Unified European support framework to sustain the HIV cascade of care for people living with HIV including in displaced populations of war-struck Ukraine
Unified European support framework to sustain the HIV cascade of care for people living with HIV including in displaced populations of war-struck Ukraine
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DOI：
10.1016/s2352-3018(22)00125-4
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发表时间：
2022-06-01
期刊：
影响因子：
16.1
通讯作者：
Rokx, Casper
中科院分区：
文献类型：
--
作者：
Vasylyev, Marta;Skrzat-Klapaczynska, Agata;Rokx, Casper
乌克兰是欧洲受艾滋病毒影响最严重的国家之一。欧洲大陆公开战争的升级以前所未有的方式影响了乌克兰的艾滋病毒护理。欧洲的治疗医生对如何在这种情况下处理艾滋病毒特异性护理几乎没有经验。迫切需要一个框架来界定和制定战略，以应对向留在乌克兰和流离失所的艾滋病毒感染者提供紧急支助的具体挑战。最佳分配为数不多的现有医疗资源，主要是抗逆转录病毒疗法，对于最好地预防个人发病和实现人口传播控制是必要的。专业的艾滋病毒网络在制定、优化和执行支持战略方面发挥着核心作用。通过快速的文献回顾，我们确定了创建一个支持框架所需的关键战略，以适应乌克兰的艾滋病毒流行病学。我们制定了一个统一的支持框架，旨在减少对乌克兰艾滋病毒护理级联的不可避免的影响，以及在战后重建时。
Ukraine is one of the countries in Europe most affected by HIV. The escalation of open war on the European continent has affected HIV care in Ukraine in an unprecedented way. Treating physicians in Europe have little experience on how to handle HIV-specific care under these circumstances. A framework is urgently needed that both defines and sets out strategies to handle the specific challenges for emergency support for people living with HIV, both those staying in Ukraine and those becoming displaced. The optimal allocation of the few available medical resources, primarily antiretroviral therapy, is necessary to best prevent individual morbidity and achieve population transmission control. Professional HIV networks play a central role to create, optimise, and execute support strategies. Through a rapid literature review we identified the key strategies needed to create a support framework, adapted to Ukraine's HIV epidemiology. We produce a unified support framework aiming to reduce the inevitable impact on Ukraine's HIV care cascade now, and when rebuilding it after the war.