136933 - The Evolving Landscape of HIV Treatment
- : Online
The advent of anti-retroviral therapies (ART) has transformed HIV from a progressive, usually fatal, disease to a stable, complex, chronic condition. Comorbidity in HIV can be defined as a disease outside the scope of an acquired-immunodeficiency syndrome-associated illness. Among people living with HIV, the proportion of deaths due to chronic non-infectious comorbidities has increased over the last 15 years.
Relevance to General Practice
Approximately half of specialised HIV care in Australia is provided in general practice. General practitioners are therefore ideally placed to manage many of the complex issues facing individuals with HIV infection.30 Recommended models of care for HIV emphasise the need for a patient-centred, co-ordinated and integrated approach to promoting self-management.
Comorbidities usually occur earlier and more commonly in patients with chronic HIV infection. Management guidelines are therefore increasingly recommending regular screening for these conditions in patients with chronic HIV. Screening and treatment for common comorbidities are usually no different than for HIV-negative individuals, although special factors may need to be considered in the HIV-positive group.
- Explain the current guidelines including the evidence for safe prescribing of current recommended regimens in the treatment of HIV
- Recognise treated HIV as a chronic disease and consider its impact on the management of comorbidities, frailty and the aging patient
- Discuss the ways in which recommended regimens help mitigate these issues
- Consider optimal treatment choices, including both older and newer treatment regimens, emphasising the importance of timely treatment and dispelling fears