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For: Aksak-Wąs BJ, Urbańska A, Leszczyszyn-Pynka M, Chober D, Parczewski M. Clinical parameters, selected HLA and chemokine gene variants associated with late presentation into care of people living with HIV/AIDS. Infect Genet Evol 2022;97:105180. [PMID: 34896288 DOI: 10.1016/j.meegid.2021.105180] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/28/2021] [Revised: 10/05/2021] [Accepted: 12/06/2021] [Indexed: 11/29/2022]

For:	Aksak-Wąs BJ, Urbańska A, Leszczyszyn-Pynka M, Chober D, Parczewski M. Clinical parameters, selected HLA and chemokine gene variants associated with late presentation into care of people living with HIV/AIDS. Infect Genet Evol 2022;97:105180. [PMID: 34896288 DOI: 10.1016/j.meegid.2021.105180] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/28/2021] [Revised: 10/05/2021] [Accepted: 12/06/2021] [Indexed: 11/29/2022]

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Cited by Other Article(s)

van Bremen K, Parczewski M, Monin M, Leszczyszyn-Pynka M, Schlabe S, Lenkiewicz F, Karasińska-Cieślak M, Wasmuth JC, Witak-Jędra M, Breitschwerdt S, Rockstroh JK, Zhyvytsia D, Boesecke C, Chober D, Aksak-Wąs B. HIV Care in Ukrainian Migrants in Two European Countries: All the Same? Pathogens 2024;13:621. [PMID: 39204222 PMCID: PMC11356781 DOI: 10.3390/pathogens13080621] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2024] [Revised: 07/16/2024] [Accepted: 07/18/2024] [Indexed: 09/03/2024] Open

Abstract

Introduction: War in Ukraine prompted an enormous refugee influx into Europe, including approximately 4200 people with HIV. The unique healthcare features of Ukrainian refugees living with HIV were compared between two infectious disease departments in Bonn, Germany, and Szczecin, Poland. Methods: This is a retrospective study on 161 people living with HIV (PLWH) refugees from Ukraine seeking care in Bonn (n = 30) and Szczecin (n = 131) between April 2022 and May 2023. Demographic, virologic, immunologic, and coinfection data were analyzed. Results: The majority of the studied individuals were female: 64% (n = 84) in Szczecin and 60% (n = 18) in Bonn. The main HIV transmission mode was heterosexual sex in 73.5% (n = 114). All were on combined antiretroviral therapy (cART) on arrival, primarily on the TLD regimen (TDF/3TC/DTG) (68.4%, n = 106). In Germany, cART was most frequently switched to BIC/TAF/FTC in 83.4% (n = 25); in Poland, the most common combination was TDF/FTC + DTG (58%, n = 76). A prevalence of replicating hepatitis C was in 11.7% (n = 15), and that for chronic hepatitis B (HBV) was in 4.7% (n = 4). History of past tuberculosis was reported in 16.9% (n = 14, Poland, and n = 7, Germany). Follow-up after 6 months showed immunological reconstitution with a mean increase of CD4+ of 10 (IQR: -69.5-120.5) cells/µL in Poland and 51.5 (IQR: -22.5-135.5) cells/µL in Germany; p = 0.04. Virologic suppression (<40 HIV-RNA/mL) was high in care entry (n = 62; 98%) for Poland, and n = 26 (92.6%) for Germany, and suppression was achieved in the majority of patients in the 6-month control (89.7% in Poland vs. 95.7% in Germany). Conclusions: Health challenges posed by war migration extend beyond HIV to coinfections as HBV, HCV, and tuberculosis give an indication for a broader search for coinfections, often less common in the new country.

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Affiliation(s)

