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By Kelly Young
Edited by Susan Sadoughi, MD, and André Sofair, MD, MPH
The International AIDS Society-USA has released two sets of clinical guidelines on preventing and treating HIV, in conjunction with the AIDS 2014 conference and a special JAMA issue on HIV and AIDS.
Among the many recommendations:
All adolescents and adults should be tested for HIV at least once.
Self-testing and home testing may be an option for patients with recurrent HIV risk or difficulty with testing in a clinical environment.
Preexposure prophylaxis with daily emtricitabine/tenofovir disoproxil fumarate should be offered to certain high-risk patients, including those who've required postexposure prophylaxis more than twice in the past year.
For sexually active heterosexual males, voluntary male circumcision should be recommended, particularly in areas with a high prevalence of HIV. Circumcision should also be discussed with men who have sex with men.
Antiretroviral therapy should be offered to all patients with HIV, as soon as possible, regardless of their CD4 cell count.
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LINK(S):
JAMA article on HIV prevention guidelines (Free)
JAMA article on HIV treatment guidelines (Free)
JAMA editorial (Subscription required)
Table of contents for JAMA HIV/AIDS issue (Free)