Management of human immunodeficiency virus in older people.


Journal

Australian journal of general practice
ISSN: 2208-7958
Titre abrégé: Aust J Gen Pract
Pays: Australia
ID NLM: 101718099

Informations de publication

Date de publication:
07 2019
Historique:
entrez: 1 7 2019
pubmed: 2 7 2019
medline: 25 8 2020
Statut: ppublish

Résumé

The proportion of older (aged ≥50 years) people living with human immunodeficiency virus (PLHIV) within the HIV-positive population is increasing. Many comorbidities associated with ageing are observed more frequently and/or occur at an earlier age among PLHIV, compared with people who are uninfected. The aim of this article is to improve the confidence of treating physicians who have limited HIV experience in providing care for the increasingly elderly HIV population by presenting a contemporary clinical picture of older PLHIV and discussing the key evidence-based principles of management, with reference to data in the Australian setting where applicable. Older PLHIV, in particular those with complex comorbidities, are likely to benefit from comprehensive multidisciplinary medical and psychosocial support as they age. Physicians are well placed to diagnose and treat HIV as early as possible in older people and ensure counselling to prevent secondary transmission of HIV.

Sections du résumé

BACKGROUND
The proportion of older (aged ≥50 years) people living with human immunodeficiency virus (PLHIV) within the HIV-positive population is increasing. Many comorbidities associated with ageing are observed more frequently and/or occur at an earlier age among PLHIV, compared with people who are uninfected.
OBJECTIVE
The aim of this article is to improve the confidence of treating physicians who have limited HIV experience in providing care for the increasingly elderly HIV population by presenting a contemporary clinical picture of older PLHIV and discussing the key evidence-based principles of management, with reference to data in the Australian setting where applicable.
DISCUSSION
Older PLHIV, in particular those with complex comorbidities, are likely to benefit from comprehensive multidisciplinary medical and psychosocial support as they age. Physicians are well placed to diagnose and treat HIV as early as possible in older people and ensure counselling to prevent secondary transmission of HIV.

Identifiants

pubmed: 31256512
doi: 10.31128/AJGP-08-18-4667
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

440-445

Auteurs

Beng Eu (B)

MBBS, GDFM, General Practitioner, S100 Prescriber and Director, Prahran Market Clinic, Prahran, Vic.

Ethan Salleh (E)

MBBS, FRACGP, General Practitioner and S100 Prescriber, Gladstone Road Medical Centre, Highgate Hill, Qld.

Andrew Sakko (A)

PhD, CMPP, Medical Writer, i Write Medical, Bright, Vic.

Giovanni Guaraldi (G)

MD, Associate Professor, Department of Medical and Surgical Sciences for Children and Adults, University of Modena and Reggio Emilia, Modena, Italy. giovanni.guaraldi@unimore.it.

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Classifications MeSH