10 research outputs found

    The influence of COVID-19 pandemic on HIV care in Izmir, Turkiye

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    The influence of COVID-19 pandemic on HIV care in Izmir, TurkiyeA. NAZLI , S. ATALAY , N. YALCIN , G. HELVACI , H. ALTAN , D. GOKENGINDokuz Eylül University Faculty of Medicine, Infectious Diseases and Clinical Microbiology Department, Izmir, Turkey, Univesity of Health Sciences, TepecikTraining and Research Hospital, Infectious Diseases and Clinical Microbiology Clinic, Izmir, Turkey, Ege University Faculty of Medicine, Infectious Diseasesand Clinical Microbiology Department, Izmir, Turkey, Ministry of Health Siirt Training and Research Hospital, Siirt, TurkeyAbstract bodyPurpose: To analyse the impact of the COVID-19 pandemic on the management of people living with HIV (PLWH).Method: The study included individuals (≥18 years) newly diagnosed with HIV during the first year of the COVID 19 pandemic (2020-2021; Group 1), andduring the two years prior to the pandemic (2018-2019 and 2019-2020; Group 2), which were compared in terms of the time from diagnosis to treatment tothe first control visit, and the time to virologic suppression. A third group (Group 3) included PLWH who were already within the healthcare system receivingHIV care; the pre- and post-pandemic (first visit) physical and laboratory findings of this group were compared.Results: The study included 641 (88.8% male, 11.2% female) patients; 127 in Group 1, 253 in Group 2 (124 in 2019-2020, 129 in 2018-2019) and 261 inGroup 3. Overall the mean age was 39.4±12 years. Although the number of new diagnoses was reduced by 17.8% during the first eight months of thepandemic, it increased by 39.2% in the first three months of the normalization period. The time to the first viral load test results were delayed (p=0,002),the time for ART start was similar (p=0,116), the number of visits per year was lower (p=0,0001) and the percentage of undetectable RNA at 24 weeks waslower(p= 0,0001) in Group1 compared to Group 2. The comparison of remaining parameters is shown in Table 1. The mean follow-up period of 261 patientson ART was 24.7 months (12-144). Table 2 shows the pre- and post-pandemic comparison of physical and laboratory parameters of Group 3.Conclusions: The pandemic had anegative effect on the care of newlydiagnosed PLWH and those under care interms of diagnosis, virologic suppressionand metabolic conditions<img 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
    corecore