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Updated Guidelines Recommend Antiretroviral Therapy for All HIV-Infected Patients — Physician’s First Watch

Medical News |
March 28, 2012

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.

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