Executive summary. Consensus document of GESIDA and SPNS (Spanish Secretariat for the National Plan on AIDS) regarding combined antiretroviral treatment in adults infected by the human immunodeficiency virus (January 2012)

ABSTRACT

In the present update of the guidelines, starting antiretroviral treatment is recommended in symptomatic patients, in pregnant women, in sero-discordant couples with high transmission risk, in patients co-infected with hepatitis B requiring treatment and in patients with HIV-related nephropathy. Guidelines on combined antiretroviral treatment (cART) are included in the event of concurrent HIV infection diagnosis with an AIDS-defining event. In asymptomatic naïve patients, cART will be based on CD4 lymphocyte count, plasma viral load (VL), patient age and patient comorbidity (i) cART is recommended if CD4 count is lower than (..) (AU)

ABSTRACT

En la presente actualización se recomienda iniciar el tratamiento en los pacientes sintomáticos, en las embarazadas, en las parejas serodiscordantes con alto riesgo de transmisión, en la hepatitis B que requiera tratamiento y en la nefropatía relacionada con el VIH. En caso de diagnóstico simultáneo de infección VIH y evento definitorio de sida, se incluyen directrices sobre el inicio del tratamiento antirretroviral (TAR). En los pacientes asintomáticos el inicio de TAR se basará en la cifra de linfocitos CD4, la carga (..) (AU)