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Counseling in HIV Infection

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1. A cross-jurisdictional review of HIV testing intervals for population groups at high risk of HIV infection

A cross-jurisdictional review of HIV testing intervals for population groups at high risk of HIV infection A cross-jurisdictional review of HIV testing intervals for population groups at high risk of HIV infection | The Ontario HIV Treatment Network The Ontario HIV Treatment Network A cross-jurisdictional review of HIV testing intervals for population groups at high risk of HIV infection A cross-jurisdictional review of HIV testing intervals for population groups at high risk of HIV infection (...) , , , , , , , , , , Question At what intervals do high-income jurisdictions encourage population groups at high risk of HIV infection to come forward for routine testing? Key take-home messages Most guidelines recommend at least annual HIV testing of population groups at high risk of HIV infection. These include: men who have sex with men, transgender women and men, people who use injection drugs, African, Caribbean and Black communities, indigenous people, and women at risk. Some guidelines recommend more frequent

2019 Ontario HIV Treatment Network

2. Strategies to link people with undiagnosed HIV infection to HIV testing, care, and prevention services

in Vancouver offering rapid referral were assessed over nine months in 2013 in the third study (38). As part of the program, diagnosed patients were offered either counselling and referral-to-care or counselling and referral to same-day connection with an HIV specialist, peers, and social workers. Of 19 patients diagnosed with HIV, a total of 84% chose the rapid referral program and on average linked to care within 24 hours (an average of 14 days for those with chronic infection; all decreasing from a pre (...) approaches, HIV-positive individuals are encouraged by a trained provider to disclose their status and suggest testing and counselling to their partners by themselves. Through assisted approaches, HIV-positive individuals are supported by a trained provider in disclosing their status or anonymously notifying partners of their potential exposure to HIV infection. HIV testing and counselling are offered to partners by the provider (56). The WHO strongly recommends that voluntary assisted partner

2019 Ontario HIV Treatment Network

3. Awareness and willingness towards pre-exposure prophylaxis against HIV infection among individuals seeking voluntary counselling and testing for HIV in Taiwan: a cross-sectional questionnaire survey. (PubMed)

Awareness and willingness towards pre-exposure prophylaxis against HIV infection among individuals seeking voluntary counselling and testing for HIV in Taiwan: a cross-sectional questionnaire survey. We aimed to investigate the awareness and willingness towards pre-exposure prophylaxis (PrEP) among individuals seeking voluntary counselling and testing (VCT) for HIV in Taiwan, where PrEP is currently not reimbursed by the insurance.Between April and October 2016, a questionnaire interview (...) was conducted among VCT clients to inquire about the attitudes towards PrEP against HIV infection. Multivariate logistic regression analysis was performed to identify the associated factors with willingness to initiate PrEP.During the 6-month period, 1173 VCT clients (99.8%) completed the interviews, with 67.4% being homosexual or bisexual male. While 67.2% of the clients knew of postexposure prophylaxis, 40.2% heard of PrEP. Overall, 546 clients (46.5%) were willing to initiate PrEP and 89.5% of them would

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2017 BMJ open

4. Community burden of undiagnosed HIV infection among adolescents in Zimbabwe following primary healthcare-based provider-initiated HIV testing and counselling: A cross-sectional survey. (PubMed)

Community burden of undiagnosed HIV infection among adolescents in Zimbabwe following primary healthcare-based provider-initiated HIV testing and counselling: A cross-sectional survey. Children living with HIV who are not diagnosed in infancy often remain undiagnosed until they present with advanced disease. Provider-initiated testing and counselling (PITC) in health facilities is recommended for high-HIV-prevalence settings, but it is unclear whether this approach is sufficient to achieve (...) universal coverage of HIV testing. We aimed to investigate the change in community burden of undiagnosed HIV infection among older children and adolescents following implementation of PITC in Harare, Zimbabwe.Over the course of 2 years (January 2013-January 2015), 7 primary health clinics (PHCs) in southwestern Harare implemented optimised, opt-out PITC for all attendees aged 6-15 years. In February 2015-December 2015, we conducted a representative cross-sectional survey of 8-17-year-olds living

