Primary Care for HIV-Infected Patients in Resource-Limited Settings

  • Authors: Charles van der Horst, MD; F. Parker Hudson, MD (More Info)
  • Editors in Chief: Daniel R. Kuritzkes, MD; Joseph J. Eron, Jr., MD
  • Last Reviewed: 9/4/18 (What's New)

Summary

  • Behavioral counseling, limiting the number of sexual partners, providing and promoting condoms, and providing advice regarding voluntary medical male circumcision, family planning, substance misuse, and needle sharing/exchange are useful HIV prevention strategies
  • Recent advances in HIV prevention include the efficacy of ART to prevent transmission to uninfected partners[Cohen 2011]; tenofovir vaginal gel to prevent HIV acquisition among young sexually active women[Abdool Karim 2010b]; and tenofovir DF-based PrEP to prevent HIV acquisition among high-risk MSM,[Grant 2010] heterosexually active individuals,[Baeten 2012; Thigpen 2012] and IDUs[Choopanya 2013]; and voluntary medical male circumcision[Bailey 2007]
  • PrEP efficacy is dependent on adherence and has not been universally successful in clinical trials[Van Damme 2012; Marrazzo 2013]

Action required