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Primary Care Guidance for Persons With Human Immunodeficiency Virus: 2020 Update by the HIV Medicine Association of the Infectious Diseases Society of America.
Thompson, Melanie A; Horberg, Michael A; Agwu, Allison L; Colasanti, Jonathan A; Jain, Mamta K; Short, William R; Singh, Tulika; Aberg, Judith A.
  • Thompson MA; AIDS Research Consortium of Atlanta, Atlanta, Georgia, USA.
  • Horberg MA; Mid-Atlantic Permanente Research Institute, Kaiser Permanente Mid-Atlantic Permanente Medical Group, Rockville, Maryland, USA.
  • Agwu AL; Division of Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
  • Colasanti JA; Division of Infectious Diseases, Emory University, Atlanta, Georgia, USA.
  • Jain MK; Division of Infectious Diseases, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
  • Short WR; Division of Infectious Diseases, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
  • Singh T; Internal Medicine, HIV and Infectious Disease, Desert AIDS Project, Palm Springs, California, USA.
  • Aberg JA; Division of Infectious Diseases, Mount Sinai Health System, New York, New York, USA.
Clin Infect Dis ; 73(11): e3572-e3605, 2021 12 06.
Article in English | MEDLINE | ID: covidwho-1575760
ABSTRACT
Advances in antiretroviral therapy (ART) have made it possible for persons with human immunodeficiency virus (HIV) to live a near expected life span, without progressing to AIDS or transmitting HIV to sexual partners or infants. There is, therefore, increasing emphasis on maintaining health throughout the life span. To receive optimal medical care and achieve desired outcomes, persons with HIV must be consistently engaged in care and able to access uninterrupted treatment, including ART. Comprehensive evidence-based HIV primary care guidance is, therefore, more important than ever. Creating a patient-centered, stigma-free care environment is essential for care engagement. Barriers to care must be decreased at the societal, health system, clinic, and individual levels. As the population ages and noncommunicable diseases arise, providing comprehensive healthcare for persons with HIV becomes increasingly complex, including management of multiple comorbidities and the associated challenges of polypharmacy, while not neglecting HIV-related health concerns. Clinicians must address issues specific to persons of childbearing potential, including care during preconception and pregnancy, and to children, adolescents, and transgender and gender-diverse individuals. This guidance from an expert panel of the HIV Medicine Association of the Infectious Diseases Society of America updates previous 2013 primary care guidelines.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: HIV Infections Topics: Long Covid Limits: Adolescent / Child / Female / Humans / Infant / Pregnancy Language: English Journal: Clin Infect Dis Journal subject: Communicable Diseases Year: 2021 Document Type: Article Affiliation country: Cid

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Full text: Available Collection: International databases Database: MEDLINE Main subject: HIV Infections Topics: Long Covid Limits: Adolescent / Child / Female / Humans / Infant / Pregnancy Language: English Journal: Clin Infect Dis Journal subject: Communicable Diseases Year: 2021 Document Type: Article Affiliation country: Cid