新政为艾滋病感染者减负 广西病人获免费抗真菌药


新政为艾滋病感染者减负 广西病人获免费抗真菌药

 
 
 
 
 

新政为艾滋病感染者减负 广西病人获免费抗真菌药
 
http://www.gxnews.com.cn    2009年05月08日7时33分   来源:广西新闻网-南国早报 
 
广西参与8项国家级艾滋病研究课题
 
新政策为艾滋病感染者减负

免费提供二线抗病毒药物和抗真菌治疗药物

广西新闻网-南国早报南宁讯(记者张若凡)艾滋病感染者的身上都有两副重担,一是心理上的,二是经济上的,各种治疗费用让不少患者难以承受。5月7日,记者从自治区卫生厅了解到,中央和自治区政府分别出台政策,为艾滋病感染者免费提供二线抗病毒治疗药物及抗真菌治疗药物,这将在很大程度上减轻感染者的经济负担。

二线药划入免费范围

自治区卫生厅艾防处副处长陈杰告诉记者,截至今年3月,广西的艾滋病感染者人数约为4.5万人。现在,每个月平均有300名病人进入抗病毒治疗的行列,说明广西的艾滋病感染者正进入发病高峰期。

此前,国家一直为感染者免费提供一线抗病毒药物。但是在多年的治疗中也渐渐显现出问题:对于一定比例的病人,在服用一段时间一线药物后,会出现耐药性。出现这种情况后,免费的一线药物就没用了,必须换上二线药物维持治疗效果,这样就增加了病人的经济负担。

从2007年起,国家经过一系列对耐药性的相关调查,及时推出了二线药物治疗,并于今年将二线药也划入免费范围。现在,国家免费提供的二线抗病毒药物包括克力芝、TDF等。申请二线药主要由病人的主治医生负责,将病人的情况上报给自治区专家组,经过审核后就可获得免费药物。

广西病人可获免费抗真菌药

陈杰说,跟全国其他地区的感染者不同,广西感染者出现真菌感染的比例特别高,如马青霉菌病会导致较高的死亡率,广西有15%~20%的患者出现这种感染,这在全国其他省区却很少见。因此广西病人的经济负担相比其他省区的病人来说更重。

国家要求,艾滋病的治疗要以减少新发感染,降低死亡率为目标。因此,自治区政府决定针对广西的特点,为艾滋病感染者提供免费的抗真菌治疗药物。针对马青霉菌病、隐球菌脑膜炎、口腔及食道念珠菌感染等最容易导致死亡的机会性感染,免费提供伊曲康唑胶囊、氟康唑片、两性霉毒B治疗等药物。今后,此类病人每年可以节省约一万元的费用。

多项检测也实现免费

陈杰说,根据统计,广西艾滋病感染者的初诊住院率约为70%,这个数据说明,许多感染者是在身体状况已经很糟的情况下才首次求医的。

CD4细胞的数量是衡量感染者免疫系统受损程度的一个主要指标。按照此前的规定,CD4细胞数量降到200才进入抗病毒治疗的门槛。但实际上,越早治疗对保护身体越有利。因此,现在只要感染者的CD4细胞数量降到350,就可以提前进入抗病毒治疗。

不仅如此,在这次的新政策中,病毒载量检测、CD4细胞检测等项目也列入了免费范围,进一步减轻了患者的经济负担。陈杰告诉记者,这一系列措施都反映出国家对艾滋病治疗的政策:应治尽治。因此,希望更多的感染者能够走出来,接受政府、社会给予的关爱和帮助。
 
 
编辑: 黄伟 作者: 张若凡
 

New Deal for AIDS patients free of charge burden antifungal Guangxi
 
http://www.gxnews.com.cn 2009 on 05 years when 08 day 33 hours 7 Source: Guangxi News Network - southern China Morning Post
  
Guangxi eight state-level participation in AIDS research
 
New policy for the AIDS burden

Free second-line anti-viral drugs and antifungal drugs

Guangxi News Net - Nanning, southern China Morning Post (Reporter Zhang if any) of AIDS-infected persons who have the burden of two, one psychological and the other is economic, the cost of treatment, many patients with unbearable. May 7, the reporter learned from the Health Department of the autonomous region, the central and regional government policies were introduced, in order to provide free AIDS treatment for second-line anti-virus and anti-fungal treatment, which will reduce the infection to a large extent the economic burden.

Free second-line drugs included in the scope of

Autonomous Region Health Department Deputy Director of Anti-Ai Chen Jie told reporters, as of March this year, Guangxi, the number of AIDS is about 45,000 people. Now, every month an average of 300 patients entered the ranks of anti-retroviral therapy on AIDS-infected people in Guangxi are entering the peak period of incidence.

Prior to this, the country has been infected with first-line anti-viral drugs free of charge. However, over the years has gradually emerged in the treatment of the problem: For a certain proportion of patients taking first-line drugs after a period of time, there will be resistance. After this happens, there is no free first-line drugs used must be replaced to maintain the therapeutic effects of second-line drugs, thus increasing the financial burden of patients.

Starting in 2007, the state after a series of resistance-related investigation, took the second-line drugs, treatment, and this year will be second-line drugs are also included in the scope free of charge. Now, the state provided free of charge, including the second-line anti-viral drugs Kriton Shiba, TDF and so on. To apply for second-line drugs mainly responsible for the patient's attending physician, the patient's condition will be reported to the autonomous group of experts will be reviewed after the free drug.

Antifungal drugs the patient may be free in Guangxi

Chen Jie said that with the infection of other parts of the country is different, Guangxi infected with the proportion of fungal infections appeared particularly high, such as aspergillosis Youth will lead to higher mortality, Guangxi, 15% ~ 20% of patients with this infection , which is very rare in other provinces and autonomous regions. Therefore the financial burden of patients in Guangxi compared to patients in other provinces even heavier.

National requirements, the treatment of AIDS should be made to reduce new infections, the objective of reducing mortality. Therefore, the regional government of Guangxi decided to the characteristics of AIDS-infected persons to provide free anti-fungal drugs. Youth for aspergillosis, cryptococcal meningitis, oral and esophageal candidiasis, such as most likely to lead to the death of opportunistic infections, free of charge itraconazole capsules, fluconazole tablets, gender mycophenolate B drugs such as drug treatment. In future, such patients can be saved each year about one million of the cost.

Detection is also the realization of a number of free

Chen Jie said, according to statistics, Guangxi of newly diagnosed AIDS patient was about 70%, the data shows that many infected people had been in poor physical condition of the circumstances of the first treatment.

The number of CD4 cells in infected persons is a measure of the degree of immune system damage to one of the main indicators. In accordance with the provisions of the previous, CD4 cell count dropped to 200 before entering the threshold of anti-viral treatment. But, in fact, the earlier the treatment the better the protection of the body. Therefore, it is as long as the infected CD4 cell count dropped to 350, will be able to enter the anti-viral treatment in advance.

Not only that, but in this new policy, the viral load testing, CD4 cell testing, such as free items are also included in the scope of further reducing the financial burden of patients. Chen Jie, told reporters that this series of measures to reflect the state of AIDS treatment policy: do governance should rule. Therefore, the hope that more infected people to come out and accept the Government, community care and assistance.
 

Editor: Michael Author: Zhang Ruo-fan

 

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