Insights, experiences, and perspectives on the rapid diagnosis of tuberculosis, histoplasmosis, and cryptococcosis in people with advanced HIV disease in Porto Alegre
Washington, D.C.; PAHO; 2024-03-22. (PAHO/UFCSPA/CDE/HT/23-0015).
Non-conventional
em En
| PAHOIRIS
| ID: phr-59381
Biblioteca responsável:
US1.1
ABSTRACT
People living with HIV (PLHIV) with severe advanced disease are at high risk of developing opportunistic infections and may face barriers related to diagnosis and treatment. The objective of this study was to describe insights, experiences and perspectives around the feasibility of implementing a package for the rapid diagnosis of frequent opportunistic infections among patients with advanced HIV, in order to support the development and implementation of HIV care policies. The study was carried out between June 30 and October 30, 2023, comprising two focus groups with health professionals involved in the rapid diagnosis intervention (n=10); four in-depth interviews with health managers dedicated to HIV care policies; and 12 interviews with patients with advanced HIV. The intervention in question was considered relevant for allowing a more timely diagnosis of diseases that are difficult to investigate. Patient compliance was generally collaborative, especially in research hospitals, but more vulnerable patients may require expanded psychosocial support. Among the barriers, delays in results, communication challenges between professionals and patients were highlighted, as well as the lack of alignment in the flow of exam request, collection, results and communication for patients and the extended team. At the management level, the importance of integrating the intervention into the line of care for patients with HIV was highlighted. It is relevant to investigate the issue of social determinants of HIV/AIDS mortality in the future to provide valuable insights into improving prevention and treatment strategies.
Texto completo:
1
Coleções:
04-international_org
Base de dados:
PAHOIRIS
Assunto principal:
Tuberculose
/
Infecções Oportunistas
/
Brasil
/
Doenças Transmissíveis
/
Síndrome da Imunodeficiência Adquirida
/
HIV
/
Criptococose
/
Política de Saúde
/
Histoplasmose
País/Região como assunto:
America do sul
/
Brasil
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Non-conventional