From Hospital to the Community: Redesigning the Human Immunodeficiency Virus (HIV) Clinical Service Model to Respond to an Outbreak of HIV Among People Who Inject Drugs.
J Infect Dis
; 222(Suppl 5): S410-S419, 2020 09 02.
Article
in En
| MEDLINE
| ID: mdl-32877546
ABSTRACT
An outbreak of human immunodeficiency virus (HIV) among people who inject drugs in Glasgow, Scotland started in 2014. We describe 156 cases over 5 years and evaluate the impact of clinical interventions using virological and phylogenetic analysis. We established (1) HIV services within homeless health facilities, including outreach nurses, and (2) antiretroviral therapy (ART) via community pharmacies. Implementation of the new model reduced time to ART initiation from 264 to 23 days and increased community viral load suppression rates to 86%. Phylogenetic analysis demonstrated that 2019 diagnoses were concentrated within a single network. Traditional HIV care models require adaptation for this highly complex population.
Key words
Full text:
1
Database:
MEDLINE
Main subject:
HIV Infections
/
Substance Abuse, Intravenous
/
Disease Outbreaks
/
Models, Organizational
/
Community Health Services
Type of study:
Diagnostic_studies
Limits:
Female
/
Humans
/
Male
Country/Region as subject:
Europa
Language:
En
Journal:
J Infect Dis
Year:
2020
Type:
Article
Affiliation country:
United kingdom