European AIDS Clinical Society Standard of Care meeting on HIV and related coinfections: The Rome Statements

C. Mussini, A. Antinori, S. Bhagani, T. Branco, M. Brostrom, N. Dedes, T. Bereczky, E. Girardi, D. Gökengin, A. Horban, K. Lacombe, J. D. Lundgren, L. Mendao, A. Mocroft, C. Oprea, K. Porter, D. Podlekareva, M. Battegay, A. d'Arminio Monforte, Fiona MulcahyAnna Maria Geretti, Nathan Clumeck, Peter Reiss, Jose Arribas, Jose Gatell, Christine Katlama, Anton Pozniak, Jürgen Rockstroh, Mike Youle, Nina Friis-Møller, Stefano Rusconi, Georg Behrens, Stéphane De Wit, Hansjakob Furrer, Annemarie Wensing, M. John Gill, Scott Letendre

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives: The objective of the 1st European AIDS Clinical Society meeting on Standard of Care in Europe was to raise awareness of the European scenario and come to an agreement on actions that could be taken in the future. Methods: Data-driven presentations were given on specific topics followed by interactive panel discussions. Results: In Eastern European countries, the epidemic is largely driven by injecting drug use, in contrast with Western Europe where the infection mainly occurs through heterosexual contact. A high proportion of people living with HIV remain unaware of their infection. Substantial differences exist in Eastern Europe and Central Asia with respect to treatment coverage, regimen availability and continuity of drug supply. In 2012, tuberculosis case notification rates were 5–10 times higher in Eastern Europe compared with Western Europe, with an alarming proportion of newly diagnosed multi-drug-resistant cases. Hepatitis C is widespread in selected geographical areas and risk groups. Conclusions: The key conclusion from the meeting was that a high-priority group of actions could be identified, including: increasing HIV awareness and testing, improving training for health care providers, ensuring equitable patient access to treatments and diagnostics for HIV and comorbidities, and implementing best practices in infection control and treatment of HIV-infected patients coinfected with tuberculosis and hepatitis C virus, for whom direct acting antiviral treatment. should be considered.

Original languageEnglish
Pages (from-to)445-452
Number of pages8
JournalHIV Medicine
Volume17
Issue number6
DOIs
Publication statusPublished - Jun 1 2016

Keywords

  • access to care
  • coinfections
  • HIV
  • treatment

ASJC Scopus subject areas

  • Infectious Diseases
  • Pharmacology (medical)
  • Health Policy

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