Fan Conghai, Zhang Fengchao, Chen Chao
Department of Anesthesiology, Xuzhou Children's Hospital, Xuzhou Medical University, Xuzhou, China.
Department of Anesthesiology, Xuzhou Children's Hospital, Xuzhou Medical University, Xuzhou, China -
Minerva Pediatr. 2019 Oct;71(5):455-460. doi: 10.23736/S0026-4946.16.04731-9. Epub 2016 Sep 20.
The pediatric highly-active antiretroviral therapy (HAART) has shown enormous progress in recent years but still, a high percentage of children continue to experience treatment failure. The main causes found responsible are the development of drug resistance, inadequate dosing and poor adherence. This review is aimed at exploring the current status of antiretroviral therapy in children with focus on the interaction between disease, drug and patient behavior, all of which are strongly correlated .An overview of HIV viral characteristics and of the available antiretroviral drug classes currently combined to avoid development of resistance has been also discussed.
近年来,儿科高效抗逆转录病毒疗法(HAART)已取得巨大进展,但仍有很大比例的儿童持续经历治疗失败。已发现的主要原因包括耐药性的产生、剂量不足和依从性差。本综述旨在探讨儿童抗逆转录病毒疗法的现状,重点关注疾病、药物和患者行为之间的相互作用,所有这些因素都密切相关。还讨论了HIV病毒特征以及目前为避免耐药性产生而联合使用的抗逆转录病毒药物类别概述。