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.
“You have HIV and you must start treatment today" - how urgent is the need to start?
Individual benefit as well as prevention benefits.
But do they really need to start that day, or does a few weeks matter?
Rapid intervention in the US combined the first few visits into one to initiate treatment earlier.
Of 227 patients in a clinic 39 underwent rapid initiation.
70% of participants had acute HIV.
All had no insurance.
90% opted to start ARVs on the first day.
1 in 4 required a change in their ARVs within the first 18 months compared to none who were not recruited on to rapid intervention.
The rapid intervention group still had to attend multiple times for a variety of reasons.
High dropout rates in the rapid intervention group.