Treatment FAQ

how to define high quality hiv treatment

by Dr. Arjun Mante Sr. Published 3 years ago Updated 2 years ago
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HIV treatment involves taking highly effective medicines called antiretroviral therapy (ART) that work to control the virus. ART is recommended for everyone with HIV, and people with HIV should start ART as soon as possible after diagnosis, even on that same day. People on ART take a combination of HIV medicines called an HIV treatment regimen.

Full Answer

What is the treatment for HIV called?

The treatment for HIV is called antiretroviral therapy (ART). ART involves taking a combination of HIV medicines (called an HIV treatment regimen) every day. ART is recommended for everyone who has HIV. ART can’t cure HIV, but HIV medicines help people with HIV live longer, healthier lives.

How is HIV treated with art?

ART involves taking a combination of HIV medicines (called an HIV treatment regimen) every day. ART is recommended for everyone who has HIV. People with HIV should start taking HIV medicines as soon as possible. ART cannot cure HIV, but HIV medicines help people with HIV live longer, healthier lives.

How effective is treatment as prevention for HIV?

People living with HIV who take HIV medication daily as prescribed and get and keep an undetectable viral load have effectively no risk of sexually transmitting HIV to their HIV-negative partners. This is called treatment as prevention.

What is HIV testing and why is it important?

An individual's knowledge of their HIV status is essential to a successful HIV response. HIV testing services (HTS) are the first step in the clinical cascade and ensuring that people living with HIV (PLHIV) are diagnosed and linked to prevention, treatment and care.

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What is the gold standard for HIV treatment?

An international team of AIDS researchers at Johns Hopkins and other institutions has found that a once-daily combination of three antiretroviral drugs works better as an initial treatment for HIV infection than another three-drug combination long considered the gold standard. Reporting in the Jan.

What are the current best treatments for HIV?

The treatment for HIV is called antiretroviral therapy (ART). ART involves taking a combination of HIV medicines (called an HIV treatment regimen) every day. ART is recommended for everyone who has HIV. ART cannot cure HIV, but HIV medicines help people with HIV live longer, healthier lives.

Which is usually the most important consideration in the decision to initiate antiretroviral therapy?

[17,18] Regardless of CD4 cell count, the decision to initiate ART should always include consideration of any co-morbid conditions, the willingness and readiness of the patient to initiate therapy, and the availability of resources.

How can you monitor the effectiveness of HIV treatment?

HIV viral load tests provide a picture of viral activity, while CD4 cell counts shed light on the status of the immune system and can help physicians to predict and prevent the development of opportunistic infections. These tests can help guide treatment decisions and indicate whether treatment is working.

What is the name of the new ARV pill?

The backbone of the new pill is dolutegravir, a remarkably powerful and safe ARV that inhibits HIV's integrase enzyme and has been too expensive for most poor and middle-income countries to afford.

What is first-line of treatment?

THAYR-uh-pee) The first treatment given for a disease. It is often part of a standard set of treatments, such as surgery followed by chemotherapy and radiation. When used by itself, first-line therapy is the one accepted as the best treatment.

At what CD4 count should ART be initiated?

As a priority, ART should be initiated among all adults with severe or advanced HIV clinical disease (WHO clinical stage 3 or 4) and adults with CD4 count ≤350 cells/mm3 (strong recommendation, moderate-quality evidence).

At what CD4 level should antiretroviral therapy start?

The authors conclude that a CD4 threshold of 350 cells/μL may be the optimal (or at least minimal) threshold for initiating antiretroviral therapy.

At what CD4 count is ART started?

ART should be commenced in individuals with a CD4 count of ≤350 cells/mm3.

How do you interpret viral load results?

What do the results mean?A normal result means no HIV was found in your blood, and you are not infected.A low viral load means the virus is not very active and probably means your HIV treatment is working.A high viral load means the virus is more active and your treatment is not working well.

What is the normal CD4 cell count?

A normal CD4 count is from 500 to 1,400 cells per cubic millimeter of blood. CD4 counts go down over time if you do not take ART. At levels below 200 cells per cubic millimeter, you are more likely to get to a wide variety of OIs, many of which can be deadly.

What is cb4 count?

A CD4 count is a test that measures the number of CD4 cells in your blood. CD4 cells, also known as T cells, are white blood cells that fight infection and play an important role in your immune system.

What Is HIV Treatment?

HIV treatment involves taking medicines that slow the progression of the virus in your body. HIV is a type of virus called a retrovirus, and the combination of drugs used to treat it is called antiretroviral therapy (ART). ART is recommended for all people living with HIV, regardless of how long they’ve had the virus or how healthy they are. ART must be taken every day, exactly as your health care provider prescribes.

Why Is HIV Treatment Important?

Getting and staying on HIV treatment because it reduces the amount of HIV in your blood (also called the viral load) to a very low level. This keeps you healthy and prevents illness. There is also a major prevention benefit. People living with HIV who take HIV medication daily as prescribed and get and keep an undetectable viral load have effectively no risk of sexually transmitting HIV to their HIV-negative partners. This is called treatment as prevention.

What Is HIV Drug Resistance?

Drug resistance can be a cause of treatment failure for people living with HIV. As HIV multiplies in the body, it sometimes mutates (changes form) and produces variations of itself. Variations of HIV that develop while a person is taking ART can lead to drug-resistant strains of HIV.

