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The management of HIV infection can be complicated enough to require subspecialty consultation, but for patients who remain otherwise healthy, their routine care is increasingly provided in primary care settings. The latest guidelines from the Infectious Diseases Society of America replace a 2004 version and remind primary care providers of the newest management recommendations, including:
Genotype analysis for all HIV-positive patients who enter care, even if immediate treatment is not planned.
HLA B 5701 testing for all patients before initiation of abacavir therapy; this haplotype imparts high risk for hypersensitivity reactions to the drug.
Tropism testing before initiation of maraviroc therapy; patients without the CCR5 receptor should no…