艾滋病毒感染:流行病学,发病,治疗和预防
Gary Maartens1, Connie Celum2, Sharon R Lewin3
1Division of Clinical Pharmacology, Department of Medicine, University of Cape Town, Cape Town, South Africa.
Lancet (London, England)
|June 9, 2014
概括
艾滋病毒治疗的进步使得寿命更长,减少了艾滋病死亡人数. 新的预防策略,如男性割礼和暴露前预防,对于公共卫生和控制疫情至关重要.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 免疫学 免疫学 免疫学
背景情况:
- 由于抗逆转录病毒治疗 (ART) 的寿命增加,全球艾滋病毒感染率正在上升.
- 虽然新的艾滋病毒感染和艾滋病相关死亡人数有所下降,但仍然存在重大挑战.
- 了解艾滋病毒的病原性,包括潜伏感染和免疫激活,至关重要.
研究的目的:
- 总结目前艾滋病毒/艾滋病流行病学和治疗的趋势.
- 突出艾滋病毒预防策略的关键进展.
- 强调正在进行的研究对潜在的治疗和改善患者治疗结果的重要性.
主要方法:
- 综述2002-2012年全球艾滋病毒/艾滋病统计数据.
- 对抗逆转录病毒治疗 (ART) 对患者寿命和死亡率的影响的分析.
- 对艾滋病毒病原和预防干预措施的研究结果的综合.
主要成果:
- 抗逆转录病毒疗法延长了艾滋病毒感染者的寿命,导致艾滋病毒的流行率增加.
- 观察到新感染和艾滋病相关死亡人数显著减少.
- 主要的预防突破包括男性医疗割礼,预防母婴传播的干预措施以及暴露前预防.
结论:
- 继续在ART和预防方面取得进展对于管理艾滋病毒流行病至关重要.
- 对潜伏感染储存和免疫激活的进一步研究可能会导致治愈.
- 开发新的预防方法,如疫苗和杀菌剂,仍然是优先事项.
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