Effects of the COVID-19 pandemic on HIV care in people newly diagnosed with HIV infection
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View abstract on PubMed
Summary
This summary is machine-generated.The COVID-19 pandemic decreased new HIV diagnoses but did not impact treatment adherence or viral suppression. Rapid policy implementation ensured continuity of HIV care despite reduced patient attendance.
Area Of Science
- Infectious Diseases
- Public Health
- Epidemiology
Background
- The COVID-19 pandemic posed a significant risk to the continuity of HIV care, potentially disrupting diagnosis, treatment access, and adherence.
- Understanding the pandemic's impact on HIV care pathways is crucial for maintaining patient outcomes and public health.
Purpose Of The Study
- To evaluate the continuity of HIV care, including diagnosis, treatment initiation, adherence, and viral suppression, among newly diagnosed individuals before and during the COVID-19 pandemic.
- To identify factors influencing HIV care delivery and patient outcomes during the pandemic.
Main Methods
- Retrospective analysis comparing one-year follow-up data of patients diagnosed in 2018 (pre-pandemic) and 2020 (pandemic).
- Investigated demographic factors, comorbidities, HIV RNA levels (qRT-PCR), CD4+ cell counts, treatment compliance, and outpatient visit regularity.
Main Results
- A statistically significant decrease in newly diagnosed HIV patients was observed during the pandemic (118 in 2020 vs. 192 in 2018).
- No significant differences were found in patient age, gender, treatment compliance, or HIV RNA levels after one year between the pre-pandemic and pandemic groups.
- While pandemic attendance at HIV care programs was significantly affected, treatment compliance remained stable.
Conclusions
- Despite a reduction in new HIV diagnoses during the COVID-19 pandemic, established HIV care pathways demonstrated resilience.
- Swift policy adjustments and drug supply management effectively mitigated the pandemic's disruptive potential on treatment compliance and viral suppression in HIV patients.
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