Jacomet C, Girard P M
Service des maladies infectieuses et tropicales, Hôpital Rothschild, Paris.
Rev Prat. 1995 Mar 15;45(6):715-21.
Clinical management of HIV-infected asymptomatic individuals implies: creating trustful relationship with the practitioner including medical and non medical features such as adequate information and careful attention to emotional and social aspects; integrating, when indicated, the patient in a multidisciplinary approach; establishing a clinical and biological monitoring in order to initiate timely antiretroviral therapy and prophylaxis of opportunistic infections. The occurrence of minor symptoms and the determination of CD4 cell count have a key value in assessing the optimal time to initiate therapy in accordance to current recommendations.
对感染HIV的无症状个体的临床管理意味着：与从业者建立信任关系，包括医疗和非医疗方面，如提供充分信息以及认真关注情感和社会层面；在有指征时，将患者纳入多学科治疗方案；建立临床和生物学监测，以便及时启动抗逆转录病毒治疗和预防机会性感染。轻微症状的出现以及CD4细胞计数的测定对于根据当前建议评估启动治疗的最佳时机具有关键价值。
