Deprecated function: Return type of DatabaseStatementBase::execute($args = [], $options = []) should either be compatible with PDOStatement::execute(?array $params = null): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 2246 of /var/www/webmd/apps/mdedge/htdocs/includes/database/database.inc).
Deprecated function: Return type of DatabaseStatementEmpty::current() should either be compatible with Iterator::current(): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 2348 of /var/www/webmd/apps/mdedge/htdocs/includes/database/database.inc).
Deprecated function: Return type of DatabaseStatementEmpty::next() should either be compatible with Iterator::next(): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 2348 of /var/www/webmd/apps/mdedge/htdocs/includes/database/database.inc).
Deprecated function: Return type of DatabaseStatementEmpty::key() should either be compatible with Iterator::key(): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 2348 of /var/www/webmd/apps/mdedge/htdocs/includes/database/database.inc).
Deprecated function: Return type of DatabaseStatementEmpty::valid() should either be compatible with Iterator::valid(): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 2348 of /var/www/webmd/apps/mdedge/htdocs/includes/database/database.inc).
Deprecated function: Return type of DatabaseStatementEmpty::rewind() should either be compatible with Iterator::rewind(): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 2348 of /var/www/webmd/apps/mdedge/htdocs/includes/database/database.inc).
CE/CME
HIV Infection: What Primary Care Providers Need to Know
WHEN TO REFER Expert assistance with initiation and management of HIV care is always helpful, but primary care clinicians can provide the majority of care. Obtain expert consultation when
• Initial resistance testing shows resistance to NRTI backbone medication(s) listed as preferred initial options
• There is a significant comorbidity, especially one that involves medications that may interact with an HIV regimen
• Hepatitis B or C is present
• Pregnancy is present or planned
• HIV is not controlled by the initial regimen or a regimen fails.
CONCLUSION HIV is now viewed as a chronic, manageable disease. As improved screening continues to identify an increasing proportion of HIV-positive patients, improving therapies keep these patients alive and well. As access to care continues to improve, primary care clinicians will provide more of the care of HIV patients. Some patients will require consultation with an HIV specialist, but primary care clinicians must build a strong foundation of knowledge regarding the treatment of HIV and remain current as progress in the field continues.
