HIV care in times of the COVID-19 crisis — Where are we now in Central and Eastern Europe?
Autor: | Andrzej Horban, Oleg Yurin, Arjan Harxhi, J D Kowalska, Dominik Bursa, David Jilich, Marta Vasylyev, Agata Skrzat-Klapaczyńska, Nina Yancheva, V. Mulabdic, Anna Vassilenko, Nikoloz Chkhartishvili, M. Stefanovic, T. Balayan, Kerstin Kase, Josip Begovac, A. Nagit, Antonios Papadopoulos, Deniz Gökengin, B. Lakatos, Raimonda Matulionyte, Dj. Jevtovic |
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Přispěvatelé: | Ege Üniversitesi |
Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
0301 basic medicine
Microbiology (medical) Anti-HIV Agents / therapeutic use medicine.medical_specialty Coronavirus disease 2019 (COVID-19) Anti-HIV Agents Pneumonia Viral / epidemiology Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Pneumonia Viral 030106 microbiology Human immunodeficiency virus (HIV) HIV Infections Economic shortage medicine.disease_cause Coronavirus Infections / epidemiology Article law.invention lcsh:Infectious and parasitic diseases 03 medical and health sciences Betacoronavirus 0302 clinical medicine law Political science Quarantine Pandemic medicine Humans lcsh:RC109-216 030212 general & internal medicine Pandemics HIV SARS-CoV-2 COVID-19 ARV virus diseases General Medicine European region HIV Infections / drug therapy 3. Good health Europe Infectious Diseases Infectious disease (medical specialty) Family medicine Europe / epidemiology Coronavirus Infections |
Zdroj: | International Journal of Infectious Diseases International Journal of Infectious Diseases, Vol 96, Iss, Pp 311-314 (2020) International journal of infectious diseases, Amsterdam : Elsevier Ltd on behalf of International Society for Infectious Diseases., 2020, vol. 96, p. 311-314 |
ISSN: | 1201-9712 1878-3511 |
Popis: | Introduction: The SARS-CoV-2 pandemic has hit the European region disproportionately. Many HIV clinics share staff and logistics with infectious disease facilities, which are now on the frontline in tackling COVID-19. Therefore, this study investigated the impact of the current pandemic situation on HIV care and continuity of antiretroviral treatment (ART) supplies in CEE countries. Methods: The Euroguidelines in Central and Eastern Europe (ECEE) Network Group was established in February 2016 to review standards of care for HIV in the region. The group consists of professionals actively involved in HIV care. On March 19, 2020 we decided to review the status of HIV care sustainability in the face of the emerging SARS-CoV-2 pandemic in Europe. For this purpose, we constructed an online survey consisting of 23 questions. Respondents were recruited from ECEE members in 22 countries, based on their involvement in HIV care, and contacted via email. Results: In total, 19 countries responded: Albania, Armenia, Belarus, Bosnia and Herzegovina, Bulgaria, Croatia, Czech Republic, Estonia, Georgia, Greece, Hungary, Lithuania, Macedonia, Poland, Republic of Moldova, Russia, Serbia, Turkey, and Ukraine. Most of the respondents were infectious disease physicians directly involved in HIV care (17/19). No country reported HIV clinic closures. HIV clinics were operating normally in only six countries (31.6%). In 11 countries (57.9%) physicians were sharing HIV and COVID-19 care duties. None of the countries expected shortage of ART in the following 2 weeks; however, five physicians expressed uncertainty about the following 2 months. At the time of providing responses, ten countries (52.6%) had HIV-positive persons under quarantine. Conclusions: A shortage of resources is evident, with an impact on HIV care inevitable. We need to prepare to operate with minimal medical resources, with the aim of securing constant supplies of ART. Non-governmental organizations should re-evaluate their earlier objectives and support efforts to ensure continuity of ART delivery. © 2020 The Authors ECEE Network Group: Afonina L (Russia), Alexiev I (Bulgaria), Antonyak S (Ukraine), Antonyak S (Ukraine), Balayan T (Armenia), Bednarska A (Poland), Begovac J (Croatia), Bolokhadze N (Georgia), Bukovinowa P (Slovakia), Burkacka E (Poland), Bursa D (Poland), Caplinskas S (Lithuania), Chkhartishvili N (Georgia), Dragovic G (Serbia), Goekengin D (Turkey), Harxhi A (Albania), Higersberger J (Poland), Holban T (Moldova), Horban A (Poland), Jevtovic D (Serbia), Jilich D (Czech Republic), Karpov I (Belarus), Kase K (Estonia), Kowalska JD (Poland), Krasniqi V (Kosovo), Ladnaya N (Russia), Lakatos B (Hungary), Marczy?ska M (Poland), Mardarescu M (Romania), Mat?osz B (Poland), Matulyte E (Lithuania), Matulionyte R (Lithuania), Mulabdic V (Bosnia-Herzegovina), Oprea C (Romania), Otelea D (Romania), Paciorek M (Poland), Panteleyev A (Russia), Papadopoulos A (Greece), Podlasin B (Poland), Podlekareva D (Denmark), Rukhadze (Georgia), Ruutel K (Estonia), Sedlacek D (Czech Republic), Simonovic Babic J (Serbia), Skrzat-Klapaczynska A (Poland), Sluzhynska M (Ukraine), Sta?czak J (Poland), Stevanovic M (Macedonia), Strashimirov D (Bulgaria), Streinu-Cercel A (Romania), Tetradov S (Romania),Tomazic J (Slovenia), Turcanu O (Rep. of Moldova), Vassilenko A (Belarusia), Vasylyev M (Ukraine), Verhaz A (Bosnia-Herzegovina), Yurin O (Russia), Yancheva N (Bulgaria), Zab?ocka H (Poland) |
Databáze: | OpenAIRE |
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