{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T15:45:51Z","timestamp":1792251951713,"version":"4.4.0"},"reference-count":18,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,12,3]],"date-time":"2023-12-03T00:00:00Z","timestamp":1701561600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2024,4]]},"abstract":"Abstract<\/jats:title>Purpose<\/jats:title>To describe the clinical characteristics of refugees with HIV from Ukraine that seek continuation of medical care in Germany.<\/jats:p><\/jats:sec>Methods<\/jats:title>Fourty\u2010six refugees with HIV that had left Ukraine between 24 February and 30 December 2022 were examined. Information on patients' history was obtained using a standardized questionnaire for clinical care. Interviews were conducted in Russian during their first clinical presentation.<\/jats:p><\/jats:sec>Results<\/jats:title>Fourty\u2010six persons (41 females and 5 males) were included and their mean age was 39.6 (\u00b18.4) years. The mean time since HIV diagnosis was 8.0 (median, IQR 7.15) years and 70.3% of participants currently received tenfofovir\u2010DF, lamividine and dolutegravir. Most refugees had an undetectable HIV viral load and their current mean CD4 T cell count was 702 (SD\u2009\u00b1\u2009289) per \u03bcL. Serology revealed previous hepatitis B infection in 50.4% without evidence for replication, with undetectable anti\u2010hepatitis B surface antigen in the remaining refugees. Antibodies against hepatitis C were present in 23 refugees (50%), but only 10 patients had been diagnosed with hepatitis C previously. Five refugees had undergone successful antiviral treatment for hepatitis C. Detectable HCV\u2010RNA was evident in nine patients (19.6%). Sixteen (38.6%) refugees had a positive tuberculosis (TB) interferon gamma release assay, and four were on TB treatment for previously diagnosed infection. One had been diagnosed with multidrug\u2010resistant (MDR) TB, two with pre\u2010extensively drug\u2010resistant (pre\u2010XDR) TB and two with XDR TB and were treated with combinations of second\u2010line and novel agents according to WHO guidelines.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Based on this preliminary analysis of a not fully representative cohort, refugees with HIV from Ukraine were young, mostly healthy females highly adherent to antiretroviral therapy. The rate of transmittable co\u2010infections urges early diagnostic evaluation and treatment.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hiv.13597","type":"journal-article","created":{"date-parts":[[2023,12,3]],"date-time":"2023-12-03T23:08:50Z","timestamp":1701644930000},"page":"479-483","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Status of HIV<\/scp> and comorbidities in refugees with HIV<\/scp> from Ukraine"],"prefix":"10.1111","volume":"25","author":[{"given":"Gerrit","family":"Ahrenstorf","sequence":"first","affiliation":[{"name":"Department of Rheumatology and Immunology, Hannover Medical School Hannover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7129-100X","authenticated-orcid":false,"given":"Alexandra","family":"Dopfer\u2010Jablonka","sequence":"additional","affiliation":[{"name":"Department of Rheumatology and Immunology, Hannover Medical School Hannover Germany"},{"name":"German Centre for Infection Research (DZIF), Partner Site Hannover\u2010Braunschweig Hannover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oana","family":"Joean","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine and Infectious Diseases, Hannover Medical School Hannover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Knuth","sequence":"additional","affiliation":[{"name":"Department of Rheumatology and Immunology, Hannover Medical School Hannover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Silchmueller","sequence":"additional","affiliation":[{"name":"Department of Rheumatology and Immunology, Hannover Medical School Hannover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thea","family":"Thiele","sequence":"additional","affiliation":[{"name":"Department of Rheumatology and Immunology, Hannover Medical School Hannover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9084-4968","authenticated-orcid":false,"given":"Felix C.","family":"Ringshausen","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine and Infectious Diseases, Hannover Medical School Hannover Germany"},{"name":"Biomedical Research in End\u2010stage and Obstructive Lung Disease (BREATH), Deutsches Zentrum f\u00fcr Lungenforschung (DZL) Hannover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hortense","family":"Slevogt","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine