Podcast
Questions and Answers
What is the structural homology percentage of HIV-2 with HIV-1?
What is the structural homology percentage of HIV-2 with HIV-1?
- 30%
- 50%
- 40% (correct)
- 60%
Which of the following conditions is not typically associated with HIV infection?
Which of the following conditions is not typically associated with HIV infection?
- Cerebral toxoplasmosis
- Asthma (correct)
- Pneumocystis jirovecii pneumonia
- Progressive multifocal leukoencephalopathy
Which enzyme is characteristic of retroviruses like HIV?
Which enzyme is characteristic of retroviruses like HIV?
- RNA polymerase
- DNA polymerase
- Protease
- Reverse transcriptase (correct)
What is a key characteristic of reverse transcription in retroviruses?
What is a key characteristic of reverse transcription in retroviruses?
How does the progression of HIV-2 compare to HIV-1?
How does the progression of HIV-2 compare to HIV-1?
What tests should be performed to diagnose causes of genital ulcers?
What tests should be performed to diagnose causes of genital ulcers?
Why should multiple-dose regimens be used in HIV patients?
Why should multiple-dose regimens be used in HIV patients?
What is the recommended duration for sexual abstinence following ulcers treatment?
What is the recommended duration for sexual abstinence following ulcers treatment?
What is indicated by a 'probable diagnosis' in a patient?
What is indicated by a 'probable diagnosis' in a patient?
What should be done with sexual partners of infected patients?
What should be done with sexual partners of infected patients?
What additional tests should be conducted apart from genital ulcer swabs?
What additional tests should be conducted apart from genital ulcer swabs?
Why is serology for syphilis repeated after a 3-month window period?
Why is serology for syphilis repeated after a 3-month window period?
What is the primary method of transmission for pubic lice?
What is the primary method of transmission for pubic lice?
What are the '90-90-90' targets established by UNAIDS?
What are the '90-90-90' targets established by UNAIDS?
What is the most common symptom of pubic lice infestation?
What is the most common symptom of pubic lice infestation?
In which region has the HIV infection rate continued to rise since 2001?
In which region has the HIV infection rate continued to rise since 2001?
What is the recommended duration for applying permethrin 1% when treating pubic lice?
What is the recommended duration for applying permethrin 1% when treating pubic lice?
What type of organism is the pubic louse?
What type of organism is the pubic louse?
What is a common diagnostic method for identifying pubic lice?
What is a common diagnostic method for identifying pubic lice?
For how long should malathion 0.5% be left on during treatment for pubic lice?
For how long should malathion 0.5% be left on during treatment for pubic lice?
Which group is most affected by HIV in terms of disability-adjusted life-years?
Which group is most affected by HIV in terms of disability-adjusted life-years?
What percentage of individuals diagnosed with HIV were on treatment?
What percentage of individuals diagnosed with HIV were on treatment?
Which group accounts for over half of the new HIV diagnoses reported in the UK?
Which group accounts for over half of the new HIV diagnoses reported in the UK?
What is considered the most common cause of HIV-related morbidity and mortality in the UK?
What is considered the most common cause of HIV-related morbidity and mortality in the UK?
Which factor has contributed to the decline in new HIV infection rates?
Which factor has contributed to the decline in new HIV infection rates?
Which type of HIV is most frequently occurring globally?
Which type of HIV is most frequently occurring globally?
What age group represents more than one in three individuals currently living with HIV?
What age group represents more than one in three individuals currently living with HIV?
What has male circumcision been shown to reduce in relation to HIV?
What has male circumcision been shown to reduce in relation to HIV?
Which region is experiencing a high incidence of HIV driven by heterosexual intercourse?
Which region is experiencing a high incidence of HIV driven by heterosexual intercourse?
Which type of transmission refers to HIV passing from a mother to child?
Which type of transmission refers to HIV passing from a mother to child?
What is the recommended approach for HIV-positive individuals with a consistently low viral load?
What is the recommended approach for HIV-positive individuals with a consistently low viral load?
What is the predominant route of HIV transmission in sub-Saharan Africa?
What is the predominant route of HIV transmission in sub-Saharan Africa?
In which country is the highest prevalence of HIV found?
