Treatment Guidelines -including when to start

Is HIV viral undetectability Important? Take 1.

published: February, 10, 2014 Written by // Guest Authors - Revolving Door Categories // Treatment Guidelines -including when to start, Health, Treatment, Living with HIV, Opinion Pieces, Revolving Door, Guest Authors

From TheBody.com, an opinion piece from an HIVer who believes that taking HIV meds to reduce viral load to undetectable levels may not be an effective or even wise strategy

Is HIV viral undetectability Important? Take 1.

This article by ScotCharles first appeared on TheBody.com here.   Be sure to read the counterpoint to this article “HIV Undetectability Unimportant? Wrong” here. I have been on anti-HIV meds since 1994. I have had HIV definitely for thirty years and probably more. In that time I have seen people sickened and killed by the meds. I have developed long-term complications as a direct result of the meds. More importantly recent studies of which I was a subject have shown that HIV doesn't si

Take 2. HIV undetectability unimportant? Wrong.

published: February, 10, 2014 Written by // Guest Authors - Revolving Door Categories // Treatment Guidelines -including when to start, Health, Treatment, Living with HIV, Opinion Pieces, Revolving Door, Guest Authors

From TheBody.com, a doctor’s opinion on why getting to an undetectable viral load through the use of HIV meds is very important

Take 2. HIV undetectability unimportant? Wrong.

In a recent blog entry on TheBody.com, ScotCharles suggests that treating HIV to undetectable levels may be unnecessary. I disagree. I have been an HIV medical provider, caregiver and researcher for over 20 years. I've watched far too many of the people I care about die from AIDS complications or suffer from the side effects (sometimes fatal) of our well-intended, first-generation treatments. Yet, today's HIV medications can be very well tolerated. They can prevent disease. They can restore h

Why patients (and their doctors) choose not to start HIV treatment

published: November, 21, 2013 Written by // Guest Authors - Revolving Door Categories // Treatment Guidelines -including when to start, Research, Health, International , Treatment, Living with HIV, Revolving Door, Guest Authors

New research says answers include a lack of symptoms and patients not wanting to think about HIV, plus doctors who don’t think it’s necessary, reports TheBodyPro.com

Why patients (and their doctors) choose not to start HIV treatment

This article by Warren Tong originally appeared on TheBodyPro.com here. People living with HIV choose not to start antiretroviral therapy (ART) mainly because they feel no symptoms and believe treatment is not needed, according to study results presented at EACS 2013 in Brussels, Belgium. On the other side of the coin, physicians are hesitant to start their patients on HIV treatment, regardless of CD4+ cell count and guidelines, mainly because they either perceive their patients as being too

Tackling the MSM epidemic

published: August, 03, 2013 Categories // As Prevention , Gay Men, Treatment Guidelines -including when to start, Research, Sexual Health, Health, International , Treatment, Living with HIV, Population Specific , Revolving Door, Guest Authors

Aidsmap reports strategies to detect and treat MSM with acute infection may be a powerful tool to control HIV epidemics. Immediate HIV treatment is associated with rapid falls in viral load and sustained behaviour change, research shows.

Tackling the MSM epidemic

This article by Roger Pebody first appeared on aidsmap.com here. The detection and control of acute (very recent) HIV infection may be a powerful HIV prevention measure in HIV epidemics in men who have sex with men (MSM), Eugène Kroon of the Thai Red Cross AIDS Research Center told a late breaker session at the 7th International AIDS Society Conference on HIV Pathogenesis, Treatment and Prevention in Kuala Lumpur this week. An HIV testing programme in Bangkok, Thailand, was able to identif

Ten questions to ask yourself before you begin HIV treatment

published: July, 10, 2013 Written by // Guest Authors - Revolving Door Categories // Treatment Guidelines -including when to start, Newly Diagnosed, Health, Treatment, Living with HIV, Population Specific , Revolving Door, Guest Authors

From TheBody.com, an HIV diagnosis comes with its very own set of questions to ask yourself and decisions to make. Among the biggest is: When should you start treatment?

