Human Immunodeficiency Virus (HIV) Care Models During the Coronavirus Disease 2019 (COVID-19) Era

Author:

Guaraldi Giovanni1ORCID,Milic Jovana12,Martinez Esteban3,Kamarulzaman Adeeba4,Mussini Cristina1,Waters Laura5,Pozniak Anton6,Mallon Patrick7,Rockstroh Jürgen K8,Lazarus Jeffrey V9ORCID

Affiliation:

1. Modena HIV Metabolic Clinic (MHMC), Department of Surgical, Medical, Dental, and Morphological Sciences, University of Modena and Reggio Emilia, Italy

2. Clinical and Experimental Medicine PhD Program, University of Modena and Reggio Emilia, Modena, Italy

3. Infectious Diseases Unit, Hospital Clínic and University of Barcelona, Barcelona, Spain

4. Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia

5. Mortimer Market Centre, Central & NW London NHS Trust, London, United Kingdom

6. Chelsea and Westminster Hospital NHS Foundation Trust and LSHTM, London, United Kingdom

7. University College Dublin Centre for Experimental Pathogen Host Research, Dublin, Ireland

8. Department of Medicine I, Bonn University Hospital, Bonn, Germany

9. Barcelona Institute for Global Health (ISGlobal), Hospital Clínic, University of Barcelona, Barcelona, Spain

Abstract

Abstract The coronavirus disease 2019 (COVID-19) pandemic is an unprecedented global challenge that substantially risks reversing the progress in ending human immunodeficiency virus (HIV). At the same time, it may offer the opportunity for a new era of HIV management. This viewpoint presents the impact of COVID-19 on HIV care, including the Joint United Nations Programme on HIV/AIDS (UNAIDS) “three 90s” targets. It outlines how to enhance a patient-centered care approach, now known as the “fourth 90,” by integrating face-to-face patient–physician and telemedicine encounters. It suggests a framework for prevention and treatment of multimorbidity and frailty, to achieve a good health-related quality of life, and to preserve intrinsic capacity in all people living with HIV.

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Microbiology (medical)

Reference27 articles.

1. HIV care in the COVID-19 era: a community perspective in collaboration with the European AIDS Treatment Group (EATG). In: HIV Glasgow—Virtual, 5–8 October 2020;von Lingen;J Intern AIDS Soc,2020

2. HIV care continuum and COVID-19 outcomes among people living with HIV during the COVID-19 pandemic, Chicago, IL;Ridgway;AIDS Behav,2020

3. Covid-19 and health care’s digital revolution;Keesara;N Engl J Med,2020

4. Description of COVID-19 in HIV-infected individuals: a single-centre, prospective cohort;Vizcarra;Lancet HIV,2020

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