Impact of coronavirus disease 2019 on co-morbidities in HIV.

IF 4.5 3区医学 Q2 IMMUNOLOGY

Current Opinion in HIV and AIDS Pub Date : 2023-03-01 DOI:10.1097/COH.0000000000000785

Giovanni Guaraldi, Jovana Milic

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引用次数: 0

Abstract

Purpose of review: This perspective paper offers some reflections on an hypothesized changing scenario of HIV comorbidities in the years to come and provides some insights on how to improve screening and management of people with HIV (PWH) in the coronavirus disease 2019 (COVID-19) era.

Recent findings: PWH may experience a higher burden of excess disease and mortality associated with noninfectious comorbidities in the COVID-19 era. HIV care must move beyond viral-immunological success to incorporate patient-centered outcomes based on the intrinsic characteristics of the individual and its environment, assessment and screening for comorbidities, evaluation of aging and geriatric syndromes and last but not least fight stigma, ageism and inequality to access to care.

Summary: COVID-19 is widening the gap between unmet needs of PWH and healthcare systems. An increasing burden of comorbidities, multimorbidity and frailty is affecting PWH which requires redesign of care delivery oriented around the diverse needs of individuals, rather than the prerequisites of providers, and must ensure health equity. In particular, any changes to care delivery must address existing disparities in access and care among PWH and fight stigma.

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2019冠状病毒病对艾滋病毒合并症的影响

综述目的:本前瞻性论文对未来几年HIV合并症的假设变化情况进行了一些思考，并对如何在2019冠状病毒病(COVID-19)时代改善HIV感染者(PWH)的筛查和管理提供了一些见解。最新发现:在COVID-19时代，PWH可能会经历与非传染性合并症相关的更高疾病负担和死亡率。艾滋病毒护理必须超越病毒免疫方面的成功，纳入基于个人及其环境的内在特征的以患者为中心的结果，评估和筛查合并症，评估老龄化和老年综合征，最后但并非最不重要的是，消除污名、年龄歧视和获得护理的不平等。总结:COVID-19正在扩大PWH和医疗保健系统未满足需求之间的差距。合并症、多病和体弱多病的负担日益加重，正影响着PWH，这就要求围绕个人的不同需求，而不是提供者的先决条件，重新设计保健服务，并必须确保卫生公平。特别是，对医疗服务的任何改变都必须解决残疾人医院在获取和护理方面存在的差距，并消除污名。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in HIV and AIDS IMMUNOLOGY-INFECTIOUS DISEASES

CiteScore

7.40

自引率

7.30%

发文量

115

审稿时长

6-12 weeks

期刊介绍： Published bimonthly and offering a unique and wide ranging perspective on the key developments in the field, each issue of Current Opinion in HIV and AIDS features hand-picked review articles from our team of expert editors. With six disciplines published across the year – including HIV and ageing, a HIV vaccine, and epidemiology – every issue also contains annotated reference detailing the merits of the most important papers.