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Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model
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[AIDS - an old disease with new challenges].

Zev Sthoeger1, Keren Mahlab-Guri

  • 1Clinical Immunology, Allergy and AIDS Center, Kaplan Medical Center, Rehovot, Israel, affiliated to the Hadassah Medical School, Jerusalem, Israel. Sthoeger@gmail.com

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Human immunodeficiency virus (HIV) infection is now a chronic condition thanks to effective treatments. Increased life expectancy means more older adults are living with HIV, facing complex health challenges.

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Area of Science:

  • Geriatrics
  • Infectious Diseases
  • Public Health

Background:

  • Anti-retroviral therapy has transformed Human immunodeficiency virus (HIV) infection from a terminal to a chronic illness.
  • Increased life expectancy for HIV-positive individuals results in a growing population of older adults with HIV.
  • HIV and its treatments can worsen pre-existing age-related conditions.

Purpose of the Study:

  • To highlight the evolving demographics of HIV infection, particularly the rise in older adults.
  • To underscore the complex health needs of aging individuals living with HIV.
  • To emphasize the necessity of a multidisciplinary approach in managing co-occurring chronic diseases in this population.

Main Methods:

  • Review of current epidemiological data on HIV prevalence in older adults.
  • Analysis of the impact of HIV and anti-retroviral therapy on age-related comorbidities.
  • Synthesis of clinical challenges in managing co-infected patients.

Main Results:

  • HIV infection is increasingly prevalent among older adults due to effective long-term management.
  • Co-morbidities such as cardiovascular, neurological, and renal diseases are exacerbated in older HIV patients.
  • Diabetes and osteoporosis are significant concerns in this demographic.

Conclusions:

  • Managing aging individuals with HIV requires addressing multiple chronic conditions simultaneously.
  • A coordinated, multidisciplinary healthcare strategy is essential for optimal patient outcomes.
  • The long-term care of HIV-infected older adults presents unique and evolving challenges.