Di Perri Giovanni
Infectious Diseases Clinical Unit, Dept. of Medical Sciences, University of Turin, Italy.
Infez Med. 2023 Sep 1;31(3):283-289. doi: 10.53854/liim-3103-3. eCollection 2023.
In Italy a proportion of HIV patients exceeding 50% are diagnosed at advanced stages of disease. A sizeable proportion of patients under chronic HIV treatment has a story of poor adherence with archived resistance associated mutations, a condition implying some risks in case of treatment with dual regimens. Conventional three-drug regimens will remain necessary in the short-mid term, in order to avoid treatment failure and selection of drug resistance. Efficacy, tolerability, safety, genetic barrier, forgiveness and a good compatibility with concurrent medications are all features that describe the overall quality of BIC/FTC/TAF, a combination whose robustness will remain a point of reference for the next years.
在意大利,超过50%的艾滋病病毒(HIV)患者在疾病晚期才被诊断出来。相当一部分接受慢性HIV治疗的患者有依从性差的病史,并伴有存档的耐药相关突变,这种情况意味着在使用双药方案治疗时存在一些风险。在短期至中期内,传统的三联药物方案仍将是必要的,以避免治疗失败和耐药性的产生。疗效、耐受性、安全性、基因屏障、宽容性以及与同时服用药物的良好兼容性,都是描述比克替拉韦/恩曲他滨/丙酚替诺福韦(BIC/FTC/TAF)组合整体质量的特征,该组合的稳健性在未来几年仍将是一个参考标准。