HIV & Aging: Table of Contents

Recommended Treatment Strategies for Clinicians Managing Older Patients with HIV

HIV & Aging Clinical Recommendations
CME/CE credit available June 8, 2021 - June 7, 2022. Estimated time to complete all chapters: 14 hours. Jointly provided by the Annenberg Center for Health Sciences at Eisenhower and American Academy of HIV Medicine, in collaboration with Postgraduate Institute for Medicine. Updated: June 14, 2021

Thumb - Aging
The American Academy of HIV Medicine (AAHIVM), the American Geriatrics Society (AGS) and the AIDS Community Research Initiative of America (ACRIA) released the first clinical...
Thumb - Aging
Among those with HIV infection receiving ART (Antiretroviral Therapy), the proportion achieving viral suppression is growing, aging, and experiencing a widening spectrum of “...
Thumb - Screening
Providers must reduce barriers to effective prevention and detection of HIV in older   Primary care providers should perform routine, opt-out HIV screening in...
Thumb - Initiate
For older HIV-infected patients, antiretroviral therapy is recommended for all, regardless of CD4 cell count. Antiretroviral therapy is extremely important for older...
Thumb - Immunization
Consensus is widespread for the use of most vaccines in persons living with HIV (PLWH). These recommendations are nicely summarized in an Infectious Diseases Society of...
Thumb - CV
Recommendations: HIV infection is associated with an excess risk of developing cardiovascular disease. Traditional and HIV-specific risk factors for CVD should be...
Thumb - COPD
PLWH have an increased risk for several non-infected pulmonary conditions including chronic obstructive pulmonary disease (COPD).   COPD often manifests with...
Thumb - Smoking
Providers should counsel patients at every visit to stop smoking.   Providers should make use of community smoking-cessation resources, online quit sites, and...
Thumb - Telemedicine
Kidney function should be monitored with creatinine-based estimated GFR at least twice yearly and urinalysis or quantitative measurement of albuminuria or proteinuria...
Thumb - Hypertension
Hypertension remains one of the more common chronic diseases in older individuals and is associated with other chronic conditions such as cardiovascular disease, chronic...
Thumb - Cancer
Cancer screening in clinically stable PLWH 50 years and older should be in accordance with current guidelines for the general population. Where HIV-specific...
Thumb - Holding Hands
Due to frequent overlap of risk factors for HIV and viral hepatitis, all HIV-seropositive individuals should be screened for hepatitis A, hepatitis B and hepatitis C...
Thumb - Diabetes
The most important prevention for adult onset diabetes mellitus is to avoid excess weight gain. Since most patients living with HIV come into care at or below normal...
Thumb - DDI
The primary care provider should perform annual complete medication reconciliation and a medication review at every visit so that a complete and active medication list...
Thumb - Osteoporosis
Since older individuals with HIV, even those on effective ART, may suffer accelerated bone loss, screening for and treatment of osteoporosis should be done....
Thumb - Sexual Health
Good sexual health is a correlate of positive health behaviors and outcomes. Engaging the older adult about their sexual behaviors can mediate better health outcomes...
Thumb - PrEP
Older adults should be strongly considered as appropriate candidates for pre-exposures prophylaxis (PrEP).   Older adults should be strongly considered as...
Thumb - Nutrition
HIV infection is a chronic inflammatory condition, further stressing the already weakening antioxidant capacity that accompanies aging. Latest evidence shows that...
Thumb - Depression
An estimated 47% of persons living with HIV (PLWH) in the United States are over 50 years of age, with 15-25% of new infections diagnosed after the age of 50. (CDC 2016;...
Thumb - Anxiety
Other causes for anxiety (including comorbid conditions and medications) must be ruled out when evaluating for anxiety in HIV.   Non-pharmacological approaches...
Thumb - Substance Abuse
Older PLWH have higher rates of substance abuse than their HIV-negative counterparts, which does not tend to decline with age.   There are issues and barriers...
Thumb - Neuropathy
Distal sensory neuropathy (DSP) is the most common type of peripheral neuropathy in HIV.   DSP occurs more frequently in older adults living with HIV (PLWH...
Thumb - HAND
Assessing for HIV-Associated Neurocognitive Disorder (HAND) is important and a two-tiered approach– first assessing symptoms with follow-up testing as needed is a...
Thumb - Advanced Care
Older HIV-infected patients, especially those with substantial illness burden, should be counseled to complete a durable power of attorney (DPOA) for health care and an...

Purpose of this Program: The AAHIVM, ACRIA and AGS (collectively, the “Sponsors,” “we” or “us”) are sponsors of this Website and through it seek to address the unique needs and challenges that older adults of diverse populations living with HIV face as they age. However, the information in this Website is not meant to supplant the advice provided in a doctor-patient relationship.

General Disclaimer: HIV-Age.org is designed for educational purposes only and is not engaged in rendering medical advice or professional services. The information provided through HIV-Age.org should not be used for diagnosing or treating a health problem or a disease. It is not a substitute for professional care. If you have or suspect you may have a health problem, consult your health care provider.

 

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The American Academy of HIV Medicine is a professional organization that supports the HIV practitioner and promotes accessible, quality care for all Americans living with HIV disease. Our membership of HIV practitioners and credentialed HIV Specialists™, HIV Experts™, and HIV Pharmacists™ provide direct care to the majority of HIV patients in the US.