In which country is the highest prevalence of HIV found?
What percentage of the global population lives with HIV?
What percentage of the global population lives with HIV?
What is the main factor that influences the risk of HIV transmission?
What is the main factor that influences the risk of HIV transmission?
Which gender has a higher average prevalence of HIV in sub-Saharan Africa?
Which gender has a higher average prevalence of HIV in sub-Saharan Africa?
What does the ‘90-90-90’ goal refer to?
What does the ‘90-90-90’ goal refer to?
What percentage of new HIV infections occur in sub-Saharan Africa?
What percentage of new HIV infections occur in sub-Saharan Africa?
What impact does coexistent STIs have on HIV transmission?
What impact does coexistent STIs have on HIV transmission?
What factor is mentioned as impeding access to HIV services?
What factor is mentioned as impeding access to HIV services?
Which of the following statements about new HIV diagnoses in the UK since 2015 is correct?
Which of the following statements about new HIV diagnoses in the UK since 2015 is correct?
Flashcards
Genital Ulcer Diagnosis
Genital Ulcer Diagnosis
A probable diagnosis of a genital ulcer can be made based on clinical presentation, even without confirming syphilis or HSV, but further testing is crucial to rule out other causes.
Genital Ulcer Testing
Genital Ulcer Testing
Testing for genital ulcers includes swabs for HSV and TP PCR, C. trachomatis NAAT (with genotyping for LGV if positive), syphilis serology, and NAAT for N. gonorrhoeae and C. trachomatis on FVU or VVS.
Ceftriaxone vs. Azithromycin
Ceftriaxone vs. Azithromycin
For treatment of genital ulcers, single-dose regimens include ceftriaxone 250 mg i.m. or azithromycin 1 g orally.
Multiple-Dose Regimens
Multiple-Dose Regimens
Multiple-dose regimens for genital ulcers include ciprofloxacin 500 mg twice daily for 3 days or erythromycin 500 mg four times daily for 7 days. These regimens are preferred for HIV patients.
Signup and view all the flashcards
Follow-up After Treatment
Follow-up After Treatment
Patients should abstain from sexual activity for at least 7 days after treatment and be followed up at 3-7 days to monitor healing. Sexual partners should also be notified, examined, and tested.
Signup and view all the flashcards
HIV-Infected Patients
HIV-Infected Patients
HIV-infected patients should be monitored closely for healing, as it may be slower. Multiple-dose regimens are preferred for them due to potential treatment failures with single-dose regimens.
Signup and view all the flashcards
Pubic Lice
Pubic Lice
Tiny insects that attach to pubic and body hair, causing itching due to bites.
Signup and view all the flashcards
Pediculosis Pubis
Pediculosis Pubis
The medical term for pubic lice infestation.
Signup and view all the flashcards
How are pubic lice spread?
How are pubic lice spread?
Pubic lice are spread through close physical contact, especially during sexual activity.
Signup and view all the flashcards
Pubic Lice Symptoms
Pubic Lice Symptoms
Most common symptom is intense itching, but some people might not experience any symptoms.
Signup and view all the flashcards
Identifying Pubic Lice
Identifying Pubic Lice
Look for small, gray-brown insects attached to hair, or small white eggs (nits) at the base of hair.
Signup and view all the flashcards
Treating Pubic Lice
Treating Pubic Lice
Use special shampoos like permethrin or malathion, apply to all body hair, and repeat after a week.
Signup and view all the flashcards
HIV/AIDS Impact
HIV/AIDS Impact
HIV/AIDS is a major global health threat, especially in sub-Saharan Africa, causing significant illness and death.
Signup and view all the flashcards
90-90-90 Targets
90-90-90 Targets
Global goals to address HIV/AIDS by 2030, aiming for 90% of people with HIV to know their status, receive treatment, and achieve viral suppression.
Signup and view all the flashcards
Sub-Saharan Africa & HIV
Sub-Saharan Africa & HIV
Sub-Saharan Africa is the region most affected by the HIV epidemic, with high rates of infection and serious health consequences.
Signup and view all the flashcards
HIV-2 vs HIV-1
HIV-2 vs HIV-1
HIV-2 shares only 40% structural similarity with HIV-1, progresses more slowly, and is less responsive to HIV-1 treatments.
