Diagnostic and therapeutic strategy aimed at patients with HIV in intensive care units: Narrative review
Since the advent of effective antiretroviral therapy in the last 20 years, human immunodeficiency virus (HIV) infection has become a chronic infectious disease. In this context, the objective of this narrative review was to present an organized diagnostic approach and a therapy adjusted to the condi...
- Autores:
- Tipo de recurso:
- Fecha de publicación:
- 2023
- Institución:
- Pontificia Universidad Javeriana Cali
- Repositorio:
- Vitela
- Idioma:
- spa
- OAI Identifier:
- oai:vitela.javerianacali.edu.co:11522/561
- Acceso en línea:
- https://revistas.javerianacali.edu.co/index.php/salutemscientiaspiritus/article/view/1388
https://vitela.javerianacali.edu.co/handle/11522/561
- Palabra clave:
- VIH
Virus de la inmunodeficiencia humana
Unidad de cuidados intensivos
Cuidados críticos
Enfermedad crítica
Prognosis
HIV
Human immunodeficiency virus
Intensive care unit,
Critical care
Critical illness
Prognosis
- Rights
- License
- Derechos de autor 2023 Salutem Scientia Spiritus
| Summary: | Since the advent of effective antiretroviral therapy in the last 20 years, human immunodeficiency virus (HIV) infection has become a chronic infectious disease. In this context, the objective of this narrative review was to present an organized diagnostic approach and a therapy adjusted to the condition of the patient in intensive care units. A review of the subject was carried out through a bibliographic search in databases using the MeSH terms “intensive care”, “HIV”, “critical illness”, “human immunodeficiency virus”. Filters were used to select articles in English and Spanish. The search in different databases yielded a total of 3243 results, and after discarding duplicates and selecting by title and abstract, 151 articles were obtained. Finally, 46 articles were included in this topic review, selected after reviewing the full text. Timely antiretroviral therapy has been shown to decrease morbidity and mortality. In addition, it is necessary to be alert to the appearance of immune reconstitution inflammatory syndrome, diagnose it and treat it. Upon admission to the emergency room, patients must be fully, rigorously, and regularly evaluated to identify clinical changes, complications, or prognostic factors. Through the timely initiation of a diagnostic and therapeutic strategy and transfer to an intermediate or intensive care unit for monitoring, HIV patients can obtain adequate management of the critical condition and improve their prognosis. |
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