In the shadow of COVID‐19: HIV‐infected individuals need more attention

Zhao, Tianming; Xuan, Kun; Uy, John Patrick; Sun, Chenyu

doi:10.1002/jmv.26378

Cited by 2 publications

(1 citation statement)

References 9 publications

(12 reference statements)

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“…Another aspect to consider are social determinants of health which could place PLWH at a higher risk of exposure. Moreover, the pandemic and consequent establishment of nationwide lockdowns could have affected various services for PLWH, including testing, preventive interventions, and treatment [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

HIV and COVID-19 in Latin America and the Caribbean

et al. 2022

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Purpose of Review Latin America and the Caribbean (LAC) has been hit hard by COVID-19 due to political instability, flawed health systems, and structural inequalities. The repercussion of the pandemic on vulnerable populations, like people living with HIV (PLWH), is complex. This review aims to explore the interactions between the HIV and COVID-19 pandemics in this region. Recent Findings Data regarding the interactions of HIV and COVID-19 in LAC is scarce. Only case reports or small case series have been published regarding the clinical course of COVID-19 in PLWH and regarding the clinical course of COVID-19 in PLWH, which appears to be similar to the general population. The pandemic has disrupted prevention and treatment of PLWH. However, there have been country efforts to counteract those effects. There are some lessons from the HIV response which have been effectively applied in the region to address COVID-19. Summary COVID-19 has had an unprecedented impact on the cascade-of-care among PLWH in LAC. There is a need for longitudinal studies that assess clinic implication of these pandemic interactions in LAC.

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Section: Introductionmentioning

confidence: 99%

HIV and COVID-19 in Latin America and the Caribbean

et al. 2022

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Late Diagnosis at Entry on Care in an HIV Clinic in Mexico City: Possibly COVID-19 Pandemic Impact

Elizalde-Barrera,

Juarez-Mendoza

2023

CHR

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Background: HIV late-stage diagnoses have an important impact on mortality. Unfortunately, a significant number of patients are still diagnosed at late stages. On the other hand, the coronavirus disease 2019 (COVID-19) pandemic has created an unprecedented crisis in healthcare systems worldwide, including HIV care services. The aim of this study was to compare time-trends in HIV late diagnosis, prevalence, and initial CD4 cell counts of newly diagnosed HIV-positive individuals at the entry to HIV care in a General Hospital in Mexico City and to assess the Covid-19 pandemic possible effects on late diagnosis prevalence. Methods: We retrospectively analyzed the data of HIV-infected patients (January 1999 to December 2021) to assess the prevalence of Late presentation (LP, CD4 count < 350 cells/mm3) and presentation with advanced HIV disease (AHIVD CD4 count < 200 cells/mm3). Differences across time were evaluated, focusing on years of the Covid-19 pandemic. Results: We included 348 newly diagnosed HIV-positive individuals, of which (75%) patients entered into care with LP, and 158 (45.4%) were on AHIVD. The proportion of patients with LP and AHIVD decreased significantly across the study period. Nevertheless, we found an increase in this proportion in the years 2020 (70% and 53%) and 2021 (86% and 65%). Conclusion: Despite the progressive decrease in late diagnosis prevalence in our population, it remains high. Even more, our results documented a possible increase in the prevalence of late diagnosis associated with the COVID-19 pandemic. These findings highlight the need to prioritize interventions to evaluate and reverse pandemic effects on people living with HIV care.

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In the shadow of COVID‐19: HIV‐infected individuals need more attention

Cited by 2 publications

References 9 publications

HIV and COVID-19 in Latin America and the Caribbean

HIV and COVID-19 in Latin America and the Caribbean

Late Diagnosis at Entry on Care in an HIV Clinic in Mexico City: Possibly COVID-19 Pandemic Impact

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