Guidelines for Persons With HIV
Authors: Lisa K. Fitzpatrick, Daveda Hudson, Aurnell Dright
Journal: Annals of Internal Medicine (2012)

Letters4 December 2012Guidelines for Persons With HIVLisa K. Fitzpatrick, MD, MPH, Daveda Hudson, and Aurnell Dright, BALisa K. Fitzpatrick, MD, MPHFrom Howard University and United Medical Center, Washington, DC; United Medical Center, Washington, DC 20032-4623; and Howard University, Washington, DC 20060.Search for more papers by this author, Daveda HudsonFrom Howard University and United Medical Center, Washington, DC; United Medical Center, Washington, DC 20032-4623; and Howard University, Washington, DC 20060.Search for more papers by this author, and Aurnell Dright, BAFrom Howard University and United Medical Center, Washington, DC; United Medical Center, Washington, DC 20032-4623; and Howard University, Washington, DC 20060.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-157-11-201212040-00018 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:We commend Thompson and colleagues (1) for the development and publication of their recent guidelines for improving entry into and retention in care for persons with HIV. These guidelines are important for consolidating best practices in the approach to this multidimensional and complex issue. However, although we understand the gaps in science that the authors present, we disagree with the III C recommendations for the use of peer navigators and intensive individual outreach.Based on our experiences in Washington, DC, these strategies should be considered vital to engaging clients from impoverished and disadvantaged communities. Both peer navigation ...References1. Thompson MA, Mugavero MJ, Amico KR, Cargill VA, Chang LW, Gross R, et al. Guidelines for improving entry into and retention in care and antiretroviral adherence for persons with HIV: evidence-based recommendations from an International Association of Physicians in AIDS Care panel. Ann Intern Med. 2012;156:817-33, W-284-294. [PMID: 22393036] LinkGoogle Scholar2. Gardner LI, Metsch LR, Anderson-Mahoney P, Loughlin AM, del Rio C, Strathdee S, et al; Antiretroviral Treatment and Access Study Study Group. Efficacy of a brief case management intervention to link recently diagnosed HIV-infected persons to care. AIDS. 2005;19:423-31. [PMID: 15750396] CrossrefMedlineGoogle Scholar3. Bradford JB, Coleman S, Cunningham W. HIV System Navigation: an emerging model to improve HIV care access. AIDS Patient Care STDS. 2007;21 Suppl 1 S49-58. [PMID: 17563290] CrossrefMedlineGoogle Scholar4. Cavaleri MA, Kalogerogiannis K, McKay MM, Vitale L, Levi E, Jones S, et al. Barriers to HIV care: an exploration of the complexities that influence engagement in and utilization of treatment. Soc Work Health Care. 2010;49:934-45. [PMID: 21113849] CrossrefMedlineGoogle Scholar5. Rumptz MH, Tobias C, Rajabiun S, Bradford J, Cabral H, Young R, et al. Factors associated with engaging socially marginalized HIV-positive persons in primary care. AIDS Patient Care STDS. 2007;21 Suppl 1 S30-9. [PMID: 17563288] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Lisa K. Fitzpatrick, MD, MPH; Daveda Hudson; Aurnell Dright, BAAffiliations: From Howard University and United Medical Center, Washington, DC; United Medical Center, Washington, DC 20032-4623; and Howard University, Washington, DC 20060.Disclosures: Dr. Fitzpatrick: Grant (money to institution): Health Resources and Services Administration and Ryan White HIV/AIDS Programs; Consultancy: Gilead Sciences; Other: National Institutes of Health. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoGuidelines for Improving Entry Into and Retention in Care and Antiretroviral Adherence for Persons With HIV: Evidence-Based Recommendations From an International Association of Physicians in AIDS Care Panel Melanie A. Thompson , Michael J. Mugavero , K. Rivet Amico , Victoria A. Cargill , Larry W. Chang , Robert Gross , Catherine Orrell , Frederick L. Altice , David R. Bangsberg , John G. Bartlett , Curt G. Beckwith , Nadia Dowshen , Christopher M. Gordon , Tim Horn , Princy Kumar , James D. Scott , Michael J. Stirratt , Robert H. Remien , Jane M. Simoni , and Jean B. Nachega Guidelines for Persons With HIV Evan Wood and Julio S.G. Montaner Guidelines for Persons With HIV Frederick L. Altice , Curt G. Beckwith , Tim Horn , and Jane M. Simoni , on behalf of the International Association of Physicians in AIDS Care Panel on Guidelines for Improving Entry Into and Retention in Care and Antiretroviral Adherence for Persons With HIV Metrics 4 December 2012Volume 157, Issue 11Page: 832KeywordsHealth careHealth insuranceHIVObservational studiesPharmacistsPrevention, policy, and public healthPsychiatry and mental healthRandomized trialsTreatment guidelinesViral load ePublished: 4 December 2012 Issue Published: 4 December 2012 Copyright & PermissionsCopyright © 2012 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...