Pinto Neto Lauro Ferreira da Silva, Perini Filipe de Barros, Aragón Mayra Gonçalves, Freitas Marcelo Araújo, Miranda Angélica Espinosa
Escola de Ciências da Saúde da Santa Casa de Misericórdia de Vitória, Vitória, ES, Brasil.
Secretaria Municipal de Saúde de Florianópolis, Florianópolis, SC, Brasil.
Epidemiol Serv Saude. 2021 Mar 15;30(spe1):e2020588. doi: 10.1590/S1679-4974202100013.esp1. eCollection 2021.
HIV infection is the subject of one of the chapters of the "Clinical Protocol and Therapeutic Guidelines for Comprehensive Care for People with Sexually Transmitted Infections", published by the Brazilian Ministry of Health in 2020. It is important that health professionals and managers learn the signs and symptoms of HIV infection and know how to diagnose it, in order to provide appropriate treatment and reduce complications. HIV infection has become a chronic disease and its treatment includes addressing common comorbidities in clinical practice such as arterial hypertension, diabetes and dyslipidemia, in addition to cardiac risk assessment, cancer prevention and guidance on immunization. Initiation of treatment for all HIV patients, regardless of clinical or immunological criteria, adopted by the Ministry of Health since 2013, has now been simplified with more tolerable first-line medications and with fewer drug interactions, which makes its management easy to implement, including by Primary Health Care.
艾滋病毒感染是巴西卫生部于2020年发布的《性传播感染患者综合护理临床方案和治疗指南》其中一章的主题。卫生专业人员和管理人员了解艾滋病毒感染的体征和症状并知道如何进行诊断很重要,以便提供适当治疗并减少并发症。艾滋病毒感染已成为一种慢性病,其治疗除了进行心脏风险评估、癌症预防和免疫接种指导外,还包括处理临床实践中常见的合并症,如动脉高血压、糖尿病和血脂异常。自2013年以来卫生部采用的对所有艾滋病毒患者无论临床或免疫学标准均开始治疗的做法,现在已因一线药物更耐受且药物相互作用更少而得到简化,这使得其管理易于实施,包括初级卫生保健机构也可实施。