Treatment training manual

3. 6 ART guidelines

There are many different guidelines about HIV treatment (ART).

  • Many countries develop their own guidelines.
  • Other countries refer to these, especially those from the US (HHS).
  • Some regions develop guidelines, for example, EACS in Europe.
  • World Health Organization (WHO) produces global guidelines. These are mainly used in low- and middle-income countries.

The main HIV 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 are consensus views based on 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. Just like other information, including from i-Base, always check the date. Check whether a more recent update is available.

Guidelines on the Internet

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

US guidelines
clinicalinfo.hiv.gov/en/guidelines

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

UK guidelines
www.bhiva.org

Over 15 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 August 2021.