What is drug resistance testing?

Drug-resistance testing identifies which, if any, HIV medicines won’t be effective against your specific strain of HIV. Drug-resistance testing results help determine which HIV medicines to include in an HIV treatment regimen. Taking HIV medication every day, exactly as prescribed helps prevent drug resistance.

Why do you prescribe HIV?

Your health care provider may prescribe medicines to prevent certain infections. HIV treatment is most likely to be successful when you know what to expect and are committed to taking your medicines exactly as prescribed.

How soon can you start ART for HIV?

Treatment guidelines from the U.S. Department of Health and Human Services recommend that a person living with HIV begin ART as soon as possible after diagnosis. Starting ART slows the progression of HIV and can keep you healthy for many years.

Can HIV drugs prevent HIV?

With drug resistance, HIV medicines that previously controlled a person’s HIV are not effective against new, drug-resistant HIV. In other words, the HIV medicines can't prevent the drug-resistant HIV from multiplying. Drug resistance can cause HIV treatment to fail. A person can initially be infected with drug-resistant HIV or develop ...

HIV Testing Services

An individual's knowledge of their HIV status is essential to a successful HIV response. HIV testing services (HTS) are the first step in the clinical cascade and ensuring that people living with HIV (PLHIV) are diagnosed and linked to prevention, treatment and care.

2020 Achievements

Provided HIV testing services to 23,341,538 million people across 48 countries. Of that population, over one million people tested positive for HIV and were linked to treatment services.

Additional Resources

USAID supported the development of the following resources that illustrate the state-of-the-art evidence, best practices, or recommendations on key issues related to HTS:

What is the treatment for HIV?

However, there are many medications that can control HIV and prevent complications. These medications are called antiretroviral therapy (ART). Everyone diagnosed with HIV should be started on ART, regardless of their stage of infection or complications.

How to diagnose HIV?

Diagnosis. HIV can be diagnosed through blood or saliva testing. Available tests include: Antigen/antibody tests. These tests usually involve drawing blood from a vein. Antigens are substances on the HIV virus itself and are usually detectable — a positive test — in the blood within a few weeks after exposure to HIV.

What test can help determine if you have HIV?

If you receive a diagnosis of HIV / AIDS, several tests can help your doctor determine the stage of your disease and the best treatment, including: CD4 T cell count. CD4 T cells are white blood cells that are specifically targeted and destroyed by HIV. Even if you have no symptoms, HIV infection progresses to AIDS when your CD4 T cell count dips ...

What is HIV RNA?

Viral load (HIV RNA). This test measures the amount of virus in your blood. After starting HIV treatment the goal is to have an undetectable viral load. This significantly reduces your chances of opportunistic infection and other HIV -related complications.

What are the services that are available to people with HIV?

Services they may provide: Arrange transportation to and from doctor appointments.

Does HIV go away?

Treatment should lower your viral load so that it's undetectable in the blood. That doesn't mean your HIV is gone. Even if it can't be found in the blood, HIV is still present in other places in your body, such as in lymph nodes and internal organs.

Is HIV a life threatening illness?

Receiving a diagnosis of any life-threatening illness is devastating. The emotional, social and financial consequences of HIV / AIDS can make coping with this illness especially difficult — not only for you but also for those closest to you.

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Diagnosis

  • HIVcan be diagnosed through blood or saliva testing. Available tests include: 1. Antigen/antibody tests. These tests usually involve drawing blood from a vein. Antigens are substances on the HIV virus itself and are usually detectable — a positive test — in the blood within a few weeks after exposure to HIV.Antibodies are produced by your immune sy...
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Treatment

  • Currently, there's no cure for HIV/AIDS. Once you have the infection, your body can't get rid of it. However, there are many medications that can control HIV and prevent complications. These medications are called antiretroviral therapy (ART). Everyone diagnosed with HIV should be started on ART, regardless of their stage of infection or complications. ART is usually a combina…
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Clinical Trials

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

Lifestyle and Home Remedies

  • Along with receiving medical treatment, it's essential to take an active role in your own care. The following suggestions may help you stay healthy longer: 1. Eat healthy foods.Make sure you get enough nourishment. Fresh fruits and vegetables, whole grains, and lean protein help keep you strong, give you more energy and support your immune system. 2. Avoid raw meat, eggs and mo…
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Alternative Medicine

  • People who are infected with HIV sometimes try dietary supplements that claim to boost the immune system or counteract side effects of anti-HIVdrugs. However, there is no scientific evidence that any nutritional supplement improves immunity, and many may interfere with other medications you're taking. Always check with your doctor before taking any supplements or alter…
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Coping and Support

  • Receiving a diagnosis of any life-threatening illness is devastating. The emotional, social and financial consequences of HIV/AIDScan make coping with this illness especially difficult — not only for you but also for those closest to you. But today, there are many services and resources available to people with HIV. Most HIV/AIDSclinics have social workers, counselors or nurses wh…
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Preparing For Your Appointment

  • If you think you might have HIV infection, you're likely to start by seeing your family doctor. You may be referred to an infectious disease specialist — who additionally specializes in treating HIV/AIDS.
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