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“里斯本患者”:HIV感染者的超长寿命表明健康老龄化是HIV治疗的最终目标。

The Lisbon patient: exceptional longevity with HIV suggests healthy aging as an ultimate goal for HIV care.

作者信息

Pintassilgo Ines, Cesari Matteo, Santos Henrique N, Milic Jovana, Franconi Iacopo, Mussini Cristina, Marques Nuno, Guaraldi Giovanni

机构信息

Internal Medicine Department, Hospital Garcia de Orta, Almada, Portugal.

Department of Clinical and Community Sciences, Università di Milano, Milan, Italy.

出版信息

BMC Infect Dis. 2020 Apr 20;20(1):290. doi: 10.1186/s12879-020-05020-8.

Abstract

In the context of global aging, HIV infection has become a new chronic disease and requires innovative models of care. Treating isolated comorbidities represents a useless and potentially harmful practice at advanced age. Therefore, a patient-centered approach, in which the interventions are focused on the biology and function of the individual, with understanding of the importance of securing social and home environment that provides psychosocial support, better suits unmet health needs. We present a paradigmatic case of healthy aging: the first reported HIV-infected patient who achieved 100th of life - the Lisbon patient. The construct of healthy aging, recently introduced by the World Health Organization, is the best example of this comprehensive model and could represent the fourth target of UNAIDS agenda of the end of AIDS.

摘要

在全球老龄化背景下,艾滋病毒感染已成为一种新型慢性病,需要创新的护理模式。在高龄阶段治疗孤立的合并症是一种无用且可能有害的做法。因此,以患者为中心的方法,即干预措施聚焦于个体的生物学和功能,并理解确保提供心理社会支持的社会和家庭环境的重要性,更适合未得到满足的健康需求。我们展示了一个健康老龄化的典型案例:首例报告的活到100岁的艾滋病毒感染患者——里斯本患者。世界卫生组织最近提出的健康老龄化概念是这种综合模式的最佳范例,并且可能代表联合国艾滋病规划署艾滋病终结议程的第四个目标。

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