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Rungmaitree S, Thamniamdee N, Sachdev S, Phongsamart W, Lapphra K, Wittawatmongkol O, Maleesatharn A, Khumcha B, Hoffman RM, Chokephaibulkit K. 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 2022; 21:23259582221143673. [PMID: 36474457 PMCID: PMC9732801 DOI: 10.1177/23259582221143673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
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.
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Affiliation(s)
- Supattra Rungmaitree
- Department of Pediatrics, Faculty of Medicine Siriraj Hospital,
Mahidol
University, Bangkok, Thailand
| | - Nuchanat Thamniamdee
- Department of Pediatrics, Faculty of Medicine Siriraj Hospital,
Mahidol
University, Bangkok, Thailand
| | | | - Wanatpreeya Phongsamart
- Department of Pediatrics, Faculty of Medicine Siriraj Hospital,
Mahidol
University, Bangkok, Thailand
| | - Keswadee Lapphra
- Department of Pediatrics, Faculty of Medicine Siriraj Hospital,
Mahidol
University, Bangkok, Thailand
| | - Orasri Wittawatmongkol
- Department of Pediatrics, Faculty of Medicine Siriraj Hospital,
Mahidol
University, Bangkok, Thailand
| | - Alan Maleesatharn
- Department of Pediatrics, Faculty of Medicine Siriraj Hospital,
Mahidol
University, Bangkok, Thailand
| | - Benjawan Khumcha
- Department of Pediatrics, Faculty of Medicine Siriraj Hospital,
Mahidol
University, Bangkok, Thailand
| | - Risa M. Hoffman
- Division of Infectious Diseases, Department of Medicine, David
Geffen School of Medicine at the University of California, Los Angeles, California,
USA
| | - Kulkanya Chokephaibulkit
- Department of Pediatrics, Faculty of Medicine Siriraj Hospital,
Mahidol
University, Bangkok, Thailand,Siriraj Institute of Clinical Research, Faculty of Medicine Siriraj
Hospital, Mahidol
University, Bangkok, Thailand,Kulkanya Chokephaibulkit, Mailing address:
Department of Pediatrics, Faculty of Medicine, Siriraj Hospital, Mahidol
University, Wanglang Road, Bangkok-noi, Bangkok 10700, Thailand.
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