Evidence map›Paper›PMID 34119676›Full record

ArticleInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2021

Impact of the COVID-19 pandemic on HIV care in Guatemala.

Narda Medina, Ana Alastruey-Izquierdo, Oscar Bonilla, Brenan Ortíz, Osmar Gamboa, Luis Roberto Salazar, Danicela Mercado, Juan C Pérez, David W Denning, Eduardo Arathoon and 2 more

Abstract read
In one paragraph

Article in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  14. The impact of the COVID-19 pandemic on accessing HIV care: A case report.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Narda MedinaAsociación de Salud Integral, Guatemala, Guatemala; Mycology Reference Laboratory, National Centre for Microbiology, Instituto de Salud Carlos III, Madrid, Spain.
Ana Alastruey-IzquierdoMycology Reference Laboratory, National Centre for Microbiology, Instituto de Salud Carlos III, Madrid, Spain.
Oscar BonillaClínica Familiar Luis Ángel García/Hospital General San Juan de Dios, Guatemala, Guatemala.
Brenan OrtízClínica Familiar Luis Ángel García/Hospital General San Juan de Dios, Guatemala, Guatemala.
Osmar GamboaAsociación de Salud Integral, Guatemala, Guatemala.
Luis Roberto SalazarAsociación de Salud Integral, Guatemala, Guatemala.
Danicela MercadoClínica Familiar Luis Ángel García/Hospital General San Juan de Dios, Guatemala, Guatemala.
Juan C PérezClínica Familiar Luis Ángel García/Hospital General San Juan de Dios, Guatemala, Guatemala.
David W DenningManchester Fungal Infection Group, The University of Manchester and Manchester Academic Health Science Centre, Manchester, UK; The National Aspergillosis Centre, University Hospital of South Manchester and The University of Manchester, Manchester M23 9LT, UK.
Eduardo ArathoonAsociación de Salud Integral, Guatemala, Guatemala; Clínica Familiar Luis Ángel García/Hospital General San Juan de Dios, Guatemala, Guatemala.
Juan Luis Rodriguez-TudelaThe National Aspergillosis Centre, University Hospital of South Manchester and The University of Manchester, Manchester M23 9LT, UK. Electronic address: jlrodrigueztudela@gaffi.or.
Fungired

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo describe the impact of the coronavirus disease 2019 (COVID-19) pandemic on the diagnosis of human immunodeficiency virus (HIV) and deaths from opportunistic infections in Guatemala.

methodsA retrospective study was conducted to investigate the impact of the COVID-19 pandemic on people with HIV at a referral clinic (Clinica Familiar Luis Angel García, CFLAG), as well as the disruption of services at a diagnostic laboratory hub (DLH) which provides diagnosis for opportunistic infections to a network of 13 HIV healthcare facilities. Comparative analysis was undertaken using the months March-August from two different time periods: (i) pre-COVID-19 (2017-2019); and (ii) during the COVID-19 period (2020).

resultsDuring the COVID-19 period, 7360 HIV tests were performed at Clinica Familiar Luis Angel García, compared with an average of 16,218 tests in the pre-COVID-19 period; a reduction of 54.7% [95% confidence interval (CI) 53.8-55.4%],Deaths from opportunistic infections at 90 days were 10.7% higher in 2020 compared with 2019 (27.3% vs 16.6%; P = 0.05). Clinical samples sent to the DLH for diagnosis of opportunistic infections decreased by 43.7% in 2020 (95% CI 41.0-46.2%).

conclusionThe COVID-19 pandemic is having a substantial impact on HIV care in Guatemala. Diagnostic services for HIV have been severely affected and deaths from opportunistic infections have increased. The lessons learnt must guide the introduction of strategies to reduce the impact of the pandemic.

Indexed as

COVID-19HIV InfectionsAmbulatory Care FacilitiesGuatemalaHumansPandemicsRetrospective StudiesSARS-CoV-2COVID-19Healthcare attentionHIV testingOpportunistic infections

Identifiers

PMID34119676
PMCPMC8191308

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.