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CDC releases updated HIV prevention guidelines

The CDC has published new recommendations for HIV prevention involving adults and adolescents with the virus. The guideline is an update to a 2003 publication, covering seven additional topics, including antiretroviral therapy and multiple factors influencing transmission and access to care and services.

Geared toward clinical providers, nonclinical providers and staff of health departments and HIV planning groups who provide population-level HIV prevention and care services, the guidelines are a comprehensive compilation of new and longstanding federal recommendations about biomedical, behavioral, and structural interventions that can help reduce the risk of HIV transmission from persons with HIV by reducing their infectiousness and their risk of exposing others to HIV. The new guidelines include recommendations on:

• Social, ethical and legal issues
• Linkage to and retention in HIV medical care
• Antiretroviral treatment to prevent transmission
• Adherence to HIV treatment
• Screening for behavioral and biomedical risk factors for HIV transmission and risk-reduction interventions
• Services for sex- and drug-injection partners of persons with HIV
• Sexually transmitted disease preventive services
• Reproductive health and pregnancy-related services for women and men
• Other medical and social services that affect HIV transmission or use of HIV services
• Evaluation and improvement of HIV prevention and care services.

The guidelines also include updates and expand recommendations on the four topics covered by the 2003 recommendations on:
• Screening for behaviors that could transmit HIV and behavioral interventions to reduce the risk
of transmission
• STD screening, treatment and other sexual health services that may reduce the risk of HIV
transmission
• Services for sex partners and drug-injection partners of persons with HIV (known as HIV partner
services)
• Referral for other medical and social services that influence HIV transmission or use of HIV
prevention and care services.

This report also includes recommendations on seven topics that were not described in detail in the 2003, which include:
• Individual, social, structural, ethical, legal, policy and programmatic factors that influence HIV transmission and use of HIV prevention and care services
• Linkage to and retention in HIV medical care
• Use of antiretroviral treatment for improving health and for preventing HIV transmission
• Methods to achieve sustained high adherence to ART to reduce infectiousness
• Reproductive health care for women and men to reduce the risk of sexual HIV transmission when attempting conception or unintended pregnancy, thereby reducing the risk of perinatal HIV
transmission
• Pregnancy-related services to reduce the risk of sexual or perinatal transmission during
recognized pregnancy
• Methods to monitor, evaluate, and improve the quality of HIV prevention and care services and programs for persons with HIV.

The 2014 guidelines were developed by the CDC, the Health Resources and Services Administration, the National Institutes of Health, and five nongovernmental organizations: the American Academy of HIV Medicine, the Association of Nurses in AIDS Care, the International Association of Providers of AIDS Care, the National Minority AIDS Council and the Urban Coalition for HIV/AIDS Prevention Services.
To access the guidelines, visit http://stacks.cdc.gov/view/cdc/26062.

By | 2014-12-23T00:00:00-05:00 December 23rd, 2014|Categories: National|0 Comments

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