In the past, HIV was often detected late in the disease course and management consisted primarily of treating associated opportunistic infections. With better surveillance and the development of more effective antiretroviral medications with fewer toxic side effects, HIV is in many ways now viewed as a chronic illness requiring long-term management. Despite these advances, an estimated 21% of HIV-infected individuals are unaware of their infection.1 More attention has therefore been focused on identifying these individuals through screening and targeted testing.
KeywordsViral Load Opportunistic Infection Adrenal Insufficiency Elevated Viral Load High Postoperative Complication Rate
- 1.CDC. HIV prevalence estimates–United States, 2006. MMWR. 2008;57[No. 39]:1073–1076.Google Scholar
- 2.Desquilbet L, Jacobson L, Fried LP, et al. Multicenter AIDS cohort study. HIV-1 infection is associated with an earlier occurrence of a phenotype related to frailty. J Gerontol Biol Sci Med Sci. 2007;62A:1279-86.Google Scholar
- 3.CDC. Updated U.S. Public Health Service guidelines for the management of occupational exposures to HIV and recommendations for postexposure prophylaxis. MMWR. 2005;54[No. RR-09]: 1–17.Google Scholar
- 9.CDC. Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings. MMWR. 2006;55[No. RR-14]:1–17.Google Scholar
- 11.Panel on Antiretroviral Guidelines for Adults and Adolescents. Guidelines for the use of antiretroviral agents in HIV-1-infected adults and adolescents. Department of Health and Human Services. January 10, 2011; 1–161. Available at http://www.aidsinfo.nih.gov/ContentFiles/AdultandAdolescentGL.pdf. Accessed 5/7/10.
- 12.Perinatal HIV Guidelines Working Group. Public Health Service Task Force. Recommendations for Use of Antiretroviral Drugs in Pregnant HIV-Infected. Women for Maternal Health and Interventions to Reduce Perinatal HIV Transmission in the United States. May 24, 2010; pp 1–90. Available at http://aidsinfo.nih.gov/ContentFiles/PerinatalGL.pdf. Accessed 3/3/10.