Signup and view all the flashcards
Reverse Transcriptase
Reverse Transcriptase
An enzyme unique to retroviruses that allows them to convert their RNA into DNA, which then integrates into the host's genome.
Signup and view all the flashcards
Error-Prone Replication
Error-Prone Replication
Reverse transcription is prone to errors, leading to mutations in the viral genome, making HIV difficult to target with drugs.
Signup and view all the flashcards
HIV-associated Indicator Conditions
HIV-associated Indicator Conditions
Symptoms or diseases that indicate the presence of HIV infection, often associated with the weakening of the immune system.
Signup and view all the flashcards
Indolent Course
Indolent Course
HIV-2 infection progresses at a slower pace than HIV-1, with a longer period between infection and the development of AIDS.
Signup and view all the flashcards
HIV Prevalence in Sub-Saharan Africa
HIV Prevalence in Sub-Saharan Africa
The percentage of adults aged 15-49 living with HIV is significantly higher in Sub-Saharan Africa compared to other regions. Swaziland has the highest prevalence at 27.2%.
Signup and view all the flashcards
HIV Transmission Route: Heterosexual Intercourse
HIV Transmission Route: Heterosexual Intercourse
The primary means of HIV transmission in Sub-Saharan Africa is through heterosexual sexual contact.
Signup and view all the flashcards
HIV Prevalence: Women vs Men
HIV Prevalence: Women vs Men
Young women in Sub-Saharan Africa are nearly twice as likely to be infected with HIV compared to men, with a prevalence of 3.2% versus 1.6%.
Signup and view all the flashcards
HIV Viral Load: Transmission Risk
HIV Viral Load: Transmission Risk
The amount of HIV in a person's blood (viral load) is a key factor in transmission risk. Higher viral loads, especially during acute infection, increase the chances of spreading HIV.
Signup and view all the flashcards
HIV Stigma and Access to Services
HIV Stigma and Access to Services
Obstacles like stigma, discrimination, gender-based violence, and legal challenges can prevent people from accessing HIV services, increasing transmission risk.
Signup and view all the flashcards
HIV Transmission: Sexual Intercourse
HIV Transmission: Sexual Intercourse
The majority of HIV infections worldwide occur through sexual contact, particularly vaginal and anal intercourse.
Signup and view all the flashcards
STIs and HIV Transmission
STIs and HIV Transmission
The presence of other sexually transmitted infections, especially those causing genital ulcers, can significantly increase the risk of HIV transmission.
Signup and view all the flashcards
'90-90-90' Goals
'90-90-90' Goals
These targets aim to have 90% of people living with HIV diagnosed, 90% of diagnosed people on treatment, and 90% of people on treatment virally suppressed.
Signup and view all the flashcards
Antiretroviral Agents (ARVs)
Antiretroviral Agents (ARVs)
ARVs are medications that help control HIV infection by reducing the amount of virus in the blood. They are crucial in managing HIV and improving quality of life.
Signup and view all the flashcards
HIV Prevalence Rising in High-Income Countries
HIV Prevalence Rising in High-Income Countries
Despite a decline in new diagnoses, the overall number of people living with HIV in high-income countries is rising due to falling death rates and continued new infections.
Signup and view all the flashcards
HIV Transmission
HIV Transmission
HIV primarily spreads through bodily fluids like blood, semen, vaginal fluids, and breast milk. It can be transmitted during sexual contact, sharing needles, or from mother to child during pregnancy, childbirth, or breastfeeding.
Signup and view all the flashcards
Viral Load
Viral Load
Viral load refers to the amount of HIV in a person's blood. It's an important measure of how active the virus is in the body.
Signup and view all the flashcards
ART (Antiretroviral Therapy)
ART (Antiretroviral Therapy)
ART is a combination of medications that help control HIV infection by suppressing viral replication. Effective ART can reduce viral load to undetectable levels.
Signup and view all the flashcards
Undetectable Viral Load
Undetectable Viral Load
When viral load is undetectable, it means the amount of HIV in the blood is so low that standard tests can't detect it. People with undetectable viral load cannot transmit HIV to their sexual partners.
