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HIV Infection in Urological Practice

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초록

This review evaluates the scientific evidence suggesting that urological factors increase the efficiency of human immunodeficiency virus (HIV) transmission and discusses the important urological manifestations of HIV infection. Level 1 evidence suggests that sexually transmitted infections (STIs) are substantially associated with an increased risk of HIV infection. Several randomized controlled trials show that improved STI control can play a vital role in comprehensive programs to prevent sexual transmission of HIV. However, there is limited evidence that control of STIs reduces HIV incidence at a population level. HIV has become a chronic manageable condition thanks to highly active antiretroviral therapy. Urologists face a challenge in trying to manage the genitourinary manifestations of HIV infection.

Abstract

This review evaluates the scientific evidence suggesting that urological factors increase the efficiency of human immunodeficiency virus (HIV) transmission and discusses the important urological manifestations of HIV infection. Level 1 evidence suggests that sexually transmitted infections (STIs) are substantially associated with an increased risk of HIV infection. Several randomized controlled trials show that improved STI control can play a vital role in comprehensive programs to prevent sexual transmission of HIV. However, there is limited evidence that control of STIs reduces HIV incidence at a population level. HIV has become a chronic manageable condition thanks to highly active antiretroviral therapy. Urologists face a challenge in trying to manage the genitourinary manifestations of HIV infection.

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