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Viral suppression rates in a safety-net HIV clinic in San Francisco destabilized during COVID-19.
Spinelli, Matthew A; Hickey, Matthew D; Glidden, David V; Nguyen, Janet Q; Oskarsson, Jon J; Havlir, Diane; Gandhi, Monica.
  • Spinelli MA; Division of HIV, ID, and Global Medicine.
  • Hickey MD; Division of HIV, ID, and Global Medicine.
  • Glidden DV; Department of Epidemiology and Biostatistics, University of California, San Francisco, California, USA.
  • Nguyen JQ; Division of HIV, ID, and Global Medicine.
  • Oskarsson JJ; Division of HIV, ID, and Global Medicine.
  • Havlir D; Division of HIV, ID, and Global Medicine.
  • Gandhi M; Department of Epidemiology and Biostatistics, University of California, San Francisco, California, USA.
AIDS ; 34(15): 2328-2331, 2020 12 01.
Article in English | MEDLINE | ID: covidwho-1087867
ABSTRACT
The COVID-19 pandemic is expected to hinder US End the HIV Epidemic goals. We evaluated viral suppression and retention-in-care before and after telemedicine was instituted, in response to shelter-in-place mandates, in a large, urban HIV clinic. The odds of viral nonsuppression were 31% higher postshelter-in-place (95% confidence interval = 1.08-1.53) in spite of stable retention-in-care and visit volume, with disproportionate impact on homeless individuals. Measures to counteract the effect of COVID-19 on HIV outcomes are urgently needed.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Public Policy / HIV Infections / Communicable Disease Control / Telemedicine / Coronavirus Infections / Anti-HIV Agents / Delivery of Health Care / Pandemics / Sustained Virologic Response Type of study: Experimental Studies / Prognostic study / Randomized controlled trials Limits: Adult / Female / Humans / Male Country/Region as subject: North America Language: English Journal: AIDS Journal subject: SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Public Policy / HIV Infections / Communicable Disease Control / Telemedicine / Coronavirus Infections / Anti-HIV Agents / Delivery of Health Care / Pandemics / Sustained Virologic Response Type of study: Experimental Studies / Prognostic study / Randomized controlled trials Limits: Adult / Female / Humans / Male Country/Region as subject: North America Language: English Journal: AIDS Journal subject: SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Year: 2020 Document Type: Article