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2017 PLoS medicine

5. Randomised clinical trial: Brief, patient-centred risk-reduction counselling at the time of a rapid HIV test does not affect subsequent acquisition of sexually transmitted infections

Randomised clinical trial: Brief, patient-centred risk-reduction counselling at the time of a rapid HIV test does not affect subsequent acquisition of sexually transmitted infections Brief, patient-centred risk-reduction counselling at the time of a rapid HIV test does not affect subsequent acquisition of sexually transmitted infections | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via (...) at the time of a rapid HIV test does not affect subsequent acquisition of sexually transmitted infections Article Text Prevention Randomised clinical trial Brief, patient-centred risk-reduction counselling at the time of a rapid HIV test does not affect subsequent acquisition of sexually transmitted infections Caitlin E Kennedy Statistics from Altmetric.com Commentary on: Metsch LR , Feaster DJ , Gooden L , et al. Effect of risk-reduction counseling with rapid HIV testing on risk of acquiring sexually

2014 Evidence-Based Medicine (Requires free registration)

6. Effect of opioid-substitution therapy and mental health counseling on HIV risk among hepatitis C-infected individuals (PubMed)

Effect of opioid-substitution therapy and mental health counseling on HIV risk among hepatitis C-infected individuals Understanding differences in HIV incidence among people living with hepatitis C virus (HCV) can help inform strategies to prevent HIV infection. We estimated the time to HIV diagnosis among HCV-positive individuals and evaluated factors that could affect HIV-infection risk in this population.The British Columbia Hepatitis Testers Cohort includes all BC residents (~1.5 million (...) 1,000 person years). Overall median (IQR) time to HIV infection was 3.87 (6.06) years. In Cox regression, injection-drug use (aHR 1.47, 95% CI 1.33-1.63), HBV infection (aHR 1.34, 95% CI 1.16-1.55), and being a man who has sex with men (aHR 2.78, 95% CI 2.14-3.61) were associated with higher risk of HIV infection. Opioid-substitution therapy (OST) (aHR 0.59, 95% CI 0.52-0.67) and mental health counseling (aHR 0.48, 95% CI 0.43-0.53) were associated with lower risk of HIV infection.Injection-drug use

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2018 Clinical epidemiology

7. Feasibility and utility of active case finding of HIV-infected children and adolescents by provider-initiated testing and counselling: evidence from the Laquintinie hospital in Douala, Cameroon. (PubMed)

Feasibility and utility of active case finding of HIV-infected children and adolescents by provider-initiated testing and counselling: evidence from the Laquintinie hospital in Douala, Cameroon. Universal HIV testing and treatment of infected children remain challenging in resource-limited settings (RLS), leading to undiagnosed children/adolescents and limited access to pediatric antiretroviral therapy (ART). Our objective was to evaluate the feasibility of active cases finding of HIV-infected (...) children/adolescents by provider-initiated testing and counseling in a health facility.A cross-sectional prospective study was conducted from January through April 2016 at 6 entry-points (inpatient, outpatient, neonatology, immunization/family planning, tuberculosis, day-care units) at the Laquintinie Hospital of Douala (LHD), Cameroon. At each entry-point, following counseling with consenting parents, children/adolescents (0-19 years old) with unknown HIV status were tested using the Rapid Diagnostic

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2018 BMC Pediatrics

8. Incorporating Acute HIV Screening into Routine HIV Testing at Sexually Transmitted Infection Clinics, and HIV Testing and Counseling Centers in Lilongwe, Malawi (PubMed)

Incorporating Acute HIV Screening into Routine HIV Testing at Sexually Transmitted Infection Clinics, and HIV Testing and Counseling Centers in Lilongwe, Malawi Integrating acute HIV-infection (AHI) testing into clinical settings is critical to prevent transmission, and realize potential treatment-as-prevention benefits. We evaluated acceptability of AHI testing and compared AHI prevalence at sexually transmitted infection (STI) clinics and HIV testing and counseling (HTC) clinics in Lilongwe (...) , Malawi.We conducted HIV RNA testing for HIV-seronegative patients visiting STI and HTC clinics. AHI was defined as positive RNA and negative/discordant rapid antibody tests. We evaluated demographic, behavioral, and transmission-risk differences between STI and HTC patients and assessed performance of a risk-score for targeted screening.Nearly two-thirds (62.8%, 9280/14,755) of eligible patients consented to AHI testing. We identified 59 persons with AHI (prevalence = 0.64%)-a 0.9% case-identification

