Barriers to ART initiation in HIV infected subjects and with treatment indication in Spain. Why don't they start their treatment? Bridgap Study
| Autor: | Viciana-Fernandez, P, Falco, V, Castano, M, de los Santos-Gil, I, Olalla-Sierra, J, Hernando, A, Deig, E, Clotet, B, Knobel, H, Podzamczer, D, Pedrol, PD |
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| Rok vydání: | 2015 |
| Předmět: | |
| Zdroj: | ENFERMEDADES INFECCIOSAS Y MICROBIOLOGIA CLINICA r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau instname |
| ISSN: | 0213-005X |
| Popis: | Introduction: In Spain, HIV treatment guidelines are well known and generally followed. However, in some patients there are no plans to initiate ART despite having treatment indications. The current barriers to ART initiation are presented. Methods: A cross-sectional survey including every HIV infected patient in care in 19 hospitals across Spain in 2012, with >= 1 indication to start ART according to 2011 national treatment guidelines, who had not been scheduled for ART initiation. Reasons for deferring treatment were categorized as follows (nonexclusive categories): a) The physician thinks the indication is not absolute and prefers to defer it; b) The patient does not want to start it; c) The physician thinks ART must be started, but there is some limitation to starting it, and d) The patient has undetectable viral load in absence of ART. Results: A total of 256 patients, out of 784 originally planned, were included. The large majority (84%) were male, median age 39 years, 57% MSM, 24% heterosexuals, and 16% IDUs. Median time since HIV diagnosis was 3 years, median CD4 count, 501 cells/mm3, median viral load 4.4 log copies/ml. Main ART indications were: CD4 count |
| Databáze: | OpenAIRE |
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