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Antiretroviral therapy for HIV should be started at diagnosis regardless of CD4+ count, study concludes

BMJ 2015; 351 doi: http://dx.doi.org/10.1136/bmj.h3943 (Published 21 July 2015) Cite this as: BMJ 2015;351:h3943
  1. Jacqui Wise
  1. 1London

Initiating antiretroviral therapy immediately after HIV diagnosis rather than waiting until a patient’s CD4+ count has declined is of considerable benefit, a large international study published in the New England Journal of Medicine has found.1 The results of the study were also released at the International AIDS Society conference in Vancouver, Canada, on 20 July.

It has been common practice to defer the start of antiretroviral therapy in asymptomatic patients with a CD4+ count above a certain threshold. The threshold for treatment varies across different …

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