Preventive counseling, screening, and therapy for the patient with newly diagnosed HIV infection.

摘要: The epidemic of human immunodeficiency virus (HIV) continues, and the infection is converting into a treatable chronic disease; therefore, it increasingly important for family physicians to be current with comfortable in providing basic care patients infected HIV. Important aspects counseling patient education include stabilization psychosocial issues prevention HIV transmission through behavior change counseling. Reporting acquired syndrome (AIDS) mandatory most states, whereas partner notification laws vary from state state. Baseline evaluation includes screening comorbid conditions such as viral hepatitis, syphilis, tuberculosis, well common HIV-related manifestations recurrent candidal infections thrombocytopenia. testing CD4+ T-lymphocyte cell counts RNA levels assess disease stage, numerous studies screen opportunistic infections. Initial preventive interventions reduce exposure infections, treatment papillomavirus-related dysplasia, vaccinations pneumococcus hepatitis B. Prophylaxis against pathogens recommended when fall below 200 cells per mm3. Lastly, indications antiretroviral therapy symptomatic or those AIDS, pre-AIDS 350 mm3 above 55,000 100,000 copies mL.