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2016 Journal of acquired immune deficiency syndromes (1999)

9. Role of pretest counseling sessions on increasing subjective knowledge about HIV and hepatitis transmission among the beneficiaries of a free of charge, voluntary counseling and testing program in Constanta, Romania. (PubMed)

screened at the two centers and completed the SK increase assessment after the pre-test session. About 9% of all persons tested had reactive results to any of the infections in the context of high exposure risks for 62% and low hepatitis B vaccination rates (8%). 78% of attendees perceived that their knowledge regarding HIV and viral hepatitis transmission increasing with more than 60% as the result of the pretest counselling; more information was gained about hepatitis transmission compared (...) Role of pretest counseling sessions on increasing subjective knowledge about HIV and hepatitis transmission among the beneficiaries of a free of charge, voluntary counseling and testing program in Constanta, Romania. To describe the characteristics of clients who enrolled into of an opt-in, HIV, HBV & HCV Voluntary Counseling and Testing Program in Dobrogea Region, Romania (VCT) and to identify the utility of the pre-test counseling sessions in increasing subjective perception regarding

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2018 HIV medicine

10. HIV infection in pregnancy

HIV infection in pregnancy HIV infection in pregnancy - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  HIV infection in pregnancy Last reviewed: February 2019 Last updated: December 2018 Important updates 18 Dec 2018 Dolutegravir should not be used during the first trimester of pregnancy The US Department of Health and Human Services has updated its guidance on the management of pregnant women living with HIV (...) Food and Drug Administration and the European Medicines Agency both issued alerts about this risk in May 2018. These recommendations will be revised, if necessary, as additional data becomes available in 2019. Summary All pregnant women should be tested for HIV as early as possible in pregnancy. Repeat testing is recommended in the third trimester for pregnant women with initial negative tests who are known to be at risk of acquiring HIV. HIV-exposed infants should be tested for HIV infection

2018 BMJ Best Practice

11. HIV infection in pregnancy

HIV infection in pregnancy HIV infection in pregnancy - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  HIV infection in pregnancy Last reviewed: February 2019 Last updated: December 2018 Important updates 18 Dec 2018 Dolutegravir should not be used during the first trimester of pregnancy The US Department of Health and Human Services has updated its guidance on the management of pregnant women living with HIV (...) Food and Drug Administration and the European Medicines Agency both issued alerts about this risk in May 2018. These recommendations will be revised, if necessary, as additional data becomes available in 2019. Summary All pregnant women should be tested for HIV as early as possible in pregnancy. Repeat testing is recommended in the third trimester for pregnant women with initial negative tests who are known to be at risk of acquiring HIV. HIV-exposed infants should be tested for HIV infection

2018 BMJ Best Practice

12. Paediatric European Network for Treatment of AIDS (PENTA) guidelines for treatment of paediatric HIV-1 infection 2015: optimizing health in preparation for adult life

Paediatric European Network for Treatment of AIDS (PENTA) guidelines for treatment of paediatric HIV-1 infection 2015: optimizing health in preparation for adult life Paediatric European Network for Treatment of AIDS (PENTA) guidelines for treatment of paediatric HIV-1 infection 2015: optimizing health in preparation for adult life ABamford,*ATurkova,*HLyall, CFoster, NKlein, DBastiaans, DBurger, SBernardi, KButler, EChiappini, 1 2 3 3 4 5 5 6 7 8 P Clayden, 9 M Della Negra, 10 V Giacomet, 11 C (...) Immunology and Infectious Diseases, Emma Children’s Hospital Academic Medical Centre, Amsterdam, The Netherlands, 24 Imperial College, London, UK and 25 Heartlands Hospital, Birmingham, UK The 2015 Paediatric European Network for Treatment of AIDS (PENTA) guidelines provide practical recommendations on the management of HIV-1 infection in children in Europe and are an update to those published in 2009. Aims of treatment have progressed signi?cantly over the last decade, moving far beyond limitation

