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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.
Guidelines home page (Free)
Published in Physician's First Watch March 28, 2012
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