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ISSN 2155-6113

Journal of AIDS & Clinical Research
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Editorial

Contemporary Recommendations for Primary Care Management of Patients with HIV Infection

William N. Hannah and Jason F. Okulicz*

Department of Medicine, Division of Internal Medicine and Infectious Disease Service, San Antonio Military Medical Center, San Antonio TX, USA

*Corresponding Author:
Jason F. Okulicz
Department of Medicine
Division of Internal Medicine and Infectious Disease Service
San Antonio Military Medical Center, Brooke Army Medical Center
3551 Roger Brooke Drive, Fort Sam Houston, TX 78234-6200, USA
Tel: 210-916-5554
Fax: 210-916-5900
E-mail: [email protected]

Received Date: December 20, 2013; Accepted Date: December 23, 2013; Published Date: December 28, 2013

Citation: Hannah WN, Okulicz JF (2013) Contemporary Recommendations for Primary Care Management of Patients with HIV Infection. J AIDS Clin Res 4:e113. doi:10.4172/2155-6113.1000e113

Copyright: © 2013 Hannah WN, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

The morbidity and mortality associated with HIV infection has decreased significantly in the current era of antiretroviral therapy, with HIV-infected individuals now anticipating a normal life expectancy in developed countries. HIV has transformed from a disease of certain death into a chronic condition that can be managed medically. Reflecting this change, the Infectious Disease Society of America (IDSA) recently released an update on the management of HIV with a new emphasis on primary care and enhanced screening for comorbid conditions. For individuals with well-controlled HIV infection, the frequency of viral load and CD4 cell count monitoringcan is reduced from every 3-4 months to every 6-12 months. Increased attention is devoted to immunizations with new recommendations for HPV vaccination in males and an updated pneumococcal vaccination schedule. There is also an enhanced section on sexually transmitted diseases including annual screening for trichomoniasisin women, yearly screening for gonorrhea and chlamydia in at risk individuals, and anal cytologic screening in certain risk groups. This article reviews the 2013IDSA guidelines, highlights significant changes from prior IDSA guidelines, and contrasts these recommendations with other United States screening guidelines

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