Expert consensus on diagnosis and treatment of spinal tuberculosis with HIV/AIDS(2nd Edition)
Patients with spinal tuberculosis co-infected with HIV/AIDS are profoundly immunocompromised,significantly complicating their clinical management.To establish standardized protocols for diagnosing and treating this dual pathology,thereby enhancing clinical understanding and providing evidence-based treatment guidelines,the Joint Tuberculosis Professional Branch of Chinese Antituberculosis Association,in collaboration with the Western China Bone Tuberculosis Alliance,the North China Bone Tuberculosis Alliance,and the Editorial Board of Chinese Journal of Antituberculosis,formulated and released the Expert consensus on the diagnosis and treatment of patients with spinal tuberculosis complicated with HIV/AIDS in May 2020.The consensus opens with an overview of the epidemiological context of spinal tuberculosis complicated by HIV/AIDS.It provides a detailed discussion on the common clinical manifestations,laboratory diagnostic criteria,as well as pharmacological and surgical treatment options.Furthermore,it addresses critical aspects such as occupational exposures,necessary precautions during surgery,and outlines future research directions for the management of spinal tuberculosis complicated by HIV/AIDS.Building upon the first edition of the consensus,and incorporating both the clinical experience and diagnostic and therapeutic approaches for spinal tuberculosis complicated by HIV/AIDS in China,as well as relevant international research findings,the consensus writing group has jointly developed the second edition of the Expert consensus on diagnosis and treatment of spinal tuberculosis with HIV/AIDS.This updated version highlights recent epidemiological trends over the past five years,advances in preoperative antiviral therapy,and the evolving anti-tuberculosis treatment regimens for drug-resistant tuberculosis.The consensus also discusses the advancements in minimally invasive surgery for the treatment of spinal tuberculosis complicated by HIV/AIDS,as well as the potential application of accelerated recovery surgery principles in the management of these patients.The aim is to provide clinicians with a comprehensive framework for accurate diagnosis and evidence-based treatment of spinal tuberculosis complicated by HIV/AIDS.
Tuberculosis,spinalHIV infectionsAcquired immunodeficiency syndromeComorbiditiesConsensus development conferences as topic
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