Source:http://linkedlifedata.com/resource/pubmed/id/11534375
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
33
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pubmed:dateCreated |
2001-9-5
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pubmed:abstractText |
In collaboration with the Dutch Institute for Health Care Improvement (CBO) and on the basis of recent developments, new guidelines have been developed for the diagnosis and treatment of HIV-infected patients. The most important recommendations are: Treatment of adult patients is indicated if HIV load > 30,000 RNA copies/ml, or when CD4+ cell count is < 350 x 10(6) cells/l. Treatment of children is indicated if HIV load > 5,000 copies/ml, even when CD4+ cell count is > 500 x 10(6) cells/l. Optimal antiretroviral treatment consists of a combination of two nucleoside reverse transcriptase inhibitors (NRTIs) and one protease inhibitor, or a combination of two NRTIs and one non-nucleoside reverse transcriptase inhibitor. Patients on antiretroviral treatment should be monitored every 3 months. Undetectable HIV load should be the target of first- or second-line antiretroviral treatment. In order to prevent HIV transmission from mother to child, prescription of antiretroviral drugs after the first three months of pregnancy is indicated in pregnant women with a detectable HIV load. Prophylaxis of opportunistic infections can be discontinued if CD4+ cell count recovers above 200 x 10(6)/l. In case of exposure to HIV due to a needle or other occupational accident or unsafe sexual contact, post-exposure prophylaxis should be offered after careful risk evaluation. Preferably, vaccination to prevent pneumococci infections, influenza, hepatitis A or hepatitis B should be given when CD4+ cell count is > 200 x 10(6)/l.
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pubmed:language |
dut
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0028-2162
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
18
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pubmed:volume |
145
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1585-9
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pubmed:dateRevised |
2008-11-21
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pubmed:meshHeading |
pubmed-meshheading:11534375-AIDS-Related Opportunistic Infections,
pubmed-meshheading:11534375-Adult,
pubmed-meshheading:11534375-Anti-HIV Agents,
pubmed-meshheading:11534375-Antiretroviral Therapy, Highly Active,
pubmed-meshheading:11534375-Child,
pubmed-meshheading:11534375-Female,
pubmed-meshheading:11534375-HIV Infections,
pubmed-meshheading:11534375-HIV Protease Inhibitors,
pubmed-meshheading:11534375-Humans,
pubmed-meshheading:11534375-Infectious Disease Transmission, Vertical,
pubmed-meshheading:11534375-Male,
pubmed-meshheading:11534375-Netherlands,
pubmed-meshheading:11534375-Practice Guidelines as Topic,
pubmed-meshheading:11534375-Pregnancy,
pubmed-meshheading:11534375-Pregnancy Complications, Infectious
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pubmed:year |
2001
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pubmed:articleTitle |
[CBO guidelines 'Antiretroviral therapy in the Netherlands'].
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pubmed:affiliation |
Universitair Medisch Centrum, afd. Interne Geneeskunde, onderafd. Infectieziekten en Aids, Postbus 85.500, 3508 GA Utrecht. j.c.c.borleffs@azu.nl
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pubmed:publicationType |
Journal Article,
English Abstract,
Review
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