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MULTI-DRUG RESISTANT BACTERIAL INFECTIONS IN PATIENTS WITH CIRRHOSIS" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => "en" "contieneResumen" => array:1 [ "en" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Sebastian Marciano, Salvatore Piano, Virendra Singh, Paolo Caraceni, Rakhi Maiwall, Carlo Alessandria, Javier Fernandez, Dong Joon Kim, Sung Eun Kim, Elza Soares, Monica Marino, Julio Vorobioff, Manuela Merli, Laure Elkrief, Victor Vargas, Aleksander Krag, Shivaram Singh, Diego Giunta, Martin Elizondo, Maria Margarita Anders, Melisa Dirchwolf, Manuel Mendizabal, Cosmas Rinaldi Lesmana, Claudio Toledo, Florence Wong, Francois Durand, Adrian Gadano, Paolo Angeli" "autores" => array:28 [ 0 => array:2 [ "nombre" => "Sebastian" "apellidos" => "Marciano" ] 1 => array:2 [ "nombre" => "Salvatore" "apellidos" => "Piano" ] 2 => array:2 [ "nombre" => "Virendra" "apellidos" => "Singh" ] 3 => array:2 [ "nombre" => "Paolo" "apellidos" => "Caraceni" ] 4 => array:2 [ "nombre" => "Rakhi" "apellidos" => "Maiwall" ] 5 => array:2 [ "nombre" => "Carlo" "apellidos" => "Alessandria" ] 6 => array:2 [ "nombre" => "Javier" "apellidos" => "Fernandez" ] 7 => array:2 [ "nombre" => "Dong Joon" "apellidos" => "Kim" ] 8 => array:2 [ "nombre" => "Sung Eun" "apellidos" => "Kim" ] 9 => array:2 [ "nombre" => "Elza" "apellidos" => "Soares" ] 10 => array:2 [ "nombre" => "Monica" "apellidos" => "Marino" ] 11 => array:2 [ "nombre" => "Julio" "apellidos" => "Vorobioff" ] 12 => array:2 [ "nombre" => "Manuela" "apellidos" => "Merli" ] 13 => array:2 [ "nombre" => "Laure" "apellidos" => "Elkrief" ] 14 => array:2 [ "nombre" => "Victor" "apellidos" => "Vargas" ] 15 => array:2 [ "nombre" => "Aleksander" "apellidos" => "Krag" ] 16 => array:2 [ "nombre" => "Shivaram" "apellidos" => "Singh" ] 17 => array:2 [ "nombre" => "Diego" "apellidos" => "Giunta" ] 18 => array:2 [ "nombre" => "Martin" "apellidos" => "Elizondo" ] 19 => array:2 [ "nombre" => "Maria Margarita" "apellidos" => "Anders" ] 20 => array:2 [ "nombre" => "Melisa" "apellidos" => "Dirchwolf" ] 21 => array:2 [ "nombre" => "Manuel" "apellidos" => "Mendizabal" ] 22 => array:2 [ "nombre" => "Cosmas Rinaldi" "apellidos" => "Lesmana" ] 23 => array:2 [ "nombre" => "Claudio" "apellidos" => "Toledo" ] 24 => array:2 [ "nombre" => "Florence" "apellidos" => "Wong" ] 25 => array:2 [ "nombre" => "Francois" "apellidos" => "Durand" ] 26 => array:2 [ "nombre" => "Adrian" "apellidos" => "Gadano" ] 27 => array:2 [ "nombre" => "Paolo" "apellidos" => "Angeli" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1665268123003800?idApp=UINPBA00004N" "url" => "/16652681/00000029000000S1/v2_202405310451/S1665268123003800/v2_202405310451/en/main.assets" ] "itemAnterior" => array:17 [ "pii" => "S1665268123003782" "issn" => "16652681" "doi" => "10.1016/j.aohep.2023.101275" "estado" => "S300" "fechaPublicacion" => "2024-02-01" "aid" => "101187.88" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "abs" "cita" => "Ann Hepatol. 2024;29 Supl 1:" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:8 [ "idiomaDefecto" => true "titulo" => "OP-2 ANALYSIS OF THE GENETIC DIVERSITY OF HEPATITIS DELTA VIRUS CIRCULATING IN BRAZIL BETWEEN 2013 AND 2021 AND ITS RELATIONSHIP WITH HEPATITIS B VIRUS" "tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => "en" "contieneResumen" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Giovana Angelice, Tairine de Barros, Livia Villar, Bárbara do Lago, Francisco Mello" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Giovana" "apellidos" => "Angelice" ] 1 => array:2 [ "nombre" => "Tairine" "apellidos" => "de Barros" ] 2 => array:2 [ "nombre" => "Livia" "apellidos" => "Villar" ] 3 => array:2 [ "nombre" => "Bárbara" "apellidos" => "do Lago" ] 4 => array:2 [ "nombre" => "Francisco" "apellidos" => "Mello" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1665268123003782?idApp=UINPBA00004N" "url" => "/16652681/00000029000000S1/v2_202405310451/S1665268123003782/v2_202405310451/en/main.assets" ] "en" => array:8 [ "idiomaDefecto" => true "titulo" => "OP-3 HCV MICROELIMINATION PROGRAM IN HEMODIALYSIS PATIENTS: SUCCESS OF A MULTI-STAKEHOLDER PARTNERSHIP BASED ON A NATIONAL ERADICATION STRATEGY" "tieneTextoCompleto" => 0 "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "Ezequiel Ridruejo, Soledad Alonso, Gustavo Laham, Augusto Vallejos, Marcelo Oscar Silva, Marcelo Damian Ferder, Enrique Gabriel Dorado, Ezequiel Mauro, Marcelo Hugo