2018 The Children's HIV Association

13. Preparing HIV-infected children and adolescents for travel

Preparing HIV-infected children and adolescents for travel 1 Guideline: Preparing HIV-infected children and adolescents for travel Authors: Natalie Prevatt Date of preparation: February 2017 Next review date: February 2019 Contents Summary 2 Introduction to the guideline 2 General travel health and safety advice for travel 2 Traveller’s diarrhoea: prevention and treatment 4 Malaria prevention 4 Personal protection 6 Chemoprophylaxis 6 Important interactions between antimalarials and ART 7 (...) the basics, and the additional considerations required for a HIV- infected traveller. • The following website provides regularly updated country specific guidance for professionals: www.nathnac.org • Telephone advice can be gained from the National Travel Health Network and Centre (NaTHNac) telephone advice line (0845 602 6712) General travel health and safety advice for travel The following advice for HIV-infected children and families planning to travel should be given in clinic: • Seek early expert

2018 The Children's HIV Association

14. Standards and Model for Psychological Care for Children and Young People Living with HIV Infection (Summary)

Standards and Model for Psychological Care for Children and Young People Living with HIV Infection (Summary) Summary Psychology Standards 2018 Standards and Model for Psychological Care for Children and Young People Living with HIV Infection (Summary) This summary about effective psychological support in paediatric health care services for children and families with HIV is based on the principles behind the standards for psychological care: a document first produced by Paediatric HIV Psychology (...) of psychological standards of care for adults with HIV infection (BHIVA 2011). Whilst recognising that emotional and psychological support is equally important in the care of children and young people with HIV infection, as it is for adults, developmental and family factors influence the nature and timing of effective approaches. This summary provides a background to the general principles behind the standards of psychological care for children and young people with HIV (CLWH) and their families and introduces

2018 The Children's HIV Association

15. HIV testing and counselling experiences: a qualitative study of older adults living with HIV in western Kenya. (PubMed)

HIV testing and counselling experiences: a qualitative study of older adults living with HIV in western Kenya. Finding HIV infected persons and engaging them in care is crucial in achieving UNAIDS 90-90-90 targets; diagnosing 90% of those infected with HIV, initiating 90% of the diagnosed on ART and achieving viral suppression in 90% of those on ART. To achieve the first target, no person should be left behind in their access to HIV testing services. In Kenya, HIV prevention and testing (...) services give less emphasis on older adults. This article describes HIV testing experiences of older adults living with HIV and how their age shaped their interaction and treatment received during HIV testing and diagnosis.We conducted a qualitative study in two HIV clinics (rural and urban) in western Kenya, and recruited 57 HIV infected persons aged ≥50 years. We conducted in depth interviews (IDIs) with 25 participants and 4 focus group discussions (FGDs) with a total of 32 participants and audio

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2018 BMC Geriatrics

16. GPS: Adaptation Trial of an HIV Prevention Counselling Program for HIV-positive and HIV-negative Gay and Bisexual Men

Details Study Description Go to Brief Summary: GPS is a sexual health promotion and HIV prevention peer-delivered counselling program. The GPS program has 4 parts: information provision about HIV and sexually transmitted infections, motivational interviewing counselling, sexual health behavioural skills building, and linkage to care. The adaptation grant has three goals: 1) to establish a multi-region and multi-sectoral team that can deliver the revised program across a variety of settings, 2 (...) ) to learn how best to deliver this program as individual counselling program and also how to adapt this program for HIV-negative MSM, and 3) to pilot the individual program in 5 settings across Ontario and British Columbia. The research team will evaluate the pilot adaptation through mixed methods, employing a quantitative questionnaire and one-on-one semi-structured interviews. Condition or disease Intervention/treatment Phase HIV/AIDS Sexually Transmitted Infection Health Behavior Behavioral: GPS

