4 results on '"Aiolfi, S."'
Search Results
2. Monitoring the quality of laboratories and the prevalence of resistance to antituberculosis drugs: Italy, 1998โ2000
- Author
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Migliori, G. B., Fattorini, L., Vaccarino, R., Besozzi, G., Saltini, C., Orefici, G., Iona, E., Matteelli, A., Fiorentini, F., Codecasa, L. R., Casali, Lucio, Cassone, A., De Santis, A., Giorgio, V., Vinciguerra, P., Angarano, G., Petrozzi, L., Costa, D., Gozzellino, F., Perboni, A., Marchetti, D., Pascali, A., Falcone, F., Mariano, V., Rizza, F., Pretto, P., Turano, A., Carosi, G. P., Farris, A. G., Ligia, G. P., Orani, G., Farris, B., Foschi, C., Trucco, G., Aiolfi, S., Ceruti, T., Parpanesi, M., Calabro, S., Felisatti, G., Tortoli, E., Nutini, S., Montini, G., D'Ambrosio, V., Ceraminiello, A., Bernorio, S., Buono, L., Montesano, P., Vinci, E., Sabato, E., Gamba, S., Crepaldi, P., Magliano, E., Penati, V., Vaccarino, P., Astolfi, A., Bertoli, G., Rupianesi, F., Losi, M., Richeldi, L., Ferrara, Giovanni, Minuccio, E., Napolitano, G., Molinari, G. L., Saini, L., Garzone, A., Vertuccio, C., Marcias, S., Menozzi, M., Marone, P., Peona, V., Nascimbene, C., Pasi, A., Cascina, A., Monaco, A., Penza, O., Pasticci, Maria Bruna, Bistoni, F., Sposini, T., Colorizio, V., Confalonieri, M., Bottrighi, P., Macor, G., Moretti, G., Fatigante, R., Barbaro, A., Agati, G., Zaccara, F., Viola, S., Le Donne, R., Farinelli, G., Mancini, D., Ermeti, M., Longi, R., Tronci, M., Bisetti, A., Altieri, A., and Fadda, G.
- Subjects
Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Tuberculosis ,Prevalence of resistance ,Drug Resistance ,Antitubercular Agents ,Drug resistance ,Proficiency testing ,Drug ,Immigrant ,Susceptibility testing ,Emigration and Immigration ,Humans ,Italy ,Laboratories ,Prevalence ,Drug Resistance, Multiple, Bacterial ,Tuberculosis, Multidrug-Resistant ,Internal medicine ,medicine ,Ethambutol ,business.industry ,Public health ,Isoniazid ,Bacterial ,Multidrug-Resistant ,medicine.disease ,Surgery ,Streptomycin ,business ,Multiple ,Rifampicin ,medicine.drug - Abstract
In 1998 a network of 20 regional tuberculosis (TB) laboratories (the Italian Multicentre Study on Resistance to Antituberculosis drugs (SMIRA) network) was established in Italy to implement proficiency testing and to monitor the prevalence of drug resistance nationwide. The network managed 30% of all TB cases reported in Italy each year. The aim of the present report is to describe: 1) the accuracy of drug-susceptibility testing in the network; 2) the prevalence of drug resistance for the period 1998-2000. Data were collected from the network laboratories. Sensitivity to streptomycin and ethambutol increased from the first survey (1998-1999) to the second survey (2000) from 87.7 to 91.9%. Specificity, predictive values for resistance and susceptibility, efficiency and reproducibility were consistent in both surveys. In previously untreated cases, the prevalence of multidrug-resistance was the same in both surveys (1.2%), while a slight decrease from the first to the second survey was observed for monoresistance to rifampicin (from 0.8 to 0.4%) and isoniazid (from 2.9 to 2%). The significant association found between isoniazid resistance and immigration is a useful indicator for both clinicians managing individual tuberculosis cases and public health services planning control strategies.
