HIV and the body: a review of multidisciplinary management
| Autor: | Rockstroh, J., Guaraldi, Giovanni, Deray, G. |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
Male Aging Adolescent Hepatitis Viral Human age-associated comorbidity monitoring multidisciplinary management screening HIV Infections Comorbidity HIV Long-Term Survivors Young Adult Risk Factors Glucose Intolerance Diabetes Mellitus Humans Mass Screening Age of Onset Life Style Referral and Consultation Dyslipidemias Patient Care Team Developed Countries Liver Diseases Age Factors Middle Aged Anti-Retroviral Agents Cardiovascular Diseases Chronic Disease Disease Progression Osteoporosis Drug Therapy Combination Education Medical Continuing Female Kidney Diseases |
| Zdroj: | HIV medicine. 11 |
| ISSN: | 1468-1293 |
| Popis: | The increase in the life expectancy achieved following the introduction of more effective antiretroviral therapy (ART) in recent years now means that the HIV-infected population are for the first time being exposed to the age-related diseases that affect the general population. Nevertheless, the prevalence of these diseases (which include cardiovascular disease, dyslipidaemia, glucose intolerance and diabetes) is higher, and their onset earlier in the HIV population, probably due to the complex interplay between HIV infection, coinfection with hepatitis B and C, and ART. As a result, HIV physicians are now required to adopt a new approach to the management of HIV, which involves screening and regular monitoring of all HIV-infected individuals for the presence of comorbidities and prompt referral to other clinical specialties when required. If this challenge to patient management is to be overcome, it is clear that educating physicians in the diagnosis and treatment of age-associated comorbidities is essential, either through ongoing programmes such as the HIV and the Body initiative, an overarching independent medical education programme established in 2007 and overseen by an independent Steering Committee, organized and funded by Gilead, and/or through internal training. To assist in this process, this article provides an overview of common comorbidities affecting HIV-infected persons and provides practical guidance on their management. |
| Databáze: | OpenAIRE |
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