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儿童人类免疫缺陷病毒感染中的疟疾管理:综述。

Regulations of malaria in children with human immunodeficiency virus infection: A review.

机构信息

Department of Medical Laboratory Science, Achievers University, Owo, Nigeria.

Department of Medical Laboratory Science, Kampala International University, Kampala, Uganda.

出版信息

Medicine (Baltimore). 2023 Nov 17;102(46):e36166. doi: 10.1097/MD.0000000000036166.

Abstract

This comprehensive review explores the intricate relationship between 2 major global health challenges, malaria and HIV, with a specific focus on their impact on children. These diseases, both endemic in sub-Saharan Africa, create a dual burden that significantly elevates the risk of morbidity and mortality, particularly in children with compromised immune systems due to HIV. The review delves into the complex mechanisms by which these infections interact, from heightened clinical malaria frequencies in HIV-infected individuals to the potential impact of antiretroviral therapy on malaria treatment. Different research engines were utilized in writing this paper such as Web of Science, Google Scholar, Pubmed Central, ResearchGate, and Academia Edu. To address this critical health concern, the study identifies and discusses various regulatory and treatment strategies. It emphasizes the importance of daily cotrimoxazole prophylaxis and insecticide-treated nets in preventing malaria in children with HIV. The potential of antiretroviral protease inhibitors and mRNA-based vaccines as innovative solutions is highlighted. Additionally, the study underscores the significance of climate data and artificial intelligence in improving diagnostics and drug development. Furthermore, the review introduces the concept of genetically modified mosquitoes as a novel approach to vector control, offering a promising avenue to protect HIV-positive individuals from mosquito-borne diseases like malaria. Through a comprehensive analysis of these strategies, the study aims to provide a foundation for policymakers, healthcare professionals, and researchers to develop effective regulations and interventions that reduce the dual burden of malaria and HIV in children, improving public health outcomes in endemic regions.

摘要

这篇全面综述探讨了疟疾和艾滋病这两个主要全球健康挑战之间的复杂关系,特别关注它们对儿童的影响。这些疾病在撒哈拉以南非洲普遍存在,对发病率和死亡率造成双重负担,特别是对免疫系统因艾滋病而受损的儿童。该综述深入探讨了这些感染相互作用的复杂机制,包括艾滋病毒感染者中临床疟疾频率的升高,以及抗逆转录病毒疗法对疟疾治疗的潜在影响。在撰写本文时,使用了不同的研究引擎,如 Web of Science、Google Scholar、Pubmed Central、ResearchGate 和 Academia Edu。为了解决这一重大健康问题,该研究确定并讨论了各种监管和治疗策略。它强调了每日磺胺多辛-乙胺嘧啶预防和经杀虫剂处理的蚊帐在预防 HIV 感染儿童疟疾方面的重要性。抗逆转录病毒蛋白酶抑制剂和基于 mRNA 的疫苗作为创新解决方案的潜力也得到了强调。此外,该研究强调了气候数据和人工智能在改善诊断和药物开发方面的重要性。此外,该综述还介绍了基因改造蚊子作为一种新型蚊虫控制方法的概念,为保护 HIV 阳性个体免受疟疾等蚊媒疾病提供了一个有前途的途径。通过对这些策略的综合分析,该研究旨在为政策制定者、医疗保健专业人员和研究人员提供一个基础,以制定有效的法规和干预措施,减轻儿童疟疾和艾滋病的双重负担,改善流行地区的公共卫生结果。

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