Ageing with HIV: a multidisciplinary review.
Infection
; 43(5): 509-22, 2015 Oct.
Article
de En
| MEDLINE
| ID: mdl-25987480
ABSTRACT
INTRODUCTION:
After the introduction of highly active antiretroviral treatment, the course of HIV infection turned into a chronic disease and most of HIV-positive patients will soon be over 50 years old. MATERIAL ANDMETHODS:
This paper reviews the multiple aspects that physicians have to face while taking care of HIV-positive ageing patients including the definitions of frailty and the prevalence and risk factors of concomitant diseases. From a therapeutic point of view pharmacokinetic changes and antiretroviral-specific toxicities associated with ageing are discussed; finally therapeutic approaches to frailty are reviewed both in HIV-positive and negative patients. CONCLUSION ANDDISCUSSION:
We conclude by suggesting that the combined use of drugs with the least toxicity potential and the promotion of healthy behaviours (including appropriate nutrition and exercise) might be the best practice for ageing HIV-positive subjects.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Vieillissement
/
Infections à VIH
/
Antirétroviraux
/
Mode de vie
Type d'étude:
Guideline
/
Risk_factors_studies
Limites:
Humans
Langue:
En
Journal:
Infection
Année:
2015
Type de document:
Article
Pays d'affiliation:
Italie