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Primary Care Guidance for Persons With HIV - 2021

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29 Table 5. Routine Healthcare Maintenance for People With HIV (After Initial Assessment) Intervention Recommendation Comments Contraceptive management All persons with HIV should be asked about their reproductive desires. Persons capable of childbearing should be routinely asked about their plans and desires regarding pregnancy. Plans for conception may influence the choice of ART. See Section IV for further discussion. Oral health examination All persons with HIV should have oral health examinations semiannually. — Patient education Address regularly in all patients, particularly sexual risk reduction to prevent STIs (and HIV transmission if not virally suppressed) and importance of medication adherence for personal health and to eliminate HIV transmission to sexual partners. General messages regarding sexual risk reduction should be provided at all HIV primary care encounters, including need for maximal viral control to improve personal health and eliminate HIV transmission to others (U=U). ose patients reporting high- risk behaviors, or those presenting with repeated STIs, should be offered brief counseling and tailored interventions to reduce their subsequent risk. Attempts should also be made to refer the patient to programs offering a more extensive intervention program. (cont'd)

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