Initial assessment for patients with HIV: Difference between revisions
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Revision as of 20:36, 22 September 2019
History
- Date and context of diagnosis
- History of Opportunistic infections in HIV
- Sexual history
Investigations
- HIV-specific
- CD4 count
- HIV-RNA viral load
- HLA B5701 genotyping (for abacavir)
- Genetic resistance assays
- G6PD deficiency
- STIs and coinfections
- Hepatitis A, B, and C serologies
- Syphilis
- Three-site mucosal (genital/rectal/throat) NAAT for chlamydia and gonorrhea
- Routine
- CBC, lytes, creatinine
- Fasting lipids
- Urinalysis (glucose and protein)
Initial regimens
- All are integrase inhibitor with two nucleoside analogues
- Consider one of the [HIV single-tablet regimens](Single-tablet regimens.md)
- Triumeq (if HLA B5701 negative): dolutegravir, abacavir, and lamivudine
- Truvada (tenofovir/TDF and emtricitabine) with either dolutegravir or raltegravir
- Stribild: elvitegravir/cobicistat/tenofovir disoproxil/emtricitabine
- Complera: emtricitabine/rilpivirine/tenofovir disoproxil
