What are the IDSA treatment guidelines for HIV infection?

Updated: Sep 23, 2019
  • Author: Nicholas John Bennett, MBBCh, PhD, MA(Cantab), FAAP; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

The Infectious Diseases Society of America (IDSA) issued updated guidelines in November 2013 for the management of HIV infection. [104, 105] Because of advances in management, HIV-infected patients are now having fewer complications and surviving longer; as a result, they are increasingly experiencing common health problems seen in the general population, and these problems must be addressed. Accordingly, the updated IDSA guidelines emphasize the role of primary care interventions, as follows:

  • HIV-infected individuals should undergo screening for diabetes, osteoporosis, and colon cancer as appropriate and should be vaccinated against pneumococcal infection, influenza, varicella, and hepatitis A and B

  • Lipid monitoring and management of lipids and other cardiovascular risk factors should be performed

  • Patients with well-controlled infection should undergo blood monitoring for viral levels every 6-12 months

  • Women with HIV should undergo annual trichomoniasis screening, and all infected patients who may be at risk should undergo annual screening for gonorrhea and chlamydia


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