fa اثر پاندمی کووید 19 بر برخی از جنبه های مراقبت از HIV در شمال ایران اپیدمیولوژی Epidemiology گزارش کوتاه Brief Report <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:95%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="FA" style="line-height:95%"><span b="" koodak="" style="font-family:"><span style="color:black">&nbsp;</span></span></span></span></span></span></span></span></span><span style="line-height:85%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="FA" style="line-height:85%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">سابقه</span></span></span></span> <span lang="AR-SA" style="line-height:85%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">و هدف:</span></span></span></span> <span lang="FA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.2pt">عفونت کووید-۱۹ به طور بالقوه می</span></span></span></span><span lang="AR-SA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.2pt">‌</span></span></span></span><span lang="FA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.2pt">تواند اختلالات اساسی روی برنامه</span></span></span></span><span lang="AR-SA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.2pt">‌</span></span></span></span><span lang="FA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.2pt">های روتین مراقبتی همانند مراقبت</span></span></span></span><span lang="FA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:black"> <span style="letter-spacing:-.1pt">از </span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:85%"><span style="color:black"><span style="letter-spacing:-.1pt">HIV</span></span></span></span><span lang="FA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.1pt"> ایجاد نماید. هدف از مطالعه حاضر بررسی اثرات پاندمی کووید-19 برروی برخی از جنبه</span></span></span></span><span lang="AR-SA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.1pt">‌</span></span></span></span><span lang="FA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.1pt">های مراقبتی از </span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:85%"><span style="color:black"><span style="letter-spacing:-.1pt">HIV</span></span></span></span><span lang="FA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.1pt"> بود.</span></span></span></span><span lang="FA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:#0e101a"><span style="letter-spacing:-.1pt"></span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:85%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="AR-SA" style="line-height:85%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">مواد و روش</span></span></span></span><span lang="FA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.1pt">‌</span></span></span></span><span lang="AR-SA" style="line-height:85%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">ها:</span></span></span></span> <span lang="FA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:black">این مطالعه ازنوع کوهورت گذشته</span></span></span><span lang="AR-SA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:black">‌</span></span></span><span lang="FA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:black">نگر بود. داده‌ها از اداره کل مبارزه با بیماری‌های معاونت بهداشتی استان مازندران در دو سطح تجمعی و فردی فراهم شد. رگرسیون پواسون برای تحلیل اثر کوتاه مدت همه‌گیری بر بروز، میرایی، تعداد شکست درمان، تعداد بستری شدن بیماران، دفعات مراجعات بیماران برای مشاوره، تعداد دفعات وارسی سلول</span></span></span><span lang="AR-SA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:black">‌</span></span></span><span lang="FA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:black">های </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:85%"><span style="color:black">T</span></span></span> <span dir="LTR" style="font-size:10.0pt"><span style="line-height:85%"><span style="color:black">CD4</span></span></span><span lang="FA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:black"> و تعداد دفعات وارسی لود ویروس استفاده شد.</span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:85%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="AR-SA" style="line-height:85%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.2pt">یافته</span></span></span></span><span lang="FA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.2pt">‌</span></span></span></span><span lang="AR-SA" style="line-height:85%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.2pt">ها:</span></span></span></span> <span lang="FA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:black">بروز </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:85%"><span style="color:black">HIV</span></span></span><span lang="FA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:black"> در بازه زمانی یک سال بعد از شروع کووید-19 نسبت به یک سال قبل از آن به مقدار 0/44 در هر 100 هزار نفر کم‌تر بود (0/051=</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:85%"><span style="color:black">P</span></span></span><span lang="FA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:black">). چک کردن </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:85%"><span style="color:black">CD4</span></span></span><span lang="FA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:black"> در بعد از شروع کووید-19 نسبت به قبل آن به مقدار 0/32 در هر 100 هزار نفر کم‌تر بود (0/001</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:85%"><span style="color:black">P<</span></span></span><span lang="FA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:black">) پیگیری موارد </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:85%"><span style="color:black">HIV</span></span></span><span lang="FA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:black"> در بازه زمانی بعد ازکووید-19 نسبت به قبل از آن به مقدار&nbsp; 1/11 در هر 100 هزار نفر بیش‌تر بود (0/045=</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:85%"><span style="color:black">P</span></span></span><span lang="FA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:black">).