Treatment of HIV for the Prevention of Transmission in Discordant Couples and at the Population Level.

Autor: Kumi Smith M; University of North Carolina Chapel Hill, Chapel Hill, NC, USA. kumi.smith@unc.edu., Jewell BL; University of California Berkeley, Berkeley, CA, USA., Hallett TB; Imperial College of London, London, UK., Cohen MS; University of North Carolina Chapel Hill, Chapel Hill, NC, USA.
Jazyk: angličtina
Zdroj: Advances in experimental medicine and biology [Adv Exp Med Biol] 2018; Vol. 1075, pp. 125-162.
DOI: 10.1007/978-981-13-0484-2_6
Abstrakt: The scientific breakthrough proving that antiretroviral therapy (ART) can halt heterosexual HIV transmission came in the form of a landmark clinical trial conducted among serodiscordant couples. Study findings immediately informed global recommendations for the use of treatment as prevention in serodiscordant couples. The extent to which these findings are generalizable to other key populations or to groups exposed to HIV through nonsexual transmission routes (i.e., anal intercourse or unsafe injection of drugs) has since driven a large body of research. This review explores the history of HIV research in serodiscordant couples, the implications for management of couples, subsequent research on treatment as prevention in other key populations, and challenges in community implementation of these strategies.
Databáze: MEDLINE