Clinical Recommendations

HIVAging leaf The American Academy of HIV Medicine (AAHIVM), the American Geriatrics Society (AGS) and the AIDS Community Research Initiative of America (ACRIA) released the first clinical treatment strategies for managing older HIV patients: The HIV and Aging Consensus Project: Recommended Treatment Strategies for Clinicians Managing Older Patients with HIV in the fall of 2011.

If there is one constant in the field of HIV medicine, it is that of constant change. The science of HIV is an ever changing landscape of new research findings, new medications with new targets and also new side effects. In addition to new populations affected by the epidemic, as the elderly, there is the ever demanding goal of seeking an actual cure for HIV disease.

The authors of the HIV & Aging Recommendations were acutely aware of this fact. In the brief time from the publishing of the document in the fall of 2011 until now, there are many additions, updating of information and re-writes to be completed to keep the document vibrant and relevant.

In anticipation of this reality both the planning committee and expert panel suggested that to keep the recommendations a “living document” that a HIV & Aging Blog be established where a healthy, vibrant dialogue among practitioners, and others could be held. Suggestions for changes to the document would come from those practitioners currently treating elderly HIV patients.

The Expert Panel members and other participants in the HIV & Aging Consensus Project also invite you to join in on this interactive HIV-Age blog become actively involved in advancing the knowledge and communication in this area of medical uncertainty.

This report is part of the Academy’s HIV and Aging Consensus Project, developed to assess how the presence of both HIV and common age-associated diseases, alter the optimal treatment of HIV as well as other co-morbidities. The purpose of this report is to provide best practice guidance for HIV practitioners and other health care providers who treat, diagnose and refer older patients with HIV disease.

Click below to open the entire document. Table of contents are on page 3 and are clickable in the document.

The HIV and Aging Consensus Project

Click below to open a specific chapter.

3. UPDATED: Assessing Frailty and Functional Capacity

5. UPDATED: Multi-Morbidity

7. UPDATED: Detection and Screening for HIV in Older Adults

8. UPDATED: When to Initiate Antiretroviral Therapy in HIV and Aging

9. UPDATED: Immunizations in HIV and Aging

10. UPDATED: Smoking Cessation in HIV and Aging

11. UPDATED: Cardiovascular Disease Screening and Prevention in HIV

12. UPDATED: Diabetes Mellitus in HIV and Aging

13. UPDATED: Drug-drug Interactions and Polypharmacy in HIV and Aging

14. UPDATED: Cancer in HIV and Aging

15. UPDATED: Viral Hepatitis Screening in HIV and Aging

16. UPDATED: Chronic Obstructive Pulmonary Disease in HIV and Aging

17. UPDATED: Sexual Health in HIV and Aging

18. UPDATED: Osteoporosis in HIV and Aging

19. UPDATED: The Kidney in HIV and Aging

20. UPDATED: Hypertension in HIV and Aging

21. UPDATED: Older Age and HIV-Associated Neurocognitive Disorder (HAND)

22. UPDATED: Depression in HIV and Aging

23. UPDATED: Anxiety Disorders in HIV and Aging

24. UPDATED: Substance Use Disorders

25. UPDATED: HIV-1 Associated Peripheral Neuropathologies in HIV and Aging

26. UPDATED: Advance Care Planning in HIV and Aging

28. UPDATED: PrEP and the Older Adult with HIV

29. UPDATED: Nutrition in HIV and Aging

One Response to Clinical Recommendations

  1. “Use of erectile dysfunction medications or other measures for impotence in men and topical estrogen products for vaginal dryness in women can enhance sexual satisfaction, but care in their use is necessary. The prescription should be linked to specific educational efforts on safe sexual practices”

    Really? The prescription should be linked to safe sexual practices?

    I object, and any health care provider who advocates this “linkage” deserves to be dumped by the patient, and the heath care provider exposed, and a suit brought against them.

    Your dealing with aging adults, not children, and I would suggest you keep your nose out of the bedroom all together.

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