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Earlier this year, the Swiss National AIDS Commission issued a statement suggesting that the risk for sexual HIV transmission in serodiscordant couples is negligible — and that condoms are no longer needed — if the infected person is on stable suppressive antiretroviral therapy (ART) and does not have other sexually transmitted diseases (STDs). The appropriateness of this statement was hotly debated at the International AIDS Conference in Mexico, with many expressing concerns about safety. A new case report from Germany lends credence to those concerns.
The case involved a 39-year-old HIV-infected man who started ART in 2000 with AZT/3TC and efavirenz. His plasma viral load declined to <50 copies/mL within 4 months and remained undetectable …