Virologic Failure Essay

Antivirals are the treatment for HIV and presently there is no known cure. Treatment most often involves combinations of different drugs to avoid creating strains of the virus that are immune to single drug treatments (Mayo Clinic, 2013). The number of CD4 or T cells monitors treatment response. The viral load should be undetectable while undergoing antiviral therapy. The count is checked when treatment starts and usually monitored every 3-6 months. Even if someone has an undetectable viral load, the spreading of HIV is still a possibility.

Poor hand hygiene - spread of germs from one patient to another or spread for hands to surfaces.

Pathogens are everywhere. They are in people, animals, and the environment. Pathogens come in a wide variety. The types are fungal, bacterial, viral, and other parasites. All pathogens can be dangerous, but two of them are more dangerous. These two types that more dangerous are fungal and bacterial. While both fungal and bacterial pathogens cause illness, they differ in the way they are transmitted, the way they are treated, and the diseases they cause.

The Acquired Immune Deficiency Syndrome denotes a spectrum of conditions that are caused by the HIV virus. Infection with this disease does not result in the instant occurrence of the related signs and symptoms. However, an individual is likely to experience flu-like symptoms after he or she is infected with it. Eventually, the person experiences a prolonged period of apparent health with no visible signs. On progression, the infection adversely interferes with the immune system of the individual. The weakening of the body’s defense system increases the risk of recurrence of common infections and opportunistic illnesses that

Mr. .J. is a 30 year old Caucasian male presented to the Emergency Department with symptoms of myalgia, fever, rash, swollen glands, leukopenia, and thrombocytopenia. Mr. J. reported fever and sore throat started about a week ago and the rash presented today. Mr. J. stated “I thought I had the flu but I am not feeling any better and now I have a rash, that’s why I decided to come to the E.D.”. (Health and Human Services panel, 2013)

(2011) was a multi-continent, randomized, controlled trial to evaluate the effectiveness of antiretroviral therapy on the speed of the disease process among HIV-1 infected and HIV-1 uninfected partners. In the study, 1,763 HIV mixed status couples were grouped into either early antiretroviral and delayed therapy groups. Inclusion criteria consisted of the HIV-1 infected participant having a CD4 count between 350 and 550 with no previous antiretroviral therapy usage, except to prevent mother-baby transmission. Participants attended three monthly sessions and then quarterly sessions until ill or requiring an additional amount of antiretroviral drugs (Cohen et al, 2011). The uninfected partners were tested each quarter for seroconversion, the period in time in which antibodies become detectable. The research study concluded that early antiretroviral therapy initiation had a greater effect on CD4 count than delayed antiretroviral therapy. The average CD4 count in the early therapy group originated at 400 and increased to 603 after 12 months of ART. A decline of CD4 cells were noted in the delayed group (Cohen et al, 2011). The authors concluded that a higher incidence of HIV transmission was noted in African countries and adverse effects were more likely to occur in the early therapy group. Early therapy had a positive effect on the HIV-1 uninfected and HIV-1 infected

As have been described above, HIV can have a potential effect on immunological cells, which are important to protect the body from additional infections such as Tuberculosis (TB), Cytomegalovirus (CMV) and other viral or bacterial infections. An effective treatment is needed to reconstruct what HIV has damaged. Antiretroviral therapy (ART) is a common treatment to stop the viral replication and decrease the disease progression, which may lead to a vast decline of the morbidity and mortality. The standard treatment involves a combination of at least three drugs; often known as a highly active antiretroviral therapy (HAART) where the most common types are Nucleoside reverse transcriptase

Since the arrival of triple therapy, the challenge of sustained and complete viral suppression has been solved for the majority of patients [1]. The major limiting factors for improving the long-term success of ART are tolerability and convenient pill burden [2]. The latest class of the antiretroviral drug developed are Integrase inhibitors (INI). Dolutegravir (DTG) is an Integrase inhibitor, particularly focused on maintaining a favorable safety profile and a high efficiency rate, within a single-tablet regime (STR), it improves resistance barrier and allowing co-formulation with an NRTI backbone. Dolutegravir has been compared against both other classes of HIV anti-retrovirals as well as other integrase nuclear strand inhibitors. In August 2013, DTG was approved by FDA for its use in both patients who have never taken ART (ART-naïve) and patients who have taken ART (ART-experienced) [3]. It is predicted that very soon a STR containing Dolutegravir (DTG), abacavir (ABC) and lamivudine (3TC) will become

