HIV-infected patients are rarely diagnosed and treated early

Shanghai Public Health Clinical Center has treated AIDS patients from all over the country since 1992, and most of them were diagnosed in the early stages of HIV infection. There are very few follow-up visits and treatments. The vast majority of patients are referred because of various serious opportunistic infections and opportunistic tumors and their HIV antibody tests are found to be positive during treatment in other hospitals.

During the diagnosis and treatment process, a patient developed 12 types of opportunistic infections and opportunistic tumors. The disease involved multiple system organs such as the central nervous system, lungs, abdominal organs, and eyes. The pathogens included bacteria, viruses, Fungi, parasites, etc. pose huge challenges to clinical diagnosis and treatment.

Immunity disappears when diagnosed in the late stage

The biggest problem currently faced in the diagnosis and treatment of AIDS in China is that HIV-infected people are not detected early, which makes these "invisible" infected people They were diagnosed in the late stages of AIDS, when the number of CD4+ T lymphocytes, important immune cells in their bodies, has dropped to dozens or even a few per microliter of blood (normal value is 750±250/microliter) , the body's immune function has almost disappeared, so most of them are combined with serious opportunistic infections and tumors.

Experts say that in the absence of a vaccine, the most effective way to control the source of infection is to treat infected people, and if antiviral treatment ("cocktail" therapy) is started at the appropriate time, patients can live longer. Extended for more than 30 years.

General hospitals should also strengthen anti-AIDS testing

CD4+T lymphocyte count is still an important basis for determining the stage of AIDS, when to start antiretroviral treatment, and the effectiveness of treatment . Based on the latest clinical research data, international experts have reached a consensus that antiretroviral treatment should be initiated when the cell count drops to 350 per microliter of blood, and when the cell count falls between 351 and 500. Among HIV-infected patients who initiate antiretroviral treatment, their prognosis and quality of life also improve.

According to this, attention should be paid to strengthening the early detection and treatment of AIDS. It is recommended that while giving full play to the professional core role of designated hospitals, general hospitals should also actively participate in HIV testing and treatment. To this end, doctors from the Department of Infectious Diseases and Dermatology and Venereology of general hospitals should be trained on AIDS-related knowledge, diagnostic methods, and the latest treatment progress, and the monitoring and prevention of AIDS should be strengthened through network construction.