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Primary Care Guidelines for the Management of Persons Infected With HIV: 2013 Update by the HIV Medicine Association of the Infectious Diseases Society of America

Source: HIV Medicine Association of the Infectious Diseases Society of America
Publication Date: November 13, 2013

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2013 recommendations designed for healthcare providers who manage patients infected with HIV or who could be at risk for the acquisition of HIV infection. Topics addressed include: modes of HIV transmission; optimal method for diagnosis of HIV infection; risk-screening measures appropriate for HIV-infected patients; behavioural intervention; initial evaluation and laboratory testing schedule for HIV-infected patients; baseline laboratory evaluation; HIV disease tests including serological assays for HIV, CD4+ and CD8+ T-cell lymphocytes and percentages, and plasma HIV RNA levels; HIV resistance testing; coreceptor tropism assay; safety laboratory tests, including complete blood count and chemistry panel, glucose-6-phosphate dehydrogenase, fasting lipid profile, HLAB*5701 screening, and urinalysis and calculated creatinine clearance; coinfection and comorbidity laboratory tests, including tuberculosis screening, serologic testing for Toxoplasma gondii, viral hepatitis screening and vaccination recommendations, screening and vaccination recommendations for herpesviruses, screening for syphilis, screening for other sexually transmitted diseases, screening for anogenital human papillomavirus, serum testosterone level, chest radiography, and other laboratory tests; staging of HIV disease; schedule of care evaluation for HIV-infected adults and children; special considerations for women, including contraception and preconception care, pregnancy testing, gynaecological evaluation for cervical cancer screening and prevention, breast cancer screening, and menopause; special considerations for mother-to-child transmission and children; long-term metabolic complications associated with antiretroviral therapy; and optimizing patient adherence to HIV care.

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Keywords: HIV - Adherence, HIV - Comorbidities, HIV - Cryptococcus, HIV - Cytomegalovirus (CMV), HIV - Diabetes, HIV - Diagnosis, HIV - Diarrhoea, HIV - Dyslipidaemia, HIV - Endocrine Disorders, HIV - Fat Perturbations, HIV - Haematologic Complications, HIV - Herpes Simplex Virus, HIV - HPV, HIV - Insulin Resistance, HIV - Monitoring, HIV - Mycobacterium avium Complex, HIV - Paediatric/Adolescent Patients, HIV - Pneumocystis jiroveci pneumonia (PCP), HIV - Pregnancy, HIV - Prevention, HIV - Drug Resistance, HIV - Sexually Transmitted Diseases, HIV - Syphilis, HIV - Tropism, HIV - Tuberculosis, HIV - Varicella Zoster Virus, HIV - Viral Hepatitis Coinfection, HIV - Women