Ten questions to ask yourself before you begin HIV treatment

This article by Heidi Nass; edited by Myles Helfand first appeared in TheBody.com here.   Here, in no particular order, are 10 of the most important questions to ask yourself before you begin taking HIV medications. 1. Why do I want to start treatment? This extremely important question is not to be confused with, "Why does my doctor say I should start treatment?" It's a way of asking yourself what you want to get out of treatment, and it gets straight at whether you believe that antiretro

When to start treatment

published: July, 07, 2013 Categories // As Prevention , Treatment Guidelines -including when to start, Health, International , Treatment, Living with HIV, Revolving Door, Guest Authors

World Health Organization issues new recommendations calling for earlier ARV initiation. Threshold for starting treatment raised to CD4 count of 500, earlier for some, to reduce new infections and help people with HIV to live longer, healthier lives.

When to start treatment

This article by Lesley Odendal was first published on aidsmap.com here. New HIV treatment guidelines by the World Health Organization (WHO) launched June 30 at the 7th International AIDS Society conference on HIV Pathogenesis, Treatment and Prevention (IAS 2013) in Kuala Lumpur, recommend offering antiretroviral therapy to all HIV-positive people at CD4 counts below 500 cells/mm3. According to the WHO, initiation of antiretroviral therapy at a CD4 count below 500 could avert an additional 3

When to start treatment

published: June, 29, 2013 Written by // Guest Authors - Revolving Door Categories // Aging, Treatment Guidelines -including when to start, Research, Health, International , Treatment, Living with HIV, Revolving Door, Guest Authors

Prompt HIV diagnosis and early antiretroviral therapy is especially important for older people, reports aidsmap.com

When to start treatment

This article by Michael Carter first appeared on aidsmap.com here.  Prompt HIV diagnosis and early antiretroviral therapy are especially important for older people, results of a UK study published in Age and Ageing show. There was a 10% one-year mortality rate among people aged 50 plus at the time of their diagnosis, compared to a rate of 3% among younger people. The risk of death was especially high for older people with a CD4 cell count below 200 cells/mm3 at the time of diagnosis and who

From treatment cascade to treatment two-step

published: June, 20, 2013 Categories // As Prevention , Treatment Guidelines -including when to start, Health, Treatment, Living with HIV, Opinion Pieces

Ken Monteith comments on the testing and treatment continuum,the currently hot Treatment Cascade - and likes some, but not all, of what he hears.

From treatment cascade to treatment two-step

By now, you may have heard a lot about the HIV Treatment Cascade. If you haven’t, and you want to read about it from a source other than me, you can consult a couple of excellent articles right here on PositiveLite.com: one by aidsmap.com's Gus Cairns and another by CATIE's James Wilton and Logan Broeckaert. My own interpretation of the ideal outcome, the goal for which to shoot, is somewhat different.  1 Starting point: HIV-infected individuals  The whole thing starts with

Moving forward on treatment as prevention

published: April, 29, 2013 Written by // Bob Leahy - Publisher Categories // Conferences, As Prevention , Treatment Guidelines -including when to start, Health, International , Treatment, Living with HIV, Bob Leahy - Publisher

Bob Leahy was in Vancouver last week for the International Treatment as Prevention Workshop, an important gathering of global leaders, experts and community, which left him highly optimistic that we have the tools to end the epidemic. Here’s his report.

Moving forward on treatment as prevention

“We have an obligation to decide whether the evidence is enough. We’ve waited too long to do what we know is right. Enough is enough. We need to move to implement.” Acknowledging that “we have a consensus in this room but not outside this room” BCCFE’s Dr. Julio Montaner, looking dapper in a dark suit and bright red tie, opened the third annual International Treatment as Prevention Workshop in Vancouver last week.  Fitting that we should be there in his home town. Vancouver wa

Aging, HIV and the possible effect of nukes

published: April, 08, 2013 Written by // Kinder, gentler, more understanding. Categories // Aging, As Prevention , CATIE, Treatment Guidelines -including when to start, Newly Diagnosed, Health, Treatment, Living with HIV, Population Specific , CATIE - HIV and Hep C Info Resource

How safe are HIV drugs and when to start treatment? CATIE’s Sean Hosein reviews the impact of nukes (nucleoside reverse transcriptase inhibitor) on our bodies, including whether they contribute to premature aging – and how.. . .

