Camoni Laura, Raimondo Mariangela, Urciuoli Roberta, Iacchini Simone, Suligoi Barbara, Pezzotti Patrizio
a Dipartimento Malattie Infettive , Istituto Superiore di Sanità , Rome , Italy.
AIDS Care. 2018 Jun;30(6):760-764. doi: 10.1080/09540121.2017.1400639. Epub 2017 Nov 14.
We conducted a second National survey in all Italian Infectious Disease clinics to assess the number of people diagnosed and linked to care and, among these, the number of people on antiretroviral therapy and viral load suppressed. In 2014, 100,049 (0.16 per 100 residents) people diagnosed and linked to care were estimated, corresponding to an increase of 6.3% compared to the survey conducted in 2012. Among people diagnosed and linked to care, 91.9% were on antiretroviral therapy (increase of 11.4% compared to 2012), and among these, 87.7% were viral load suppressed. Overall, the majority were males (72.1%), Italians (82.7%), aged 25-49 years (45.6%); the most common HIV mode of transmission was reported to be in heterosexual contact (37.9%) and men who had sex with men (31.3%); 8.8% had less than 350 CD4 cells/μL, 82.4% had VL <50 copies and 22.9% had a CDC stage C. In conclusion, the number of people diagnosed and linked to care was increasing. The vast majority of them was receiving ART but the percentage of people still with a detectable viral load was lower than the 90-90-90 WHO target.
我们在意大利所有传染病诊所开展了第二次全国性调查，以评估确诊并接受治疗的人数，以及其中接受抗逆转录病毒治疗且病毒载量得到抑制的人数。2014年，估计有100,049人（每100名居民中有0.16人）确诊并接受治疗，与2012年进行的调查相比增加了6.3%。在确诊并接受治疗的人群中，91.9%接受了抗逆转录病毒治疗（与2012年相比增加了11.4%），其中87.7%的人的病毒载量得到抑制。总体而言，大多数为男性（72.1%）、意大利人（82.7%），年龄在25至49岁之间（45.6%）；据报告，最常见的艾滋病毒传播方式为异性接触（37.9%）和男男性行为（31.3%）；8.8%的人的CD4细胞/μL少于350个，82.4%的人的病毒载量<50拷贝，22.9%的人处于美国疾病控制与预防中心C期。总之，确诊并接受治疗的人数在增加。他们中的绝大多数人正在接受抗逆转录病毒治疗，但病毒载量仍可检测到的人群比例低于世界卫生组织的90-90-90目标。
