The Immunocompromised Surgical Patient
Studies have shown that among HIV-infected patients, involvement of infectious disease specialists reduces hospital costs and complications and results in better control of viral loads…. The current recommended treatment regimen for HIV-infected individuals includes a three-drug regimen of which two are nucleoside reverse transcriptase inhibitors and the other is either an integrase strand transfer inhibitor, a nonnucleoside reverse transcriptase inhibitor, or a boosted protease inhibitor…. Blood transfusion has been associated with immunosuppression (transfusion-related immunomodulation), with the potential to further depress an already compromised immune system in a transplant recipient and resulting in infection or cancer recurrence.