Treatment training manual

3. 6 Treatment guidelines

Most countries have guidelines about HIV treatment (ART).

The main guidelines are for adult treatment. There are usually separate guidelines for treating children, treatment during pregnancy, for TB or hepatitis coinfection, for adherence, and for treating opportunistic infections.

Guidelines generally use technical medical language and are written for doctors. They present consensus opinions of the most recent evidence. This includes, for example, when to start ART, which drugs to use, and how to manage side effects. There is sometimes a patient or community version in non-medical language.

Guidelines need to be revised regularly to make sure the information stays up-to-date. Always check the date of a guideline that you are using. Always check to see whether a more recent update is available.

Guidelines on the Internet

WHO guidelines
Over 50 guidelines on all aspects of HIV diagnosis, monitoring, treatment and care. The 2015/16 guidelines cover both adult and children’s care, for HIV treatment and prevention.

US guidelines
aidsinfo.nih.gov

Separate public US guidelines for adults, children, pregnancy, OIs, testing and prevention. Updated at least every year.

UK guidelines
www.bhiva.org

Over 14 current guidelines on all aspects of HIV care. This includes treatment, pregnancy, coinfection with hepatitis and TB, malignancies, immunisations and organ transplants.

UK guidelines for children
www.chiva.org.uk

European guidelines
www.eacsociety.org/guidelines/eacs-guidelines/eacs-guidelines.html

European guidelines on HIV, treatment, co-morbidities and coinfection with hepatitis B/C.

Selected international guidelines
hivinsite.ucsf.edu/insite?page=cr-00-04

Last updated: 1 January 2016.