摘要
人类免疫缺陷病毒(HIV)感染者因免疫功能低下,机会性感染率增加,在行外科手术治疗时应充分对患者进行术前评估,包括外科手术治疗风险评估和手术时机选择、围手术期快速降低病毒载量方案的选择、药物间相互作用、预防性抗菌药物的应用、不良反应及其处理等方面。在围手术期通过抗病毒药物将HIV感染者的病毒载量、CD4^+T淋巴细胞计数调整在合理范围具有重要意义。为规范HIV感染者的围手术期抗病毒治疗,中国性病艾滋病防治协会学术委员会外科学组与中华医学会热带病与寄生虫分会外科学组共同制定了此专家共识。
Patients with human immunodeficiency virus (HIV) infection were with low immunity, high rates of opportunistic infection,and special characteristics when treated with surgical operation, including the risk assessment and timing of surgical treatment,the selection of rapid virus reduction schemes during the perioperative period,the interaction between drugs,the application of prophylactic antimicrobial agents,adverse reactions and the related management and so on.It is of great significance to control the viral load of HIV,CD4^+ T lymphocyte level in perioperative period through the antiviral drug treatment.In order to furtherly regulate the perioperative antiviral treatment of patients with HIV-infection,Surgical group of Chinese Association of STD and AIDS Prevention and Control,Surgical group of Tropical Disease and Parasitology Branch of Chinese Medical have cooperatively developed this expert consensus.
作者
中国性病艾滋病防治协会学术委员会外科学组
中华医学会热带病与寄生虫学分会外科学组
张强
Surgical Group of Chinese Association of STD and AIDS Prevention and Control;Surgical Group of Tropical Disease and Parasitology Branch of Chinese Medical Association;Zhang Qiang
出处
《中华实验和临床感染病杂志(电子版)》
CAS
2019年第1期1-5,共5页
Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition)
基金
首都卫生发展科研专项(No.首发2018-2-2174)
北京市教育委员会科学技术一般项目(No.KM20180025029)
关键词
人类免疫缺陷病毒
抗病毒药物
围手术期治疗
共识
Human immunodeficiency virus
Antiviral drugs
Perioperative treatment
Consensus