Nikoloz Chkhartishvili
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View article: Viremia Does Not Independently Predict Cardiovascular Disease in People With HIV: A RESPOND Cohort Study
Viremia Does Not Independently Predict Cardiovascular Disease in People With HIV: A RESPOND Cohort Study Open
Background HIV viremia has been considered a cardiovascular disease (CVD) risk factor, but many studies have had insufficient data on potential confounders. We explored the association between viremia and CVD after adjusting for establishe…
View article: Measures of Longitudinal Immune Dysfunction and Risk of AIDS and Non-AIDS Defining Malignancies in Antiretroviral-Treated People With Human Immunodeficiency Virus
Measures of Longitudinal Immune Dysfunction and Risk of AIDS and Non-AIDS Defining Malignancies in Antiretroviral-Treated People With Human Immunodeficiency Virus Open
Background Human immunodeficiency virus (HIV) infection leads to chronic immune activation/inflammation that can persist in virally suppressed persons on fully active antiretroviral therapy (ART) and increase risk of malignancies. The prog…
View article: Trends in Cancer Incidence in Different Antiretroviral Treatment-Eras amongst People with HIV
Trends in Cancer Incidence in Different Antiretroviral Treatment-Eras amongst People with HIV Open
Despite cancer being a leading comorbidity amongst individuals with HIV, there are limited data assessing cancer trends across different antiretroviral therapy (ART)-eras. We calculated age-standardised cancer incidence rates (IRs) from 20…
View article: Impact of Hepatitis C Virus Infection and Treatment on Mortality in the Country of Georgia, 2015–2020
Impact of Hepatitis C Virus Infection and Treatment on Mortality in the Country of Georgia, 2015–2020 Open
Background Mortality related to hepatitis C virus (HCV) infection is a key indicator for elimination. We assessed the impact of HCV infection and treatment on mortality in the country of Georgia during 2015–2020. Methods We conducted a pop…
View article: Plasma Human Immunodeficiency Virus 1 RNA and CD4+ T-Cell Counts Are Determinants of Virological Nonsuppression Outcomes With Initial Integrase Inhibitor-Based Regimens: A Prospective RESPOND Cohort Study
Plasma Human Immunodeficiency Virus 1 RNA and CD4+ T-Cell Counts Are Determinants of Virological Nonsuppression Outcomes With Initial Integrase Inhibitor-Based Regimens: A Prospective RESPOND Cohort Study Open
Background There are conflicting data regarding baseline determinants of virological nonsuppression outcomes in persons with human immunodeficiency virus (HIV) starting antiretroviral treatment (ART). We evaluated the impact of different b…
View article: Effect of remdesivir on mortality and the need for mechanical ventilation among hospitalized patients with COVID-19: real-world data from a resource-limited country
Effect of remdesivir on mortality and the need for mechanical ventilation among hospitalized patients with COVID-19: real-world data from a resource-limited country Open
View article: Treatment of hepatitis C in primary health care in the country of Georgia
Treatment of hepatitis C in primary health care in the country of Georgia Open
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View article: The prevalence of hyperglycemia and its impact on mortality among people living with HIV in Georgia
The prevalence of hyperglycemia and its impact on mortality among people living with HIV in Georgia Open
Background Life expectancy and quality of life of people living with HIV have been dramatically improved after introducing antiretroviral therapy, and the prevalence of non-communicable diseases has increased. Several studies have found th…
View article: HIV Glasgow, 23–26 October 2022, Glasgow, UK / Virtual
HIV Glasgow, 23–26 October 2022, Glasgow, UK / Virtual Open
Background: Treatment failures to modern ART regimens are of concern, as they might limit future drug options leading to clinical failure. Real-world estimates of the rate of multiple failures to modern regimens are lacking and long-term c…
View article: Molecular Epidemiology of HIV-1 in Eastern Europe and Russia
Molecular Epidemiology of HIV-1 in Eastern Europe and Russia Open
