Primary Care Guidelines for the Management of Persons Infected with Human Immunodeficiency Virus (HIV)

Since 2004, with antiretroviral drugs, the prognosis of those with HIV infection has improved. With fewer complications and increased survival, HIV-infected persons are having common health problems like the rest of us and seek medical consultation from their primary care clinician. These evidence-based guidelines classify conditions related to HIV infection itself and its treatment. Yet HIV-infected persons also need to be managed and monitored for other relevant age- and gender-specific health problems.

For the current Primary Care Guidelines for the Management of Persons Infected with HIV, go to:

Clinical Infectious Diseases.

The 2013 Guidelines are expected to be released in the Fall, 2013.

Recommendations:

1. An HIV-infected person should be screened for high-risk behavior at each visit.

2. Symptoms related to STDs and substance abuse should be elicited at each visit.

3. Indicators of depression should be incorporated within the review of systems, focusing on changes in mood, libido, sleeping patterns, appetite, concentration, memory, and domestic violence. Women with HIV infection have high rates of adult sexual and physical abuse and of childhood sexual abuse and are twice as likely to be depressed than are men with HIV infection.

 

Do you have HIV-infected patients in your practice?            Yes      No

If so, do you reference the 2009 Guidelines in your treatment of HIV-infected patients?               Yes      No