</span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:85%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="AR-SA" style="line-height:85%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.2pt">استنتاج:</span></span></span></span> <span lang="FA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:black">همه‌گیری <span style="letter-spacing:-.2pt">کووید-۱۹ </span>این پتانسیل را دارد که تا حد زیادی مراقبت مبتلایان به عفونت </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:85%"><span style="color:black">HIV</span></span></span><span style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:black"> را مختل نماید. به نظر می‌رسد با وجود پیگیری مراکز مشاوره </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:85%"><span style="color:black">HIV</span></span></span><span style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:black"> استان مازندران ترس از ابتلا و انتشار کووید-۱۹ مانع بزرگ پذیرش برنامه</span></span></span><span lang="AR-SA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:black">‌</span></span></span><span lang="FA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:black">های مراقبتی از سوی بیماران بوده است.</span></span></span><span lang="AR-SA" style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.2pt"></span></span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:85%"><span style="tab-stops:284.5pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="AR-SA" style="font-size:8.0pt"><span style="line-height:85%"><span b="" style="font-family:" zar=""><span style="color:black"></span></span></span></span></span></span></span></span></span></span><br> &nbsp;<br> &nbsp; <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:150%"><span arial="" style="font-family:"><span style="letter-spacing:-.2pt">&nbsp;</span></span></span></span></b></span></span></span></span><span style="line-height:135%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:135%"><span arial="" style="font-family:"><span style="letter-spacing:-.2pt">Background and purpose:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:135%">COVID-19 could potentially disrupt routine care management in health systems. One of such problems is associated with HIV surveillance. The aim of this research was to study the effects of COVID-19 pandemic on HIV care indicators.</span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:135%"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:135%"><span arial="" style="font-family:">Materials and methods:</span></span></span></b><b> </b><span style="font-size:10.0pt"><span style="line-height:135%">This retrospective cohort study was performed using data at individual and aggregate levels obtained from center for disease control and prevention in Mazandaran province affiliated with Mazandaran University of Medical Sciences. We modulated upon Poisson regression<br> for analyzing the impact of COVID-19 pandemic on HIV incidence, mortality, <a name="_Hlk107685377">treatment failure</a>, hospitalization, refer to counselling center, HIV viral load (VL), and CD4 cell count monitoring.&nbsp; </span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:135%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:135%"><span arial="" style="font-family:">Results:</span></span></span></b><b> </b><span style="font-size:10.0pt"><span style="line-height:135%">One year after COVID-19 pandemic, the incidence of HIV was 0.44 per 100,000 people less compared with one year earlier (P= 0.051). CD4 counting and patients follow up at this time were 0.32 less (P< 0.001) and 1.11 more (P= 0.045) per 100,000 people, respectively compared with those before the COVID-19 pandemic.</span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:135%"><span style="vertical-align:top"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:135%"><span arial="" style="font-family:">Conclusion:</span></span></span></b><span style="font-size:10.0pt"><span style="line-height:135%"> Current study showed that </span></span><span style="font-size:10.0pt"><span style="line-height:135%">COVID-19 pandemic disrupted HIV care. It seems that despite regular follow up services provided by health center staff, coronaphobia was a huge barrier to care programs in HIV patients.</span></span><i><span style="font-size:10.0pt"><span style="line-height:135%"></span></span></i></span></span></span></span><br> &nbsp; کووید-19, HIV, مراقبت, شکست درمان,بار ویروسی COVID-19, HIV, surveillance, treatment failure, viral load 180 185 http://jmums.mazums.ac.ir/browse.php?a_code=A-10-13911-2&slc_lang=fa&sid=1 Ahmad Alikhani احمد علیخانی ahalikhani@yahoo.com 1003194753284600148666 1003194753284600148666 No Associate Professor, Department of Infectious and Tropical Diseases, Antimicrobial Resistance Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran دانشیار، گروه بیماری‌های عفونی و گرمسیری، مرکز تحقیقات مقاومت میکروبی و بیماری‌های قابل انتقال، دانشگاه علوم پزشکی مازندران، ساری، ایران Sekine Sharajpour سکینه شرج پور s.sharajpour@gmail.com 1003194753284600148667 1003194753284600148667 No Medical Student, Mazandaran University of Medical Sciences, Sari, Iran دانشجوی پزشکی عمومی، دانشگاه علوم پزشکی مازندران، ساری، ایران Hamideh Abbaspour Kasgari حمیده عباسپور کاسگری dr.abbaspour1@yahoo.com 1003194753284600148668 1003194753284600148668 No Assistant Professor, Department of Clinical Pharmacy, Faculty of Pharmacy, Mazandaran University of Medical Sciences, Sari, Iran استادیار، گروه داروسازی بالینی، دانشکده داروسازی، دانشگاه علوم پزشکی مازندران، ساری، ایران Masoomeh Abdi Talarposhti معصومه عبدی تالارپشتی talarposhtiabdi@yahoo.com 1003194753284600148669 1003194753284600148669 No PhD in Medical and Health Services Administration, Mazandaran University of Medical Sciences, Sari, Iran دکترای تخصصی مدیریت خدمات بهداشتی و درمانی، دانشگاه علوم پزشکی مازندران، ساری، ایران Surur Foladi Vavsari سرور فولادی واوسری foladi5151@gmail.com 1003194753284600148670 1003194753284600148670 No BSc in Nursing, Mazandaran University of Medical Sciences, Sari, Iran کارشناس پرستاری، دانشگاه علوم پزشکی مازندران، ساری، ایران Leyla Sepahi لیلا سپاهی mbs.1390@gmail.com 1003194753284600148671 1003194753284600148671 No MSc in Educational Administration, Mazandaran University of Medical Sciences, Sari, Iran کارشناسی ارشد مدیریت آموزشی، دانشگاه علوم پزشکی مازندران، ساری، ایران Hajar Kakoei هاجر کاکویی ghaem363@gmail.com 1003194753284600148672 1003194753284600148672 No MSc in Educational Administration, Mazandaran University of Medical Sciences, Sari, Iran کارشناسی ارشد مدیریت آموزشی، دانشگاه علوم پزشکی مازندران، ساری، ایران Maysam Rezapour میثم رضاپور ma.rezapour@mazums.ac.ir 1003194753284600148673 1003194753284600148673 Yes Assistant Professor, Department of Paramedicine, Amol Faculty of Paramedical Sciences, Mazandaran University of Medical Sciences, Sari, Iran استادیار، گروه پیراپزشکی، دانشکده پیراپزشکی آمل، دانشگاه علوم پزشکی مازندران، ساری، ایران