The Outcomes of Transition from Pediatrics to Adult Care among Adolescents and Young Adults with HIV at a Tertiary Care Center in Bangkok.
J Int Assoc Provid AIDS Care
; 21: 23259582221143673, 2022.
Article
en En
| MEDLINE
| ID: mdl-36474457
ABSTRACT
Background:
Adolescents and young adults with HIV (AYHIV) are at high-risk of loss to follow up and virologic failure, particularly during transition from pediatric to adult clinics.Methods:
We reviewed the medical records of AYHIV to characterize retention and virologic suppression following their transition.Results:
101 AYHIV, 97% perinatally infected, were transferred at the median age of 20 (IQR 19-21) years. At 1-year post-transition, 92.1% were retained in care and 73.3% had viral suppression and at 2-years the retention and viral suppression were 87.1% and 76.7%, respectively. Factors associated with viral suppression were transition at ≥ 20 years of age (aOR 4.38, 95% CI 1.41-13.65) and receiving first-line ART regimen, compared to second- or third-line regimens, at transition (aOR 6.05, 95% CI 1.55-23.58).Conclusion:
Transition outcomes of AYHIV in our setting were suboptimal. There is a need for interventions to support AYHIV transition during this vulnerable period.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Infecciones por VIH
Límite:
Adolescent
/
Adult
/
Humans
País/Región como asunto:
Asia
Idioma:
En
Revista:
J Int Assoc Provid AIDS Care
Año:
2022
Tipo del documento:
Article
País de afiliación:
Tailandia
Pais de publicación:
EEUU
/
ESTADOS UNIDOS
/
ESTADOS UNIDOS DA AMERICA
/
EUA
/
UNITED STATES
/
UNITED STATES OF AMERICA
/
US
/
USA