2019, Number 2
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Enf Infec Microbiol 2019; 39 (2)
Human immunodeficiency virus: useful findings in diagnosis, prevention and treatment
Carvajal AM, Roldán TMD, Herrera AL, Hernández MA, Álvarez HLF, Martínez SLM
Language: Spanish
References: 53
Page: 65-70
PDF size: 231.63 Kb.
ABSTRACT
HIV infection is a worldwide problem and its prevalence continues to rise, nonetheless, thanks to the advances in
antiretroviral therapy, mortality has diminished considerably. Between 2000 and 2016, new HIV infections lowered in
39% and HIV-related deaths lowered in 33% with 13.1 million lives, saving in antiretroviral therapy in a similar period.
HIV-1 entry into CD4 cells implies glycoprotein interactions such as the envelope’s gp120 and a secondary coreceptor,
either one of two chemokines receptors CCR5 or CXCR4; the presence of a mutation in one of those gives a new
direction on infection’s treatment and provides an effective alternative to long-term HIV/AIDS treatment medications.
For diagnosis, rapid tests represent an accessible and swift method, but must be accompanied by protocols that
allow complimentary exams for diagnosis confirmation. Prophylaxis has shown to be effective in prevention of HIV
acquisition in at-risk populations, such as health-care professionals that suffer from needle lesions and in vertical
transmission from hiv positive mothers to their newborns; also, it has been shown that its application reduces HIV
conversion rates among people with consensual sexual expositions.
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