Zusammenfassung
Die Behandlung der HIV-Erkrankung hat sich durch ein neues pathophysiologisches Verständnis grundlegend gewandelt. Der leitende Laborparameter für die Therapieentscheidungen ist heute die Bestimmung der im Plasma gemessenen Viruslast.
Elf Medikamente stehen in Deutschland zur Reduktion der HIV-Menge im Blut zur Verfügung. Etwa zwei Drittel der Behandler beginnen mit einer Zweifachkombination. Protease-Inhibitoren stellen eine wichtige Erweiterung der Therapieoptionen dar.
Summary
The treatment of HIV infection/AIDS has changed dramatically because of a new pathophysiological understanding of this disease. The most important laboratory parameter for the management of antiretroviral therapy is the direct measurement of virus load in plasma.
In Germany 11 different medications are available to the patient for reduction of his viral load in blood and possibly tissue, i.e. lymph-nodes. The majority (about 2/3) of physicians begin to treat with double combination therapy. Protease inhibitors are an important addition to the therapeutic arsenal.
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Jäger, H. Viral Load — Bedeutung für die individualisierte Therapie. Med Klin 92, 344–346 (1997). https://doi.org/10.1007/BF03044775
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DOI: https://doi.org/10.1007/BF03044775