Non-AIDS Morbidity among HIV Patients

Kim, Shin‐Woo

doi:10.3904/kjm.2016.90.6.487

Cited by 1 publication

(1 citation statement)

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“…내국인 생존 감염인 수는 2015년 기준 10,502명이며 20대부터 40대가 전체의 76.2%를 차지하고 있지만, 50 대 이상 인구가 신규 감염인의 20%면서 전체 감염인의 28%를 차지하여 노년층의 감염인 수가 증가하고 있음 을 알 수 있다 (9). 이는 항레트로바이러스제 치료제 공 급이 원활한 선진국 코호트들에서 일반적인 현상으로 이들 노년 감염인들은 심혈관질환, 간질환, 신장질환, 신경계질환, 비에이즈 정의 암 등의 비에이즈정의 질환 들이 동반되고, 복용하는 약제의 수도 증가하게 된다 (8,11). 처음 발견 당시의 환자의 CD4＋ T 세포수는 환 자의 면역상태와 예후를 예측하게 하는데, 350 cells/mm 3 미만의 낮은 면역상태로 발견되는 감염인이 33%로 많 다 (9).…”

Section: 국내외 Hiv 발생과 사망 현황unclassified

The Palliative Care and Hospice for the People Living with HIV

Choi

2017

Korean J Hosp Palliat Care

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According to the advance of antiretroviral regimen and the early treatment strategy, people living with human immunodeficiency virus (PLWH) are achieving the goal of virologic suppression and immune restoration. Most of them no more die of acquired immunodeficiency syndrome (AIDS) defining illnesses, and become older with chronic comorbidities such as cardiovascular, metabolic, hepatic, renal and neurological diseases. However some PLWH still visit hospitals as late presenters with very low CD4＋ T cell counts, so that they suffer AIDS defining illnesses to die or experience severe neurological complications resulting in disabilities. Early palliative interventions are needed on the various symptoms of PLWH. Thus far chronic pains such as distal symmetric sensory polyneuropathies have been underevaluated. Active pain-relieving interventions are important to them. Recently we define end of life condition of human immunodeficiency virus (HIV) or eligibility to hospice care after adjusting current status of HIV treatment. Hospice teams should pay attention to the specific medical conditions, psychological needs, and social circumstances of PLWH. With just standard precautions as common infection control measures, general hospice cares can be provided to them like to other hospices subjects. For giving PLWH opportunities to have the end of life with value and dignity, hospice multidisciplinary team should intervene them early and aggressively. Now we need more clinical experiences and institutional improvements.

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Section: 국내외 Hiv 발생과 사망 현황unclassified

The Palliative Care and Hospice for the People Living with HIV

Choi

2017

Korean J Hosp Palliat Care

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Non-AIDS Morbidity among HIV Patients

Cited by 1 publication

References 115 publications

The Palliative Care and Hospice for the People Living with HIV

The Palliative Care and Hospice for the People Living with HIV

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