Treatment Of Hiv

Question 1

What is the most likely diagnosis? Justify the diagnosis that you established.

Answer 1

HIV infection, stage 3 (subclinical

Question 2

What are the principles of etiotropic therapy for this disease?

Answer 2

The goal of treatment is to suppress viral replication, reduce the viral load in the blood, and prevent the development of AIDS-related complications. Typically, a combination of at least three antiretroviral drugs is used, often referred to as highly active antiretroviral therapy (HAART).
Tenofovir 25mg + Emtricitabine 200mg + Bictegravir 50mg

TEB( biktarry)

Or
Abacavir 600mg + lamivudine 300mg + dolutagravir 50mg
LAD( Triomeg)

Or
Prophylaxis
Tenofovir + Entrcitabine + Raltegravir

Question 3

Identify the main preventive and anti-epidemic measures in this infection

Answer 3

Encouraging safe sex practices, such as using condoms and limiting the number of sexual partners
• Promoting HIV testing and counseling, and early diagnosis and treatment of HIV infection
• Providing access to clean needles and syringes for people who inject drugs
• Implementing programs to prevent mother-to-child transmission of HIV
• Educating the public about HIV transmission and prevention.

Question 4

2. What is the algorithm of examination for this patient?

Answer 4

Taking a detailed medical history, including any risk factors for HIV transmission
• Conducting a physical examination
1st screening: western blot essay

It detects HIV P24 antigen and antibodies

OR

HIV RNA testing ( NAAT) or PCR

•	Ordering laboratory tests, including an HIV antibody test, viral load test, and CD4 count
•	Conducting additional tests to assess for any co-infections or complications, such as hepatitis B or C, tuberculosis, or sexually transmitted infections.