HIV and hepatitis coinfection guidelines (2009): online for comment

The draft 2009 BHIVA guidelines for the management of coinfection with HIV-1 and chronic hepatitis B or C are online and available for comment:
http://www.bhiva.org/cms1223977.asp

The 2009 guidelines have been updated to incorporate all new relevant information since the previous versions in 2005.

The major changes/amendments include:

Combining the previously separate HBV and HCV guidelines into one document
Increased discussion on hepatitis screening and prevention;
Clarification on the role of liver biopsy and non-invasive liver fibrosis assessment;
More emphasis on screening for delta virus;
Increased discussion on end-stage liver disease management and HCC screening;
Molecular diagnostic tests used for the diagnosis and management of HBV and HCV;
Revised CD4-based guidance on the management of chronic HBV;
Management of acute HBV;
Revised guidance on the management of chronic HCV, including ART interactions;
Management of acute HCV;
Management of treatment non-responders and relapsers in both chronic HBV and HCV.

The Guidelines Writing Group is grateful for all comments, which will be reviewed before publication.