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1.
HIV Med ; 19(5): 339-346, 2018 05.
Artigo em Inglês | MEDLINE | ID: mdl-29336516

RESUMO

OBJECTIVES: Women with HIV infection are mainly of reproductive age and need safe, effective and affordable contraception to avoid unintended pregnancies. The aim of this study was to evaluate contraceptive use and unintended pregnancies in this population in Switzerland. METHODS: A self-report anonymous questionnaire on contraceptive methods, adherence to them, and unintended pregnancies was completed by women included in the Swiss HIV Cohort Study (SHCS) between November 2013 and June 2014. Sociodemographic characteristics and information related to combined antiretroviral therapy and HIV disease status were obtained from the SHCS database. RESULTS: Of 462 women included, 164 (35.5%) reported not using any contraception. Among these, 65 (39.6%) reported being sexually active, although 29 (44.6%) were not planning a pregnancy. Of 298 women using contraception, the following methods were reported: condoms, 219 (73.5%); oral hormonal contraception, 32 (10.7%); and intrauterine devices, 28 (9.4%). Among all women on contraception, 32 (10.7%) reported using more than one contraceptive method and 48 (16%) had an unintended pregnancy while on contraception (18, condoms; 16, oral contraception; four, other methods). Of these, 68.1% terminated the pregnancy and almost half (43.7%) continued using the same contraceptive method after the event. CONCLUSIONS: Family planning needs in HIV-positive women are not fully addressed because male condoms remained the predominant reported contraceptive method, with a high rate of unintended pregnancies. It is of utmost importance to provide effective contraception such as long-acting reversible contraceptives for women living with HIV.


Assuntos
Anticoncepcionais/uso terapêutico , Uso de Medicamentos/estatística & dados numéricos , Infecções por HIV , Pesquisa sobre Serviços de Saúde , Gravidez não Planejada , Adolescente , Adulto , Estudos Transversais , Serviços de Planejamento Familiar/métodos , Serviços de Planejamento Familiar/organização & administração , Feminino , Humanos , Pessoa de Meia-Idade , Gravidez , Inquéritos e Questionários , Suíça , Adulto Jovem
2.
New Microbes New Infect ; 4: 9-10, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25830026

RESUMO

We report the case of a 37-year-old previously healthy woman diagnosed with a breast abscess due to Propionibacterium avidum after breast reduction surgery. This case emphasizes the potential pathogenicity and morbidity associated with this commensal skin organism.

3.
Eur J Clin Microbiol Infect Dis ; 34(3): 461-5, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25252631

RESUMO

Current diagnostic methods in differentiating septic from non-septic arthritis are time-consuming (culture) or have limited sensitivity (Gram stain). Microcalorimetry is a novel method that can rapidly detect microorganisms by their heat production. We investigated the accuracy and time to detection of septic arthritis by using microcalorimetry. Patients older than 18 years of age with acute arthritis of native joints were prospectively included. Synovial fluid was aspirated and investigated by Gram stain, culture and microcalorimetry. The diagnosis of septic arthritis and non-septic arthritis were made by experienced rheumatologists or orthopaedic surgeons. Septic arthritis was diagnosed by considering the finding of acute arthritis together with findings such as positive Gram stain or positive culture of synovial fluid or positive blood culture. The sensitivity and specificity for diagnosing septic arthritis and the time to positivity of microcalorimetry were determined. Of 90 patients (mean age 64 years), nine had septic arthritis, of whom four (44 %) had positive Gram stain, six (67 %) positive synovial fluid culture and four (44 %) had positive blood culture. The sensitivity of microcalorimetry was 89 %, the specificity was 99 % and the mean detection time was 5.0 h (range, 2.2-8.0 h). Microcalorimetry is an accurate and rapid method for the diagnosis of septic arthritis. It has potential to be used in clinical practice in diagnosing septic arthritis.


Assuntos
Artrite Infecciosa/diagnóstico , Calorimetria/métodos , Adulto , Idoso , Idoso de 80 Anos ou mais , Diagnóstico Diferencial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Sensibilidade e Especificidade , Fatores de Tempo
4.
Praxis (Bern 1994) ; 101(22): 1431-5, 2012 Oct 31.
Artigo em Alemão | MEDLINE | ID: mdl-23117963

RESUMO

Disorders of local immunity associated with diabetes, neuropathy, vascular disease and pressure lesions all contribute to the pathogenesis of diabetic foot lesions. Diabetic foot infections are frequently encountered, comprising multifactorial pathology and high morbidity and mortality rates. Microbiological sampling is indicated only when infection is suspected clinically, that is, when a lesion presents a minimum of two of the following six signs: erythema, heat, pain, tumefaction, induration or purulent discharge.


Assuntos
Infecções Bacterianas/diagnóstico , Pé Diabético/diagnóstico , Infecção dos Ferimentos/diagnóstico , Antibacterianos/efeitos adversos , Antibacterianos/uso terapêutico , Infecções Bacterianas/microbiologia , Infecções Bacterianas/terapia , Terapia Combinada , Comportamento Cooperativo , Desbridamento , Pé Diabético/microbiologia , Pé Diabético/terapia , Humanos , Comunicação Interdisciplinar , Osteomielite/diagnóstico , Osteomielite/microbiologia , Osteomielite/terapia , Infecção dos Ferimentos/microbiologia , Infecção dos Ferimentos/terapia
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