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HIV Care Today


New FDA HIV Drug Approvals Unlikely to Have Much Impact, Unless ...
By Paul E. Sax, M.D.
September 28, 2014

If you're an ID doc based in the U.S., you probably received notice last week that two new HIV drugs were approved -- cobicistat and elvitegravir.

And if you're wondering what the big deal is, welcome to the club.

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Quick Question: How Do I Fill Out This Tricky Patient Job or School Form?
By Paul E. Sax, M.D.
September 25, 2014

Hi Paul,
One of my HIV pts, doing wonderfully well, is planning to enroll in a nursing program. She does not want to disclose her HIV status (fine with me), but the hospital requests a list of current meds which, of course, would blow her cover. My inclination is simply to leave the HIV meds off the list, but I asked our legal office who advises me not to do so -- they say just decline to fill out the form. However, I don't like that advice, since it essentially means my patient cannot enroll in the program. Of course I question whether the employer has the legal right to know all the meds, but I can't change that in the short term.

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Could an Integrase Inhibitor Have Prevented One More HIV Infection?
By Monica Gomes, M.D., M.Sc.
September 19, 2014

When it comes to preventing mother-to-child transmission (MTCT) of HIV anywhere in the world, the target must be zero. Of course, we know that a lot of variables may affect the chain of events that can lead to an HIV-infected child.

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Health Insurance Companies Are the Biggest Impediment to PEP and PrEP for HIV Prevention
By Howard Grossman, M.D.
September 12, 2014

Post-exposure prophylaxis (PEP) for HIV, which consists of immediate treatment for possible exposure to HIV to prevent infection, has been the standard of care for quite a few years.

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Is HIV Superinfection Unhealthy?
By Tim Lahey, M.D., M.M.Sc.
August 13, 2014

People who contract HIV once can contract it again, often through the same risk behaviors that led to the initial infection. A long-standing question has been whether getting infected with a second strain of HIV leads to more rapid HIV disease progression than infection with a single strain.

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Best Wishes, Joep
By Benjamin Young, M.D., Ph.D.
July 19, 2014

Best wishes,
Joep


So ended Joep's last email to me.

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Ms. Mississippi Not Cured of HIV. What Next?
By Benjamin Young, M.D., Ph.D.
July 16, 2014

Last year, like many others in the HIV community, I was thrilled to learn that a little girl born in Mississippi with HIV may have been cured of HIV infection by the early initiation of antiretroviral treatment. I thought that we were on the cusp of a monumental public policy and humanitarian advance -- not one that required experimental space-age treatments, but one achievable today with the very antiretroviral tools we already have. The enthusiasm that Ms. Mississippi's story generated demonstrates just how urgently we all desire a HIV cure, even if not for all adults, at least for the babies born to HIV-infected mothers. The community cared about her story, and the media cared about her story. Her story was on the front page of the New York Times and the Wall Street Journal alike.

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I'm an HIV Physician. And I'm Starting PrEP.
By Howard Grossman, M.D.
July 11, 2014

I am a doctor who specializes in LGBT health and HIV medicine. I have spent the last 30 years working to help my patients who have HIV live with the illness and trying to help those who are HIV negative stay that way. I am also a 60-year-old gay man who has spent those same three decades trying to keep myself from becoming infected with HIV. I am tired of being scared, so I am starting on PrEP (pre-exposure prophylaxis). I hope that by sharing my story I may help others make decisions about protecting their own health.

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Few Transgender Women Participate in HIV Research: Reflections From the Field
By Pedro Goicochea, M.Sc., M.A.
July 11, 2014

Male-to-female transgender women (TGW) are the most affected by the HIV/AIDS epidemic. However, little data have been generated on the efficacy of new HIV prevention technologies in this community, and concerns have been raised regarding the participation of TGW in HIV prevention research. I want to share some reflections, based on my experience planning and organizing community education, recruitment and retention of men who have sex with men (MSM) and TGW in HIV/AIDS research in Peru, Ecuador and the U.S. for the past 14 years. I will also try to provide an explanation of why TGW do not participate in HIV prevention research, and recommendations to improve participation.

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Why PrEP Is Essential to Safeguard Black and Hispanic MSM and Transgender Women
By L. Jeannine Bookhardt-Murray, M.D.
July 7, 2014

We are failing our young, black and Hispanic men who have sex with men (MSM) and transgender women. Each year in the U.S., we see nearly 50,000 new HIV infections. New York City remains the epicenter of the country's epidemic. Black MSM and black women, including transgender people, remain deeply impacted.

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This article was provided by TheBodyPRO.com.
 

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