Introduction

Editor  TOP

JEAN R. ANDERSON, MD

Associate Professor
Departments of Gynecology, Obstetrics, and Medicine
The Johns Hopkins University School of Medicine
Departments of Population and Family Health Sciences
The Johns Hopkins University School of Public Health

Recommendations change rapidly in HIV care, so the care provider is cautioned that this edition is dated 2005. For the most current and continually updated HIV/AIDS treatment guidelines, contact AIDSinfo at:

http://www.aidsinfo.nih.gov

This Guide contains information relating to general principles of medical care which should not be construed as specific instructions for individual patients. Some of the information may cite the use of a particular drug in a dosage, for an indication, or in a manner other than recommended. Therefore, the manufacturer’s package inserts should be consulted for complete prescribing information.

DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH RESOURCES AND SERVICES ADMINISTRATION
HIV/AIDS BUREAU
PARKLAWN BUILDING, ROOM 7-13
5600 FISHERS LANE
ROCKVILLE MD 20857
http://www.hab.hrsa.gov
Publication date 2005

Forward  TOP

A Guide to the Clinical Care of Women with HIV is a comprehensive clinical manual that addresses the primary care needs unique to women with HIV infection. The target audience is clinicians who provide primary care to women as well as those seeking a more in-depth understanding of how to care for women with HIV/AIDS. This 2005 edition of the guide, first published in 2001, has been updated and chapters have been added on international issues and nutrition.

A manual devoted specifically to the care of women with HIV is important. Because women are often challenged by social isolation, poverty, discrimination and lack of access to quality health care, they tend to be diagnosed later and to have poorer health status than men. They must contend with vulnerability related to reproductive and gender issues and domestic violence. Finally, women living with HIV are usually relied upon to meet the care needs of children and other family members, many of whom are also HIV-positive.

Dedication  TOP

We want to acknowledge the women with HIV/AIDS who have been the inspiration for this Guide. Their strength is celebrated and their struggle is not forgotten. We offer this Guide as a tribute to them, and to the providers who have taken on this struggle and made it their own.

Acknowledgements  TOP

A number of people made this Guide possible. Joan Holloway provided the framework for the Guide’s inception and development. Magda Barini-García, MD, MPH was the Project Officer who shepherded and oversaw the project. Helen Schietinger, the project manager, coordinated the production process and brought it to fruition. Laura Spofford designed the cover. For the 2005 edition, Patrice Lincoln was the typographer and designer and Bill Todd was the copyeditor and indexer.

For the 2005 Edition, the chapters were reviewed by the following experts:

Dawn Averitt

Founder and CEO, The Well Project

Kirsten B. Balano, PharmD

University of California, San Francisco

John G. Bartlett, MD

The Johns Hopkins University School of Medicine

Gail V. Berkenblit, MD, PhD

The Johns Hopkins University School of Medicine

Jonathan Ellen, MD

The Johns Hopkins University School of Medicine

Thurma McCann Goldman, MD

HIV/AIDS Bureau, HRSA

Laura A. Guay MD

The Johns Hopkins University School of Medicine

Lisa Ruth Hirschhorn, MD

Harvard University Medical School

Gregory M. Lucas, MD, PhD

The Johns Hopkins University School of Medicine

Mary E. McCaul, PhD

The Johns Hopkins University School of Medicine

Howard L. Minkoff, MD

State University of New York at Stonybrook School of Medicine

Helen Miramontes, RN, MSN, FAAN

School of Nursing, University of California, San Francisco (Emeritus)

Ila Mulasi, MD

University of Maryland School of Medicine

Eula W. Pines, PhD, APRN, BC

University of the Incarnate Word

Timothy R. Sterling, MD

Vanderbilt University School of Medicine

Glenn J. Treisman, MD, PhD

The Johns Hopkins University School of Medicine

Ruth Ellen Tuomala, MD

Harvard University Medical School

Jonathan Zenilman, MD

The Johns Hopkins University School of Medicine

Contributing Authors  TOP

Silvia M. Abularach, MD, MPH

Assistant Professor
Department of Gynecology and Obstetrics
The Johns Hopkins University School of Medicine
Baltimore, MD, U.S.

Carla S. Alexander, MD

Assistant Professor of Medicine
University of Maryland School of Medicine
Baltimore, MD, U.S.

Jean R. Anderson, MD

Associate Professor
Departments of Gynecology, Obstetrics, and Medicine
The Johns Hopkins University School of Medicine
Departments of Population and Family Health Sciences
The Johns Hopkins University School of Public Health
Baltimore, MD, U.S.

