Comorbid conditions have a major impact on the health, quality of life, and survival of people with HIV, particularly as this population ages. The 2022 Conference on Retroviruses and Opportunistic Infections (CROI) featured excellent science related to specific comorbidities, such as cardiovascular disease, type 2 diabetes, cancer, and frailty. The role of systemic inflammation in the pathogenesis of cardiovascular disease was an important theme, with strong evidence regarding the impact of microbial translocation. Other studies examined functional impairment, frailty, and potential important contributors, such as concomitant medications and sleep disturbances. The ANCHOR (Anal Cancer/High-grade Squamous Intraepithelial Lesions Outcomes Research) study provided crucial evidence that treatment of high-risk anal lesions reduces the incidence of anal cancer, which has important implications in the prevention of this devastating comorbidity. In addition, numerous presentations demonstrated the importance of comorbid conditions in COVID-19 outcomes in people with HIV and described persistent symptoms after acute SARS-CoV-2 infection has resolved. This review focuses on the abstracts presented at CROI 2022 in these areas, highlighting those with the most clinical impact.
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机译:合并症对 HIV 感染者的健康、生活质量和生存有重大影响,尤其是在这一人群老龄化的情况下。2022 年逆转录病毒和机会性感染会议 (CROI) 以与特定合并症(如心血管疾病、2 型糖尿病、癌症和虚弱)相关的优秀科学为特色。全身炎症在心血管疾病发病机制中的作用是一个重要主题,有关于微生物易位影响的有力证据。其他研究检查了功能障碍、虚弱和潜在的重要因素,例如合并用药和睡眠障碍。ANCHOR (肛门癌/高级别鳞状上皮内病变结果研究) 研究提供了关键证据,表明治疗高危肛门病变可降低肛门癌的发病率,这对预防这种毁灭性的合并症具有重要意义。此外,许多报告证明了合并症对 HIV 感染者 COVID-19 结果的重要性,并描述了急性 SARS-CoV-2 感染消退后的持续症状。本综述重点介绍了 CROI 2022 上在这些领域发表的摘要,重点介绍了那些最具临床影响的领域。
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