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新发传染病电子杂志 ›› 2025, Vol. 10 ›› Issue (2): 81-88.doi: 10.19871/j.cnki.xfcrbzz.2025.02.014

• 综述 • 上一篇    下一篇

常见艾滋病相关机会性感染研究进展

何小庆, 刘敏, 陈耀凯   

  1. 重庆市公共卫生医疗救治中心感染科, 重庆 400036
  • 收稿日期:2024-11-23 发布日期:2025-06-16
  • 通讯作者: 陈耀凯,Email:yaokaichen@hotmail.com
  • 基金资助:
    1.重庆市医学科技创新四大中心建设项目(重庆市艾滋病专病医学研究中心); 2.重庆市医学科技创新四大中心建设项目(重庆市疾病预防控制与公共卫生研究中心); 3.重庆市首批公共卫生重点学科(专科),重庆市科卫联合医学科研项目(2023QNXM025、2025MSXM135)

Advance of common AIDS related opportunistic infections

He Xiaoqing, Liu Min, Chen Yaokai   

  1. Department of Infectious Diseases, Chongqing Public Health Medical Center, Chongqing 400036, China
  • Received:2024-11-23 Published:2025-06-16

摘要: 机会性感染是HIV感染者进入艾滋病期的重要标志,也是艾滋病患者住院和死亡的常见原因。随着抗反转录病毒治疗(antiretroviral therapy,ART)的广泛应用,全球范围内艾滋病相关机会性感染的发病率和病死率均较前显著下降。但由于我国艾滋病患者晚发现率高,部分患者未接受ART或ART失败,机会性感染仍是我国艾滋病患者住院和死亡的常见原因,疾病负担仍然较重。定期筛查高危患者、早期诊断疾病以及规范化治疗对改善艾滋病合并机会性感染患者的预后至关重要。本文基于最新的循证医学证据,对肺孢子菌肺炎、隐球菌性脑膜炎、马尔尼菲篮状菌病、弓形虫脑病以及巨细胞病毒性视网膜炎5种常见艾滋病相关机会性感染研究进展进行综述。

关键词: 艾滋病, 肺孢子菌肺炎, 隐球菌性脑膜炎, 马尔尼菲篮状菌病, 弓形虫脑病, 巨细胞病毒性视网膜炎

Abstract: Opportunistic infections (OIs) are important signs of the manifestation of AIDS in HIV-positive patients, and they often result in their hospitalization and subsequent death. Of note, thanks to the wide distribution and administration of modern antiretroviral therapy (ART), the incidence and mortality of AIDS-related OIs have significantly decreased worldwide. However, due to the high rate of late presentation, the absence of treatment, and/or failure of ART regimen, OIs remain critical causes of hospitalization and death among HIV/AIDS-infected patients in China. A regular screening of patients at higher risk, an early diagnosis, and a standardized treatment are crucial to improve the prognosis of AIDS complicated with OIs. This article aims to review the scientific advances made in the studies of five common OIs, namely pneumocystis pneumonia, cryptococcal meningitis, Talaromycosis marneffei, cerebral toxoplasmosis, and cytomegalovirus retinitis.

Key words: Acquired immunodeficiency syndrome, Pneumocystis pneumonia, Cryptococcus meningitis, Talaromycosis marneffei, Cerebral toxoplasmosis, Cytomegalovirus retinitis

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