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HIV- Management
  There is no specific therapy for HIV infection. Certain drugs like Zidovudine do supress the virus. No vaccine is available yet. At present some vaccines are being tested in Africa and in Thialand. Vaccines being developed are showing some promising results. Still its a long way to go. Still the development of the therapy for HIV infection is one of the most remarkable stories of the modern medicine. This has been made possible due to better understanding of the disease process. 

IMPACT OF HIV THERAPY

The effectiveness of the current therapy is refelected in the dramatic decline in the HIV related mortality and morbidity i.e. now those with this disease are able to live a much better life for a many many years. Therefore a time is not far when HIV infection may be considered a chronic disease manageable over the course of many years. With antiretroviral therapy the incidence of the opportunistic infection incidence is reduced to great extent. 

With this therapy the replication of the virus is inhibited which in turn prevents the depletion of CD4 cells. Lower the viral load better is the immunological status of the person. 

The important aspects in the management of HIV patients are:

  • Prevention of spread of HIV infection.
  • To slow the rate of multiplication of the virus. This keeps the immune system of the patient healthy longer. Longer the person's immune system stays healthy the progress towards the development of Acquired immune deficiency syndrome is delayed.
  • Preventing, Controlling and treating Opportunistic infections
    To maintain general health by good food, staying physically active and reducing stress.
 
Antiretroviral drugs are used in combination of 3 or more for treating HIV infection. Antiretroviral drugs attack the virus at different stages of life cycle and thus triple drug therapy offers the best chance of reducing the multiplication of the virus and allowing the immune system to stay healthy.

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HIV positive patients should be kept up to date on immunizations.
Pneumococcal vaccine: Booster at 5 years.
Hepatitis B vaccine.
Influenza vaccine: yearly.

 

Antiretroviral Drugs

Combination Therapy in HIV- Infected Patients

New Anti HIV drug

Occupational Exposure to HIV