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Guidance on couples HIV testing and counselling including antiretroviral therapy for treatment and prevention in serodiscordant couples: Recommendations for a public health approach.

Author: 
World Health Organization [WHO]
Source: 
Geneva, Switzerland, WHO, Department of HIV / AIDS, 2012 Apr. [54] p.
Abstract: 

These guidelines recommend increasing the offering of HIV testing and counselling (HTC) to couples and partners, with support for mutual disclosure. They also recommend offering antiretroviral therapy (ART) for HIV prevention in serodiscordant couples. Recommendations include: 1.Couples and partners should be offered voluntary HIV testing and counselling with support for mutual disclosure (Strong recommendation, low-quality evidence). 2. Couples and partners in antenatal care settings should be offered voluntary HIV testing and counselling with support for mutual disclosure (Strong recommendation, low-quality evidence). 3. Couples and partner voluntary HIV testing and counselling with support for mutual disclosure should be offered to individuals with known HIV status and their partners (Strong recommendation, low-quality evidence for all people with HIV in all epidemic settings / Conditional recommendation, low-quality evidence for HIV-negative people depending on country-specific HIV prevalence). 4. People with HIV in serodiscordant couples and who are started on antiretroviral therapy (ART) for their own health should be advised that ART is also recommended to reduce HIV transmission to the uninfected partner (Strong recommendation, high-quality evidence). 5. HIV-positive partners with >350 CD4 cel ls/┬ÁL in serodiscordant couples should be offered ART to reduce HIV transmission to uninfected partners (Strong recommendation, high-quality evidence. (Excerpts)

Language: 
Year: 
Document Number: 
333741
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