HIV screening and retention in care in people who use drugs in Madrid, Spain: a prospective study

Autor: Pablo Ryan, Jorge Valencia, Guillermo Cuevas, Jesús Troya, Juan Torres-Macho, María José Muñoz-Gómez, Nuria Muñoz-Rivas, Isabel Canorea, Sonia Vázquez-Morón, Salvador Resino
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Infectious Diseases of Poverty, Vol 10, Iss 1, Pp 1-9 (2021)
Druh dokumentu: article
ISSN: 2049-9957
DOI: 10.1186/s40249-021-00894-5
Popis: Abstract Background The burden of human immunodeficiency virus (HIV) infection in people who use drugs (PWUD) is significant. We aimed to screen HIV infection among PWUD and describe their retention in HIV care. Besides, we also screen for hepatitis C virus (HCV) infection among HIV-seropositive PWUD and describe their linkage to care. Methods We conducted a prospective study in 529 PWUD who visited the “Cañada Real Galiana” (Madrid, Spain). The study period was from June 1, 2017, to May 31, 2018. HIV diagnosis was performed with a rapid antibody screening test at the point-of-care (POC) and HCV diagnosis with immunoassay and PCR tests on dried blood spot (DBS) in a central laboratory. Positive PWUD were referred to the hospital. We used the Chi-square or Fisher’s exact tests, as appropriate, to compare rates between groups. Results Thirty-five (6.6%) participants were positive HIV antibodies, but 34 reported previous HIV diagnoses, and 27 (76%) had prior antiretroviral therapy. Among patients with a positive HIV antibody test, we also found a higher prevalence of homeless (P
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