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Just updated by lead authors Dr. Christine Kerr and Mary Dyer, with the MCCC, the July 2024 Primary Care for Adults With HIV guideline features 4 new flowcharts that can be applied to adult primary care in any setting to ensure that patients with HIV receive ART and appropriate monitoring based on their HIV and ART status, age, and identified health risks. The flowcharts offer guidance for care providers with or without previous HIV care experience; working in any outpatient setting; and managing the care of new patients with a confirmed or unconfirmed HIV diagnosis, established patients in need of routine annual care and monitoring, or patients aging with HIV.
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Flowchart 1 steps through a first visit with a new patient with a new HIV diagnosis and prioritizes confirmation of the HIV diagnosis and ART initiation.
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Flowchart 2 describes a first visit with a new patient who has a confirmed HIV diagnosis and is taking ART. After establishing whether an ART switch is needed, attention is focused on standard primary care, with HIV-specific additions such as HIV history.
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Flowchart 3 walks through a first visit with a new patient with a confirmed HIV diagnosis who is not taking ART either because it has not been initiated or because the patient stopped taking antiretroviral medications.
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Flowchart 4 illustrates a routine visit, “sick patient” visit, and a post-hospitalization visit with an established patient.
All 4 flowcharts address history-taking, assessment, laboratory testing, screening and preventive care, counseling, and follow-up with links to checklists, other guidelines, and multiple resources. Each flowchart also addresses risk reduction.
Also new in the July 2024 edition: Checklists to guide HIV-Specific Elements of Health Status and History; Initial (Baseline) and Annual Laboratory Testing for Adults With HIV; Recommended Age-, Sex-, and Risk-Based Screening; and Primary Prevention for Adults With HIV.
Go to the guideline
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