出版社：European HIV/AIDS and Infectious Diseases Academy
摘要：Introduction The life expectancy of HIV-infected patients has been increased by highly effective
therapies. People living with HIV (PLWH) in Romania are exposed to age-related comorbidities
occurring earlier than in uninfected individuals. Multidisciplinary care is required to maintain the
general health and quality of life in these patients. Currently, the communication among different
specialties needs to be enhanced and formalized.
Methods A panel consisting of 8 Romanian experts in infectious diseases, cardio-metabolic, bone,
and kidney diseases and psychology met in May 2019 in Bucharest Romania to discuss the need to
evaluate and monitor the most prevalent comorbidities in PLWH. The meeting resulted in practical
guidance on the management of several non-infectious associated diseases. The algorithms were endorsed
by the Society for Infectious Diseases and HIV/AIDS, Romania.
Results The consensus statement offers practical guidance on how to assess and monitor associated
diseases in adult PLWH. The recommendations are grouped for each cluster of comorbidities and are
based on international guidelines and clinical experience, including landmarks for referral of PLWH to
cardiology, endocrinology, nephrology specialist or clinical psychologist for additional investigations and
adequate treatment. Specific indications for diagnosis or treatment were beyond the scope of this
consensus.
Conclusions Screening for associated diseases and adequate management are required to maintain
the overall health status of PLWH. When implemented in clinical practice, the recommended
algorithms should be used in addition to diagnosis and treatment guidelines and protocols. The
infectious diseases specialist plays a key role in coordinating the overall treatment strategy and working
within the multidisciplinary team.
