How has HAART altered the incidence of opportunistic GI disorders

How has highly active antiretroviral therapy (HAART) altered the incidence of opportunistic GI disorders? 

  • Since the introduction of protease inhibitors and HAART in 1995, there has been a constant and dramatic decline of all GI opportunistic disorders (ODs) in AIDS patients.
  • In addition, HAART has also been shown to indirectly treat many GI ODs.
  • Once the immune status of the patient improves, the OD generally resolves.
  • However, careful follow-up of patients receiving HAART early on is mandatory as their condition can decompensate as a result of immune reconstitution syndrome (IRIS).
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