Bifalgorithm post · Astronomy · million people living with HIV in 2022.

How is HIV diagnosed and treated?

How is HIV diagnosed and treated? (Astronomy · million people living with HIV in 2022.) — "The initial diagnosis of HIV is performed using a serological test f…

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How is HIV diagnosed and treated?

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"The initial diagnosis of HIV is performed using a serological test for antibody production against the pathogen. Positive test results are confirmed by PCR tests. It can take weeks or months for the body to produce antibodies in response to an infection. There are fourth-generation tests that detect HIV antibodies and also HIV antigens that are present before those antibodies are formed. Nucleic acid tests (NATs) are a third type of test that is relatively expensive and uncommon; NAT can detect HIV in blood and determine the viral load. As a consequence of integration and the formation of provirus, it is currently not possible to eliminate HIV from an infected patient’s body. Elimination by specific antibodies is ineffective because the virus mutates rapidly—a result of the error-prone reverse transcriptase and the inability to correct errors. Antiviral treatments, however, can greatly extend life expectancy. To combat the problem of drug resistance, combinations of antiretroviral drugs called antiretroviral therapy (ART), sometimes called highly active ART or combined ART, are used. There are several different targets for antiviral drug action, and a growing list of drugs for each of these targets. One class of drugs inhibits HIV entry; other classes inhibit reverse transcriptase by blocking viral RNA-dependent and DNA-dependent DNA polymerase activity; and still others inhibit one of the three HIV enzymes needed to replicate inside human cells."

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