Learning Objectives
Upon completion of this activity, participants should be able to:
- Specify current guidelines on routine opt-out HIV testing
- Explain current guidelines on initiation of antiretroviral therapy
- Discuss the clinical risks associated with initiation of antiretroviral therapy later than currently recommended
- Debate the potential advantages and disadvantages of initiating antiretroviral therapy in all HIV-infected patients
Topics covered include:
- Introduction
- Updated Guidelines on When to Start Antiretroviral Therapy
- The Goals of Antiretroviral Therapy
- The Potential Benefits Associated With Initiating Antiretroviral Therapy in Patients With a CD4+ Cell Count > 350 cells/mm3
- The Potential Risks Associated With Initiating Antiretroviral Therapy in Patients With a CD4+ Cell Count > 350 cells/mm3
- Real-World Data on Timing of HIV Diagnosis and HAART Initiation
- Recommendations for Expanded Use of HIV Testing
- Barriers to Adoption of Routine HIV Testing Practices
- Practical Suggestions to Promote Earlier Testing and Treatment
- The Role of Treatment Guidelines in Shaping Policy and Practice
- Conclusions
Abstract