班加罗尔城市三级医院COVID-19对人类免疫缺陷病毒感染者影响的描述性比较研究

N. R. Ramesh Masthi, Pruthvi S.
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摘要

简介:SARS-CoV-2病毒是一种被称为冠状病毒病(COVID-19)的传染病。为应对不断升级的感染和社区传播,全国范围内实施了封锁。患有人类免疫缺陷病毒(PLHIV)的患者必须终生接受治疗。必须提供并严格遵守抗逆转录病毒疗法,以降低与艾滋病毒有关的发病率和死亡率,并阻止艾滋病毒传播。在全球范围内,艾滋病毒感染者抗逆转录病毒治疗的连续性受到COVID-19流行病的影响。这项研究是为了找出大流行如何影响艾滋病患者对抗逆转录病毒治疗方案的依从性。方法:在为期9个月的前瞻性比较研究中,对在班加罗尔市区一家三级医院ART中心就诊的PLHIV患者进行了研究。通过系统随机抽样,选取470例患者进行研究。使用标准化半结构化问卷,通过一对一访谈收集数据。使用的统计量为平均值、中位数和z检验。结果:大部分研究参与者是年龄在41岁到50岁之间的男性。最常见的艾滋病毒传播途径是异性交往。在2019冠状病毒病大流行之前和期间,艾滋病病毒感染者/日访问量存在很大差异。在2019冠状病毒病大流行期间,机会性感染和一线失败更为常见,且具有统计学意义。在大流行之前,抗逆转录病毒治疗的平均依从率为94.84%,在大流行期间降至80.55%。差异是巨大的。结论:COVID-19大流行影响了PLHIV的药物依从性,并且在此期间机会性感染有所增加。
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A descriptive comparative study on COVID-19 impact among people living with human immunodeficiency virus at tertiary care hospital: Bengaluru urban
Introduction: The SARS-CoV-2 virus is the infectious disease known as coronavirus disease (COVID-19). A lockdown was implemented across the nation in response to escalating infections and community transmission. Patients Living with Human Immunodeficiency Virus (PLHIV) must get therapy for the rest of their lives. Anti-Retroviral Therapy (ART) must be available and strictly adhered to in order to lower HIV-related morbidity and mortality and stop HIV transmission. ART continuity in PLHIV has been compromised globally by the COVID-19 epidemic. This research was done to find out how the pandemic affected PLHIV patient’s adherence to their ART regimens. Methods: For nine months, PLHIV visiting the ART centre in a tertiary care hospital in Bengaluru urban participated in this a prospective comparative study. Through systematic random sampling, 470 patients were chosen for the study. Data were gathered by one-on-one interviews using a standardised semi-structured questionnaire. The statistics used were mean, median, and z test for proportion. Results: The bulk of the study participants were male and between the ages of 41 and 50. The most frequent means of HIV transmission risk was heterosexual interaction. Before and during the COVID-19 pandemic, there was a large difference in the number of PLHIV/day visits. Opportunistic infections and first-line failures were more common and statistically significant during the COVID-19 pandemic. Prior to the pandemic, there was an average 94.84% adherence to ART, which dropped to 80.55% during the pandemic. The variation was substantial. Conclusion: The COVID-19 pandemic has impacted PLHIV medication adherence, and opportunistic infections have increased during this time.
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