Overview of managing HIV infection
This topic is not a comprehensive human immunodeficiency virus (HIV) management guide. The following advice on managing HIV infection in adults is included:
- Benefits for antiretroviral therapy for HIV infection
- Indications for HIV testing
- Considerations before starting antiretroviral therapy for HIV infection
- Overview of antiretroviral and other drugs for HIV infection in adults
- Antiretroviral drug interactions
- Monitoring antiretroviral therapy for HIV infection
- Initial antiretroviral therapy for HIV infection in adults
- Changing antiretroviral therapy for HIV infection
- Opportunistic and co-infections in adults with HIV infection.
Management of HIV infection in pregnant people and Neonatal antiretroviral postexposure prophylaxis against HIV are also included in the topic.
Diagnosis and management of HIV in children requires consultation with a paediatric HIV or infectious diseases physician. See also the paediatric HIV guidelines listed in Australian and international HIV guidelines.
The Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine provide resources and training for clinicians about HIV management and prevention. See also, the Australian and international guidelines listed in Australian and international HIV guidelines.
For HIV pre-exposure prophylaxis (PrEP), see Pre-exposure prophylaxis (PrEP) against HIV.
For HIV postexposure prophylaxis (PEP), see Postexposure prophylaxis (PEP).
HIV is a notifiable condition. Report cases of HIV to the local public health authority1 – see the Communicable diseases network Australia (CDNA) National guidelines for Public Health Units.
Australian HIV guidelines and resources:
Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) Sub-Committee for Guidance on HIV Management in Australia. Antiretroviral guidelines – US DHHS guidelines with Australian commentary. [regularly updated]. [URL]
Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM). HIV management in Australasia – a guide for clinical care. [regularly updated]. [URL]
Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM). Australasian contact tracing guidelines. [regularly updated]. [URL]
Communicable Diseases Network Australia (CDNA). Human Immunodeficiency virus (HIV): CDNA national guidelines for public health units [version 1.0]. Canberra: Department of Health; 2014. [URL]
International HIV guidelines:
British HIV Association (BHIVA). Guidelines for the treatment of HIV-1 positive adults with antiretroviral therapy. [regularly updated]. [URL]]
European AIDS Clinical Society (EACS). European Guidelines for treatment of HIV-positive adults in Europe. [regularly updated]. [URL]
International Antiviral Society–USA. Antiretroviral drugs for treatment and prevention of HIV infection in adults: 2020 Recommendations of the International Antiviral Society–USA Panel. 2020. [URL]
Panel on Antiretroviral Guidelines for Adults and Adolescents. Guidelines for the use of antiretroviral agents in adults and adolescents living with HIV. US Department of Health and Human Services (DHHS); [regularly updated]. [URL]
World Health Organization (WHO). Consolidated guidelines on HIV, viral hepatitis and STI prevention, diagnosis, treatment and care for key populations. [URL]
World Health Organization (WHO). Consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection – Recommendations for a public health approach. 2013. [URL]
World Health Organization (WHO). HIV/AIDS. [regularly updated]. [URL]
Guidelines on HIV infection in pregnancy:
Australasian Society for Infections Diseases (ASID). Management of Perinatal Infections. 3rd ed. Sydney: Australasian Society for Infectious Diseases; 2022. [URL]
British HIV Association (BHIVA). British HIV Association guidelines for the management of HIV infection in pregnant women [regularly updated]. [URL]
Panel on Treatment of Pregnant Women with HIV Infection and Prevention of Perinatal Transmission. Recommendations for the use of antiretroviral drugs in pregnant women with HIV infection and interventions to reduce perinatal HIV transmission in the United States. [regularly updated]. [URL]
Paediatric HIV guidelines:
Australian and New Zealand Paediatric Infectious Diseases Group (ANZPID). Non-occupational postexposure prophylaxis (nPEP) [URL]
Children’s HIV Association (CHIVA). CHIVA guidelines. [URL]
Panel on Antiretroviral Therapy and Medical Management of Children Living with HIV. Guidelines for the use of antiretroviral agents in pediatric HIV infection. [regularly updated]. [URL]