Cholera remains a drastically severe disease, killing hundreds of people each outbreak. When ingested, it attaches to the mucosal lining of the intestines and disrupts the normal flow of ions so that there is more sodium, chloride, and water in the intestinal lumen than normal and results in massive diarrhea. Cholera has made a global impact and been endemic in almost all parts of the world. Cholera control strongly emphasizes sanitation, clean drinking water, isolation, and careful food preparation. Two ways our body works against cholera as a self-limiting disease are sloughing cells and the secretory immunoglobulin (sIgA) antibody produced by mucus throughout our body. There are

HIV is a sexually transmitted disease that attacks the body’s immune system by diminishing CD4 cells that help prevent and fight illnesses. HIV is a virus, more specifically a retrovirus that transcribes its RNA into the host cell’s DNA, and is spread by a transfer in bodily fluids namely drug injection and condomless sex. As the disease progresses into acquired immune deficiency syndrome (AIDS), the virus continues eliminating CD4 cells until the immune system becomes virtually ineffective [5]. Scientists first identified HIV in 1985 in response to the AIDS crisis plaguing the United States [6]. With no cure yet available, those affected with HIV must rely on antiretroviral drug therapy to decrease their chances of developing AIDS [7].

Data from the Medical Monitoring project provided data for patients 18 years old and older, who were engaged in care, received ART prescription and managed to suppress their viral load (Bradley, et al., 2014, p. 1114). Specifically, patient HIV medical data was gathered from medical facilities that took place between January- April 2011 (Bradley, et al., 2014, p. 1114). The rate of ART prescription and viral load was documented within the participant’s medical chart preceding the survey. The authors statistical testing was conducted using the delta method (Bradley, et al., 2014, p. 1114) .

“In the United States, the Centers for Disease Control and Prevention (CDC) does not require state health departments to report infections of chickenpox, and only 31 states currently volunteer this information. However, in a 2013 study conducted by the social media disease surveillance tool called Sickweather, anecdotal reports of chickenpox infections on Facebook and Twitter were used to measure and rank states with the most infections per capita, with Maryland, Tennessee, and Illinois in the top three.” (8) Due to it contagiousness, Varicella can infect anyone in its path who have not received the vaccine. It is recommended by the CDC to get vaccinated. Although Varicella is not known as a deadly virus, it can be quite serious in those who have a weakened immune system. After being infected, individuals who were autoimmune compromised were more prone to developing serious complications such as bacterial infections of the skin lesions, pneumonia, encephalitis, and hepatitis. Any of these complications can lead to serious illness and in rare cases death. “Study results reported by the Centers for Disease Control and Prevention (CDC) indicate that more than 90 percent of American adults are immune to the chickenpox virus. Adults, however, are much more likely than children to suffer dangerous

In 2017, I experienced a medical issue that does not have a definitive cure, which unlocked my desire for helping others by assisting in finding cures or ways to effectively treat diseases. I plan to pursue a PhD in Biomedical Sciences with an emphasis on virology, which will allow me to make contributions to the fields of biology and medicine. I will be able to help others who also experienced medical issues without a definitive cure, such as common cold, flu, HIV, and many more.

Currently, there are no vaccines and no cures for HIV or AIDS, although scientists are researching and finding new drugs and treatments. So far, scientists have discovered a variety of drugs and medication that can be used to control and slow the virus and the progression of the disease. There are some drugs which interfere with the virus ability to make copies of itself by disabling a protein it needs, like Non-nucleoside reverse transcriptase inhibitors. If someone is diagnosed with HIV, it is important to start with treatments as soon as possible.

The emergence of drug-resistant strains of human immunodeficiency virus( HIV) and treatment failure can result from non-adherence to antiretroviral therapy (ART). (Michel Morin;2000)