作者: Richard M W Hoetelmans , Vanitha Sekar , David Back
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摘要: Antiretroviral treatment (ART) for HIV is being scaled up rapidly in resource-limited countries. Treatment options are simplified and standardized, generally with one potent first-line regimen alternate recommended. Widespread drug resistance (HIVDR) was initially feared, but reports from countries suggest that initial ART programmes as effective resource-rich countries, which should limit if programme effectiveness continues during scale-up. interruptions must be minimized to maintain viral suppression on the long possible. Lack of availability appropriate second-line drugs a concern, additional accumulation mutations absence load testing determine failure. The World Health Organization (WHO) recommends minimum-resource strategy prevention assessment HIVDR WHO's Global Network HIVResNet provides standardized tools, training, technical assistance, laboratory quality assurance, analysis results recommendations guidelines public health action. National strategies focus assessments guide immediate action improve minimizing selection. Globally, WHO collects analyses data support evidence-based international policies guidelines. Financial provided by major organizations experts worldwide. As December 2007, 25 were planning or implementing strategy; seven report this supplement.