来自乌克兰的艾滋病毒难民的艾滋病毒状况和并发症
Gerrit Ahrenstorf1, Alexandra Dopfer-Jablonka1,2, Oana Joean3
1Department of Rheumatology and Immunology, Hannover Medical School, Hannover, Germany.
HIV medicine
|December 3, 2023
概括
在德国寻求护理的乌克兰艾滋病毒感染难民大多是年轻,健康的女性,高度坚持抗逆转录病毒治疗. 结核病 (TB) 和型肝炎等可传播的共感染率高,需要及时诊断和治疗.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 内部医学 内部医学
背景情况:
- 乌克兰的艾滋病毒流行和因冲突而流离失所.
- 对患有慢性疾病的难民的护理持续性的挑战.
- 了解流离失所人口的健康需求的重要性.
研究的目的:
- 描述在德国接受医疗护理的感染艾滋病毒的乌克兰难民的临床情况.
- 评估对抗逆转录病毒疗法 (ART) 的坚持和同时感染状态.
- 为了确定这一群体的医疗保健需求.
主要方法:
- 对2022年2月至12月期间抵达德国的46名艾滋病毒感染的乌克兰难民的回顾性分析.
- 通过标准化问卷和采访收集俄罗斯语的数据.
- 评估艾滋病毒病毒载量,CD4 T细胞计数,以及查乙型肝炎,型肝炎和结核病 (TB).
主要成果:
- 该队列包括46名个人 (41名女性,5名男性),平均年龄为39.6岁,自艾滋病毒诊断以来平均8.0年.
- 70.3%的人接受了标准的ART治疗方案 (特诺福维尔-DF,拉米武丁,多卢特格拉维尔),其中大多数人具有无法检测的HIV病毒载量和702细胞/μL的平均CD4计数.
- 过去的乙型肝炎感染 (50.4%),乙型肝炎抗体 (50%) 和肺结核干扰素马释放试验 (38.6%) 的高患病率,包括耐药性结核病菌株.
结论:
- 乌克兰在德国的艾滋病毒感染难民通常是年轻,女性,并且坚持ART,保持良好的病毒学控制.
- 观察到大量的同时感染 (乙型肝炎,型肝炎和结核病),突显了早期诊断评估和治疗的必要性.
- 这些初步数据强调了针对艾滋病毒感染难民的综合护理策略的重要性,该策略既涉及艾滋病毒管理,也涉及同时存在的感染.
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