Compendium Report - Guidelines for Diagnosis and Treatment of HIV/AIDS
2008 Vol.24 NO.11
Since the first antiretroviral drug - zidovudine being created, several other drugs, including nucleoside reverse-transcriptase inhibitors (NRTIs), non-nucleoside reverse-transcriptase inhibitors (NNRTIs), and protease inhibitors (PIs), were developed. More and more antiretroviral drugs were marketed, which makes the therapy for HIV/AIDS more complicated. Besides the drug efficacy, the side effect, drug interaction, and high medical fees should put into consideration. Proper medical therapy for HIV-infected patients has become a specialized knowledge.
No common consensus for HIV/AIDS medical therapy was formed in Taiwan Before. The fees for HIV/AIDS medical therapy was drawn back into public budget since 2005. Taiwan authorities invited clinical experts to compile a “Guidelines for diagnosis and treatmemt of HIV/AIDS ” for references for clinical medical staffs. Recently, many new drugs were developed and the therapy guidelines were also renewed successively. Thus, Taiwan authorities, once again, invited Taiwan AIDS Society and clinical experts to revise this guideline, renew existed chapters, including “Recommendation for antiretroviral therapy for HIV-infected patient in Taiwan”, “Guideline for viral load, cell counts of CD4
lymphocyte and related examinations for adult HIV-infected patients”, “Guidelines for prevention and treatment for opportunistic infections in adult HIV-infected patients”, “Guidelines for prevention and treatment of mother-to-child transmission”, and “Clinical signs, diagnosis and therapy of HIV-infected children and teenagers”. New chapters, including “Procedures for possible HIV-infected infant examination”, “Standard procedures for HIV post-exposure of on-duty medical care staffs”, “HIV prevention education for clinicians taking care of HIV-infected patients in outpatient service” and “Harm Reduction Program ”, were added. We wish that we could improve therapeutic quality through revising these guidelines.
Keyword: HIV, AIDS, HAART, opportunistic infection, HIV post-exposure