Chin Med J (Engl). 2024 Nov 20;137(22):2654-2680. doi: 10.1097/CM9.0000000000003383. Epub 2024 Nov 18.
The Acquired Immunodeficiency Syndrome Professional Group of the Society of Infectious Diseases of the Chinese Medical Association formulated the first edition of the Chinese Guidelines for the Diagnosis and Treatment of human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS) (referred to as the Guidelines) in 2005. The 2024 edition of the Guidelines has been compiled by updating the 2021 fifth edition, incorporating the latest research advancements in antiviral therapy, comprehensive management, opportunistic infections, concurrent tumors, and the prevention and intervention of HIV infection. The new edition also introduces a new section on "Incomplete immune reconstitution", proposes the concept of "HIV vulnerable populations" for the first time with recommendations for their diagnosis and treatment. This edition of the Guidelines covers 14 sections: epidemiology, pathogenic characteristics, laboratory tests, pathogenesis, clinical presentation and staging, diagnostic criteria, common opportunistic infections, antiretroviral therapy, immune reconstitution inflammatory syndrome, incomplete immune reconstitution, AIDS-related neoplasms, prevention of mother-to-child transmission and conception in serodiscordant couples, pre- and post-exposure prophylaxis, and whole-course management of HIV infection. This edition of the Guidelines aims to assist clinical physicians in making informed decisions in the diagnosis, treatment, and management of HIV/AIDS and will be periodically revised and updated based on domestic and international research progress.
中华医学会感染病学分会艾滋病专业组于2005年制定了第一版《中国艾滋病诊疗指南》(以下简称《指南》)。《中国艾滋病诊疗指南(2024年版)》在《中国艾滋病诊疗指南(2021年版)》第五版的基础上进行修订,纳入了抗病毒治疗、综合管理、机会性感染、合并肿瘤以及艾滋病病毒(HIV)感染预防与干预等方面的最新研究进展。新版《指南》新增了“免疫重建不全”章节,首次提出“HIV易感人群”概念并给出诊疗建议。本版《指南》共涵盖14个章节,包括流行病学、病原学特征、实验室检查、发病机制、临床表现与分期、诊断标准、常见机会性感染、抗逆转录病毒治疗、免疫重建炎症综合征、免疫重建不全、艾滋病相关肿瘤、母婴传播预防与血清学不一致夫妻妊娠、暴露前后预防以及HIV感染全程管理。本版《指南》旨在帮助临床医师在HIV/AIDS诊断、治疗及管理中做出科学决策,并将根据国内外研究进展定期修订更新。