Feb 15, 2011 Issue
Challenges of Improving Adherence to HIV Therapy [Editorials]

The availability of effective antiretroviral medications has greatly improved the clinical management of human immunodeficiency virus (HIV) infection. Current clinical guidelines provide evidence-based approaches that, when used properly, can assist in maximizing efforts to suppress HIV infection. U...

Jul 15, 2010 Issue
Postexposure Prophylaxis Against Human Immunodeficiency Virus [Article]

Family physicians often encounter situations in which postexposure prophylaxis (PEP) with antiretroviral medications against human immunodeficiency virus (HIV) may be indicated. When the exposure source's HIV status is unknown and testing of the source is possible, use of a rapid HIV test kit may fa...

May 15, 2010 Issue
Diagnosis and Initial Management of Acute HIV Infection [Article]

Recognition and diagnosis of acute human immunodeficiency virus (HIV) infection in the primary care setting presents an opportunity for patient education and health promotion. Symptoms of acute HIV infection are nonspecific (e.g., fever, malaise, myalgias, rash), making misdiagnosis common. Becaus...

Dec 15, 2009 Issue
Applying HIV Testing Guidelines in Clinical Practice [Article]

An estimated one fourth of persons with human immunodeficiency virus (HIV) are not aware they are infected. Early diagnosis of HIV has the potential to ensure optimal outcomes for infected persons and to limit the spread of the virus. Important barriers to testing among physicians include insufficie...

Nov 1, 2009 Issue
HIV Infection: The Role of Primary Care [Article]

Human immunodeficiency virus infection was first documented in the United States in 1981. Since that time, significant strides have been made in the prevention and treatment of the condition. Screening is paramount in identifying early infection and is now a routine component of primary care. Primar...

Aug 15, 2009 Issue
ACP Releases Guidance Statement on Screening for HIV [Practice Guidelines]

The American College of Physicians (ACP) guideline presents the evidence on screening for human immunodeficiency virus (HIV) in adults and adolescents older than 13 years. This guidance statement was developed from an evaluation of guidelines from the U.S. Preventive Services Task Force (USPSTF) and...

Apr 1, 2008 Issue
Abstinence-Plus Programs for Prevention of HIV [Cochrane for Clinicians]

Abstinence-plus is sex education that includes information on abstinence, condom use, and contraception. Compared with a variety of controls—including usual care, no intervention, or other programs—there is no evidence of increased rates of pregnancy or sexually transmitted infection (STI). Based on...

Aug 1, 2007 Issue
Antiretroviral Prophylaxis for Occupational Exposure to HIV [Cochrane for Clinicians]

The literature shows that acarbose can reduce the risk of type 2 diabetes in patients with impaired glucose tolerance or impaired fasting glucose. However, it is unclear whether the drug stops or delays the development of the disease or masks the diagnosis. There is no evidence that acarbose use red...

Jan 15, 2006 Issue
Preventive Counseling, Screening, and Therapy for the Patient with Newly Diagnosed HIV Infection [Article]

The epidemic of human immunodeficiency virus (HIV) continues, and the infection is converting into a treatable chronic disease; therefore, it is increasingly important for family physicians to be current with and comfortable in providing basic care to patients infected with HIV. Important aspects of...

Dec 1, 2005 Issue
Screening for HIV: Recommendation Statement [U.S. Preventive Services Task Force]

This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on screening for human immunodeficiency virus (HIV) infection and the supporting scientific evidence, and it updates the 1996 recommendations contained in the Guide to Clinical Preventive Services, 2d ed.

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