Commentary: Early antiretroviral therapy for HIV infection in sub-Saharan Africa, a challenging new step

被引：0

作者：

Christian Laurent

机构：

[1] Institut de Recherche pour le Développement (UMR 145),

来源：

Journal of Public Health Policy | 2010年 / 31卷

关键词：

Africa; antiretroviral therapy; guidelines; HIV; WHO;

D O I：

暂无

中图分类号：

学科分类号：

摘要：

Recent changes in guidelines (World Health Organization (WHO), USA, and likely Europe soon) all move towards earlier initiation of antiretroviral therapy in asymptomatic patients infected with human immunodeficiency virus (HIV). Sonia Menon appropriately questions the feasibility and consequences at both individual and community levels of the early initiation of antiretroviral therapy in sub-Saharan Africa as likely effects will be both positive and negative. Local context should drive the uptake process in every country. Money, national and international, will be essential for the successful implementation of the new WHO recommendation. Leaders at both levels must take their responsibilities and mobilize the necessary resources, for example, doubling those for the Global Fund to Fight AIDS, Tuberculosis and Malaria from $10 billion to $20 billion USD for 2011–2013.

引用

页码：401 / 406

页数：5

共 20 条

[1]

Thompson MA(2010)Antiretroviral treatment of adult HIV infection: 2010 recommendations of the international AIDS Society-USA panel JAMA 304 321-333

[2]

Kober K(2004)Scaling up access to antiretroviral treatment in southern Africa: Who will do the job? Lancet 364 103-107

[3]

Van Damme W(2006)The WHO public-health approach to antiretroviral treatment against HIV in resource-limited settings Lancet 368 505-510

[4]

Gilks CF(2010)Early versus standard antiretroviral therapy for HIV-infected adults in Haiti New England Journal of Medicine 363 257-265

[5]

Severe P(2009)Effect of early versus deferred antiretroviral therapy for HIV on survival New England Journal of Medicine 360 1815-1826

[6]

Kitahata MM(2009)Timing of initiation of antiretroviral therapy in AIDS-free HIV-1-infected patients: A collaborative analysis of 18 HIV cohort studies Lancet 373 1352-1363

[7]

Sterne JA(2009)When to start antiretroviral therapy in resource-limited settings Annals of Intern Medicine 151 157-166

[8]

Walensky RP(2009)Universal voluntary HIV testing with immediate antiretroviral therapy as a strategy for elimination of HIV transmission: A mathematical model Lancet 373 48-57

[9]

Granich RM(2008)Use of WHO clinical stage for assessing patient eligibility to antiretroviral therapy in a routine health service setting in Jinja, Uganda AIDS Research and Therapy 5 4-583

[10]

Gilks CF(2010)WHO clinical criteria-based initiation of antiretroviral therapy: Lessons from rural district hospitals in Cameroon with regard to 2009 revised WHO recommendations Tropical Medicine & International Health 15 580-S168

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