Conclusions
As evidence supporting immediate ART initiation accumulates, implementation of this strategy in different settings should be explored. By creating a multidisciplinary approach using instant communication technology, we have demonstrated that this strategy is feasible in patients with acute HIV infection in the setting of a mid-income country challenged by substantial administrative and bureaucratic hurdles. Immediate ART should be evaluated in selected groups of chronically infected patients in similar settings.
Acknowledgements
We gratefully acknowledge all patients, caregivers and laboratory personnel involved in the Department of Infectious Diseases of the Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán (INCMNSZ). We most gratefully acknowledge the participation of Audelia Alanis Vega, Kenia Melina Escobedo Lopez, Nora Karina Mora Suarez, Monica Elizabeth Reyes Romero, Roberto A. Rodriguez Diaz, Roxana V. Remus Galván and Yannink Caro Vega, whose roles and daily work make our attention algorithm possible. This work was partially supported by the National Institute of Allergy and Infectious Diseases (NIAID) as part of the International Epidemiologic Databases to Evaluate AIDS (IeDEA) (U01 AI069923 and CONACYT: convocatoria S0008-2014-1, num 233197).
HIV Medicine. 2019;20(5):308-316. © 2019 Blackwell Publishing
Cite this: Immediate Treatment of Acute HIV in a Tertiary Healthcare Center - Medscape - May 01, 2019.
Comments