Critical care of persons infected with the human immunodeficiency virus

Clin Chest Med. 2013 Jun;34(2):307-23. doi: 10.1016/j.ccm.2013.01.011. Epub 2013 Apr 8.

Abstract

Antiretroviral therapy (ART) has transformed the prognosis for patients infected with the human immunodeficiency virus (HIV). With effective ART, these individuals can expect to live almost as long as their HIV-negative counterparts. Given that more than a million people infected with HIV currently live in the United States, the likelihood that the practicing intensivist will manage a patient infected with HIV is high. This review discusses the challenges associated with management of critically ill patients infected with HIV, including the immune reconstitution inflammatory syndrome (a complication associated with ART initiation), ART-related toxicities, and the management of some common opportunistic infections.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Review

MeSH terms

  • AIDS-Related Opportunistic Infections / drug therapy
  • Anti-Retroviral Agents / adverse effects*
  • Anti-Retroviral Agents / therapeutic use
  • Critical Care*
  • Critical Illness
  • Drug Interactions
  • HIV Infections / complications*
  • HIV Infections / drug therapy
  • HIV Infections / epidemiology
  • Humans
  • Immune Reconstitution Inflammatory Syndrome / chemically induced
  • United States / epidemiology

Substances

  • Anti-Retroviral Agents