học phần 1 bài 6 tổng quan nhiễm trùng cơ hội trong hiv/aids · haivn tập huấn hiv...

HAIVN Tập huấn HIV người lớn, Học phần 1 Tài liệu dành cho học viên Bài 6: Tổng quan Nhiễm trùng cơ hội trong HIV/AIDS 101

Học phần 1 Bài 6 Tổng quan nhiễm trùng cơ hội trong HIV/AIDS

Tổng thời gian bài học: 105 phút

Mục đích: Mục đích của bài giảng này nhằm giúp học viên có hiểu biết cơ bản về các nhiễm trùng cơ hội trong HIV/AIDS.

Mục tiêu: Kết thúc bài này, học viên sẽ có khả năng: • Giải thích được mối liên quan giữa số lượng tế bào CD4 và tỷ lệ mới mắc các nhiễm

trùng cơ hội (NTCH) cụ thể • Mô tả được các NTCH thường gặp nhất ở Việt Nam bao gồm:

• Biểu hiện lâm sàng • Chẩn đoán • Khuyến cáo điều trị của Bộ Y tế

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THAM KHẢO Tài liệu phát tay 6.1: Mối liên

quan giữa nhiễm trùng cơ hội và số lượng CD4

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Tài liệu phát tay 6.1: Mối liên hệ giữa nhiễm trùng cơ hội và số lượng tế bào CD4

Số lượng CD4

NTCH/tình trạng

> 500/mm3 • Viêm âm đạo do candida

• Hạch to toàn thân dai dẳng

• Viêm màng não không nhiễm trùng

200-500/mm3 • Viêm phổi do phế cầu và các vi khuẩn khác

• Lao phổi

• Herpes zoster

• Nấm candida miệng họng

• Bạch sản dạng lông ở miệng

• Ung thư Kaposi

• U lympho tế bào B

• Ung thư liên quan đến HPV

< 200/mm3 • Viêm phổi Pneumocystis jiroveci (PCP)

• Lao kê, lao ngoài phổi

• Histoplasma lan tỏa

• Bệnh não chất trắng đa ổ tiến triển (PML)

< 100/mm3 • Nấm Candida thực quản

• Bệnh do Toxoplasma

• Bệnh do Cryptococcus

• Bệnh do Penicillium

• Nhiễm Herpes simplex lan tỏa

• Bệnh do Cryptosporidium mạn tính

• Bệnh do Microspora, Isospora và Cyclospora

• Bệnh do Leishmania nội tạng

< 50/mm3 • Bệnh do phức hợp Mycobacterium avium complex (MAC) lan tỏa

• Nhiễm cytomegalovirus (CMV) lan tỏa

Phỏng theo: The Sanford Guide To HIV/AIDS Therapy, 2011

học phần 1 bài 6 tổng quan nhiễm trùng cơ hội trong hiv/aids · haivn tập huấn hiv...

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