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http://hdl.handle.net/2445/185963
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DC Field | Value | Language |
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dc.contributor.author | Bentzon, Adrian | - |
dc.contributor.author | Panteleev, Alexander | - |
dc.contributor.author | Mitsura, V. | - |
dc.contributor.author | Borodulina, Elena | - |
dc.contributor.author | Skrahin, Aliaksandr | - |
dc.contributor.author | Denisova, Elena | - |
dc.contributor.author | Tetradov, Simona | - |
dc.contributor.author | Podlasin, Regina | - |
dc.contributor.author | Riekstina, V. | - |
dc.contributor.author | Kancauskiene, Z. | - |
dc.contributor.author | Paduto, D. | - |
dc.contributor.author | Mocroft, Amanda | - |
dc.contributor.author | Trofimova, T. | - |
dc.contributor.author | Miller, Robert F. | - |
dc.contributor.author | Post, F. | - |
dc.contributor.author | Grzeszczuk, Anna | - |
dc.contributor.author | Lundgren, Jens D. | - |
dc.contributor.author | Inglot, M. | - |
dc.contributor.author | Podlekareva, Daria N. | - |
dc.contributor.author | Bolokadze, N. | - |
dc.contributor.author | Kirk, Ole | - |
dc.contributor.author | TB:HIV Study Group. | - |
dc.contributor.author | Miró Meda, José M. | - |
dc.date.accessioned | 2022-05-26T16:16:51Z | - |
dc.date.available | 2022-05-26T16:16:51Z | - |
dc.date.issued | 2020-10-20 | - |
dc.identifier.issn | 1464-2662 | - |
dc.identifier.uri | http://hdl.handle.net/2445/185963 | - |
dc.description.abstract | Background: In a 2013 survey, we reported distinct discrepancies in delivery of tuberculosis (TB) and HIV services in eastern Europe (EE) vs. western Europe (WE). Objectives: To verify the differences in TB and HIV services in EE vs. WE. Methods: Twenty-three sites completed a survey in 2018 (EE, 14; WE, nine; 88% response rate). Results were compared across as well as within the two regions. When possible, results were compared with the 2013 survey. Results: Delivery of healthcare was significantly less integrated in EE: provision of TB and HIV services at one site (36% in EE vs. 89% in WE; P = 0.034), and continued TB follow-up in one location (42% vs. 100%; P = 0.007). Although access to TB diagnostics, standard TB and HIV drugs was generally good, fewer sites in EE reported unlimited access to rifabutin/multi-drug-resistant TB (MDR-TB) drugs, HIV integrase inhibitors and opioid substitution therapy (OST). Compared with 2013, routine usage of GeneXpert was more common in EE in 2018 (54% vs. 92%; P = 0.073), as was access to moxifloxacin (46% vs. 91%; P = 0.033), linezolid (31% vs. 64%; P = 0.217), and bedaquiline (0% vs. 25%; P = 0.217). Integration of TB and HIV services (46% vs. 39%; P = 1.000) and provision of OST to patients with opioid dependency (54% vs. 46%; P = 0.695) remained unchanged. Conclusion: Delivery of TB and HIV healthcare, including integration of TB and HIV care and access to MDR-TB drugs, still differs between WE and EE, as well as between individual EE sites. | - |
dc.format.extent | 11 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | Wiley | - |
dc.relation.isformatof | Versió postprint del document publicat a: https://doi.org/10.1111/hiv.13016 | - |
dc.relation.ispartof | HIV Medicine, 2020, vol. 22, num. 4, p. 283-293 | - |
dc.relation.uri | https://doi.org/10.1111/hiv.13016 | - |
dc.rights | (c) British HIV Association , 2020 | - |
dc.source | Articles publicats en revistes (Patologia i Terapèutica Experimental) | - |
dc.subject.classification | Tuberculosi | - |
dc.subject.classification | VIH (Virus) | - |
dc.subject.classification | Epidemiologia | - |
dc.subject.classification | Europa | - |
dc.subject.other | Tuberculosis | - |
dc.subject.other | HIV (Viruses) | - |
dc.subject.other | Epidemiology | - |
dc.subject.other | Europe | - |
dc.title | Healthcare delivery for HIV-positive people with tuberculosis in Europe | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/acceptedVersion | - |
dc.identifier.idgrec | 708099 | - |
dc.date.updated | 2022-05-26T16:16:51Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 33215809 | - |
Appears in Collections: | Articles publicats en revistes (Medicina) Articles publicats en revistes (Patologia i Terapèutica Experimental) |
Files in This Item:
File | Description | Size | Format | |
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708099.pdf | 518.11 kB | Adobe PDF | View/Open |
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