HIV Management Guide for Clinical Care and ARV Guidelines

HIV Management Guide for Clinical Care and ARV Guidelines

New HIV Diagnosis

New HIV Diagnosis

John McAllister: HIV Clinical Nurse Consultant, St. Vincent’s Hospital, Sydney Revised and updated by Cherie Bennett Summary This chapter discusses nurses’ roles in caring for people, newly diagnosed with HIV. Introduction Engagement Ensuring engagement and a patient-centred approach Contact tracing Introduction In 2022, 555 Australians received a diagnosis of human immunodeficiency virus (HIV) infection, a 46% …

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Engagement

Providing a person with HIV infection engages with specialist care and achieves sustained HIV suppression with antiretroviral therapy (ART), morbidity is greatly reduced, life expectancy approaches near normal and the chance of onward transmission of HIV is significantly decreased.[2] [3] [4] During 2013, an estimated 1212 people with diagnosed HIV in Australia were not engaged in care.[1] Poor …

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Ensuring engagement and a person-centred approach

Promoting, nurturing and supporting engagement is best realised by providing: support education service coordination. Importantly person-centred approaches need to be adopted to ensure the highest attainable standard of health for people living with HIV and people at risk of HIV acquisition. Person-centred approaches include: centre a person’s autonomy, dignity and rights respect a person’s decisions …

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Contact tracing

Contact tracing is an essential part of the management of a person newly diagnosed with HIV but should rarely be the priority in the initial encounter. People with HIV can experience significant discrimination and rejection. There are implications for employment, relationships, insurance and immigration unless there is a possibility of providing post-exposure prophylaxis (PEP) to …

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References

King J, McManus H, Kwon A, Gray R, & McGregor S. HIV, viral hepatitis and sexually transmissible infections in Australia: Annual Surveillance Report 2023. Sydney: The Kirby Institute UNSW: 2023. Available at https://www.kirby.unsw.edu.au/sites/default/files/documents/Annual-Surveillance-Report-2023_HIV.pdf (accessed 11 June 2024). Mocroft A, Vella S, Benfield TL, et al. Changing patterns of mortality across Europe in patients infected with …

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