- Section 1 Ageing population and policy
- Section 2 Key concepts in care of older adults
- Section 3 Principles and organization of care
- Section 4 Age-related biological changes, altered physiology, and vulnerability to diseases and chronic conditions
- Section 5 Geriatric syndromes in clinical practice
- Section 6 Nutrition and metabolism
- Section 7 Mobility disorders: prevention, impact, and compensation
- Section 8 Infections in older adults: epidemiology, pathophysiology, diagnosis, and management
- Chapter 79 Immunosenescence and infectious diseases
- Chapter 80 Epidemiology of infection in elderly populations in various settings
- Chapter 81 Pneumonia and respiratory tract infections
- Chapter 82 Tuberculosis in old age
- Chapter 83 Bone and periprosthetic joint infections in older adults
- Chapter 84 Infective endocarditis
- Chapter 85 Ageing with HIV
- Chapter 86 Healthcare-associated infections and emergence of antibiotic resistance
- Chapter 87 Healthcare-associated infections and infection control
- Chapter 88 Vaccines against viral infections
- Chapter 89 Integration of vaccination of older adults in a life course programme
- Section 9 Cancer: epidemiology, pathophysiology, diagnosis, and management
- Section 10 Vascular diseases: epidemiology, pathophysiology, diagnosis, and management
- Section 11 Neurological disorders: epidemiology, pathophysiology, diagnosis, and management
- Section 12 Cognitive decline and dementia in older adults: epidemiology, pathophysiology, diagnosis, and management
- Section 13 Mental health of older adults
- Section 14 Management of common medical conditions: epidemiology, pathophysiology, diagnosis, and management
- Section 15 Palliative medicine and end-of-life care
- Section 16 Healthy ageing
(p. 651) Ageing with HIV
- Chapter:
- (p. 651) Ageing with HIV
- Author(s):
Amy Justice
- DOI:
- 10.1093/med/9780198701590.003.0085
Human Immunodeficiency Virus (HIV) infection, in the era of combination antiretroviral therapy, has become more common among middle-aged and older individuals. Diagnosis and rapid initiation of antiretroviral therapy to suppress the virus below detectable levels are urgent priorities in management. Once achieved, those ageing with HIV infection can expect to live many years, but they remain at increased risk for HIV-associated non-AIDS (HANA) conditions compared to demographically similar uninfected individuals. Because HANA conditions include several forms of cancer, cardiovascular disease, liver disease, and kidney disease, the clinical management of those ageing with HIV is complicated by multimorbidity and polypharmacy at an earlier age than those ageing without HIV infection. The study of ageing with HIV infection may improve our understanding of the effects of long-term viral infection on the ageing process.
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- Section 1 Ageing population and policy
- Section 2 Key concepts in care of older adults
- Section 3 Principles and organization of care
- Section 4 Age-related biological changes, altered physiology, and vulnerability to diseases and chronic conditions
- Section 5 Geriatric syndromes in clinical practice
- Section 6 Nutrition and metabolism
- Section 7 Mobility disorders: prevention, impact, and compensation
- Section 8 Infections in older adults: epidemiology, pathophysiology, diagnosis, and management
- Chapter 79 Immunosenescence and infectious diseases
- Chapter 80 Epidemiology of infection in elderly populations in various settings
- Chapter 81 Pneumonia and respiratory tract infections
- Chapter 82 Tuberculosis in old age
- Chapter 83 Bone and periprosthetic joint infections in older adults
- Chapter 84 Infective endocarditis
- Chapter 85 Ageing with HIV
- Chapter 86 Healthcare-associated infections and emergence of antibiotic resistance
- Chapter 87 Healthcare-associated infections and infection control
- Chapter 88 Vaccines against viral infections
- Chapter 89 Integration of vaccination of older adults in a life course programme
- Section 9 Cancer: epidemiology, pathophysiology, diagnosis, and management
- Section 10 Vascular diseases: epidemiology, pathophysiology, diagnosis, and management
- Section 11 Neurological disorders: epidemiology, pathophysiology, diagnosis, and management
- Section 12 Cognitive decline and dementia in older adults: epidemiology, pathophysiology, diagnosis, and management
- Section 13 Mental health of older adults
- Section 14 Management of common medical conditions: epidemiology, pathophysiology, diagnosis, and management
- Section 15 Palliative medicine and end-of-life care
- Section 16 Healthy ageing