Aging, HIV and the possible effect of nukes

This article by Sean Hosein first appeared on the CATIE website here   Une version française est disponible ici.  In high-income countries such as Canada, Australia and the U.S. and in regions such as Western Europe, huge advances have been made in the treatment of HIV disease. Researchers increasingly expect that a young person who is diagnosed today and who initiates potent combination anti-HIV therapy (commonly called ART or HAART) and who has minimal co-existing health conditions sho

The HIV treatment cascade – patching the leaks to improve HIV prevention

published: March, 07, 2013 Written by // CATIE - HIV and Hep C Info Resource Categories // As Prevention , CATIE, Treatment Guidelines -including when to start, Newly Diagnosed, Research, Sexual Health, Health, Treatment, Living with HIV, Population Specific , CATIE - HIV and Hep C Info Resource

CATIE on the concept of a treatment cascade that's a way to identify gaps in the testing-care-treatment continuum, which are preventing people from realizing the treatment and prevention benefits of antiretroviral therapy.

The HIV treatment cascade – patching the leaks to improve HIV prevention

This article by CATIE’s James Wilton and Logan Broeckaert first appeared on the CATIE  website here. Une version française est disponible ici. We have known for years that antiretroviral therapy can significantly improve the health outcomes of people living with HIV. More recently, research has revealed the important role that antiretroviral therapy plays in preventing the transmission of the virus. As HIV treatment and prevention have converged, attention has turned to how well we are e

HIV Testing - Part One

published: February, 28, 2013 Categories // Treatment Guidelines -including when to start, Health, Sexual Health, International , Treatment, Opinion Pieces

New writer, Scotland’s Roy Kilpatrick on why testing has become an even more integral part of HIV prevention than ever, how we tailor testing strategies, why they sometimes fall short and what we must do next.

HIV Testing - Part One

Testing has become one of the most prominent of HIV messages. Its centrality to HIV prevention is strengthened by all the benefits of treatment, and the earlier the better.  To reduce current levels of late and very late diagnosis currently recorded, early recognition and detection are essential.  The rationale for promotion of testing cannot be flawed. Testing for HIV is integral to tackling HIV at both population and at individual levels. A key question, however, touches upon balance in

Treatment on diagnosis may be needed, say researchers

published: February, 14, 2013 Written by // Guest Authors - Revolving Door Categories // As Prevention , Gay Men, Treatment Guidelines -including when to start, Research, Health, International , Treatment, Living with HIV, Population Specific , Revolving Door, Guest Authors

Aidsmap.com reports HIV incidence in gay men unchanged in England and Wales, despite more testing

Treatment on diagnosis may be needed, say researchers

This article by Gus Cairns first appeared on aidsmap.com here.   A paper in The Lancet Infectious Diseases by scientists from the UK’s Medical Research Council and the Health Protection Agency (HPA) has calculated that the number of gay men in England and Wales who become infected with HIV each year remained unchanged between 2001 and 2010. This is despite a considerable increase in testing and, they estimate, a 40% reduction in the proportion of gay men with HIV who are undiagnosed. The

Why it is important to have HIV treatment guidelines

published: December, 16, 2012 Written by // Guest Authors - Revolving Door Categories // Treatment Guidelines -including when to start, Newly Diagnosed, Research, Health, International , Treatment, Living with HIV, Population Specific , Revolving Door, Guest Authors

Canada doesn’t have its own treatment guidelines, so there are no recommended standard treatments or start dates. Is this good? Aidsmap.com details Swiss research which identifies factors associated with the use of non-recommended HIV therapy

Why it is important to have HIV treatment guidelines

This article by Michael Carter first appeared on aidsmap.com here.  New Swiss research shows the importance of observing antiretroviral treatment guidelines, even in people who have well-controlled HIV infection. Published in the online edition of the Journal of Acquired Immune Deficiency Syndromes, the study demonstrated that toxicities and concerns about long-term side-effects were common reasons for switching to recommended treatment. CD4 cell count, viral load and adherence either remain

Starting Treatment Early

published: August, 26, 2012 Written by // Guest Authors - Revolving Door Categories // As Prevention , Treatment Guidelines -including when to start, Research, Health, Treatment, Living with HIV, Revolving Door, Guest Authors

Three-quarters of clinicians in the US willing to prescribe early HIV treatment for the purpose of prevention, reports aidsmap

Starting Treatment Early

This article by Michael Carter first appeared on NAM/aidsmap.  Republished with permission.  There is an overwhelming consensus among clinicians who prescribe HIV treatment in the US that people who are taking antiretroviral therapy are less likely to transmit HIV to their sexual partners, according to results of a study published in the online edition of the Journal of Acquired Immune Deficiency Syndromes. Results also showed that over three-quarters of care providers would be willing to

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