ABC of Sexually Transmitted Infections, 6th Edition

ISBN: 978-1-4051-9816-5

Paperback

176 pages

May 2011, BMJ Books

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107

Errata

Table 17.4 Recommendations for starting antiretroviral therapy in adults.
Presentation/ clinical condition	BHIVA guidelines, Oct 2008	USDHHS, Dec 2009
Primary HIV infection	Treatment in clinical trial or neurological involvement or CD4 <200 cells/mm³ >3/12 or AIDS-defining illness	Treat
Established HIV infection:
CD4 <200 cells/mm³	Treat	Treat
CD4 201-350 cells/mm³	Treat as soon as possible when patient ready	Treat
CD4 351-500 cells/mm³	Treat in specific situations when high risk of clinical events, e.g. HIVAN, hepatitis B co-infection when HBV treatment indicated	Treatment optional
CD4 >500 cells/mm³	Consider enrolment into ‘when to start trial’	Treat if HIVAN or HBV co-infection when HBV treatment indicated
AIDS diagnosis	Treat (except for TB when CD4 >350 cells/mm³)	Treat
BHIVA - British HIV Association Guidelines, USDHHS - United States Department of Health and Human Services