В Англии лечение ВИЧ начинают с целью профилактики

В Англии лечение ВИЧ начинают с целью профилактики

Все больше людей в Великобритании начинают прием антиретровирусной терапии на более ранних стадиях с целью снижения риска передачи инфекции другим

В Великобритании отмечается растущий интерес ВИЧ-положительных людей к терапии с целью профилактики, что подтверждается двукратным увеличением числа лиц, начинающих терапию при высоких показателях CD4-лимфоцитов, за последние пять лет. В 2013 году, у 49% ВИЧ-позитивных лиц, начинающих лечение, уровень CD4 превышал 350 клеток/мм3, а у 27% - 500 клеток/мм3.

Согласно некоторым «Руководствам по лечению ВИЧ-инфекции», антиретровирусную терапию рекомендуется начинать при уровне CD4-лимфоцитов 500 клеток/мм3 или выше. Однако авторы Великобританского «Руководства» не находят четких доказательств тому, что это приведет к улучшению прогноза заболевания, и в большинстве случаев продолжают рекомендовать начало терапии при CD4 на уровне около 350 клеток/мм3.

Отметим, что с 2012 года в Великобритании, согласно «Руководству по лечению ВИЧ-инфекции» врачам следует информировать всех своих пациентов о данных, подтверждающих эффективность использования антиретровирусной терапии в качестве профилактики передачи инфекции половым партнёрам, и что любой желающий принимать АРТ с этой целью, может начинать терапию независимо от уровня CD4-лимфоцитов.

В 2008 году 75% из 57 752 ВИЧ-положительных пациентов принимали АРТ. К 2013 году этот показатель возрос до 86% (из 77 702 лиц с установленным диагнозом ВИЧ-инфекции). 90% из них удерживают неопределяемую вирусную нагрузку через год после начала терапии (хотя среди пациентов в возрасте до 24 лет этот показатель составляет всего 77%).

В Англии лечение ВИЧ начинают с целью профилактики

Комментарий AIDSmap.com: в некоторых кругах, Великобритания подвергается критике за свое нежелание увеличить порог CD4-лимфоцитов, используемый в качестве показания для начала лечения. Однако вышеприведенные данные показывают, что стратегия информирования пациентов о превентивном потенциале раннего начала АРТ (при более высоких показателях CD4-лимфоцитов), и предоставление самим пациентам права выбора времени для начала терапии - является эффективной стратегией. Эпидемиологи указывают на то, что охват британского населения терапией уже находится на достаточно высоком уровне, и что более жёсткие рекомендации не смогут значительно повлиять на общее число лиц, получающих антиретровирусную терапию.


Если вы нашли ошибку, пожалуйста, выделите фрагмент текста и нажмите Ctrl+Enter.

Не пропусти самые интересные статьи «Парни ПЛЮС» – подпишись на наши страницы в соцсетях!

Facebook | ВКонтакте | Telegram | Twitter | Помочь финансово
Яндекс.ДЗЕН | Youtube

Из этой же рубрики


  1. 1
  2. 3

    I’m the manager of JustCBD brand (justcbdstore.com) and am seeking to grow my wholesale side of company. It would be great if someone at targetdomain share some guidance ! I considered that the most suitable way to accomplish this would be to connect to vape stores and cbd stores. I was really hoping if anybody could recommend a dependable website where I can get Vape Shop Business Data I am already checking out creativebeartech.com, theeliquidboutique.co.uk and wowitloveithaveit.com. Not exactly sure which one would be the best solution and would appreciate any guidance on this. Or would it be simpler for me to scrape my own leads? Ideas?

  3. 4
  4. 5

    Hi, I do think this is an excellent web site. I stumbledupon it 😉 I will return once again since i have book-marked it. Money and freedom is the best way to change, may you be rich and continue to help others.

  5. 6
  6. 7
  7. 8
  8. 9
  9. 10
  10. 11

    I just want to tell you that I’m very new to weblog and seriously liked this page. Very likely I’m want to bookmark your website. You surely have good article content. Regards for sharing with us your website page.

