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Impact of COVID-19 pandemic on HIV viremia: a single-center cohort study in northern Italy.
Izzo, Ilaria; Carriero, Canio; Gardini, Giulia; Fumarola, Benedetta; Chiari, Erika; Castelli, Francesco; Quiros-Roldan, Eugenia.
  • Izzo I; Division of Infectious and Tropical Diseases, ASST Spedali Civili, Brescia, Italy.
  • Carriero C; Division of Infectious and Tropical Diseases, ASST Spedali Civili, Brescia, Italy.
  • Gardini G; Department of Infectious Diseases, University of Brescia, Brescia, Italy.
  • Fumarola B; Division of Infectious and Tropical Diseases, ASST Spedali Civili, Brescia, Italy. giulia.gardini90@gmail.com.
  • Chiari E; Department of Infectious Diseases, University of Brescia, Brescia, Italy. giulia.gardini90@gmail.com.
  • Castelli F; Division of Infectious and Tropical Diseases, ASST Spedali Civili, Brescia, Italy.
  • Quiros-Roldan E; Department of Infectious Diseases, University of Brescia, Brescia, Italy.
AIDS Res Ther ; 18(1): 31, 2021 06 04.
Article in English | MEDLINE | ID: covidwho-1259203
ABSTRACT

BACKGROUND:

Brescia Province, northern Italy, was one of the worst epicenters of the COVID-19 pandemic. The division of infectious diseases of ASST (Azienda Socio Sanitaria Territoriale) Spedali Civili Hospital of Brescia had to face a great number of inpatients with severe COVID-19 infection and to ensure the continuum of care for almost 4000 outpatients with HIV infection actively followed by us. In a recent manuscript we described the impact of the pandemic on continuum of care in our HIV cohort expressed as number of missed visits, number of new HIV diagnosis, drop in ART (antiretroviral therapy) dispensation and number of hospitalized HIV patients due to SARS-CoV-2 infection. In this short communication, we completed the previous article with data of HIV plasmatic viremia of the same cohort before and during pandemic.

METHODS:

We considered all HIV-patients in stable ART for at least 6 months and with at least 1 available HIV viremia in the time window March 01-November 30, 2019, and another group of HIV patients with the same two requisites but in different time windows of the COVID-19 period (March 01-May 31, 2020, and June 01-November 30, 2020). For patients with positive viremia (PV) during COVID-19 period, we reported also the values of viral load (VL) just before and after PV.

RESULTS:

the percentage of patients with PV during COVID-19 period was lower than the previous year (2.8% vs 7%). Only 1% of our outpatients surely suffered from pandemic in term of loss of previous viral suppression.

CONCLUSIONS:

Our efforts to limit the impact of pandemic on our HIV outpatients were effective to ensure HIV continuum of care.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Viremia / HIV Infections / Pandemics / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Limits: Humans Country/Region as subject: Europa Language: English Journal: AIDS Res Ther Year: 2021 Document Type: Article Affiliation country: S12981-021-00355-x

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Viremia / HIV Infections / Pandemics / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Limits: Humans Country/Region as subject: Europa Language: English Journal: AIDS Res Ther Year: 2021 Document Type: Article Affiliation country: S12981-021-00355-x