- Published
- 2003
3. International guidelines and educational experiences in an out-patient clinic for asthma
- Author
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S, Aiolfi, M, Confalonieri, A, Scartabellati, G, Patrini, L, Ghio, F, Mauri, P, Parigi, M, Trogu, L, Gandola, Aiolfi, S, Confalonieri, M, and Et, Al.
- Subjects
Adult ,Male ,outclinic patients ,Outpatient Clinics, Hospital ,Time Factors ,Guidelines as Topic ,asthma ,guidelines ,Asthma ,Hospitalization ,Treatment Outcome ,Italy ,Patient Education as Topic ,Ambulatory Care ,Humans ,Female ,Anti-Asthmatic Agents ,Prospective Studies ,guideline ,Follow-Up Studies - Abstract
In June 1989, an out-patient clinic for asthma was instituted at Crema Hospital, Italy. Up to November 1994, 430 adult asthmatics were recruited, classified and managed according to the recommendations of the international guidelines. The aims of this study are to verify: 1) whether the organization of the clinic could maintain asthma under control and reduce hospital admissions; and 2) whether the traditional educational approach could be implemented by lessons in the school of asthma to improve the control of asthma symptoms and/or admissions. The data reported refer to the first 360 asthmatics attending the clinic between 1989 and 1994: 53, 45 and 2% of them were suffering from extrinsic, intrinsic and occupational asthma, respectively. On recruitment, forced expiratory volume in one second (FEV1) was80% of predicted in 170 patients, and arterial oxygen tension (Pa,O2) 8.0 kPa (60 mmHg) in 27 patients. After the admission visit, 190 patients (53%) were classified as mild, 97 (27%) as moderate, and 73 (20%) as severe asthmatics. In May 1993, a school of asthma was organized. Forty four patients were recruited, stratified according to the severity of their asthma and randomized into two groups: 22 patients attended the school, and 22 patients did not. Each group consisted of 5, 10 and 7 patients with mild, moderate and severe asthma, respectively. The school comprised four lessons twice a week. One year after the end of the school, we could find no differences between the two groups (school versus controls) with regard to the number of urgent care visits (9 vs 9), scheduled visits (22 vs 21) and hospital admissions (2 vs 2).
- Published
- 1995
4. Histoplasmosis capsulati in Italy: Autochthonous or imported?
- Author
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Gandola L, R. Della Porta, Alessandro Scartabellati, A. Mazzoni, P. Parigi, Marco Confalonieri, G. Cannatelli, S. Aiolfi, Anna Nanetti, A. Colavecchio, Confalonieri, M., Nanetti, A., Gandola, L., Colavecchio, A., Aiolfi, S., Cannatelli, G., Parigi, P., Scartabellati, A., Porta, R. D., and Mazzoni, A.
- Subjects
Lung Diseases ,Bronchial Disease ,Male ,medicine.medical_specialty ,Pathology ,Fatal outcome ,Adolescent ,Epidemiology ,Histoplasmosis capsulati ,Italy ,Bronchial Diseases ,Fatal Outcome ,Female ,Histoplasmin ,Histoplasmosis ,Humans ,Laryngeal Diseases ,Lung Diseases, Fungal ,Middle Aged ,Pharyngeal Diseases ,Population Surveillance ,Skin Tests ,Tracheal Diseases ,Travel ,Histoplasma capsulatum ,medicine ,Socioeconomics ,Tracheal Disease ,biology ,Skin Test ,business.industry ,medicine.disease ,biology.organism_classification ,Fungal ,Laryngeal Disease ,Pharyngeal Disease ,business ,Histoplasmosi ,Human - Abstract
Reports of a few apparently autochthonous cases of human histoplasmosis and results of epidemiological research suggested the autochthonous presence of the disease in Italy. Identifying two new histologically documented cases of Italian patients, who had never been abroad, and, the positive results of a histoplasmin reactivity survey carried out in the Province of Cremona, Italy confirmed this possibility.
- Published
- 1994
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