  11. 12
  12. 13
  13. 14
  14. 15
  15. 16
  16. 17
  17. 18
  18. 19
  19. 20

    Right here is the perfect blog for anyone who would like to understand this topic. You know so much its almost hard to argue with you (not that I really will need to… HaHa). You definitely put a new spin on a topic that’s been written about for many years. Great stuff, just great!

  20. 21
  21. 22
  22. 23
  23. 24

    I must thank you for the efforts you’ve put in writing this site. I really hope to check out the same high-grade blog posts by you later on as well. In truth, your creative writing abilities has encouraged me to get my own, personal website now 😉

  24. 25
  25. 26
  26. 27
  27. 28
  28. 29
  29. 30

    I was pretty pleased to discover this great site. I wanted to thank you for your time for this particularly fantastic read! I definitely really liked every part of it and I have you book marked to check out new things on your web site.

  30. 31
  31. 32
  32. 33

    We tested coffee makers for the water temperature during the brew cycle and the brewing time as well as the temperature of the coffee at the end of brewing and during the keep warm cycle. In addition, we evaluated each brewer’s ease of use, including how easy it was to read and use the controls, access the water tank and brew basket, read the markings on the tank and carafe, whether or not it had automatic keep warm and shut off cycles, and the ease of cleaning the carafe.

  33. 34

    Oh my goodness! Incredible article dude! Thank you, However I am encountering issues with your RSS. I don’t know the reason why I can’t subscribe to it. Is there anyone else having the same RSS problems? Anyone who knows the answer can you kindly respond? Thanks!

  34. 35
  35. 36

    After looking at a number of the blog posts on your website, I seriously like your way of writing a blog. I saved it to my bookmark site list and will be checking back in the near future. Please visit my website as well and tell me your opinion.

  36. 37
  37. 38

    I absolutely love your blog. Pleasant colors & theme. Did you make this amazing site yourself? Please reply back as I’m attempting to create my own personal site and want to learn where you got this from or just what the theme is called. Thanks!

  38. 39
  39. 40
  40. 41
  41. 42

    Hi there, I do think your site may be having browser compatibility problems. When I look at your website in Safari, it looks fine however, if opening in IE, it has some overlapping issues. I merely wanted to give you a quick heads up! Apart from that, great site!

  42. 43
  43. 44

    I’m really enjoying the design and layout of your blog. It’s a very easy on the eyes which makes it much more pleasant for me to come here and visit more often. Did you hire out a developer to create your theme? Fantastic work!

  44. 45
  45. 46
  46. 47
  47. 48
  48. 49

    I seriously love your site. Excellent colors & theme. Did you create this website yourself? Please reply back as I’m trying to create my own website and would like to know where you got this from or what the theme is called. Many thanks!

  49. 50
  50. 51

    I absolutely love your site. Pleasant colors & theme. Did you make this web site yourself? Please reply back as I’m wanting to create my own blog and would love to find out where you got this from or just what the theme is named. Appreciate it!

  51. 52
  52. 53

    I blog often and I seriously appreciate your content. This article has truly peaked my interest. I will bookmark your website and keep checking for new information about once per week. I subscribed to your Feed as well.

  53. 54
  54. 55

    Right here is the right site for anybody who really wants to understand this topic. You realize so much its almost hard to argue with you (not that I actually would want to… HaHa). You definitely put a new spin on a subject which has been discussed for decades. Wonderful stuff, just great!

  55. 56
  56. 57

    It’s perfect time to make some plans for the long run and it is time to be happy. I’ve larn this submit and if I may I wish to counsel you few fascinating thinbgs or suggestions. Maybe you could write subszequent articles referring to this article.

