case emphasizes the need for integrated care for transgender patients, highlighting the importance of managing multiple health conditions and hormone therapies within a single healthcare team.
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Article Synopsis
  • Switching from oral antiretroviral treatment to intramuscular CAB + RPV can include an oral lead-in to check for tolerability, but direct switches from efavirenz (EFV) are not recommended.
  • This is due to EFV's long elimination time, which can affect the metabolism of CAB and RPV and potentially lead to drug resistance.
  • A case study highlights a situation where a critical care patient had to switch from FTC/TDF + EFV to IM CAB + RPV when oral medication was not feasible, showcasing a need for flexible treatment options in emergencies.
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Background: Tunneled central venous catheter (tCVCs) is a vascular access frequently employed in hemodialysis patients. Catheter-related bloodstream infections (CRBSI) are potentially life-threatening complications.

Methods: We performed a retrospective survey regarding tCVCs prevalence as well as the CRBSI incidence and management within five hospitals in the Brescia province belonging to the "East Lombardy Nephrological Network"; this study was based upon 18 queries regarding the years 2020 and 2021.

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