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《中国艾滋病诊疗指南(2018年版)》

[Chinese guidelines for diagnosis and treatment of HIV/AIDS (2018)].

出版信息

Zhonghua Nei Ke Za Zhi. 2018 Dec 1;57(12):867-884. doi: 10.3760/cma.j.issn.0578-1426.2018.12.002.

Abstract

(AIDS) is an important public health problem in China. In 2005, the first edition of the guidelines for the diagnosis and treatment of AIDS was formulated by the AIDS Professional Group of Society of Infectious Diseases of Chinese Medical Association, which was updated twice in 2011 and 2015. The fourth edition of the guidelines in 2018 is revised on the basis of national clinical practice and the latest research studies. The new research progress in opportunistic infections and human immunodeficency virus(HIV) associated cancers, antiretroviral therapy, HIV post-exposure prophylaxis, and prevention of mother to child transmission were updated in these guidelines. In the 2018 edition, pre-exposure prophylaxis is mentioned for the first time. The strategy of whole course management of HIV infection is put forward in the current version, which needs the participation of multidisciplinary team in prophylaxis, early diagnosis, individualized treatment and humanistic care.

摘要

艾滋病是中国一个重要的公共卫生问题。2005年,中华医学会感染病学分会艾滋病专业组制定了第一版艾滋病诊疗指南,该指南于2011年和2015年进行了两次更新。2018年第四版指南是在全国临床实践和最新研究基础上修订而成。这些指南更新了机会性感染和人类免疫缺陷病毒(HIV)相关癌症、抗逆转录病毒治疗、HIV暴露后预防以及母婴传播预防方面的新研究进展。在2018年版中,首次提及暴露前预防。当前版本提出了HIV感染全程管理策略,这需要多学科团队参与预防、早期诊断、个体化治疗及人文关怀。

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