Barbara Aranda-Naranjo, PhD, RN, FAAN

Scanlon Endowed Chair in Values Based Health Care
Nursing and Health Studies
Georgetown University
Washington, DC, U.S.

Jared M. Baeten, MD, PhD

Department of Medicine
Massachusetts General Hospital
Boston, MA, U.S.

Patricia Barditch-Crovo, MD

Assistant Professor
Division of Infectious Diseases
The Johns Hopkins University School of Medicine
Baltimore, MD, U.S.

Magda Barini-García, MD, MPH

Senior Medical Advisor
HRSA Center for Quality
HIV/AIDS Bureau, Health Resources and Services Administration
Rockville, MD, U.S.

Victoria A. Cargill, MD, MSCE

Director of Minority Research, Director of Clinical Studies
Office of AIDS Research
National Institutes of Health
Bethesda, MD, U.S.

Connie Celum, MD, MPH

Professor of Medicine and Adjunct Professor of Epidemiology
University of Washington
Seattle, WA, U.S.

Laura Cheever, MD, ScM

Deputy Associate Administrator
Chief Medical Officer
HIV/AIDS Bureau, Health Resources and Services Administration
Rockville, MD, U.S.

Rachel Davis, RN, ACRN

Field Nurse Case Manager
Concentra Integrated Services, Inc.
Pleasanton, TX, U.S.

Judith Y. Ellis, MS

Division of Training and Technical Assistance
HRSA Center for Quality
HIV/AIDS Bureau, Health Resources and Services Administration
Rockville, MD, U.S.

Judith Feinberg, MD

Professor of Medicine
University of Cincinnati College of Medicine
Cincinnati, OH, U.S.

Henry Francis, MD

Director, Center on AIDS and Other Medical Consequences of Drug Abuse (CAMCODA)
National Institute on Drug Abuse, National Institutes of Health
Bethesda, MD, U.S.

Donna Futterman, MD

Professor of Clinical Pediatrics, Albert Einstein College of Medicine
Director, Adolescent AIDS Program, Montefiore Medical Center
Bronx, NY, U.S.

Monica Gandhi, MD, MPH

Assistant ProfessorDivision of Infectious Diseases
University of California, San Francisco
San Francisco, CA, U.S.

Ruth M. Greenblatt, MD

Professor of Medicine, Epidemiology and Biostatistics
University of California at San Francisco
San Francisco, CA, U.S.

Nancy A. Hessol, MSPH

Assistant Professor Department of Medicine
University of California, San Francisco
San Francisco, CA, U.S.

Dorothy Kasonde, MBCHB, MMed

Antiretroviral Consultant
JHPIEGO/Zambia
Lusaka, Zambia

Joyce Seiko Kobayashi, MD

Associate Professor
University of Colorado Health Sciences Center
Denver, CO, U.S.

Rani Lewis, MD

Division Director for Maternal Fetal Medicine
Meharry School of Medicine
Nashville, TN, U.S.

Janine Maenza, MD

Clinical Assistant Professor
Division of Allergy and Infectious Diseases, Department of Medicine
University of Washington
Seattle, WA, U.S.

Paul Pham, PharmD

Research Associate
Division of Infectious Diseases
The Johns Hopkins University School of Medicine
Baltimore, MD, U.S.

Moses Pounds, PhD

Deputy Chief
Service Evaluation and Research Branch
Office of Science & Epidemiology
HIV/AIDS Bureau, Health Resources and Services Administration
Rockville, MD, U.S.

Helen Schietinger, MA, ACRN

HIV Policy Analyst
Washington, DC, U.S.

Suniti Solomon, MD

Founding Director
Y.R.Gaitonde (YRG) Centre for AIDS Research and Education
Chennai, India

Valdiléa Gonçalves Veloso Dos Santos, MD, MSc

Associate Researcher
Evandro Chagas Clinical Research Institute
Oswaldo Cruz Foundation
Rio Di Janiero, Brazil

Chia C. Wang, MD, MS

Assistant Professor Department of Medicine
Division of Infectious Diseases University of Washington
Seattle, WA, U.S.

Abbreviations  TOP

Nos A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

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I  SECTION TOP

J  SECTION TOP

K  SECTION TOP

L  SECTION TOP

M  SECTION TOP

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O  SECTION TOP

P  SECTION TOP

Q  SECTION TOP

R  SECTION TOP

S  SECTION TOP

T  SECTION TOP

U  SECTION TOP

V  SECTION TOP

W  SECTION TOP

Y  SECTION TOP