Abstract:

Acquired immunodeficiency syndrome (AIDS) has become an important public health problem in China. During the surgical treatment of HIV infected patients, on the one hand, the patients have human immunodeficiency virus (HIV) infection, the medical staff have high risk of occupational exposure, on the other hand, the patients’ immune function is impaired, the risk of opportunistic infection and postoperative complications increased, so the surgical treatment is special, which is related to the viral load of HIV infected patients, so the perioperative antiviral treatment is very important. In order to standardize the perioperative antiviral treatment, the Surgical Group of Chinese Association of STD and AIDS Prevention and Control and Surgical Group of Tropical Disease and Parasitology Branch of Chinese Medical Association formulated the first edition of the expert consensus on the perioperative antiviral treatment of human immunodeficiency virus infection in China in 2019. This expert consensus revised the first edition of the consensus in 2019 based on the latest research progress. It is mainly focused on the surgical risk assessment, the selection of perioperative antiviral regimen, and the prevention of opportunistic infection, with special emphasis on rapid preoperative viral load reduction and reconstruction of the patient’s immune function. This expert consensus will be regularly updated based on the latest evidence from clinical studies.

Key words: Human immunodeficiency virus, Perioperative period, Antiretroviral treatment regimens, Virus load, Consensus