Early ART Initiation Improves Survival in Resource-Limited Settings
MEETING REPORT
New findings from Haiti (described at IAS 2009) support starting ART when CD4 counts fall below 350 cells/mm3 — the same threshold that is recommended in resource-rich settings.
Maternal ART Reduces Transmission of HIV through Breast-Feeding
MEETING REPORT
In a study conducted in Botswana (and reported at IAS 2009), the rate of mother-to-child transmission was only 1% among breast-feeding women who received ART through 6 months postpartum.
Nevirapine vs. Boosted Atazanavir — The ARTEN Study
MEETING REPORT
August 31, 2009
Paul E. Sax, MD
The combination of nevirapine + tenofovir + FTC (or 3TC) is safe and effective in treatment-naive patients, according to data presented at IAS 2009.
GSK572 — A "Next-Generation" Integrase Inhibitor?
MEETING REPORT
Early data presented at IAS 2009 are encouraging.
Abacavir and CVD — Again
MEETING REPORT
August 31, 2009
Paul E. Sax, MD
One large study presented at IAS 2009 supported an association between abacavir and cardiovascular risk, but another did not.
Strategies for Antiretroviral Deintensification
MEETING REPORT
Data presented at IAS 2009 highlighted new approaches to PI therapy for patients with virologic suppression, including simplifying ritonavir-boosted atazanavir to unboosted atazanavir and trying to sustain suppression using darunavir without nucleosides. Success rates differed among these strategies.
Risk for Vertical Postpartum HIV Transmission During Acute Infection
SUMMARY AND COMMENT
In a retrospective case series of women who acquired HIV from postpartum blood transfusions, the absolute risk for transmitting HIV vertically through breast-feeding was 36%.
Reviewing:
Liang K et al., J Infect Dis 2009 Sep 1; 200:682
Lockman S and Creek T., J Infect Dis 2009 Sep 1; 200:667
Report from the XVIII International HIV Drug Resistance Workshop
MEETING REPORT
August 24, 2009
Daniel R. Kuritzkes, MD
An expert's take on the most clinically relevant reports from this year's resistance meeting
Primary Care for HIV-Infected Patients — New IDSA Guidelines
CLINICAL PRACTICE GUIDELINE WATCH
The recommendations encompass both HIV-specific care and overall health maintenance.
Reviewing:
Aberg JA et al., Clin Infect Dis 2009 Sep 1; 49:651
DOT — Not Worth the Effort in Treatment-Naive HIV Patients
SUMMARY AND COMMENT
An open-label, randomized trial failed to show a lasting advantage for modified directly observed antiretroviral therapy over self-administered therapy.
Reviewing:
Gross R et al., Arch Intern Med 2009 Jul 13; 169:1224