[新冠疫情对西班牙艾滋病毒感染流行病学监测系统的影响。]

Revista espanola de salud publica Pub Date : 2023-11-06
Victoria Hernando Sebastián, Marta Ruiz-Algueró, Lorena Simón Méndez, Asunción Díaz Franco
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引用次数: 0

摘要

目的:新冠肺炎疫情间接影响了其他传染病,如人类免疫缺陷病毒(HIV)感染。本文的目的是通过流行病学指标评估新冠肺炎大流行对艾滋病毒流行病学监测的影响。方法:分析2013-2021年新HIV诊断信息系统(SINIVIH,西班牙语缩写)中收集的数据。分析的流行病学指标为:1)新诊断报告延迟;2) 诊断不足的病例,按每月诊断和每年诊断计算;3) 晚期诊断,诊断为CD4细胞/mm3低于350的病例。结果:关于新诊断的报告延迟,2022年,2020年报告了2770例诊断,比2021年报告的同期多43.8%。2016年至2019年期间每月确诊的病例呈持续趋势。2020年,在3月至5月期间观察到诊断显著下降,但在纠正报告延迟后仍未恢复。当将2013年的确诊病例率与连续几年进行比较时,在研究期的最后一年,持续下降的趋势被打断了。在研究期间,晚期诊断病例的百分比保持稳定(在46%至50%之间),在校正报告延迟后,这一百分比有所下降。结论:艾滋病毒的流行病学监测报告出现了重大延误。确诊病例有所减少,部分原因是封锁和无法进入卫生系统。未观察到晚期诊断的变化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Impacto de la pandemia de la COVID-19 en los sistemas de vigilancia epidemiologica de la infección por vih en España.]

Objective: The COVID-19 pandemic indirectly affected other communicable diseases, such as human immunodeficiency virus (HIV) infection. The aim of this paper was to evaluate the impact of the COVID-19 pandemic on the epidemiological surveillance of HIV through epidemiological indicators.

Methods: Data collected in the New HIV Diagnosis Information System (SINIVIH, acronym in Spanish) in the period 2013-2021 was analyzed. The epidemiological indicators analyzed were: 1) Reporting delay of new diagnoses; 2) Under diagnosis of cases, calculated per month of diagnosis and for each year of diagnosis; 3) Late diagnosis, cases diagnosed with less than 350 CD4 cell/mm3.

Results: Regarding the reporting delay of new diagnoses, in 2022 2,770 diagnoses were reported in 2020, 43.8% more than those reported in 2021 for that year. The cases diagnosed per month between 2016 and 2019 followed a constant trend. In 2020, a significant decrease in diagnoses was observed between March and May that was not recovered after correcting for reporting delay. When comparing the rates of cases diagnosed in 2013 with the successive years, a continuous decrease was interrupted in the last year of the study period. The percentage of cases with late diagnosis had remained stable in the study period (between 46% and 50%), and a decrease in this percentage was observed after correcting for reporting delay.

Conclusions: The epidemiological surveillance of HIV suffered a significant reporting delay. A decrease in cases diagnosed is confirmed, partly due to lockdown and lack of access to the health system. Changes on late diagnosis is not observed.

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