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[Long-term follow-up of persons living with HIV]

Jean-Paul Viard1

  • 1Unité d'immunoinfectiologie, centre de diagnostic et de thérapeutique, Hôtel-Dieu, Paris, France.

La Revue Du Praticien
|February 11, 2022
PubMed

Insights

People with HIV are living longer, facing age-related health issues. Regular screenings for conditions like cardiovascular disease and osteoporosis are crucial for managing long-term HIV care.

Area of Science:

  • Geriatric Medicine
  • Infectious Diseases
  • Public Health

Background:

  • Long-term HIV survival rates are increasing, approaching those of the general population.
  • Individuals with HIV face unique age-related comorbidities and complications.
  • Both traditional and HIV/treatment-specific risk factors contribute to health challenges.

Purpose of the Study:

  • To highlight the evolving healthcare needs of aging individuals with HIV.
  • To emphasize the necessity of proactive screening and preventive measures.
  • To advocate for a comprehensive, multidisciplinary approach to managing long-term HIV care.

Main Methods:

  • Review of current literature on long-term HIV management.
  • Analysis of age-related comorbidities in HIV-positive cohorts.
  • Assessment of risks associated with prolonged antiretroviral therapy.

Main Results:

  • HIV-positive individuals are increasingly susceptible to age-related diseases.
  • Screening for cardiovascular disease, hyperglycemia, dyslipidemia, osteoporosis, and malignancies is recommended.
  • Antiretroviral drugs, while improved, still pose long-term considerations.

Conclusions:

  • Aging populations with HIV require tailored screening protocols.
  • Preventive strategies are essential to mitigate comorbidities.
  • A global, multidisciplinary approach is vital for optimal long-term HIV care.

Keywords:
Acquired Immunodeficiency SyndromeHIV infections

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