1.03 CME

Evolusi Manajemen HIV: Kilas Balik 40 Tahun Hari AIDS Sedunia

Pembicara: Dr. Ravindran Gherard

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Keterangan

Over four decades, the management of HIV has undergone a transformative journey. From the initial discovery in the early 1980s to the present day, advances in antiretroviral therapies, research, and global awareness have reshaped the landscape of HIV care. The evolution has not only extended the lifespan of those living with HIV but has also significantly reduced transmission rates. Continuous efforts in education, treatment accessibility, and stigma reduction mark the progress in the fight against HIV, emphasizing the importance of a comprehensive, multidisciplinary approach in the ongoing battle against the virus.

Ringkasan

  • The speaker discusses the significant progress made in HIV/AIDS treatment over the past 43 years, transforming it from a death sentence to a manageable chronic condition. They emphasize the importance of community leadership in driving this progress, highlighting the shift from individual efforts to collective action in demanding better healthcare and research.
  • The presentation covers key aspects of HIV/AIDS management including diagnosis, diagnostics, treatment, and opportunistic infections. It highlights the "95-95-95" goal, aiming for 95% of infected individuals to know their status, 95% of those to be on treatment, and 95% of those to achieve viral suppression. Early diagnosis and treatment initiation are stressed to reduce transmission.
  • Diagnostic strategies have evolved from voluntary testing to provider-initiated testing and community-based testing, using Elisa tests with high sensitivity and specificity. The discussion covers treatment regimens, emphasizing the transition from single-drug therapy to triple therapy, which has significantly improved patient lifespan.
  • The presentation explores the importance of adherence to treatment, highlighting potential challenges like adverse drug reactions and immune reconstitution inflammatory syndrome (IRIS). National AIDS Control Program (NACP) goals and the role of various organizations in reducing HIV incidence and mortality are covered.
  • Finally, the presentation addresses ongoing research efforts to find a cure for HIV, exploring bone marrow transplants, stem cell transplants, and various experimental drugs. These potential therapies include immunotherapy, gene editing, and vaccines.

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