  57. 58

    I must thank you for the efforts you’ve put in penning this site. I am hoping to check out the same high-grade blog posts from you in the future as well. In truth, your creative writing abilities has encouraged me to get my own, personal blog now 😉

  58. 59
  59. 60

    My wife and i ended up being very lucky that Peter could finish off his investigation using the ideas he acquired using your weblog. It is now and again perplexing just to choose to be giving freely ideas which others could have been trying to sell. And we all do know we have the writer to be grateful to because of that. All of the illustrations you’ve made, the simple web site menu, the friendships you can make it possible to instill — it’s all fabulous, and it’s really aiding our son and the family reckon that the subject is brilliant, which is exceptionally essential. Thank you for all!

  60. 61

    This is the ideal blog for anybody that wants to find out about this subject. You realize so much its nearly hard to suggest with you (not that I really would want? HaHa). You definitely placed a new spin on a subject thats been written about for years. Fantastic stuff, just great!

  61. 62
  62. 63

    Right here is the perfect site for anybody who really wants to find out about this topic. You understand so much its almost tough to argue with you (not that I personally would want to… HaHa). You definitely put a fresh spin on a subject that has been written about for decades. Wonderful stuff, just excellent!

  63. 64
  64. 65
  65. 66
  66. 67
  67. 68
  68. 69
  69. 70
  70. 71
  71. 72
  72. 73
  73. 74
  74. 75
  75. 76
  76. 77
  77. 78

    Hello, I do think your site could be having browser compatibility problems. When I take a look at your web site in Safari, it looks fine however, when opening in I.E., it has some overlapping issues. I merely wanted to give you a quick heads up! Aside from that, wonderful website!

  78. 79
  79. 80

    Good article. I find out something a lot more tough on different blog sites daily. It will certainly constantly be boosting to review content from other writers as well as practice a little something from their store. I? d like to utilize some with the web content on my blog whether you don? t mind. Natually I? ll give you a link on your internet blog site. Many thanks for sharing.

  80. 81
  81. 82

    After exploring a few of the blog articles on your website, I really appreciate your technique of blogging. I saved as a favorite it to my bookmark webpage list and will be checking back soon. Please check out my web site as well and let me know your opinion.

  82. 83

    Do you mind if I quote a couple of your articles as long as I provide credit and sources back to your site? My blog site is in the exact same niche as yours and my visitors would definitely benefit from some of the information you provide here. Please let me know if this ok with you. Many thanks!

  83. 84
  84. 85

    I blog frequently and I seriously appreciate your content. Your article has truly peaked my interest. I will take a note of your website and keep checking for new details about once a week. I subscribed to your RSS feed too.

  85. 86

    Thanks for these pointers. One thing I also believe is that credit cards giving a 0 interest often bait consumers in with zero rate, instant authorization and easy online balance transfers, nevertheless beware of the real factor that will void the 0 easy streets annual percentage rate as well as throw anybody out into the very poor house in no time.

  86. 87

    Having read this I believed it was very enlightening. I appreciate you finding the time and energy to put this article together. I once again find myself spending way too much time both reading and leaving comments. But so what, it was still worth it!

  87. 88
  88. 89
  89. 90
  90. 91
  91. 92
  92. 93
  93. 94
  94. 95

    Hmm it seems like your blog ate my first comment (it was extremely long) so I guess I’ll just sum it up what I had written and say, I’m thoroughly enjoying your blog. I as well am an aspiring blog blogger but I’m still new to the whole thing. Do you have any suggestions for first-time blog writers? I’d definitely appreciate it.

  95. 96

    Right here is the right website for anybody who wishes to understand this topic. You understand a whole lot its almost hard to argue with you (not that I actually will need to… HaHa). You certainly put a new spin on a subject which has been written about for a long time. Excellent stuff, just wonderful!

  96. 97
  97. 98
  98. 99
  99. 100
  100. 101

    An impressive share, I simply given this onto a colleague who was doing a little bit evaluation on this. And he in fact bought me breakfast as a result of I discovered it for him. smile. So let me reword that: Thnx for the treat! But yeah Thnkx for spending the time to debate this, I feel strongly about it and love reading more on this topic. If doable, as you grow to be experience, would you thoughts updating your weblog with more particulars? It is highly useful for me. Large thumb up for this weblog publish!

