HIV-AIDS in family practices

Suspect HIV infection on clinical grounds ie in patients with a history of high-risk behaviour and who present with symptoms suggesting primary HIV infection and in patients with unexplained immunosuppression and in young individuals with weight loss, dementia or oesophageal candidiasis, thrombocytopenia or anaemia without a clear cause. Serology to confirm HIV infection becomes positive 1 - 4 months after contracting the infection. The patient may manifest primary symptoms 2 - 6 weeks after infection. Serological diagnosis is usually possible 2 - 4 weeks after symptom onset or 4 - 8 weeks after contracting the infection. To exclude the possibility of HIV infection antibody testing should be carried out until four months have elapsed. There is no cure for HIV infection, but a combination therapy (HAART) has greatly improved the patients' outlook.


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