Demographic, epidemiological and clinical characteristics of Ukrainian war refugees with HIV infection in the Slovak Republic
Year: 2024
Type: article
Study design: Observational Study
Abstract: BACKGROUND: The Slovak Republic, an Eastern European country, borders Ukraine, which has one of the highest rates of HIV/AIDS in Europe. This study aims to inform readers about the demographic characteristics of Ukrainian war refugees with HIV/AIDS seeking temporary protection status in Slovakia due to the Russian invasion of February 24, 2022. It focuses on their epidemiology, immunological profiles, co-infections, and treatment. DESIGN: Multicenter, retrospective study between March 1, 2022, and March 31, 2023. METHODS: Data were collected from all Ukrainian patients with refugee status living with HIV or newly diagnosed, who presented to any of the five HIV/AIDS centers in Slovakia. Information was obtained through medical interviews, physical examinations, laboratory tests and medical reports from the Ukrainian Ministry of Health. RESULTS: count was 680 cells/mL; 69.2 % (n = 97) had a viral load below 40 copies/mL. On arrival, 87.8 % (n = 123) were on ART, 90.2 % (n = 111) on dolutegravir. Coinfections included hepatitis C (31 %, n = 41), hepatitis B (12.5 %, n = 17), and tuberculosis (11.3 %, n = 16). Three died from AIDS complications. CONCLUSION: The study provides a detailed overview of the epidemiological, demographic, immunological, co-infection, and treatment characteristics of Ukrainian PLWHA displaced by the war to the Slovak republic. With the conflict ongoing, it is necessary to be prepared for more refugees in the coming months.
Authors: Ricardo Massmann, Kristína Doležalová, Lubomír Soják, Olena Samsonová, Danica Valkovičová Staneková, Ondrej Zahornacký, Pavol Jarčuška, Mária Záriš Vachalíková, Diana Vološinová, Ľubica Piesecká, Veronika Vahalová, Katarína Šimeková, Terézia Smiešková, Alexandra Bražinová, Ivy Kigen, Marek Malý, Ladislav Machala
Institutions: Charles University, University Hospital Bratislava, Comenius University Bratislava, Ministry of Health, Slovak Medical University, University of Pavol Jozef Šafárik, Univerzitná Nemocnica Louisa Pasteura, Martin University Hospital, National Institute of Public Health, Fakultní nemocnice Bulovka
Language: English
Subfield: Infectious Diseases
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,270
OpenAlex ID: W4402911588
