由于艾滋病毒感染而导致的危急疾病在携带艾滋病毒的人群中存在
Guy A Richards1, Jarrod Zamparini2, Ismail Kalla3
1Department of Surgery, Division of Critical Care, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
管理艾滋病毒感染者的重症监护室 (ICU) 入院需要仔细考虑感染和抗逆转录病毒疗法 (ART). 有效的管理需要一个多学科的团队来解决复杂的护理需求,并优化患者的结果.
科学领域:
- 关键护理医学 关键护理医学
- 传染性疾病 传染性疾病
- 艾滋病毒/艾滋病研究研究
背景情况:
- 在全球范围内,艾滋病毒感染者 (PLWH) 是重症监护室 (ICU) 的重要患者群体.
- 由于PLWH而入住ICU的原因主要是低收入国家的感染和高收入国家的与艾滋病毒相关的非传染性疾病.
- 在PLWH需要ICU护理的感染包括败血症,呼吸道感染,COVID-19,细胞大脑病毒和中枢神经系统感染.
研究的目的:
- 突出治疗艾滋病毒感染者在ICU环境中的复杂性.
- 强调抗逆转录病毒疗法 (ART) 在艾滋病毒管理中的关键作用及其潜在的ICU相关并发症.
- 强调多学科团队方法的必要性,以获得最佳的患者护理.
主要方法:
- 关于艾滋病毒感染者感染的ICU管理现有文献的综述.
- 对抗逆转录病毒治疗 (ART) 对重症监护结果的影响分析.
- 讨论多学科团队合作的挑战和策略.
主要成果:
- 在ICU中的PLWH感染的管理是复杂的,受到地理因素和疾病类型 (传染性与非传染性) 的影响.
- 抗逆转录病毒治疗 (ART) 是必不可少的,但可能导致ICU并发症,如免疫复合炎症综合征 (IRIS) 和管理问题.
- 成功管理需要对特定感染和ART的专家知识,包括安全性和药物相互作用.
结论:
- 在ICU中为艾滋病毒感染者提供最佳的护理需要对感染管理和ART的全面了解.
- 一个合作的,多学科的团队方法,涉及专科医生,传染病专家,药剂师和微生物学家至关重要.
- 在重症监护机构解决艾滋病毒的独特挑战对于改善患者的治疗结果至关重要.
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