Ambrosioni Juan, Nicolas David, Agüero Fernando, Manzardo Christian, Miro Jose M
Infectious Diseases Service, Hospital Clinic-IDIBAPS, University of Barcelona, Barcelona, Spain.
Expert Rev Anti Infect Ther. 2014 May;12(5):523-6. doi: 10.1586/14787210.2014.906900. Epub 2014 Apr 2.
The access to antiretroviral treatment has been largely enlarged in Europe and North America in recent years, due to treatment guidelines that recommend earlier initiation of therapy. However, there are differences and heterogeneities in the health systems and in access and retention to care between different countries and regions, and for different subpopulations among the same country that impact in the final goal, that patients remain undetectable and in good health.
近年来,由于治疗指南建议更早开始治疗,抗逆转录病毒治疗在欧洲和北美的可及性已大幅扩大。然而,不同国家和地区之间,以及同一国家内不同亚人群体之间,在卫生系统、医疗服务的可及性和持续性方面存在差异和异质性,这些都会影响最终目标,即患者保持病毒检测不到且健康良好。