University of California, San Francisco |
Case Summary A physician called for advice about a 47-year-old male heterosexual patient who’d been newly diagnosed with HIV. The patient had presented with a gastric mass on a CT scan, and was Acid-Fast Bacilli- (AFB) positive on biopsy, indicating possible Tuberculosis (TB) infection. The patient was being treated for both Mycobacterium Avium Complex (MAC) […]
National Women and Girls HIV/AIDS Awareness Day and the CCC
National Women and Girls HIV/AIDS Awareness Day helps bring the continued increase in new HIV infections among women to the fore. Understanding HIV in the context of women’s health helps providers maximize patient outcomes and lower transmission risk to partners or during pregnancy. The Clinician Consultation Center (CCC) can provide personalized guidance to clinicians treating […]
Case of the Month: Needlesticks, HIV+ Source Patients, and PEP
Case Summary A physician who specializes in occupational health called regarding a registered nurse (RN) who sustained a needlestick 36 hours ago. She was drawing blood with a butterfly needle from a source patient who is known to be HIV antibody-positive. The injury was shallow and it was unknown if the needle was visibly bloody […]
Disparity and Care: National Black HIV/AIDS Awareness Day
Underserved populations can disproportionately encounter problems in receiving HIV testing and accessing HIV care, and National Black HIV/AIDS Awareness Day (Feb. 7, 2015) aims to bring light to this and other disparities in the HIV epidemic. Although African-Americans represent 12% of the US population, they make up an estimated 44% of people living with HIV […]
Case of the Month: Possible Acute HIV Infection
Case Summary A doctor called the HIV/AIDS Management Service to ask about an 18-year-old male who had been diagnosed with syphilis and was presenting to clinic with low-grade fever, pharyngitis, and cervical adenopathy. The patient had had unprotected receptive anal intercourse with another male three to four weeks prior to the time of the call. […]
Case of the Month: ARVs and Dizziness
Case Summary A physician calls the CCC HIV/AIDS Management Service about a 33-year-old HIV-positive man whose occupation requires going to extreme heights. The patient is treatment-naive and has a high CD4 count with a viral load of 13,000 copies/mL. His genotype showed a wild-type virus. The caller inquires what antiretroviral medications should be considered for […]
World AIDS Day 2014: Working Toward an AIDS-Free Generation
World AIDS Day reminds us all of how far we have come with HIV, and how much farther we have to go. At the Clinician Consultation Center, we have the special opportunity every day of helping to prevent HIV transmission and to improve the care of those with HIV. Nothing could be more rewarding for […]
Case of the Month: Pediatric ARV Regimen Selection
Case Summary A pediatrician calls the CCC about a three-year-old HIV-positive boy recently adopted from Ethiopia who recently immigrated to the U.S. His adoptive parents told the pediatrician that they’d received zidovudine/lamuvudine/nevirapine bottles from the orphanage, but are unclear as to whether the boy was regularly receiving antiretrovirals (ARVs). Currently, the child is not taking […]
Case of the Month: Initiating PrEP and Providing Appropriate Follow-Up
Case Summary A family physician calls about a 19-year-old bisexual man interested in pre-exposure prophylaxis (PrEP). The patient is HIV-negative. He has multiple partners and uses protection, but not regularly. The patient is currently not on post-exposure prophylaxis (PEP), has no signs compatible with acute HIV, and has normal renal and hepatic function. What is […]
Introducing the CCC PrEPline!
PrEPline, 855-448-7737 The CCC Pre-Exposure Prophylaxis Service 11 a.m. – 6 p.m. EST PrEPline to Provide Clinicians with Advice on New HIV Prevention Tool We’re excited to announce our brand new service, the CCC Pre-Exposure Prophylaxis consultation telephone service, or PrEPline. This service will provide free, expert advice to clinicians across the country on PrEP, […]