Insight into Hungarian HIV situation 9th Advanced HIV Course, EACS 09.2011, Aix en Provence Botond Lakatos, HU
Mar 27, 2015
Insight into Hungarian HIV situation
9th Advanced HIV Course, EACS09.2011, Aix en Provence
Botond Lakatos, HU
epidemiology
EPINFO HUN,2010; UNAIDS/WHO,2009
HIV• Estimated prevalence:3000-4000 people (<0.1%)• 1985-2004: 1100 person• 2005-2010: 700 person
AIDS• 1985-2008: 573/320 • 2009: 23/9• 2010: 21/8Late presenters: ~60%
Female: 13%Children: 9Regional distribution
care
• Single-center care
• About 1100 HIV infected people appeared
• 1000 are under frequent medical control
• 600 on HAART
• Care and drugs are provided by state
• ~85% of them are supressed VL
• 74% capable to work
EPINFO HUN,2008(45), 2010(46)
• National AIDS Committee 2004-2010
• AIDS Prevention Program 2003-13
• treatSymptomaticsAsymptomatics
– CD4 > 350: CART
• tenofovir/emtricitabin, ABC/3TC, ZDV/3TC, tenofovir, ddI
• efavirenz, nevirapin, etravirin• lopinavir, fosamprenavir,
atazanavir, darunavir• maraviroc• raltegravir
prevention/treatment
case
• 26 m, 2010, no attend doctor, MSM
• cough, haemoptoe, fever, pleurodynia
• CD4: 31/μl, 441.000c/ml• CT: upper lobe cavitation • BAL: encapsulated fungi elements
• Culture, latex: Cryptococcus neoformans (R to FLU)
• CSF: neg• amphotericinB, itraconazol• CART
Thank you
and for EACS!