Нью-йоркских ВИЧ-инфицированных начнут лечить сразу после выявления вируса

Нью-йоркских ВИЧ-инфицированных начнут лечить сразу после выявления вируса

Представители здравоохранения Нью-Йорка официально порекомендовали начинать лечение ВИЧ-инфекции сразу после ее выявления, пишет medportal.ru.

В настоящее время критерием начала высокоактивной антиретровирусной терапии (ВААРТ, HAART) является снижение содержания в крови Т-лимфоцитов-хелперов ниже определенного значения - менее 350 клеток в кубическом миллилитре крови (в некоторых случаях - менее 500 клеток).

Глава нью-йоркского Департамента здравоохранения Томас Фарли (Thomas Farley) заявил, что такой подход безнадежно устарел. По его словам, недавние исследования показали, что начало лечения сразу после постановки диагноза вкупе с регулярными анализами и обучением больного является оптимальной стратегией сдерживания эпидемии. В связи с этим врачам города рекомендовано назначать пациентам ВААРТ, как только подтверждено наличие инфекции.

В Нью-Йорке проживает около 110 тысяч ВИЧ-инфицированных - больше, чем в любом другом американском городе. В настоящее время антиретровирусную терапию получают лишь 66 тысяч из них.

Бывший глава Ассоциации медицины ВИЧ Майкл Сааг (Michael Saag)из Алабамского университета в Бирмингеме сообщил, что разделяет мнение нью-йоркских властей о несостоятельности нынешних рекомендаций. «Это анахронизм. Это старая школа. Это вчерашний день. Я полностью согласен с Департаментом здравоохранения Нью-Йорка», — заявил он и добавил, что ожидает скорейшего обновления рекомендаций по всей стране.

Нью-йоркских ВИЧ-инфицированных начнут лечить сразу после выявления вируса

Согласно последнему отчету Центров контроля и профилактики заболеваний США (CDC), 72 процента из 1,2 миллиона ВИЧ-инфицированных американцев не получают лечения, достаточного для контроля инфекции.

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    The root of your writing whilst sounding agreeable originally, did not really work properly with me personally after some time. Someplace throughout the paragraphs you actually were able to make me a believer unfortunately only for a short while. I nevertheless have a problem with your jumps in assumptions and you might do well to help fill in those gaps. If you actually can accomplish that, I could undoubtedly be impressed.

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