Kathrin van Bremen Bonn University Hospital, 53127 Bonn, Germany; (K.v.B.); (M.M.); (S.S.); (J.-C.W.); (S.B.); (J.K.R.); (C.B.) German Centre for Infection Research (DZIF), 53127 Bonn, Germany
Miłosz Parczewski Department of Infectious, Tropical Diseases and Acquired Immunodeficiency, Pomeranian Medical University in Szczecin, 71-455 Szczecin, Poland; (M.P.); (M.K.-C.); (D.C.) Department of Infectious, Tropical Diseases and Immune Deficiency, Provincial Hospital, 71-455 Szczecin, Poland; (M.L.-P.); (M.W.-J.); (D.Z.)
Malte Monin Bonn University Hospital, 53127 Bonn, Germany; (K.v.B.); (M.M.); (S.S.); (J.-C.W.); (S.B.); (J.K.R.); (C.B.) German Centre for Infection Research (DZIF), 53127 Bonn, Germany
Magdalena Leszczyszyn-Pynka Department of Infectious, Tropical Diseases and Immune Deficiency, Provincial Hospital, 71-455 Szczecin, Poland; (M.L.-P.); (M.W.-J.); (D.Z.)
Stefan Schlabe Bonn University Hospital, 53127 Bonn, Germany; (K.v.B.); (M.M.); (S.S.); (J.-C.W.); (S.B.); (J.K.R.); (C.B.) German Centre for Infection Research (DZIF), 53127 Bonn, Germany
Franciszek Lenkiewicz Department of Infectious, Tropical Diseases and Acquired Immunodeficiency, Pomeranian Medical University in Szczecin, 71-455 Szczecin, Poland; (M.P.); (M.K.-C.); (D.C.)
Malwina Karasińska-Cieślak Department of Infectious, Tropical Diseases and Acquired Immunodeficiency, Pomeranian Medical University in Szczecin, 71-455 Szczecin, Poland; (M.P.); (M.K.-C.); (D.C.) Department of Infectious, Tropical Diseases and Immune Deficiency, Provincial Hospital, 71-455 Szczecin, Poland; (M.L.-P.); (M.W.-J.); (D.Z.)
Jan-Christian Wasmuth Bonn University Hospital, 53127 Bonn, Germany; (K.v.B.); (M.M.); (S.S.); (J.-C.W.); (S.B.); (J.K.R.); (C.B.) German Centre for Infection Research (DZIF), 53127 Bonn, Germany
Magdalena Witak-Jędra Department of Infectious, Tropical Diseases and Immune Deficiency, Provincial Hospital, 71-455 Szczecin, Poland; (M.L.-P.); (M.W.-J.); (D.Z.)
Sven Breitschwerdt Bonn University Hospital, 53127 Bonn, Germany; (K.v.B.); (M.M.); (S.S.); (J.-C.W.); (S.B.); (J.K.R.); (C.B.) German Centre for Infection Research (DZIF), 53127 Bonn, Germany
Jürgen K. Rockstroh Bonn University Hospital, 53127 Bonn, Germany; (K.v.B.); (M.M.); (S.S.); (J.-C.W.); (S.B.); (J.K.R.); (C.B.) German Centre for Infection Research (DZIF), 53127 Bonn, Germany
Dmytro Zhyvytsia Department of Infectious, Tropical Diseases and Immune Deficiency, Provincial Hospital, 71-455 Szczecin, Poland; (M.L.-P.); (M.W.-J.); (D.Z.)
Christoph Boesecke Bonn University Hospital, 53127 Bonn, Germany; (K.v.B.); (M.M.); (S.S.); (J.-C.W.); (S.B.); (J.K.R.); (C.B.) German Centre for Infection Research (DZIF), 53127 Bonn, Germany
Daniel Chober Department of Infectious, Tropical Diseases and Acquired Immunodeficiency, Pomeranian Medical University in Szczecin, 71-455 Szczecin, Poland; (M.P.); (M.K.-C.); (D.C.) Department of Infectious, Tropical Diseases and Immune Deficiency, Provincial Hospital, 71-455 Szczecin, Poland; (M.L.-P.); (M.W.-J.); (D.Z.)
Bogusz Aksak-Wąs Bonn University Hospital, 53127 Bonn, Germany; (K.v.B.); (M.M.); (S.S.); (J.-C.W.); (S.B.); (J.K.R.); (C.B.) Department of Infectious, Tropical Diseases and Acquired Immunodeficiency, Pomeranian Medical University in Szczecin, 71-455 Szczecin, Poland; (M.P.); (M.K.-C.); (D.C.) Department of Infectious, Tropical Diseases and Immune Deficiency, Provincial Hospital, 71-455 Szczecin, Poland; (M.L.-P.); (M.W.-J.); (D.Z.)

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Aksak-Wąs BJ, Kowalska JD, Ząbek P, Serwin K, Rafalska-Kosior M, Gołąb J, Chober D, Skonieczna-Żydecka K, Hackiewicz M, Parczewski M. Immune restoration affects 10-year survival in people living with HIV/AIDS. HIV Med 2023;24:325-334. [PMID: 36054430 DOI: 10.1111/hiv.13391] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2022] [Accepted: 08/08/2022] [Indexed: 11/29/2022]