Primary Care Guidance for Persons With Human Immunodeficiency Virus: 2020 Update by the HIV Medicine Association of the Infectious Diseases Society of America
Primary Care Guidance for Persons With Human Immunodeficiency Virus: 2020 Update by the HIV Medicine Association of the Infectious Diseases Society of America
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DOI：
10.1093/cid/ciaa1391
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发表时间：
2021-12-01
影响因子：
11.8
通讯作者：
Aberg, Judith A.
中科院分区：
文献类型：
--
作者：
Thompson, Melanie A.;Horberg, Michael A.;Aberg, Judith A.
抗逆转录病毒疗法的进步使人类免疫缺陷病毒（艾滋病毒）感染者能够接近预期寿命，而不会发展为艾滋病或将艾滋病毒传染给性伴侣或婴儿。因此，人们越来越重视在整个生命周期中保持健康。为了获得最佳的医疗护理和实现预期的结果，艾滋病毒感染者必须始终参与护理，并能够获得不间断的治疗，包括抗逆转录病毒治疗。创造一个以病人为中心，无污名的护理环境是护理参与的关键。必须在社会、卫生系统、诊所和个人层面减少护理障碍。随着人口老龄化和非传染性疾病的出现，为艾滋病毒感染者提供全面的医疗保健变得越来越复杂，包括管理多种合并症和多种药物治疗的相关挑战，同时不能忽视与艾滋病毒有关的健康问题。临床医生必须解决特定的问题，生育能力的人，包括在孕前和怀孕期间的护理，以及儿童，青少年，变性和性别多样的个人。美国传染病学会艾滋病毒医学协会专家小组的这一指导更新了2013年的初级保健指南。
Advances in antiretroviral therapy (ART) have made it possible for persons with human immunodeficiency virus (HIV) to live a near expected life span, without progressing to AIDS or transmitting HIV to sexual partners or infants. There is, therefore, increasing emphasis on maintaining health throughout the life span. To receive optimal medical care and achieve desired outcomes, persons with HIV must be consistently engaged in care and able to access uninterrupted treatment, including ART. Comprehensive evidence-based HIV primary care guidance is, therefore, more important than ever. Creating a patient-centered, stigma-free care environment is essential for care engagement. Barriers to care must be decreased at the societal, health system, clinic, and individual levels. As the population ages and noncommunicable diseases arise, providing comprehensive healthcare for persons with HIV becomes increasingly complex, including management of multiple comorbidities and the associated challenges of polypharmacy, while not neglecting HIV-related health concerns. Clinicians must address issues specific to persons of childbearing potential, including care during preconception and pregnancy, and to children, adolescents, and transgender and gender-diverse individuals. This guidance from an expert panel of the HIV Medicine Association of the Infectious Diseases Society of America updates previous 2013 primary care guidelines.