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Professor of Medicine and Pediatrics. CCLCM of CWRU. Father and husband. TKD Master. 🥋 RT ≠ endorsement. Governor @OhioACP

Apr 13, 2021, 11 tweets

World-class ⁦@ClevelandClinic⁩ Hospital Medicine Grand Rounds! Dr. ⁦@JoseRCastilloM1⁩ presenting an Update on HIV Treatment! #meded@BrendaCrabtreeR⁩ ⁦@doctormacias⁩ ⁦@jsmadero⁩ ⁦@CarlosdelRio7⁩ ⁦@DocWoc71

Superb summary of all #HIV therapies!

Basic three drugs antiretroviral inhibitors regime.

Survival of HIV patients have risen to ~ 55 years after age of diagnosis!

If patient has < 500,000 copies, and has no resistance, then a simplified 2 drug regime can be used.

Impressive! Parenteral HIV therapy. Two IM injections once a month with good viral suppression.

Novel HIV treatment - including monoclonal antibodies - the sky is the limit!

It is important to screen the hospitalized patient for HIV!!! See the percentage of asymptomatic patients who are unaware of the diagnosis - 15%!!!!

Strong consideration to initiate antiretroviral therapy in newly diagnosed HIV patients - it is a huge window of opportunity!

Lesson # 3 - don’t miss opportunistic infections

Don’t forget to evaluate for potential medication interactions. See this app below👇🏻.

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