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

    Initial Assessment
    • Initial assessment for HIV-infected patients should include confirmation of HIV diagnosis, assessment of HIV clinical stage, screening for readiness and indications to initiate ART, and diagnosis of comorbidities (Management Guidelines)[WHO ART]
    • Management decisions regarding ART were previously based on clinical staging; however (Table 2)[WHO ART]:
      • Current recommendations indicate that ART should be initiated in all adults living with HIV, regardless of WHO clinical stage and at any CD4+ cell count[WHO ART]
    Follow-up Visits
      Cotrimoxazole Preventive Therapy
        Vaccinations

        Action required