剧本更新周期的变化与艾滋病毒非抑制之间的关联:南非私营部门艾滋病毒计划的队列研究
Gabriela Patten1, Andreas D Haas1,2, Mary-Ann Davies1
1Centre for Integrated Data and Epidemiological Research, University of Cape Town, Cape Town, South Africa.
概括
在COVID-19期间将HIV感染者 (PWH) 的处方更新延长到12个月,与改善的病毒抑制有关. 回到6个月的续期导致南非私营部门的病毒非抑制增加.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对艾滋病毒感染者 (PWH) 来说,差异化的服务提供模式至关重要.
- 由于COVID-19大流行,南非的ART处方有效期暂时发生变化.
- 评估这些变化对HIV病毒非抑制的影响至关重要.
研究的目的:
- 评估延长抗逆转录病毒疗法 (ART) 处方有效性与艾滋病毒非抑制之间的关联.
- 为了比较6个月以下的病毒非抑制趋势与12个月的处方更新期.
主要方法:
- 分析来自私营部门艾滋病毒管理计划的例行索赔数据.
- 间断时间序列分析比较病毒非抑制 (病毒载量≥50拷贝/毫升) 趋势.
- 包括年龄大于15岁的PWH,考虑到ART治疗方案和医疗计划的分布.
主要成果:
- 在政策变化之前,病毒非抑制的每月几率每年下降4%.
- 在12个月的续期期间,观察到每年11%的大幅度下降.
- 病毒非抑制在恢复6个月更新后每年增加6% (p<0.001).
结论:
- 在COVID-19期间的临时措施提供了较少临床访问的证据.
- 延长处方更新期与私人保险PWH的病毒学结果较差无关.
- 这些发现支持在差异化提供艾滋病毒服务方面探索更长时间的处方有效性.
相关概念视频
Retrovirus Life Cycles
45.4K
Retroviruses have a single-stranded RNA genome that undergoes a special form of replication. Once the retrovirus has entered the host cell, an enzyme called reverse transcriptase synthesizes double-stranded DNA from the retroviral RNA genome. This DNA copy of the genome is then integrated into the host’s genome inside the nucleus via an enzyme called integrase. Consequently, the retroviral genome is transcribed into RNA whenever the host’s genome is transcribed, allowing the...
45.4K
Sexually Transmitted Infections
213
Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
213
Viral Mutations
32.1K
A mutation is a change in the sequence of bases of DNA or RNA in a genome. Some mutations occur during replication of the genome due to errors made by the polymerase enzymes that replicate DNA or RNA. Unlike DNA polymerase, RNA polymerase is prone to errors because it is not capable of “proofreading” its work. Viruses with RNA-based genomes, like HIV, therefore accrue mutations faster than viruses with DNA-based genomes. Because mutation and recombination provide the raw material...
32.1K


