prikaz prve stranice dokumenta HIV care in Central and Eastern Europe: how close are we to the target?
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HIV care in Central and Eastern Europe: how close are we to the target?
International Journal of Infectious Diseases, 70 (2018); 121-130. https://doi.org/10.1016/j.ijid.2018.03.007
Gokengin, Deniz; Oprea, Cristiana; Begovac, Josip; Horban, Andrzej; Zeka, Arzu Nazli; Sedlacek, Dalibor; Allabergan, Bayjanov; Almamedova, Esmira A.; Balayan, Tatevik; Banhegyi, Denes; Bukovinova, Pavlina; Chkhartishvili, Nikoloz; Damira, Alymbaeva; Deva, Edona; Elenkov, Ivaylo; Gashi, Luljeta; Gexha-Bunjaku, Dafina; Hadciosmanovic, Vesna; Harxhi, Arjan; Holban, Tiberiu; Jevtovic, Djorje; Jilich, David; Kowalska, Justyna; Kuvatova, Djhamal; Ladnaia, Natalya; Mamatkulov, Adkhamjon; Marjanovic, Aleksandra; Nikolova, Maria; Poljak, Mario; Rüütel, Kristi; Shunnar, Azzaden; Stevanovic, Milena; Trumova, Zhanna; Yurin, Oleg Više autora...

Citirajte ovaj rad

Gokengin, D., Oprea, C., Begovac, J., Horban, A., Zeka, A. N., Sedlacek, D. ... Yurin, O. (2018). HIV care in Central and Eastern Europe: how close are we to the target?. International Journal of Infectious Diseases, 70., 121-130. doi: 10.1016/j.ijid.2018.03.007

Gokengin, Deniz, et al. "HIV care in Central and Eastern Europe: how close are we to the target?." International Journal of Infectious Diseases, vol. 70, 2018, str. 121-130. https://doi.org/10.1016/j.ijid.2018.03.007

Gokengin, Deniz, Cristiana Oprea, Josip Begovac, Andrzej Horban, Arzu Nazli Zeka, Dalibor Sedlacek, Bayjanov Allabergan, et al. "HIV care in Central and Eastern Europe: how close are we to the target?." International Journal of Infectious Diseases 70 (2018): 121-130. https://doi.org/10.1016/j.ijid.2018.03.007

Gokengin, D., et al. (2018) 'HIV care in Central and Eastern Europe: how close are we to the target?', International Journal of Infectious Diseases, 70, str. 121-130. doi: 10.1016/j.ijid.2018.03.007

Gokengin D, Oprea C, Begovac J, Horban A, Zeka AN, Sedlacek D, i sur.. HIV care in Central and Eastern Europe: how close are we to the target?. International Journal of Infectious Diseases [Internet]. 05.2018. [pristupljeno 12.04.2024.];70:121-130. doi: 10.1016/j.ijid.2018.03.007

D. Gokengin, et al., "HIV care in Central and Eastern Europe: how close are we to the target?", International Journal of Infectious Diseases, vol. 70, str. 121-130, Svibanj 2018. [Online]. Dostupno na: https://urn.nsk.hr/urn:nbn:hr:105:032081. [Citirano: 12.04.2024.]

Za citiranje koristite ovu mrežnu adresu: https://urn.nsk.hr/urn:nbn:hr:105:032081
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Naslov (engleski)HIV care in Central and Eastern Europe: how close are we to the target?
AutorDeniz Gokengin
AutorCristiana Oprea
AutorJosip Begovac
AutorAndrzej Horban
AutorArzu Nazli Zeka
AutorDalibor Sedlacek
AutorBayjanov Allabergan
AutorEsmira A. Almamedova
AutorTatevik Balayan
AutorDenes Banhegyi
AutorPavlina Bukovinova
AutorNikoloz Chkhartishvili
AutorAlymbaeva Damira
AutorEdona Deva
AutorIvaylo Elenkov
AutorLuljeta Gashi
AutorDafina Gexha-Bunjaku
AutorVesna Hadciosmanovic
AutorArjan Harxhi
AutorTiberiu Holban
AutorDjorje Jevtovic
AutorDavid Jilich
AutorJustyna Kowalska
AutorDjhamal Kuvatova
AutorNatalya Ladnaia
AutorAdkhamjon Mamatkulov
AutorAleksandra Marjanovic
AutorMaria Nikolova
AutorMario Poljak
AutorKristi Rüütel
AutorAzzaden Shunnar
AutorMilena Stevanovic
AutorZhanna Trumova
AutorOleg Yurin
Autorova ustanovaSveučilište u Zagrebu
Medicinski fakultet
Znanstveno / umjetničko
područje, polje i grana		BIOMEDICINA I ZDRAVSTVO
Kliničke medicinske znanosti
Sažetak (engleski)
OBJECTIVES: The aim of this survey was to describe the current status of HIV care in the countries of Central and Eastern Europe and to investigate how close the region is to achieving the UNAIDS 2020 target of 90-90-90. ----- METHODS: In 2014, data were collected from 24 Central and Eastern European countries using a 38-item questionnaire. ----- RESULTS: All countries reported mandatory screening of blood and organ donors for HIV. Other groups subjected to targeted screening included people who inject drugs (PWID) (15/24, 62.5%), men who have sex with men (MSM) (14/24, 58.3%), and sex workers (12/24, 50.0%). Only 14 of the 24 countries (58.3%) screened pregnant women. The percentages of late presentation and advanced disease were 40.3% (range 14-80%) and 25.4% (range 9-50%), respectively. There was no difference between countries categorized by income or by region in terms of the percentages of persons presenting late or with advanced disease. The availability of newer antiretroviral drugs (rilpivirine, etravirine, darunavir, maraviroc, raltegravir, dolutegravir) tended to be significantly better with a higher country income status. Ten countries reported initiating antiretroviral therapy (ART) regardless of CD4+ T cell count (41.7%), five countries (20.8%) used the threshold of <500 cells/μl, and nine countries (37.5%) used the threshold of <350cells/μl. Initiation of ART regardless of the CD4+ T cell count was significantly more common among high-income countries than among upper-middle-income and lower-middle-income countries (100% vs. 27.3% and 0%, respectively; p=0.001). Drugs were provided free of charge in all countries and mostly provided by governments. There were significant discrepancies between countries regarding the follow-up of people living with HIV. ----- CONCLUSIONS: There are major disparities in the provision of HIV care among sub-regions in Europe, which should be addressed. More attention in terms of funding, knowledge and experience sharing, and capacity building is required for the resource-limited settings of Central and Eastern Europe. The exact needs should be defined and services scaled up in order to achieve a standard level of care and provide an adequate and sustainable response to the HIV epidemic in this region.
Ključne riječi (engleski)
Jezikengleski
Vrsta publikacijeZnanstveni rad - Izvorni znanstveni rad
Status objaveObjavljen
Vrsta recenzijeRecenziran
Verzija publikacijeObjavljena verzija rada (izdavačev PDF)
Naslov časopisaInternational Journal of Infectious Diseases
Brojčani podacivol. 70, str. 121-130
p-ISSN1201-9712
DOIhttps://doi.org/10.1016/j.ijid.2018.03.007
URN:NBNurn:nbn:hr:105:032081
Datum objave publikacije2018-05
URL dokumentahttps://doi.org/10.1016/j.ijid.2018.03.007
Vrsta resursaTekst
Prava pristupaOtvoreni pristup
Uvjeti korištenjaIkona licence Zaštićeno autorskim pravom.
Datum i vrijeme pohrane2024-03-28 10:09:39