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Treatment guidelines news

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PEP
Postexposure Prophylaxis: Dealing With Old Guidelines

The patient responded, “With all due respect to the guidelines, in the current era when there are increasingly well-tolerated medications, why would you use a regimen that included only 2 NRTIs without a third drug in any setting where there is a risk of HIV transmission?”

Published
13 March 2013
From
Clinical Care Options (requires registration)
Prevention of mother-to-child transmission
Malawi achieves seven-fold increase in ART for pregnant and breastfeeding women

Eighteen months after implementation of 'Option B+' in Malawi – ART for life for all HIV-infected, pregnant or breastfeeding women regardless of CD4 count or disease

Published
12 March 2013
By
Carole Leach-Lemens
Changing treatment
Second-line NRTI-sparing regimen proves equally effective for resource-limited settings

A second-line antiretroviral regimen of lopinavir/ritonavir (Kaletra/Aluvia) and raltegravir (Isentress) proved just as effective as a regimen containing lopinavir/ritonavir and two or three nucleoside or nucleotide analogues

Published
07 March 2013
By
Keith Alcorn
Prevention of mother-to-child transmission
Program to Cut HIV Transfer to Babies Gets High Marks

The African nation of Malawi is getting an A+ for its aggressive approach to preventing HIV transmission from mothers to babies.

Published
02 March 2013
From
MedPage Today HIV/AIDS
Starting treatment
When to Start ART in Africa — An Urgent Research Priority

We believe that a randomized, controlled trial should be undertaken immediately to determine when to initiate ART in Africa for maximal individual health benefit. It is feasible to conduct a large, simple trial to assess the risks and benefits of immediate ART versus deferral until a CD4+ count of 350 cells per cubic millimeter is reached.

Published
23 February 2013
From
New England Journal of Medicine
Starting treatment
Why no one is helped by dumbing down the “when to start” debate: a response to Dr Myron Cohen

This article was prompted by contributions to the “when to start” debate that avoid both it’s complexity and the lack of evidence for benefits at higher CD4 counts. This issue has broad concern for HIV positive people, doctors and health workers, and public health policy.

Published
23 February 2013
From
HIV i-Base
Treatment guidelines
Updated HIV Treatment Guidelines Include Stronger Recommendation for Acute Infection

Among the key changes are additional information about the most recently approved antiretroviral agents and a recommendation that newly infected people with HIV should be offered combination ART. The guidelines continue to recommend treatment for all people with HIV, both to reduce the risk of disease progressionand for the prevention of HIV transmission.

Published
15 February 2013
From
HIVandHepatitis.com
Treatment guidelines
Updated U.S. DHHS guidelines for the use of antiretroviral agents in HIV-1-infected adults and adolescents

New recommendations on drug-resistance testing, genotypic tropism assays, starting treatment, acute infection, pregnancy and interactions.

Published
15 February 2013
From
AIDSinfo
Infectiousness and treatment as prevention
Treatment as prevention: Experts in the UK agree it works

Roger Pebody summarises the statement released in January that should now guide how our doctors talk to us about treatment as prevention.

Published
14 February 2013
From
HIV treatment update
HIV and criminal law
UK: Updated guidance on HIV transmission, the law and the work of the clinical team now published

This document is aimed at those working in HIV medicine, especially clinicians, and aims to provide information and guidance on managing issues related to sexual transmission of HIV. It applies generic ethical and professional principles but with a particular emphasis on providing a confidential environment in which sensitive matters can be discussed. The guidance sets out the roles and responsibilities of health care professionals when caring for individuals living with HIV.

Published
13 February 2013
From
HIV Justice Network
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