Updated Guidelines Recommend Antiretroviral Therapy for All HIV-Infected Patients — Physician’s First Watch
Updated Guidelines Recommend Antiretroviral Therapy for All HIV-Infected Patients
All HIV-infected individuals should receive antiretroviral therapy, according to a guideline update from the U.S. Department of Health and Human Services. The strength of the recommendation varies according to pretreatment CD4-cell counts, with treatment being more strongly advised at lower CD4 counts.
"This recommendation replaces a rather confusing categorization on when to start ART that, not surprisingly, was widely misinterpreted — fortunately, it now has been retired in favor of this much clearer statement," writes Dr. Paul Sax, in his HIV and ID Observations blog.
The document also includes:
a new section on managing HIV in older patients;
a table on the costs of treatment;
more comprehensive guidance on using hormonal contraception in HIV-infected women.