The HIV epidemic in Eastern Europe and Russia is large and not well-controlled. To describe the more recent molecular epidemiology of HIV-1, transmitted drug resistance, and the relationship between the epidemics in this region, we sequenc…
View article: Use of contraindicated antiretroviral drugs in people with <scp>HIV</scp>/<scp>HCV</scp> coinfections receiving <scp>HCV</scp> treatment with direct‐acting antivirals—Results from the <scp>EuroSIDA</scp> study
Use of contraindicated antiretroviral drugs in people with <span>HIV</span>/<span>HCV</span> coinfections receiving <span>HCV</span> treatment with direct‐acting antivirals—Results from the <span>EuroSIDA</span> study Open
Objectives Our objective was to determine whether antiretroviral drugs (ARVs) were used according to the European AIDS Clinical Society (EACS) guidelines for people with HIV/hepatitis C virus (HCV) coinfection treated with direct‐acting an…
View article: Observational cohort study of rilpivirine (RPV) utilization in Europe
Observational cohort study of rilpivirine (RPV) utilization in Europe Open
View article: The prevalence of Type 2 Diabetes among people living with HIV in Georgia
The prevalence of Type 2 Diabetes among people living with HIV in Georgia Open
The number of people living with human immunodeficiency virus (HIV) is increasing due to improved screening, faster diagnosis, newer methods, availability and acceptance of treatment, but the prevalence of non-communicable diseases, partic…
View article: Integrase Strand Transfer Inhibitor Use and Cancer Incidence in a Large Cohort Setting
Integrase Strand Transfer Inhibitor Use and Cancer Incidence in a Large Cohort Setting Open
Background Limited data exist examining the association between incident cancer and cumulative integrase inhibitor (INSTI) exposure. Methods Participants were followed from baseline (latest of local cohort enrollment or January 1, 2012) un…
View article: HCV reinfection after HCV therapy among HIV/HCV‐coinfected individuals in Europe
HCV reinfection after HCV therapy among HIV/HCV‐coinfected individuals in Europe Open
Objectives Although direct‐acting antivirals (DAAs) can clear HCV in nearly all HIV/HCV‐coinfected individuals, high rates of reinfection may hamper efforts to eliminate HCV in this population. We investigated reinfection after sustained v…
View article: Contemporary antiretrovirals and body-mass index: a prospective study of the RESPOND cohort consortium
Contemporary antiretrovirals and body-mass index: a prospective study of the RESPOND cohort consortium Open
View article: Improving healthcare for patients with HIV, tuberculosis and hepatitis C in eastern Europe: a review of current challenges and important next steps
Improving healthcare for patients with HIV, tuberculosis and hepatitis C in eastern Europe: a review of current challenges and important next steps Open
Objectives In some eastern European countries, serious challenges exist to meet the HIV‐, tuberculosis (TB)‐ and hepatitis‐related target of the United Nations Sustainable Development Goals. Some of the highest incidence rates for HIV and …
View article: Clinical Outcomes of 2-Drug Regimens vs 3-Drug Regimens in Antiretroviral Treatment–Experienced People Living With Human Immunodeficiency Virus
Clinical Outcomes of 2-Drug Regimens vs 3-Drug Regimens in Antiretroviral Treatment–Experienced People Living With Human Immunodeficiency Virus Open
Background Limited data exist that compare clinical outcomes of 2-drug regimens (2DRs) and 3-drug regimens (3DRs) in people living with human immunodeficiency virus. Methods Antiretroviral treatment–experienced individuals in the Internati…
View article: Characteristics and outcomes of hospitalized adult COVID-19 patients in Georgia
Characteristics and outcomes of hospitalized adult COVID-19 patients in Georgia Open
Objective Describe presenting characteristics of hospitalized patients and explore factors associated with in-hospital mortality during the first wave of pandemic in Georgia. Methods This retrospective study included 582 adult patients adm…
View article: Influence of Hepatitis C Coinfection and Treatment on Risk of Diabetes Mellitus in HIV-Positive Persons
Influence of Hepatitis C Coinfection and Treatment on Risk of Diabetes Mellitus in HIV-Positive Persons Open
