Chinese Guidelines for Diagnosis and Treatment of Human Immunodeficiency Virus Infection/Acquired Immunodeficiency Syndrome (2024 Edition)

  • 摘要: 中华医学会感染病学分会艾滋病学组于2005年制订了我国《艾滋病诊疗指南》(简称《指南》),2024版《指南》是在2021年第5版《指南》的基础上参照国内外最新研究进展修订而成。新版《指南》重点对抗病毒治疗、全程管理、机会性感染、人类免疫缺陷病毒(human immunodeficiency virus,HIV)感染合并肿瘤、HIV感染的预防与干预等内容进行了更新,并新增“艾滋病免疫重建不全( immunological non-responder,INR) ”这部分内容,首次提出了“艾滋病脆弱人群”的概念,增加了诊治推荐意见及其推荐证据和推荐强度。《指南》包括流行病学、病原学特征、实验室检测、发病机制、临床表现与分期、诊断标准、常见机会性感染、抗病毒治疗、免疫重建炎性综合征、INR、艾滋病相关肿瘤、HIV母婴垂直传播阻断及单阳家庭生育、HIV暴露前后预防与阻断、HIV感染的全程管理等内容。《指南》旨在帮助临床医师在艾滋病诊治和管理中合理决策。《指南》也将根据国内外的研究进展定期进行修订与更新。

     

    Abstract: In 2005, the AIDS Working Group of the Chinese Society of Infectious Diseases, Chinese Medical Association, formulated the "Guideline for Diagnosis and Treatment of AIDS" in China (hereinafter referred to as the "Guideline"). The 2024 edition of the "Guideline" is revised based on the 5th edition in 2021, with reference to the latest research progress at home and abroad. The new edition focuses on updates to antiviral therapy, comprehensive management, opportunistic infections, human immunodeficiency virus (HIV) infection complicated with tumors, prevention and intervention of HIV infection, and newly introduces the section on "immunological non-responder (INR) in AIDS", for the first time proposing the concept of "vulnerable populations with AIDS", and adding recommendations for diagnosis and treatment, as well as evidence and strength of recommendation. The "Guideline" covers epidemiology, etiological characteristics, laboratory testing, pathogenesis, clinical manifestations and staging, diagnostic criteria, common opportunistic infections, antiviral therapy, immune reconstitution inflammatory syndrome, INR, AIDS-related tumors, prevention of mother-to-child vertical transmission of HIV and fertility in single-positive families, pre- and post-exposure prophylaxis and interruption of HIV infection, comprehensive management of HIV infection, etc. The "Guideline" aims to assist clinicians in making rational decisions in the diagnosis, treatment, and management of AIDS. It will also be regularly revised and updated according to research progress at home and abroad.

     

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