Demographic, epidemiological and clinical characteristics of Ukrainian war refugees with HIV infection in the Slovak Republic
Language English Country Netherlands Media print-electronic
Document type Journal Article, Multicenter Study
PubMed
39343190
DOI
10.1016/j.tmaid.2024.102764
PII: S1477-8939(24)00081-4
Knihovny.cz E-resources
- Keywords
- AIDS, Antiretroviral therapy, HIV, Refugees, Slovakia, Ukraine,
- MeSH
- Adult MeSH
- HIV Infections * epidemiology drug therapy MeSH
- Coinfection epidemiology MeSH
- Middle Aged MeSH
- Humans MeSH
- Young Adult MeSH
- CD4 Lymphocyte Count MeSH
- Retrospective Studies MeSH
- Refugees * statistics & numerical data MeSH
- Viral Load MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Young Adult MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Multicenter Study MeSH
- Geographicals
- Slovakia epidemiology MeSH
- Ukraine epidemiology MeSH
BACKGROUND: The Slovak Republic, an Eastern European country, borders Ukraine, which has one of the highest rates of HIV/AIDS in Europe. This study aims to inform readers about the demographic characteristics of Ukrainian war refugees with HIV/AIDS seeking temporary protection status in Slovakia due to the Russian invasion of February 24, 2022. It focuses on their epidemiology, immunological profiles, co-infections, and treatment. DESIGN: Multicenter, retrospective study between March 1, 2022, and March 31, 2023. METHODS: Data were collected from all Ukrainian patients with refugee status living with HIV or newly diagnosed, who presented to any of the five HIV/AIDS centers in Slovakia. Information was obtained through medical interviews, physical examinations, laboratory tests and medical reports from the Ukrainian Ministry of Health. RESULTS: From March 1, 2022, to March 31, 2023, 141 Ukrainian refugees were included, mostly women (56.7 %, n = 80), with a median age of 41 years. The median CD4+ count was 680 cells/mL; 69.2 % (n = 97) had a viral load below 40 copies/mL. On arrival, 87.8 % (n = 123) were on ART, 90.2 % (n = 111) on dolutegravir. Coinfections included hepatitis C (31 %, n = 41), hepatitis B (12.5 %, n = 17), and tuberculosis (11.3 %, n = 16). Three died from AIDS complications. CONCLUSION: The study provides a detailed overview of the epidemiological, demographic, immunological, co-infection, and treatment characteristics of Ukrainian PLWHA displaced by the war to the Slovak republic. With the conflict ongoing, it is necessary to be prepared for more refugees in the coming months.
Clinic of Infectious Diseases Akademika Ladislava Dérera University Hospital Bratislava Slovakia
Clinic of Infectology University Hospital in Nitra Slovakia
Department of Infectious Diseases Faculty Hospital Bulovka Prague Czech Republic
Infectious Diseases Specialist Public Health Centre Ministry of Health and HIV Ukraine Kiev Ukraine
Institute of Epidemiology Faculty of Medicine Comenius University in Bratislava Slovakia
National Institute of Public Health Praha Czech Republic
Pharmacy at the University Hospital Bratislava Bratislava Slovakia
References provided by Crossref.org