2017 Clinical Trials

17. HIV and adolescents: Guidance for HIV testing and counselling and care for adolescents living with HIV

WITH HIVWHO Library Cataloguing-in-Publication Data HIV and adolescents: guidance for HIV testing and counselling and care for adolescents living with HIV: recommendations for a public health approach and considerations for policy-makers and managers. 1.HIV infections - diagnosis. 2.HIV infections – prevention and control. 3.Counseling. 4.Adolescent. 5.Adolescent health services. 6.HIV seropositivity – diagnosis. 7.Guideline. I.World Health Organization. ISBN 978 92 4 150616 8 (NLM classification: WC (...) provider-initiated testing and counselling PLHIV person/people living with HIV PMTCT prevention of mother-to-child transmission of HIV PWID people who inject drugs RCT randomized controlled trial SRH sexual and reproductive health STI sexually transmitted infection TB tuberculosis TG transgender person UNAIDS Joint United Nations Programme on HIV/AIDS UNESCO United Nations Educational, Scientific and Cultural Organization UNFPA United Nations Population Fund UNICEF United Nations Children’s Fund USAID

2013 World Health Organisation HIV Guidelines

18. The use of home-based HIV testing and counseling in low-and-middle income countries: a scoping review. (PubMed)

The use of home-based HIV testing and counseling in low-and-middle income countries: a scoping review. Knowledge of HIV status is crucial for both prevention and treatment of HIV infection. However, according to the Joint United Nations Programme on HIV/AIDS in low-and-middle-income countries (LMICs), only 10% of the population has access to HIV testing services. Home-based HIV testing and counseling (HTC) is one of the approaches which have been shown to be effective in improving access to HIV (...) and females. The included studies were conducted in the following countries: Zambia, Uganda, South Africa, Kenya, Ethiopia, Malawi, Swaziland, Pakistan, and Botswana. This study demonstrated that home-based HTC was used in LMICs alongside supervised HTC intervention using different types of HTC tests kits produced by different manufacturers. This study also showed that home-based HTC was feasible, highly effective, and increased uptake of HIV testing and counseling. This study further demonstrated

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2019 BMC Public Health

19. A realist review of infant feeding counselling to increase exclusive breastfeeding by HIV-positive women in sub Saharan-Africa: what works for whom and in what contexts. (PubMed)

being a regular practice. In light of the limited success in EBF promotion, a realist review was conducted, analysing the use of feeding counselling to increase exclusive breastfeeding by HIV-positive women in sub Saharan-Africa, where the majority of HIV childhood infections occur. We considered what mechanisms were at play, for whom and in what circumstances they led to exclusive breastfeeding.Because infant feeding counselling is a complex social intervention with a non-linear causal pathway (...) A realist review of infant feeding counselling to increase exclusive breastfeeding by HIV-positive women in sub Saharan-Africa: what works for whom and in what contexts. The most recent World Health Organization (WHO) guidelines on Human Immunodeficiency Virus (HIV) and infant feeding promotes exclusive breastfeeding (EBF) in resource limited settings for the prevention of mother to child transmission (PMTCT) of HIV. Literature reveals poor uptake of WHO feeding guidelines, with mixed feeding

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2019 BMC Public Health

20. HIV virologic failure and its predictors among HIV-infected adults on antiretroviral therapy in the African Cohort Study. (PubMed)

HIV virologic failure and its predictors among HIV-infected adults on antiretroviral therapy in the African Cohort Study. The 2016 WHO consolidated guidelines on the use of antiretroviral drugs defines HIV virologic failure for low and middle income countries (LMIC) as plasma HIV-RNA ≥ 1000 copies/mL. We evaluated virologic failure and predictors in four African countries.We included HIV-infected participants on a WHO recommended antiretroviral therapy (ART) regimen and enrolled in the African (...) -10.2) and missing any day of ART (aRR 1·8, 95% CI 1·27-2.57) increased the risk of virologic failure. Being on 2nd line therapy, the site where one receives care and CD4 count < 500 predicted viraemia, persistent viraemia and virologic failure.In conclusion, these findings demonstrate that HIV-infected patients established on ART for more than six months in the African setting frequently experienced viraemia while continuing to be on ART. The findings also show that being on second line, low CD4

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2019 PLoS ONE

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