Treatment as prevention: are Argentinean HIV care providers willing to adopt earlier antiretroviral therapy?
HIV guidelines increasingly recommend antiretroviral therapy (ART) initiation at a higher CD4 levels. The extent to which these evolving standards are translated into routine clinical care has not been evaluated in Argentina. During October 2012, we conducted an online survey among Argentinean HIV clinicians to assess their attitudes and practices toward ART initiation and its potential use for HIV prevention. Of the 280 physicians included, 61% would prescribe ART at CD4 ≤ 500 cells/µL for asymptomatic patients. Although, only 11% would recommend ART irrespective of CD4 cell count, 72% would do it for serodiscordant couples, and 75% for sex workers. Most participants agreed that they would consider earlier initiation of ART if transmission risk exists, and that expansion of ART could help decrease HIV incidence. These results suggest that a large proportion of Argentinean HIV care providers are willing to adopt the recently updated Argentinean guidelines recommending earlier ART, especially when high HIV transmission risk exists.
a Fundación Huésped , Buenos Aires , Argentina.
María Eugenia
ME
Socías
Omar
O
Sued
Daniel
D
Pryluka
Patricia
P
Patterson
Valeria
V
Fink
Carina
C
Cesar
Pedro
P
Cahn
D000328:Adult; D044966:Anti-Retroviral Agents / Q000008:administration & dosage*; D023241:Antiretroviral Therapy, Highly Active; D001118:Argentina; D001291:Attitude of Health Personnel; D018791:CD4 Lymphocyte Count; D005260:Female; D015658:HIV Infections / Q000188:drug therapy* / Q000517:prevention & control* / Q000635:transmission / Q000821:virology; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D010820:Physicians; D010818:Practice Patterns, Physicians'; D055502:Secondary Prevention
D044966:Anti-Retroviral Agents
Argentina; HIV prevention; antiretroviral therapy; survey; treatment as prevention