Rapid Identification and Investigation of an HIV Risk Network Among People Who Inject Drugs –Miami, FL, 2018.
Prevention of HIV outbreaks among people who inject drugs remains a challenge to ending the HIV epidemic in the United States. The first legal syringe services program (SSP) in Florida implemented routine screening in 2018 leading to the identification of ten anonymous HIV seroconversions. The SSP c...
| Publicado en: | AIDS & Behavior Vol. 24; no. 1; pp. 246 - 257 |
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| Autores principales: | , , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Jan2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141150870&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 141150870 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Jan2020 vid: 24 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 141150870 141150870 141150870 10.1007/s10461-019-02680-9 141150870 ppf: 246 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Rapid Identification and Investigation of an HIV Risk Network Among People Who Inject Drugs –Miami, FL, 2018. aug: au: Tookes, Hansel Bartholomew, Tyler S. Geary, Shana Matthias, James Poschman, Karalee Blackmore, Carina Philip, Celeste Suarez, Edward Forrest, David W. Rodriguez, Allan E. Kolber, Michael A. Knaul, Felicia Colucci, Leah Spencer, Emma affil: University of Miami, 1120 NW 14th St #860, 33136, Miami, FL, USA sug: subj: HIV Infections Risk Factors HIV Infections Transmission HIV Infections Prevention and Control Seroconversion Substance Abuse Prevention and Control Viral Load Early Diagnosis Needle Exchange Programs Harm Reduction Human Florida Genotype HIV Infections Familial and Genetic Patient Navigation Contact Tracing Disease Outbreaks HIV Infections Diagnosis Collaboration HIV Infections Epidemiology Program Implementation ab: Prevention of HIV outbreaks among people who inject drugs remains a challenge to ending the HIV epidemic in the United States. The first legal syringe services program (SSP) in Florida implemented routine screening in 2018 leading to the identification of ten anonymous HIV seroconversions. The SSP collaborated with the Department of Health to conduct an epidemiologic investigation. All seven acute HIV seroconversions were linked to care (86% within 30 days) and achieved viral suppression (mean 70 days). Six of the seven individuals are epidemiologically and/or socially linked to at least two other seroconversions. Analysis of the HIV genotypes revealed that two individuals are connected molecularly at 0.5% genetic distance. We identified a risk network with complex transmission dynamics that could not be explained by epidemiological methods or molecular analyses alone. Providing wrap-around services through the SSP, including routine screening, intensive linkage and patient navigation, could be an effective model for achieving viral suppression for people who inject drugs. Resumen: La prevención de brotes de VIH entre las personas que se inyectan drogas sigue siendo un desafío para poner fin a la epidemia de VIH en los Estados Unidos. El primer programa legal de servicios de intercambio de jeringas (SSP como se conoce con sus siglas en inglés) en Florida, implementó pruebas rutinarias en 2018 que condujo a la identificación de diez seroconversiones anónimas de VIH. El SSP colaboró con el Departamento de Salud para realizar una investigación epidemiológica. Siete seroconversiones agudas de VIH fueron identificadas y se vincularon a la atención médica (86% en 30 días) y lograron la supresión viral (media 70 días). Seis de los siete individuos están vinculados epidemiológicamente y/o socialmente con al menos otras dos seroconversiones. El análisis de los genotipos del VIH reveló que dos individuos están conectados molecularmente a una distancia genética de 0.5%. Identificamos una red de riesgo con una dinámica de transmisión compleja que no puede explicarse solamente con métodos epidemiológicos o análisis moleculares. Brindando servicios integrales a través del SSP, que incluyan pruebas de rutina, el enlace intensivo y la navegación del paciente, podría ser un modelo eficaz para lograr la supresión viral de las personas que se inyectan drogas. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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