Signup and view all the flashcards
PrEP (Pre-exposure Prophylaxis)
PrEP (Pre-exposure Prophylaxis)
PrEP is a medication taken daily by people who are HIV-negative but at high risk of infection. It helps prevent HIV acquisition.
Signup and view all the flashcards
MSM (Men who have sex with men)
MSM (Men who have sex with men)
MSM is a term used to describe men who have sex with other men. It's an important demographic group in the context of HIV transmission.
Signup and view all the flashcards
Late HIV Diagnosis
Late HIV Diagnosis
Late diagnosis of HIV occurs when people are diagnosed at a later stage of the infection, often with a weakened immune system. This can lead to increased risk of complications and mortality.
Signup and view all the flashcards
HIV-Related Morbidity
HIV-Related Morbidity
HIV-related morbidity refers to the illnesses or complications that can arise due to HIV infection, weakening the immune system.
Signup and view all the flashcards
Vertical Transmission
Vertical Transmission
Vertical transmission refers to the transmission of HIV from a mother to her child during pregnancy, childbirth, or breastfeeding.
Signup and view all the flashcardsStudy Notes
Epidemiology of HIV/AIDS
- Globally, over 78 million people have been infected with HIV since 1981, and 39 million have died.
- Currently, approximately 36.9 million people worldwide live with HIV, representing 0.8% of adults aged 15-49 years.
- Antiretroviral therapy (ART) has dramatically reduced mortality, transforming HIV from a fatal infection to a manageable chronic disease.
- New global infections have fallen by 38% since 2001, but infection rates continue to rise in Eastern Europe and parts of Central Asia.
- HIV is a leading cause of disability-adjusted life-years for people aged 30-45 years and a leading cause of death for women aged 15-49 years.
- In 2014, UNAIDS established the "90-90-90" targets to end the AIDS epidemic by 2030: 90% of people living with HIV know their status, 90% of those diagnosed receive sustained ART, and 90% of people on ART achieve viral suppression.
HIV in Sub-Saharan Africa
- Sub-Saharan Africa is the most heavily affected region, with 43% of new HIV infections occurring there each year.
- Swaziland has the world's highest prevalence, with 27.2% of adults aged 15-49 infected.
- HIV infection is almost twice as common in young women (average prevalence 3.2%) than in men (1.6%).
- Heterosexual sexual intercourse is the dominant route of transmission in the region.
HIV in High-Income Countries
- While new diagnoses are falling in high-income countries like the UK, prevalence is rising.
- In 2017, an estimated 101,600 people in the UK lived with HIV, 92% of whom had been diagnosed and were undergoing treatment, with 97% of them achieving viral suppression.
- Late diagnosis (CD4 count <350 cells/mL within 3 months of diagnosis) remains a significant issue, particularly in populations with high HIV prevalence.
Routes of HIV Acquisition
- HIV can be found in various bodily fluids and tissues, but most infections result from sexual contact (vaginal and anal) through semen, cervical secretions, or blood.
- HIV viral load is a significant factor in transmission risk, highest in acute infection, and reduced by effective ART. Other factors contributing to risk include stigma, discrimination, gender-based violence and legal restrictions.
- Heterosexual intercourse globally accounts for most infections, with coexisting STIs increasing transmission.
- Male-to-female transmission is generally more efficient than female-to-male.
- Male circumcision has been shown to reduce both HIV acquisition and transmission.
- Transmission from men who have sex with men makes up over half of new diagnoses in the UK.
Vertical Transmission (Mother-to-Child)
- Vertical transmission is the primary form of HIV transmission in children.
- Without intervention, 15% of babies born to HIV-positive mothers may become infected; rates of up to 40% are possible in other locales.
- Risk factors include advanced maternal infection stage, higher maternal viral load, prolonged or premature rupture of membranes, and chorioamnionitis.
- Effective ART in mothers greatly reduces transmission risk, significantly limiting transmission via breastfeeding.
Contaminated Needles/Blood Products
- Sharing needles for intravenous drug use is a major transmission route in certain regions.
- Blood and blood products screening since 1985 has largely eliminated transmission via transfusions.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.