Modena HIV Metabolic Clinic (MHMC), Department of Surgical, Medical, Dental, and Morphological Sciences, University of Modena and Reggio Emilia, Italy.
Clinical and Experimental Medicine PhD Program, University of Modena and Reggio Emilia, Modena, Italy.
Clin Infect Dis. 2021 Sep 7;73(5):e1222-e1227. doi: 10.1093/cid/ciaa1864.
The coronavirus disease 2019 (COVID-19) pandemic is an unprecedented global challenge that substantially risks reversing the progress in ending human immunodeficiency virus (HIV). At the same time, it may offer the opportunity for a new era of HIV management. This viewpoint presents the impact of COVID-19 on HIV care, including the Joint United Nations Programme on HIV/AIDS (UNAIDS) "three 90s" targets. It outlines how to enhance a patient-centered care approach, now known as the "fourth 90," by integrating face-to-face patient-physician and telemedicine encounters. It suggests a framework for prevention and treatment of multimorbidity and frailty, to achieve a good health-related quality of life, and to preserve intrinsic capacity in all people living with HIV.
2019 年冠状病毒病（COVID-19）大流行是一场史无前例的全球挑战，它极大地危及终结人类免疫缺陷病毒（HIV）的进展。与此同时，它也可能为 HIV 管理带来一个新时代。本观点介绍了 COVID-19 对 HIV 护理的影响，包括联合国艾滋病规划署（UNAIDS）的“三个 90”目标。它概述了如何通过整合面对面的医患接触和远程医疗来加强以患者为中心的护理方法，即现在的“第四个 90”。它提出了预防和治疗多种疾病和虚弱的框架，以实现与健康相关的生活质量，并在所有 HIV 感染者中保持内在能力。