Background The role of hepatitis C virus (HCV) coinfection and HCV-RNA in the development of diabetes mellitus (DM) in HIV-positive persons remains unclear. Methods Poisson regression was used to compare incidence rates of DM (blood glucos…
View article: SARS-CoV-2 antibody seroprevalence in Tbilisi, the capital city of country of Georgia
SARS-CoV-2 antibody seroprevalence in Tbilisi, the capital city of country of Georgia Open
Background Georgia timely implemented effective response measures, with testing, contact tracing and isolation being the main pillar of the national response, achieving the lowest cumulative incidence of SARS-CoV-2 in the European region. …
View article: CD4/CD8 Ratio and the Risk of Kaposi Sarcoma or Non-Hodgkin Lymphoma in the Context of Efficiently Treated Human Immunodeficiency Virus (HIV) Infection: A Collaborative Analysis of 20 European Cohort Studies
CD4/CD8 Ratio and the Risk of Kaposi Sarcoma or Non-Hodgkin Lymphoma in the Context of Efficiently Treated Human Immunodeficiency Virus (HIV) Infection: A Collaborative Analysis of 20 European Cohort Studies Open
Background A persistently low CD4/CD8 ratio has been reported to inversely correlate with the risk of non-AIDS defining cancer in people living with human immunodeficiency virus (HIV; PLWH) efficiently treated by combination antiretroviral…
View article: The impact on mortality of a national hepatitis C elimination program, Georgia, 2015–2019
The impact on mortality of a national hepatitis C elimination program, Georgia, 2015–2019 Open
View article: Management of hepatitis C in primary healthcare in the country of Georgia
Management of hepatitis C in primary healthcare in the country of Georgia Open
View article: Progress towards achieving hepatitis C elimination in the country of Georgia, April 2015-October 2019
Progress towards achieving hepatitis C elimination in the country of Georgia, April 2015-October 2019 Open
View article: Treatment outcomes of integrase inhibitors, boosted protease inhibitors and nonnucleoside reverse transcriptase inhibitors in antiretroviral‐naïve persons starting treatment
Treatment outcomes of integrase inhibitors, boosted protease inhibitors and nonnucleoside reverse transcriptase inhibitors in antiretroviral‐naïve persons starting treatment Open
Objectives Although outcomes of antiretroviral therapy (ART) have been evaluated in randomized controlled trials, experiences from subpopulations defined by age, CD4 count or viral load (VL) in heterogeneous real‐world settings are limited…
View article: Withholding Primary Pneumocystis Pneumonia Prophylaxis in Virologically Suppressed Patients With Human Immunodeficiency Virus: An Emulation of a Pragmatic Trial in COHERE
Withholding Primary Pneumocystis Pneumonia Prophylaxis in Virologically Suppressed Patients With Human Immunodeficiency Virus: An Emulation of a Pragmatic Trial in COHERE Open
Background Using data from the COHERE collaboration, we investigated whether primary prophylaxis for pneumocystis pneumonia (PcP) might be withheld in all patients on antiretroviral therapy (ART) with suppressed plasma human immunodeficien…
View article: HIV care in times of the COVID-19 crisis — Where are we now in Central and Eastern Europe?
HIV care in times of the COVID-19 crisis — Where are we now in Central and Eastern Europe? Open
A shortage of resources is evident, with an impact on HIV care inevitable. We need to prepare to operate with minimal medical resources, with the aim of securing constant supplies of ART. Non-governmental organizations should re-evaluate t…
View article: Uptake and outcomes of generic dolutegravir based antiretroviral therapy in Georgia
Uptake and outcomes of generic dolutegravir based antiretroviral therapy in Georgia Open
Background : In July 2018 the World Health Organization updated antiretroviral therapy guidelines to recommend dolutegravir (DTG) as preferred first line drug. DTG was introduced in Georgia in 2017 and since 2018 has been prescribed as pre…
View article: Treatment outcomes of patients with chronic hepatitis C receiving sofosbuvir-based combination therapy within national hepatitis C elimination program in the country of Georgia
Treatment outcomes of patients with chronic hepatitis C receiving sofosbuvir-based combination therapy within national hepatitis C elimination program in the country of Georgia Open