Alpert Medical School, Brown University, Providence, RI, USA.
Am J Public Health. 2010 Oct;100(10):1867-76. doi: 10.2105/AJPH.2009.184796. Epub 2010 Aug 19.
As antiretroviral treatment of HIV infection has become increasingly accessible, attention has focused on whether these drugs can used for prevention because of increased tolerability of newer medications, decreased cost, and the limitations of other approaches. We review the status of antiretroviral HIV prevention, including chemoprophylaxis, as well as the effects of treatment of infected individuals on prevention. It is possible that the life-saving agents that have transformed the natural history of AIDS can be a critical component of HIV prevention efforts, but their ultimate role in affecting HIV transmission dynamics remains to be defined.
随着抗逆转录病毒治疗艾滋病感染变得越来越容易获得,人们的注意力集中在这些药物是否可以用于预防,因为新药物的耐受性增加,成本降低,以及其他方法的局限性。我们回顾了抗逆转录病毒艾滋病预防的现状,包括化学预防,以及治疗感染个体对预防的影响。这些挽救生命的药物已经改变了艾滋病的自然史,它们可能成为艾滋病预防工作的重要组成部分,但它们在影响艾滋病传播动态方面的最终作用仍有待确定。