Tratamiento de las infecciones oportunistas en pacientes adultos y adolescentes infectados por el virus de la inmunodeficiencia humana en la era del tratamiento antirretroviral de gran actividad. Recomendaciones del Grupo de Estudio del Sida (GESIDA)/Plan Nacional sobre el Sida

Translated title of the contribution: Treatment of opportunistic infections in adolescent and adult patients infected by the human immunodeficiency virus during the era of highly active antiretroviral therapy AIDS Study Group (GESIDA) and National AIDS Plan Expert Committe

Daniel Podzamczer, Carlos Barros, Juan Berenguer, Félix Gutiérrez, José Antonio Iribarren, José M. Miró, José Pérez Molina, Koldo Aguirrebengoa, José Ramón Arribas, Vicente Boix, Pedro Cahn, Ángeles Castro, Joan Caylá, Javier Cobo, Juan Enrique Corzo, Javier De La Torre, Fernando Dronda, Javier Ena, Vicenç Falcó, Elena FerrerPablo Labarga, Jaime Locutura, Josep Mallolas, Santiago Moreno, Antonio Ocampo, Imma Ocaña, Julián Olalla, Belén Padilla, Ma Jesús Pérez Elías, Rosa Polo, Joaquín Portilla, Melcior Riera, Antonio Rivero, Miguel Salavert, José Sanz

Research output: Contribution to journalArticlepeer-review

Abstract

Despite the huge advance that highly active antiretroviral therapy has represented for the prognosis of infection by human immunodeficiency virus (HIV), opportunistic infections continue to be a cause of morbidity and mortality in HIV-infected patients. This is often the case because of severe immunodepression, poor adherence to antiretroviral therapy, failure of therapy, or the fact that patients are unaware of their HIV-positive status and debut with an opportunistic infection. This article updates the guidelines on treatment of acute episodes of various opportunistic infections in HIV-infected patients, including infections due to parasites, fungi, viruses, mycobacteria, and bacteria. This edition has a new chapter on imported parasite infections as well as additional information on endemic mycoses in the chapter on fungal infections, taking into account the growing number of immigrants in our setting. Lastly, the chapter on the immune reconstitution syndrome has also been updated, providing relevant data on a phenomenon that has clinical and diagnostic repercussions in patients who start antiretroviral therapy while they are severely immunodepressed (English version available at http://www.gesida. seimc.org).

Translated title of the contributionTreatment of opportunistic infections in adolescent and adult patients infected by the human immunodeficiency virus during the era of highly active antiretroviral therapy AIDS Study Group (GESIDA) and National AIDS Plan Expert Committe
Original languageSpanish
Pages (from-to)356-379
Number of pages24
JournalEnfermedades Infecciosas y Microbiologia Clinica
Volume26
Issue number6
DOIs
StatePublished - Jun 1 2008

Keywords

  • AIDS
  • Guidelines
  • HIV infection
  • Opportunistic infections

ASJC Scopus subject areas

  • Microbiology (medical)

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