Initiating HAART at the DHHS Guidelines (February 4, 2002): Just do it, but Much Later!

Initiating HAART at the DHHS Guidelines (February 4, 2002): Just do it, but Much Later!

Pablo Barreiro

Department of Infectious Diseases, Hospital Carlos III-La Paz University Hospital. Madrid, Spain

*Correspondence: Pablo Barreiro, Email not available

Abstract

In February, a new version of the US DHHSGuidelines for the use of antiretroviral agents inadults was released. Little changes were introducedregarding the use of viral load and CD4+cell counts for the monitoring of HAART. Inpatients under antiretroviral therapy, optimal virussuppression should be considered only whenviral load is below 50 HIV-RNA copies/ml, and thedefinition of virological success should require atleast six months on therapy. With respect to criteriafor initiating HAART in asymptomatic individuals,a trend towards a more conservativeapproach is given.

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