Puddu" "autores" => array:9 [ 0 => array:3 [ "nombre" => "Ezequiel" "apellidos" => "Ridruejo" "referencia" => array:1 [ 0 => array:2 [ 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array:3 [ "entidad" => "Hepatology Section, Department of Medicine, Centro de Educación Médica e Investigaciones Clínicas Norberto Quirno “CEMIC”, Ciudad Autónoma de Buenos Aires, Argentina" "etiqueta" => "1" "identificador" => "aff0001" ] 1 => array:3 [ "entidad" => "National Coordination of Viral Hepatitis, Ministry of Health, Ciudad Autónoma de Buenos Aires, Argentina" "etiqueta" => "2" "identificador" => "aff0002" ] 2 => array:3 [ "entidad" => "Hepatology and Liver Transplant Unit, Hospital Universitario Austral, Pilar, Argentina" "etiqueta" => "3" "identificador" => "aff0003" ] 3 => array:3 [ "entidad" => "Fresenius Medical Care, Ciudad Autónoma de Buenos Aires, Argentina" "etiqueta" => "4" "identificador" => "aff0004" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "tieneResumen" => true "resumen" => array:1 [ "en" => array:2 [ "resumen" => "<span id="abss0001" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0001">Introduction and Objectives</span><p id="spara001" class="elsevierStyleSimplePara elsevierViewall">Direct-acting antivirals (DAAs) are highly effective in patients with chronic kidney disease in hemodialysis and chronic hepatitis C (HCV). The treatment of HCV in this population brings multiple benefits, including improved survival of the patient on dialysis and reduction of contagion in the dialysis room by achieving eradication. Our aim was to evaluate the effectiveness of DAA treatment in this population in routine clinical practice in Argentina using a multidisciplinary network of nephrologists and hepatologists, within the framework of the national micro-elimination strategy of the Viral Hepatitis Program of the Ministry of Health.</p></span> <span id="abss0002" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0002">Materials and Methods</span><p id="spara002" class="elsevierStyleSimplePara elsevierViewall">In this prospective multicenter cohort study, all patients on dialysis at Fresenius Argentina, were screened for anti-HCV. All HCV RNA- positive patients were offered treatment with Sofosbuvir/Velpatasvir (SOF/VEL) and Glecaprevir/Pibrentasvir (GP) according to national guidelines. FIB-4 and APRI scores, and liver stiffness (LSM) when available, were performed in all HCV RNA-positive patients before treatment. Those with F3-4 by LSM, FIB-4 >3.25 and/or APRI >1.5 were evaluated by a hepatologist. DAAs therapy was initiated in each dialysis unit under the supervision of hepatologists by telemedicine.</p></span> <span id="abss0003" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0003">Results</span><p id="spara003" class="elsevierStyleSimplePara elsevierViewall">A total of —10,144 patients from all hemodialysis units were evaluated between January 2018 and December 2022. A total of 323 (3.18%) were anti-HCV positive, of which 149/323 (46.13%) had detectable HCV RNA. Genotype 1 was the more prevalent (69%) and most patients had mild fibrosis (26% had F3-F4). By May 2023, 82 patients were evaluated 12 weeks after the end of treatment:76 achieved SVR (92,6%), 3 died, 1 stopped treatment due to intolerance, and 2 were lost to follow-up.</p></span> <span id="abss0004" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0004">Conclusions</span><p id="spara004" class="elsevierStyleSimplePara elsevierViewall">A multi-stakeholder partnership model as a national micro-elimination strategy increased the treatment rates for HCV in dialysis units with acceptable effectiveness in this special population. This microelimination model is on the way to the WHO elimination program for 2030.</p></span>" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abss0001" "titulo" => "Introduction and Objectives" ] 1 => array:2 [ "identificador" => "abss0002" "titulo" => "Materials and Methods" ] 2 => array:2 [ "identificador" => "abss0003" "titulo" => "Results" ] 3 => array:2 [ "identificador" => "abss0004" "titulo" => "Conclusions" ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/16652681/00000029000000S1/v2_202405310451/S1665268123003794/v2_202405310451/en/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/16652681/00000029000000S1/v2_202405310451/S1665268123003794/v2_202405310451/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1665268123003794?idApp=UINPBA00004N" ]
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