Insight into Hungarian HIV situation

9th Advanced HIV Course, EACS09.2011, Aix en Provence

Botond Lakatos, HU

epidemiology

EPINFO HUN,2010; UNAIDS/WHO,2009

HIV• Estimated prevalence:3000-4000 people (<0.1%)• 1985-2004: 1100 person• 2005-2010: 700 person

AIDS• 1985-2008: 573/320 • 2009: 23/9• 2010: 21/8Late presenters: ~60%

Female: 13%Children: 9Regional distribution

care

• Single-center care

• About 1100 HIV infected people appeared

• 1000 are under frequent medical control

• 600 on HAART

• Care and drugs are provided by state

• ~85% of them are supressed VL

• 74% capable to work

EPINFO HUN,2008(45), 2010(46)

• National AIDS Committee 2004-2010

• AIDS Prevention Program 2003-13

• treatSymptomaticsAsymptomatics

– CD4 > 350: CART

• tenofovir/emtricitabin, ABC/3TC, ZDV/3TC, tenofovir, ddI

• efavirenz, nevirapin, etravirin• lopinavir, fosamprenavir,

atazanavir, darunavir• maraviroc• raltegravir

prevention/treatment

case

• 26 m, 2010, no attend doctor, MSM

• cough, haemoptoe, fever, pleurodynia

• CD4: 31/μl, 441.000c/ml• CT: upper lobe cavitation • BAL: encapsulated fungi elements

• Culture, latex: Cryptococcus neoformans (R to FLU)

• CSF: neg• amphotericinB, itraconazol• CART

Thank you

and for EACS!