Project Workgroup for the 2014 Recommendations for HIV Prevention with Adults and Adolescents with HIV in the United States.

Report

Guidelines and Recommendations

Supersedes Incorporating HIV prevention into the medical care of persons living with HIV; recommendations of CDC, the Health Resources and Services Administration, the National Institutes of Health, and the HIV Medicine Association of the Infectious Diseases Society of America.

Recommendations for HIV Prevention with Adults and Adolescents with HIV in the United States, 2014 updates and expands the 2003 guideline,Incorporating HIV prevention into the medical care of persons living with HIV; recommendations of CDC, the Health Resources and Services Administration, the National Institutes of Health, and the HIV Medicine Association of the Infectious Diseases Society of America.This 2014 guideline was developed by Centers for Disease Control and Prevention (CDC), the Health Resources and Services Administration (HRSA), the National Institutes of Health (NIH), and five nongovernmental organizations: the American Academy of HIV Medicine, the Association of Nurses in AIDS Care, the International Association of Providers of AIDS Care, the National Minority AIDS Council, and the Urban Coalition for HIV/AIDS Prevention Services. These recommendations are intended to advance the primary goals of the National HIV/AIDS Strategy for the United States: prevent new HIV infections, increase the proportion of persons with HIV who are aware of their infection, prevent HIV-related illness and death, and reduce HIV-related health disparities.

This updated guideline is a comprehensive compilation of new and longstanding federal recommendations about biomedical, behavioral, and structural interventions that can help reduce the risk of HIV transmission from persons with HIV by reducing their infectiousness and their risk of exposing others to HIV. The recommendations pertain to:

• social, ethical, and legal issues

• linkage to and retention in HIV medical care

• antiretroviral treatment to prevent transmission

• adherence to HIV treatment

• screening for behavioral and biomedical risk factors for HIV transmission and risk-reduction interventions

• services for sex- and drug-injection partners of persons with HIV

• sexually transmitted disease preventive services

• reproductive health and pregnancy-related services for women and men

• other medical and social services that affect HIV transmission or use of HIV services

• evaluation and improvement of HIV prevention and care services.

The three main audiences of this guideline are clinical providers, nonclinical providers, and staff of health departments and HIV planning groups who provide population-level HIV prevention and care services. Three Summary Guides (see links below) contain the subset of recommendations for each of the three audiences. The guideline may also interest persons with HIV; partners of persons with HIV; specialists in HIV planning, service delivery, policy and legislation; and managers of medical assistance programs, health insurance plans, and health systems that serve persons with HIV.

Guideline users can find additional resources at http://www.cdc.gov/hiv/prevention/programs/pwp/. This Web site includes a Resource Library with links to dozens of practical decision-support tools, training aids, fact sheets, and other materials to support implementation of the recommendations.

Suggested citation: Centers for Disease Control and Prevention, Health Resources and Services Administration, National Institutes of Health, American Academy of HIV Medicine, Association of Nurses in AIDS Care, International Association of Providers of AIDS Care, the National Minority AIDS Council, and Urban Coalition for HIV/AIDS Prevention Services. Recommendations for HIV Prevention with Adults and Adolescents with HIV in the United States, 2014. 2014. http://stacks.cdc.gov/view/cdc/26062