Friday, May 27, 2016

HIV guidelines No brainer

HIV guidelines No brainer

 It is a nobrainer that in Medicine any infection dealt with in it's earliest stages will have the best results.

It took  many experts and  trials and many tears to come to this conclusion for  HIV!
"
Following are the updated recommendations in this section: • ART is recommended for all HIV-infected individuals, regardless of CD4 cell count, to reduce the morbidity and mortality associated with HIV infection (AI). • ART is also recommended for HIV-infected individuals to prevent HIV transmission (AI). • When initiating ART, it is important to educate patients on the benefits and considerations regarding ART, and to address strategies to optimize adherence. On a case-by-case basis, ART may be deferred because of clinical and/or psychosocial factors, but therapy should be initiated as soon as possible. Acute and Recent (Early) HIV Infection The recommendation for initiation of ART in patients diagnosed with acute and recent infection has been strengthened. The changes are highlighted below: Original Recommendation: • “Antiretroviral therapy (ART) is recommended for all individuals with HIV-1 infection and should be offered to those with early HIV-1 infection (BII).” Updated Recommendation: • “Antiretroviral therapy (ART) is recommended for all individuals with HIV-1 infection (AI) including those with early HIV-1 infection.” HIV-Infected Adolescents and Young Adults Following are two key updates to this section: • The Panel noted that although the START and TEMPRANO study populations did not include adolescents, the recommendation to treat all HIV patients has been extrapolated to adolescents based on the expectation that they will derive benefits from early ART similar to those observed in adults"