and Infectious Diseases, Hannover Medical School Hannover Germany"},{"name":"Center for Individualised Infection Medicine Hannover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Torsten","family":"Witte","sequence":"additional","affiliation":[{"name":"Department of Rheumatology and Immunology, Hannover Medical School Hannover Germany"},{"name":"Cluster of Excellence RESIST (EXC 2155), Hannover Medical School Hannover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3111-621X","authenticated-orcid":false,"given":"Georg M. N.","family":"Behrens","sequence":"additional","affiliation":[{"name":"Department of Rheumatology and Immunology, Hannover Medical School Hannover Germany"},{"name":"German Centre for Infection Research (DZIF), Partner Site Hannover\u2010Braunschweig Hannover Germany"},{"name":"Center for Individualised Infection Medicine Hannover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,12,3]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"UNHCR (UN Refugee Agency). Operational Data Portal. Ukraine refugee situation.2022.https:\/\/data.unhcr.org\/en\/situations\/ukraine."},{"key":"e_1_2_8_3_1","unstructured":"Statista. Estimates of the number of refugees from Ukraine by influx in neighboring countries from February 2022 to November 2023 [in German]. 2022.https:\/\/de.statista.com\/statistik\/daten\/studie\/1293861\/umfrage\/anzahl\u2010der\u2010kriegsfluechtlinge\u2010aus\u2010der\u2010ukraine\u2010nach\u2010aufnahmeland\/."},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-3018(22)00125-4"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genm.2009.04.009"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.5588\/ijtld.21.0048"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-022-03925-w"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-018-2885-4"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.329.5988.160"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp048066"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2014.05.004"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)30856-X"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/MEG.0000000000000889"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13031-019-0223-z"},{"key":"e_1_2_8_15_1","volume-title":"Standardized Protocol for Clinical Management and Medical Data\u2010Sharing for People Living with HIV among Refugees from Ukraine","year":"2022"},{"key":"e_1_2_8_16_1","unstructured":"\u0421\u0442\u0430\u0442\u0438\u0441\u0442\u0438\u043a\u0430 \u0437 \u0432\u0456\u0440\u0443\u0441\u043d\u0438\u0445 \u0433\u0435\u043f\u0430\u0442\u0438\u0442\u0456\u0432 [Viral hepatitis statistics]. In: \u0426\u0435\u043d\u0442\u0440 \u0433\u0440\u043e\u043c\u0430\u0434\u0441\u044c\u043a\u043e\u0433\u043e \u0437\u0434\u043e\u0440\u043e\u0432'\u044f \u041c\u0456\u043d\u0456\u0441\u0442\u0435\u0440\u0441\u0442\u0432\u0430 \u043e\u0445\u043e\u0440\u043e\u043d\u0438 \u0437\u0434\u043e\u0440\u043e\u0432'\u044f \u0423\u043a\u0440\u0430\u0457\u043d\u0438 [Public Health Centre of the Ministry of Health of Ukraine] [website]. Kyiv: Public Health Centre of the Ministry of Health of Ukraine; 2022. (https:\/\/phc.org.ua\/kontrol-zakhvoryuvan\/virusni-gepatiti\/statistika-z-vg). 9. World Health Organization. WHO Position Paper on hepatitis A vaccines\u2013June 2012\/Not"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1086\/599110"},{"key":"e_1_2_8_18_1","unstructured":"State Enterprise Center of Public Health of the Ministry of Health of Ukraine. EQUIP Ukraine cost report. Hepatitis C and B.2019https:\/\/phc.org.ua\/en\/diseases-and-information\/infectious-diseases\/hepatitis-c-and-b."},{"key":"e_1_2_8_19_1","unstructured":"World Health Organization (WHO). Global tuberculosis report 2021. 2021.https:\/\/www.who.int\/publications\/i\/item\/9789240037021."}],"container-title":["HIV Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hiv.13597","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,4]],"date-time":"2024-04-04T04:15:56Z","timestamp":1712204156000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hiv.13597"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,3]]},"references-count":18,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1111\/hiv.13597"],"URL":"https:\/\/doi.org\/10.1111\/hiv.13597","archive":["Portico"],"relation":{},"ISSN":["1464-2662","1468-1293"],"issn-type":[{"value":"1464-2662","type":"print"},{"value":"1468-1293","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,3]]},"assertion":[{"value":"2023-05-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-17","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-12-03","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}