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[临床实践中HIV感染管理的问题。高效抗逆转录病毒治疗引入8年后仍在接受双重治疗的患者]

[Problems in the management of HIV infection in clinical practice. Patients still on dual therapy 8 years after the introduction of HAART].

作者信息

Manfredi Roberto

机构信息

Sezione di Malattie Infettive, Dipartimento di Medicina Clinica Specialistica e Sperimentale, Università degli Studi di Bologna.

出版信息

Recenti Prog Med. 2003 Nov;94(11):506-7.

Abstract

Eight years after the introduction of HAART as the standard therapy of HIV disease, around one fifth of treated patients of our cohort still rely on isolated dual nucleoside analogue administration, mostly due to an apparently effective treatment initiated with these last drugs before the HAART era, or severe intolerance to triple regimens based on protease inhibitors or non-nucleoside reverse transcriptase inhibitors, or patient's refusal of HAART. Three representative case reports are described, and their implications discussed on the ground of current guidelines of antiretroviral therapy and common clinical practice.

摘要

高效抗逆转录病毒疗法(HAART)作为HIV疾病的标准疗法应用八年后,我们队列中约五分之一的接受治疗患者仍依赖单独使用双核苷类似物,主要原因是在HAART时代之前使用这些药物开始的治疗似乎有效,或者对基于蛋白酶抑制剂或非核苷类逆转录酶抑制剂的三联疗法严重不耐受,或者患者拒绝接受HAART。本文描述了三个代表性病例报告,并根据当前抗逆转录病毒治疗指南和常见临床实践对其影响进行了讨论。

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