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初治患者的抗逆转录病毒治疗:对近期文献和更新指南的回顾。

Antiretroviral therapy for treatment-naïve patients: a review of recent literature and the updated guidelines.

机构信息

Division of Infectious Disease, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA.

出版信息

Curr Infect Dis Rep. 2009 Jul;11(4):311-8. doi: 10.1007/s11908-009-0046-y.

DOI:10.1007/s11908-009-0046-y
PMID:19545501
Abstract

The improved efficacy and safety of antiretroviral agents have fundamentally changed the face of HIV infection. Advances in antiretroviral therapy have dramatically improved the prognosis of HIV infection, which is now on a par with other chronic illnesses. This article addresses the optimal timing of antiretroviral therapy initiation and the optimal drug choices for initial regimens, with a focus on recent data and published guidelines issued by the US Department of Health and Human Services and the International AIDS Society-USA.

摘要

抗逆转录病毒药物疗效的提高和安全性的改善,从根本上改变了 HIV 感染的面貌。抗逆转录病毒治疗的进步显著改善了 HIV 感染的预后,使其现在与其他慢性疾病相当。本文讨论了抗逆转录病毒治疗开始的最佳时机和初始方案的最佳药物选择,重点关注了美国卫生与公众服务部和国际艾滋病协会-美国发布的最新数据和已发表的指南。

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本文引用的文献

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Gemini: a noninferiority study of saquinavir/ritonavir versus lopinavir/ritonavir as initial HIV-1 therapy in adults.双子座:沙奎那韦/利托那韦与洛匹那韦/利托那韦作为成人初始HIV-1治疗的非劣效性研究。
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Universal voluntary HIV testing with immediate antiretroviral therapy as a strategy for elimination of HIV transmission: a mathematical model.将普遍自愿艾滋病毒检测与立即进行抗逆转录病毒治疗作为消除艾滋病毒传播的策略:一个数学模型
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Weight evolution in HIV-1 infected women in Rwanda after stavudine substitution due to lipoatrophy: comparison of zidovudine with tenofovir/abacavir.
卢旺达因脂肪萎缩而改用司他夫定的HIV-1感染女性的体重变化:齐多夫定与替诺福韦/阿巴卡韦的比较
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Efavirenz versus nevirapine-based initial treatment of HIV infection: clinical and virological outcomes in Southern African adults.依非韦伦与基于奈韦拉平的HIV感染初始治疗:南部非洲成年人的临床和病毒学结果
AIDS. 2008 Oct 18;22(16):2117-25. doi: 10.1097/QAD.0b013e328310407e.
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Once-daily atazanavir/ritonavir versus twice-daily lopinavir/ritonavir, each in combination with tenofovir and emtricitabine, for management of antiretroviral-naive HIV-1-infected patients: 48 week efficacy and safety results of the CASTLE study.每日一次阿扎那韦/利托那韦与每日两次洛匹那韦/利托那韦,均联合替诺福韦和恩曲他滨,用于初治HIV-1感染患者的抗逆转录病毒治疗:CASTLE研究的48周疗效和安全性结果
Lancet. 2008 Aug 23;372(9639):646-55. doi: 10.1016/S0140-6736(08)61081-8.
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N Engl J Med. 2008 May 15;358(20):2095-106. doi: 10.1056/NEJMoa074609.