Next Article in Journal
First Report of Vim Metallo-β-Lactamase Production in Escherichia coli and Klebsiella pneumoniae Clinical Isolates from Gaza Strip, Palestine
Previous Article in Journal
Hemoptysis. Is It Caused by Pasteurella multocida Infection or Congenital Pulmonary Artery Anomalies?
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
GERMS
Volume 9
Issue 4
10.18683/germs.2019.1178
germs-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite question_answer Discuss in SciProfiles
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Review

Consensus Statement on the Assessment of Comorbidities in People Living with HIV in Romania

by
Anca Streinu-Cercel
1,2,
Oana Săndulescu
1,2,*,
Cătălina Poiană
3,4,
Maria Dorobanţu
5,6,
Gabriel Mircescu
7,8,
Voichiţa Elena Lăzureanu
9,10,
Irina-Magdalena Dumitru
11,12,
Odette Chirilă
2,
Adrian Streinu-Cercel
1,2 and
Extended Consensus Group
†
1
Department of Infectious Diseases I, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
2
National Institute for Infectious Diseases "Prof. Dr. Matei Balș”, 1 Dr. Calistrat Grozovici Street, 021105 Bucharest, Romania
3
Department of Endocrinology, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
4
National Institute of Endocrinology "C. I. Parhon”, 34-38 Aviatorilor Boulevard, 011863 Bucharest, Romania
5
Department of Cardiology, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
6
Clinical Emergency Hospital Floreasca, 8 Floreasca Road, 014461 Bucharest, Romania
7
Department of Nephrology, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
8
Clinical Nephrology Hospital "Carol Davila”, 4 Griviței Road, 010731 Bucharest, Romania
9
Dr. Victor Babeş University of Medicine and Pharmacy, Timişoara, Romania
10
"Victor Babeş” Clinical Hospital of Infectious Diseases and Pneumology, 2 Eftimie Murgu Plaza, Timişoara, Romania
11
Clinical Hospital of Infectious Diseases, Constanța, Romania
12
Department of Infectious Diseases, Faculty of Medicine, Ovidius University of Constanța, 124 Mamaia Boulevard, Constanța, Romania
 
add Show full affiliation list
 
remove Hide full affiliation list
*
Author to whom correspondence should be addressed.
†
Extended Consensus Group authors are listed below.
GERMS 2019, 9(4), 198-210; https://doi.org/10.18683/germs.2019.1178
Submission received: 6 November 2019 / Revised: 29 November 2019 / Accepted: 1 December 2019 / Published: 2 December 2019
Versions Notes

Abstract

Introduction: The life expectancy of HIV-infected patients has been increased by highly effective therapies. People living with HIV (PLWH) in Romania are exposed to age-related comorbidities occurring earlier than in uninfected individuals. Multidisciplinary care is required to maintain the general health and quality of life in these patients. Currently, the communication among different specialties needs to be enhanced and formalized. Methods: A panel consisting of 8 Romanian experts in infectious diseases, cardio-metabolic, bone, and kidney diseases and psychology met in May 2019 in Bucharest Romania to discuss the need to evaluate and monitor the most prevalent comorbidities in PLWH. The meeting resulted in practical guidance on the management of several non-infectious associated diseases. The algorithms were endorsed by the Society for Infectious Diseases and HIV/AIDS, Romania. Results: The consensus statement offers practical guidance on how to assess and monitor associated diseases in adult PLWH. The recommendations are grouped for each cluster of comorbidities and are based on international guidelines and clinical experience, including landmarks for referral of PLWH to cardiology, endocrinology, nephrology specialist or clinical psychologist for additional investigations and adequate treatment. Specific indications for diagnosis or treatment were beyond the scope of this consensus. Conclusions: Screening for associated diseases and adequate management are required to maintain the overall health status of PLWH. When implemented in clinical practice, the recommended algorithms should be used in addition to diagnosis and treatment guidelines and protocols. The infectious diseases specialist plays a key role in coordinating the overall treatment strategy and working within the multidisciplinary team.
Keywords: HIV; PLWH; comorbidities; consensus statement; monitoring HIV; PLWH; comorbidities; consensus statement; monitoring

Share and Cite

MDPI and ACS Style

Streinu-Cercel, A.; Săndulescu, O.; Poiană, C.; Dorobanţu, M.; Mircescu, G.; Lăzureanu, V.E.; Dumitru, I.-M.; Chirilă, O.; Streinu-Cercel, A.; Extended Consensus Group. Consensus Statement on the Assessment of Comorbidities in People Living with HIV in Romania. GERMS 2019, 9, 198-210. https://doi.org/10.18683/germs.2019.1178

AMA Style

Streinu-Cercel A, Săndulescu O, Poiană C, Dorobanţu M, Mircescu G, Lăzureanu VE, Dumitru I-M, Chirilă O, Streinu-Cercel A, Extended Consensus Group. Consensus Statement on the Assessment of Comorbidities in People Living with HIV in Romania. GERMS. 2019; 9(4):198-210. https://doi.org/10.18683/germs.2019.1178

Chicago/Turabian Style

Streinu-Cercel, Anca, Oana Săndulescu, Cătălina Poiană, Maria Dorobanţu, Gabriel Mircescu, Voichiţa Elena Lăzureanu, Irina-Magdalena Dumitru, Odette Chirilă, Adrian Streinu-Cercel, and Extended Consensus Group. 2019. "Consensus Statement on the Assessment of Comorbidities in People Living with HIV in Romania" GERMS 9, no. 4: 198-210. https://doi.org/10.18683/germs.2019.1178

APA Style

Streinu-Cercel, A., Săndulescu, O., Poiană, C., Dorobanţu, M., Mircescu, G., Lăzureanu, V. E., Dumitru, I.-M., Chirilă, O., Streinu-Cercel, A., & Extended Consensus Group. (2019). Consensus Statement on the Assessment of Comorbidities in People Living with HIV in Romania. GERMS, 9(4), 198-210. https://doi.org/10.18683/germs.2019.1178

Article Metrics

Back to TopTop