Analysis of 10-year outcomes of free antiretroviral therapy for HIV/AIDS adults and adolescents in Yunnan Province
LAO Yun-fei
LOU Jin-cheng
DONG Xing-qi
LI Hui-qin
WANG Yu
CHENG Qing-ling
XIE Rong-hui
AN Jing
LEI Jun-kang
ZHOU Zeng-quan
Abstract：Objective To retrospectively analyze the 10-year outcomes of free antiretroviral therapy (ART) for HIV/AIDS adults and adolescents in Yunnan Province and to discuss the achievements and challenges. Method Statistical analysis was made by using the data from AIDS Control and Prevention System:Management of Antiretroviral Therapy. Results The number and coverage of people receiving free ART increased markedly since 2004;by the end of 2013, 82.3%of the cumulative 50 241 patients had been continuing the treatment;the rates of loss-to-follow-up, drug withdrawal and mortality in injecting drug users were significantly higher than those in patients infected by sexual transmission;the patients with lower baseline CD4+T lymphocyte count had higher mortality;in the 1-year ART cohort, the treatment termination rate of patients with baseline CD4+T lymphocyte count<350/mm3 was lower than that of patients with CD4+T lymphocyte count≥350/mm3;during the first year after starting ART, the rates of the loss-to-follow-up, drug withdrawal and mortality were higher than those in the later treatment duration;the undetectable rate of HIV was 82.9%in patients receiving more than 6 months of treatment;the resistance rate was less than 5%;the annual mortality rate reduced to below 2%. Conclusion Yunnan Province has made much progress in ART for AIDS patients, but there are challenges to be tackled in making strategies for enlarging the coverage of treatment.
Keywords：HIVacquired immunodeficiency syndromeantiretroviral therapylymphocyte countviral load
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 342-346 )