乐团德尔菲共识:艾滋病毒感染者的SARS-CoV-2感染的临床管理
Alessandro Tavelli1, Alessandra Vergori2, Antonella Cingolani3
1Icona Foundation, Milan, Italy; National PhD Programme in One Health Approaches to Infectious Diseases and Life Science Research, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy.
概括
这项研究提供了关于在艾滋病毒感染者 (PWH) 中管理COVID-19的专家共识,解决了关键护理问题. 建议涵盖PWH的疾病风险,诊断,治疗和预防策略.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 临床医学 临床医学
背景情况:
- 随着COVID-19大流行,艾滋病毒感染者 (PWH) 发生了综合症,增加了他们的疾病负担.
- 疫情四年后,PWH的最佳COVID-19护理策略仍然不清楚.
研究的目的:
- 制定基于证据的建议,用于管理PWH的COVID-19.
- 为临床医生和政策制定者提供有关PWHCOVID-19护理关键方面的信息.
主要方法:
- 采用了三轮的德尔菲方法.
- 34名艾滋病毒和COVID-19感染专家组成的小组参加了会议.
- 在27个问题上寻求共识,这些问题与PWH的COVID-19管理有关.
主要成果:
- 在27个项目中,就19个项目达成共识,产生了18个最终声明.
- 达成共识的关键领域包括COVID-19风险,诊断,抗病毒和抗体治疗,皮质类固醇使用和预防.
结论:
- 这项研究为感染性疾病医生提供了指导,他们治疗COVID-19的PWH.
- 这些建议解决了科学文献有限或相互矛盾的差距.
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