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Roadmap for Achieving Universal Antiretroviral Treatment
Simiso Sokhela1, Samanta Lalla-Edward1, Mark J Siedner2
1Ezintsha, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa;
Annual Review of Pharmacology and Toxicology
|January 20, 2023
Summary
Modern antiretroviral therapy effectively manages human immunodeficiency virus (HIV), preventing acquired immunodeficiency syndrome (AIDS). Challenges persist in pediatric treatment and managing comorbidities in aging HIV-positive adults, with new long-acting options emerging.
Area of Science:
- * Medicine
- * Virology
- * Public Health
Background:
- * Antiretroviral therapy (ART) has transformed human immunodeficiency virus (HIV) management, preventing acquired immunodeficiency syndrome (AIDS) and saving millions of lives globally.
- * The success of ART is attributed to scientific advancements, drug development, and public health initiatives, making daily oral medication accessible worldwide.
- * Despite progress, significant challenges remain in HIV prevention, diagnosis, and treatment, particularly for pediatric and adolescent populations.
Purpose of the Study:
- * To review the current state of HIV/AIDS management and treatment.
- * To identify persistent challenges in HIV care, including pediatric treatment and managing comorbidities in aging HIV-positive individuals.
- * To highlight emerging therapeutic options, such as long-acting antiretrovirals.
Main Methods:
- * Comprehensive literature review of antiretroviral therapy, HIV/AIDS epidemiology, and treatment guidelines.
- * Analysis of current challenges in HIV prevention, diagnosis, and treatment access.
- * Examination of the impact of HIV and antiretroviral toxicities on comorbidities in aging populations.
- * Overview of emerging long-acting antiretroviral agents for prevention and treatment.
Main Results:
- * ART effectively suppresses HIV, preventing AIDS and improving life expectancy.
- * Substantial disparities in prevention, diagnosis, and treatment access persist, especially in pediatric and adolescent populations.
- * Aging HIV-positive individuals face complex comorbidities influenced by HIV and ART, requiring further research and tailored treatments.
- * Novel long-acting antiretrovirals show promise for enhanced HIV prevention and treatment strategies.
Conclusions:
- * While ART represents a major medical success, ongoing efforts are crucial to address existing gaps in HIV care.
- * Future research should focus on optimizing treatment for pediatric populations, managing age-related comorbidities in HIV-positive adults, and developing innovative delivery methods like long-acting agents.
- * Continued advancements in antiretroviral therapy are essential for achieving global HIV/AIDS control and improving patient outcomes.
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