Retention in Care among Patients with Early HIV Disease in Haiti

Autor: Kelly A. Hennessey BS, Taina Dadaille Leger MD, Vanessa R. Rivera BS, Adias Marcelin BS, Margaret L. McNairy MD, Colette Guiteau MD, Jessy G. Devieux PhD, Yvel Marcelin BS, Benedict Charles BS, Pierre-Yves Cremieux PhD, Serena P. Koenig, Jean W. Pape
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Journal of the International Association of Providers of AIDS Care, Vol 16 (2017)
Druh dokumentu: article
ISSN: 2325-9574
2325-9582
23259574
DOI: 10.1177/2325957417742670
Popis: In September 2015, the World Health Organization updated their guidelines to recommend antiretroviral therapy (ART) for all people living with HIV. Countries are now in the process of implementing strategies to provide universal HIV treatment. We analyzed the rate of retention and time to ART eligibility (according to 2013 WHO guidelines) among 3,345 adult patients receiving positive HIV test results between February 1, 2003 and March 31, 2013 at the GHESKIO Clinic in Haiti, with WHO stage 1 or 2 disease and initial CD4 cell count >500 cells/mm3. Among the 3,345 patients, 2,423 (72%) were female, the median age was 33 years, 3,089 (92%) lived in Port-au-Prince, and 1,944 (58%) had attended no school or primary school only. The median initial CD4 cell count was 668 cells/mm3 (IQR: 572-834); over the subsequent 2 years, 1,485 patients (44%) were lost to follow-up and 7 (
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