TimingTesting
Preexposure prophylaxisEvery three to four months
HIV fourth-generation testing; results are not needed before cabotegravir (Apretude) injections
Gonorrhea, chlamydia, and syphilis testing*
Pregnancy testing
Creatinine level, unless taking cabotegravir (Apretude)
HIV RNA level if taking cabotegravir (Apretude)
Annually
Hepatitis C antibody testing
Initial HIV diagnosis and starting treatmentHIV RNA level
CD4 cell count
HIV RT-pro genotype testing
STI and viral hepatitis screening
Cryptococcal antigen testing if CD4 cell count < 100 cells per μL
HIV integrase genotype testing if taking cabotegravir (Apretude) preexposure prophylaxis or if partner has failing regimen with integrase strand transfer inhibitor
Human leukocyte antigen B*5701 testing if starting abacavir (Ziagen)
During treatmentHIV RNA level every three months until suppressed, then every six months
CD4 cell count every six months until 250 cells per μL for one year, then stop if RNA level is suppressed
STI and viral hepatitis screening
HIV RT-pro genotype testing if switching to injectable medications
Virologic failureHIV RNA level
CD4 cell count
HIV RT-pro genotype testing
STI and viral hepatitis screening
HIV integrase genotype testing if failing regimen includes an integrase strand transfer inhibitor
Viral trophism testing if switching to maraviroc (Selzentry)