Τίτλος:
Identifying, linking, and treating people who inject drugs and were recently infected with HIV in the context of a network-based intervention
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Identifying and linking people to care soon after HIV infection could limit viral transmission and protect their health. This work aims at describing the continuum of care among recently HIV-infected people who inject drugs (PWID) and participated in an intervention in the context of an HIV outbreak in Athens, Greece. The Transmission Reduction Intervention Project (TRIP) conducted risk network-based contact tracing and screened people for recent HIV infection. A comprehensive approach with a case management component that aimed to remove barriers to accessing care was adopted. Follow-up data on antiretroviral treatment (ART) and HIV-RNA levels were obtained from HIV clinics. TRIP enrolled 45 recently HIV-infected PWID (80% male) with a median viral load at recruitment of 5.43 log10 copies/mL. Of the recently infected persons in TRIP, 87% were linked to care; of these, 77% started ART; and of those on ART, 89% achieved viral load <200 copies/mL. TRIP and its public health allies managed to get most of the recently HIV-infected PWID who were identified by the program into care and many of them onto ART. This resulted in very low HIV-RNA levels. Treatment as prevention can work if individuals are aided in overcoming difficulties in entry to, or attrition from care. © 2019, © 2019 Informa UK Limited, trading as Taylor & Francis Group.
Συγγραφείς:
Psichogiou, M.
Giallouros, G.
Pantavou, K.
Pavlitina, E.
Papadopoulou, M.
Williams, L.D.
Hadjikou, A.
Kakalou, E.
Skoutelis, A.
Protopapas, K.
Antoniadou, A.
Boulmetis, G.
Paraskevis, D.
Hatzakis, A.
Friedman, S.R.
Nikolopoulos, G.K.
Περιοδικό:
AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Λέξεις-κλειδιά:
antiretrovirus agent; Human immunodeficiency virus antibody; anti human immunodeficiency virus agent, adult; antiretroviral therapy; Article; case management; clinical article; contact examination; epidemic; female; follow up; Greece; human; Human immunodeficiency virus infection; injection drug user; laboratory technique; male; priority journal; screening; structured questionnaire; virus load; virus transmission; complication; diagnosis; Human immunodeficiency virus infection; middle aged; risk reduction; substance abuse, Adult; Anti-HIV Agents; Disease Outbreaks; Female; Greece; HIV Infections; Humans; Male; Middle Aged; Risk Reduction Behavior; Substance Abuse, Intravenous; Viral Load
DOI:
10.1080/09540121.2019.1601671
