Telemedicine as a tool for PrEP delivery during the COVID-19 pandemic in a large HIV prevention service in Rio de Janeiro-Brazil
Telemedicine as a tool for PrEP delivery during the COVID-19 pandemic in a large HIV prevention service in Rio de Janeiro-Brazil
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DOI：
10.1016/j.bjid.2020.05.004
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发表时间：
2020-08-01
影响因子：
3.4
通讯作者：
Grinsztejn, Beatriz
中科院分区：
文献类型：
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作者：
Hoagland, Brenda;Torres, Thiago S.;Grinsztejn, Beatriz
COVID-19公共卫生应对措施，如社交距离和社区遏制措施协议，对预防和遏制冠状病毒的传播至关重要。巴西几乎占拉丁美洲艾滋病毒病例的一半，里约热内卢是艾滋病人数第二多的城市。由于交通受限和可能的封锁，临床预约和药房抗逆转录病毒药物补充可能会受到影响，从而阻止艾滋病毒感染者和使用PrEP的人获得所需的抗逆转录病毒药物。我们在此描述了在COVID-19大流行背景下，里约热内卢大型PrEP交付服务中实施的远程医疗程序。在最初的远程咨询中，个人接受艾滋病毒快速检测，并通过电话进行PrEP相关程序的评估。个人收到一个数字处方，以检索120天的PrEP供应加上两个艾滋病毒自我检测试剂盒。随后的后续远程咨询将通过电话远程进行，包括艾滋病毒自我检测的说明，其结果将使用数字图片发送。参与者将参加服务只为PrEP补充。远程医疗程序的使用有效地避免了PrEP短缺，并减少了在COVID-19大流行期间PrEP用户在服务上花费的时间和社交距离建议。(C)2020年巴西神经病学学会。出版社：Elsevier Espana，S.L.U.
COVID-19 public health responses such as social distancing and community containment measures protocols are critical to preventing and containing the spread of coronavirus. Brazil accounts for almost half of Latin American HIV cases and Rio de Janeiro is the city with the second largest number of AIDS. Clinical appointments and pharmacy antiretroviral refills may be impaired due to restricted traffic and possible lockdowns, preventing people living with HIV and those using PrEP from accessing needed antiretrovirals. We hereby describe the telemedicine procedures implemented in a large PrEP delivery service in Rio de janeiro in the context of the COVID-19 pandemic. At the initial teleconsultation, individuals under-goe HIV rapid testing and are assessed by phone for PrEP related procedures. Individuals receive a digital prescription to retrieve a 120-day PrEP supply plus two HIV self-test kits. Subsequent follow-up teleconsultations will be performed remotely by phone call, including instructions for the HIV self-test performance, which results are to be sent using a digital picture. Participants will attend the service only for PrEP refill. The use of telemedicine procedures is being effective to avoid PrEP shortage and reduce the time PrEP users spend at the service during the COVID-19 pandemic and social distancing recommendations. (C) 2020 Sociedade Brasileira de Infectologia. Published by Elsevier Espana, S.L.U.