Ku Nam Su
Division of Infective Diseases, Department of Internal Medicine and AIDS Research Institute, Yonsei University College of Medicine, Seoul, Korea.
Ewha Med J. 2024 Jul;47(3):e36. doi: 10.12771/emj.2024.e36. Epub 2024 Jul 31.
The availability of combined antiretroviral therapy has significantly reduced the number of new HIV infections and the associated mortality, and HIV infection has become a chronic disease with long-term survival. In Korea, more than 1,000 new HIV infections have been registered annually since 2013. After peaking at 1,223 in 2019, the number of new infections decreased between 2020 and 2023. In 2023, the majority of newly HIV-infected people were men, and the proportions of young people under 40 years, homosexual contacts and foreigners increased. Acquired immunodeficiency syndrome (AIDS)-related deaths from opportunistic infections associated with immunosuppression and AIDS-defining cancers are gradually decreasing, whereas non-AIDS defining comorbidities such as non-AIDS defining cancers, cardiovascular disease and metabolic complications are emerging as major causes of death. Since the introduction of zidovudine, approximately 30 antiretroviral drugs have been approved for the treatment of HIV infection. Early and continuous antiretroviral treatment for all people living with HIV is an effective strategy for maintaining viral suppression and preventing transmission of HIV infection. In conclusion, achieving the 95-95-95 target among those living with HIV in Korea requires multifaceted efforts to improve early diagnosis, early and proper treatment of HIV infection including the management of chronic diseases, and adherence to antiretroviral therapy.
联合抗逆转录病毒疗法的出现显著减少了新的艾滋病毒感染数量及相关死亡率,艾滋病毒感染已成为一种可长期存活的慢性病。在韩国,自2013年以来,每年登记的新艾滋病毒感染病例超过1000例。2019年新感染病例数达到1223例的峰值后,2020年至2023年期间新感染病例数有所下降。2023年,大多数新感染艾滋病毒的人是男性,40岁以下年轻人、同性恋接触者和外国人的比例有所增加。与免疫抑制相关的机会性感染和艾滋病界定癌症导致的获得性免疫缺陷综合征(艾滋病)相关死亡人数正在逐渐减少,而诸如非艾滋病界定癌症、心血管疾病和代谢并发症等非艾滋病界定合并症正成为主要死因。自齐多夫定问世以来,约有30种抗逆转录病毒药物已被批准用于治疗艾滋病毒感染。对所有艾滋病毒感染者进行早期和持续的抗逆转录病毒治疗是维持病毒抑制和预防艾滋病毒感染传播的有效策略。总之,要在韩国的艾滋病毒感染者中实现95-95-95目标,需要多方面努力来改善艾滋病毒感染的早期诊断、早期和适当治疗(包括慢性病管理)以及坚持抗逆转录病毒治疗。