Abstract
A maximum of 3 CEUs will be awarded per correctly completed test.CPD questionnaires must be completed online at www.mpconsulting.co.za. After submission, you can check the answers and print your certificate.This programme is available free of charge to members of the SA HIV Clinicians Society and SAMA only.
Highlights
In stable patients with suppressed viral loads and CD4+ >200 cells/uL, it may be possible to stop CD4+ monitoring as it adds little to clinical management
If HIV diagnosis is made using rapid tests outside of the laboratory, confirmation of HIV infection using a laboratory-based test (viral load or enzyme-linked immunosorbent assay (ELISA)) is advised before ART initiation to rule out false positive rapid-test results
Talaromyces marneffei is a common AIDS-defining opportunistic infection in South-east Asia and central Africa, which may resemble disseminated tuberculosis, and which is sensitive to fluconazole
Summary
7. Any detectable viral load (e.g. above 50 copies/mL) is significant and requires interventions to improve adherence. 8. In stable patients with suppressed viral loads and CD4+ >200 cells/uL, it may be possible to stop CD4+ monitoring as it adds little to clinical management. 9. In patients who are seroconverting (newly infected with HIV), immediate ART initiation may be associated with improved viral control and long-term health outcomes.
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