ASHM Report Back
Clinical posts from members and guests of the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) from various international medical and scientific conferences on HIV, AIDS, viral hepatitis, and sexual health.
Highlights of Day 3 Glasgow 2016
Day 3 started with an excellent Symposium " Helping the Patients Stay on Course"
The session started with the importance of adherence to treatment and the barriers to this - the most common one being depression. 45% of cases of depression do unrecognised in HIV clinical care so if we are to look at the 90 90 90 target we need to make sure that we address the Mental Health needs of our patients to start to attempt to address this but more important is the fourth 90 - the quality of life.
Moises Agosto is a PLWHIV who is a Public health Physician and he gave a very personal account of the patient aspect and the doctor aspect. He also addressed the ageing of the HIV epidemic and the impact of comorbidities becoming more important after the age of 50 years.
The second session was "Comorbidities and HIV management"and looked at the needs of HIV patients today and 10 years ago - particularly cognitive function and neuropsychiatric events - in particular looking at discontinuation of treatment due to adverse drug interactions and side effects.
During the lunch break there was a very interesting session on APPS and New technology in the Management of HIV infection and using social media to get the messages out to the target audience.
There was also discussion about medical APPS and privacy issues - should we be worried about confidentiality?? Should the medical APPS be developed by clinicians or IT gurus?
Andri Rauch presented a very interesting session on HCV therapies and the remaining challenges - the take home message for me was that an SVR reduces the risk of HCC but does not eliminate it - do not forget the HCV treatment successes because they may not be a long term success.