  101. 102

    What i do not realize is in reality how you’re not actually a lot more smartly-liked than you might be now. You are so intelligent. You already know thus considerably on the subject of this matter, made me in my view consider it from a lot of varied angles. Its like men and women are not involved until it’s something to do with Woman gaga! Your individual stuffs excellent. Always take care of it up!

  102. 103
  103. 104
  104. 105
  105. 106
  106. 107

    Howdy! This article couldn’t be written any better! Reading through this post reminds me of my previous roommate! He continually kept preaching about this. I am going to forward this information to him. Fairly certain he’ll have a very good read. I appreciate you for sharing!

  107. 108

    The next time I learn a weblog, I hope that it doesnt disappoint me as much as this one. I mean, I do know it was my choice to read, but I actually thought youd have one thing fascinating to say. All I hear is a bunch of whining about something that you possibly can repair in case you werent too busy looking for attention.

  108. 109

    With havin so much content do you ever run into any issues of plagorism or copyright infringement? My blog has a lot of completely unique content I’ve either created myself or outsourced but it seems a lot of it is popping it up all over the internet without my agreement. Do you know any methods to help reduce content from being stolen? I’d genuinely appreciate it.

  109. 110
  110. 111
  111. 112
  112. 113

    Oh my goodness! Incredible article dude! Thank you so much, However I am experiencing problems with your RSS. I don’t understand the reason why I am unable to join it. Is there anyone else having similar RSS problems? Anyone who knows the solution will you kindly respond? Thanx!

  113. 114
  114. 115
  115. 116
  116. 117

    Hello There. I found your blog using msn. This is an extremely well written article. I’ll be sure to bookmark it and return to read more of your useful information. Thanks for the post. I will certainly return.

  117. 118
  118. 119
  119. 120
  120. 121

    A motivating discussion is definitely worth comment. I do think that you need to write more on this topic, it may not be a taboo matter but generally people do not speak about such topics. To the next! Many thanks!

  121. 122
  122. 123
  123. 124
  124. 125
  125. 126

    Youre so cool! I dont suppose Ive read anything like this before. So nice to find somebody with a few original applying for grants this subject. realy appreciation for starting this up. this excellent website are some things that is required on the internet, an individual with a bit of originality. valuable project for bringing something totally new to your net!

  126. 127

    Can I simply say what a aid to find somebody who actually knows what theyre speaking about on the internet. You positively know how one can deliver a difficulty to gentle and make it important. Extra folks have to read this and understand this side of the story. I cant consider youre not more well-liked since you positively have the gift.

  127. 128

    In this grand pattern of things you actually get a B- for hard work. Exactly where you lost me personally ended up being in all the specifics. As it is said, details make or break the argument. And that couldn’t be more accurate right here. Having said that, allow me reveal to you what did deliver the results. The authoring is highly convincing and that is probably the reason why I am making the effort in order to comment. I do not make it a regular habit of doing that. Secondly, despite the fact that I can certainly notice a leaps in reasoning you make, I am definitely not convinced of just how you seem to connect your details that help to make the conclusion. For the moment I shall yield to your issue however hope in the foreseeable future you link the dots much better.

  128. 129

    There are some attention-grabbing points in time in this article but I dont know if I see all of them middle to heart. There may be some validity however I will take hold opinion till I look into it further. Good article, thanks and we wish extra! Added to FeedBurner as well

  129. 130
  130. 131

    Oh my goodness! Impressive article dude! Thank you so much, However I am going through issues with your RSS. I don’t know why I cannot subscribe to it. Is there anybody getting the same RSS problems? Anybody who knows the answer can you kindly respond? Thanx!

  131. 132

    You’re so cool! I do not suppose I have read a single thing like this before. So great to discover someone with some unique thoughts on this topic. Seriously. thank you for starting this up. This site is something that is needed on the internet, someone with a little originality!

  132. 133
  133. 134
  134. 135
  135. 136
  136. 137
  137. 138
  138. 139
  139. 140

Добавить комментарий

Ваш адрес email не будет опубликован. Обязательные поля помечены *