3-6 Months ✔ 2
Every ✔ 3
6 Months Every
12 Months Every
In clinically stable patients with suppressed viral load, CD4 count can be monitored every 6-12 months
Treatment Failure
✔
✔ ✔
CCR5 antagonist- based regimen
CCR5 antagonist or for failure of
if considering ✔
Clinically Indicated
✔
✔ ✔
✔
✔ ✔
✔ measurement
if abnormal at last
✔
if normal at last measurement
measurement ✔
if abnormal at last
✔ if on TDF8 ✔ 6 Serum Na, K, HCO3 7 8 ✔
if normal at last measurement
✔
✔ ✔
✔ ✔
✔
✔ ✔
For patients with renal disease, consult "Guidelines for the Management of Chronic Kidney Disease in HIV-Infected Patients: Recommendations of the HIV Medicine Association of the Infectious Diseases Society of America."
monitoring phosphorus while on TDF; determination of renal function should include estimation of creatinine clearance using Cockcroft-Gault equation or estimation of glomerular filtration rate based on MDRD equation.
, Cl, BUN, creatinine, glucose (preferably fasting); some experts suggest
More frequent monitoring may be indicated for patients with increased risk of renal insufficiency, such as patients with diabetes, hypertension, etc.
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