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Primary care of veterans with HIV

Author: David Ross, MD PhD.; Susa Coffey; United States. Department of Veterans Affairs. Office of Clinical Public Health Programs.; United States. Department of Veterans Affairs. Public Health Strategic Health Care Group.
Publisher: [Washington, DC] : Office of Clinical Public Health Programs, Veterans Health Administration, [2009]
Series: Information bulletin (United States. Department of Veterans Affairs), 10-227.
Edition/Format:   eBook : Document : National government publication : EnglishView all editions and formats
Database:WorldCat
Summary:
Veterans with HIV infection represent the future wave of the HIV epidemic. Compared with the overall HIV-infected population in the United States, veterans with HIV are older, more likely to be members of minority groups, and more likely to have a history of substance use. Thus, it is not surprising that they are experiencing an increasing burden of medical and psychiatric comorbid disease. Depending upon the study  Read more...
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Genre/Form: Handbooks
Handbooks and manuals
Handbooks, manuals, etc
Additional Physical Format: Print version:
Primary care of veterans with HIV.
[Washington, DC] : Office of Clinical Public Health Programs, Veterans Health Administration, [2009]
(DLC) 2009416270
(OCoLC)465335050
Material Type: Document, Government publication, National government publication, Internet resource
Document Type: Internet Resource, Computer File
All Authors / Contributors: David Ross, MD PhD.; Susa Coffey; United States. Department of Veterans Affairs. Office of Clinical Public Health Programs.; United States. Department of Veterans Affairs. Public Health Strategic Health Care Group.
OCLC Number: 466878334
Notes: Title from PDF cover.
"April 2009."
"P96188."
Editor-in-chief: David Ross ; editor and author: Susa Coffey.
Description: 1 online resource.
Series Title: Information bulletin (United States. Department of Veterans Affairs), 10-227.
Responsibility: Office of Clinical Public Health Programs for the Public Health Strategic Health Care Group, Office of Public Health and Environmental Hazards, Veterans Health Administration, U.S. Department of Veterans Affairs.

Abstract:

Veterans with HIV infection represent the future wave of the HIV epidemic. Compared with the overall HIV-infected population in the United States, veterans with HIV are older, more likely to be members of minority groups, and more likely to have a history of substance use. Thus, it is not surprising that they are experiencing an increasing burden of medical and psychiatric comorbid disease. Depending upon the study cited, approximately 60% of the deaths occurring among individuals with HIV infection are now attributed to "non-AIDS" causes. That does not mean those conditions are unassociated with HIV disease or its treatment. Many of the most common and serious comorbid conditions, including liver fibrosis/cirrhosis, anemia, renal insuffi ciency or failure, selected cancers, thrombosis, intracranial hemorrhage, and obstructive lung disease, are more likely to occur among HIV-infected individuals than among uninfected, demographically similar controls. It must be recognized that HIV infection has become a complex, chronic disease. Although this disease is substantially improved by antiretroviral treatment, some individuals experience substantial toxicities from treatment. As individuals age with HIV infection, organ injury associated with HIV infection, aging-related comorbid illnesses, and substance use and abuse likely will lead to even more "non-AIDS" mortality. We must learn to prioritize and coordinate screening and treatment for important comorbid conditions while maintaining excellence in the care of HIV infection. This manual offers a practical approach to addressing many of these issues. Further, it attempts to appropriately tailor recommendations to the special issues facing patients who are receiving treatment for HIV infection.

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