VIH y COVID-19: Una revisión narrativa rápida.

• Farias Aguilera, Alberto ^[1]
  1. [1] Universidad Diego Portales

     Universidad Diego Portales

     Santiago, Chile

     
• Localización: Cuidados de Enfermería y Educación en Salud, ISSN-e 0719-4331, V. 6, 2021 (Ejemplar dedicado a: Revista Cuidados de Enfermería y Educación en Salud), págs. 103-118
• Idioma: español
• DOI: 10.15443/ceyes.v6i1.1317
• Títulos paralelos:
  • Hiv and covid-19: A quick narrative review
• Enlaces
  • Texto completo
• Resumen
  • español

    Introducción: El impacto del SARS-CoV-2 en la pandemia del VIH, era desconocido en enero del 2020, pero transcurridos casi seis meses de la aparición del COVID-19, ya contamos con variadas publicaciones académicas de esta sindemia.

    El presente artículo es una revisión narrativa rápida de la literatura científica actual sobre VIH y COVID-19.

    Metodología: Se revisaron publicaciones en buscadores académicos a mediados de mayo del 2020 sobre VIH y COVID-19.

    Se encontraron editoriales y cartas al editor, correspondencia, viewpoint, artículos originales [algunos pre-print], notas de campo y comentarios. Todos con valiosa información clínica sobre la relación entre ambas epidemias.

    Desarrollo: Se clasificaron las publicaciones temáticamente en: respuesta clínica de personas VIH positivas afectadas por el COVID-19, farmacología, mantención y adaptación de los servicios de salud sexual, lecciones del VIH para la respuesta al COVID-19, poblaciones clave, efectos psicosociales, estigma y discriminación.  Conclusiones: No hay evidencia de que personas VIH positivas, en TARV y por tanto, sin compromiso inmune, tengan mayor riesgo de COVID-19; tampoco en personas en etapa SIDA.

    Sí hay evidencia de mayor riesgo con edad avanzada y comorbilidades. No hay evidencia que sostenga que el TARV es efectivo para el SARS-CoV-2.

    Los servicios de salud sexual pueden y deben adaptarse a la contingencia. El VIH entrega importantes lecciones para la respuesta al COVID-19. Las poblaciones clave, requieren especial protección.

    Los efectos psicosociales y el estigma y la discriminación del COVID-19 y el VIH, generan impactos en la respuesta de la epidemia.

  • English

    Introduction: The impact of SARS-CoV-2 on the HIV pandemic was unknown in January 2020, but almost six months after the appearance of COVID-19, we already have various academic publications on this syndemic. This article is a quick narrative review of the current scientific literature on HIV and COVID-19.

    Methodology: Publications in academic search engines were reviewed in mid-May 2020 on HIV and COVID-19. Editorials and letters to the editor, correspondence, viewpoint, original articles [some pre-print], field notes and comments were found. All with valuable clinicalinformation on the relationship between both epidemics.

    Development: The publications were classified thematically into: clinical response of HIVpositive people affected by COVID-19, pharmacology, maintenance and adaptation of sexual health services, lessons from HIV for the response to COVID-19, key populations, psychosocial effects, stigma and discrimination.

    Conclusions: There is no evidence that HIV-positive people on ART and therefore without immune compromise have a higher risk of COVID-19, nor in people in the AIDS stage.

    There is evidence of a higher risk with advanced age and comorbidities. There is no evidence to support that ART is effective for SARS-CoV-2. Sexual health services can and should be adapted to contingency. HIV provides important lessons for the response to COVID-19. Key populations require special protection. The psychosocial effects, and the stigma and discrimination of COVID-19 and HIV, generate impacts in the response to the epidemic.

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