Just Diagnosed: Next Steps After Testing Positive for HIV
March 13, 2017
What Is the Next Step After Testing Positive for HIV?
Testing positive for HIV often leaves a person overwhelmed with questions and concerns. It's important to remember that HIV is a manageable disease that can be treated with HIV medicines.
The first step after testing positive is to see a health care provider, even if you don't feel sick. People with HIV work closely with their health care providers to decide when to start HIV medicines and what HIV medicines to take.
The use of HIV medicines to treat HIV infection is called antiretroviral therapy (ART). ART involves taking a combination of HIV medicines (called an HIV regimen) every day. ART can't cure HIV, but it helps people with HIV live longer, healthier lives and reduces the risk of HIV transmission.
It is recommended that people with HIV start ART as soon as possible. Deciding when to start ART and what HIV medicines to take begins with an HIV baseline evaluation.
What Is an HIV Baseline Evaluation?
An HIV baseline evaluation includes all the information collected during a person's initial visits with a health care provider. The HIV baseline evaluation includes a review of the person's health and medical history, a physical exam, and lab tests.
What Are Some Questions People Typically Ask During Their First Visits With an HIV Health Care Provider?
People newly diagnosed with HIV infection have many questions. If you've just tested HIV positive you may have some of the following questions:
What Lab Tests Are Included in an HIV Baseline Evaluation?
The following lab tests are included in an HIV baseline evaluation.
A CD4 count measures the number of CD4 cells in a sample of blood. CD4 cells are infection-fighting cells of the immune system. HIV destroys CD4 cells, which damages the immune system. A damaged immune system makes it hard for the body to fight off infections. Treatment with HIV medicines prevents HIV from destroying CD4 cells. The higher a person's CD4 count is, the better.
ART is recommended as soon as possible for everyone with HIV, no matter how high or low their CD4 count is. However, a low CD4 count (below 200 cells/mm3) increases the urgency to start ART.
A viral load test measures how much virus is in the blood (HIV viral load). A goal of HIV treatment is to keep a person's viral load so low that the virus can't be detected by a viral load test.
Drug-resistance testing identifies which, if any, HIV medicines will not be effective against a person's strain of HIV. Health care providers consider a person's drug resistance test results when recommending an HIV regimen.
Testing for Sexually Transmitted Infections (STIs)
Coinfection with another STI can cause HIV infection to advance faster and increase the risk of HIV transmission to a sexual partner. STI testing makes it possible to detect and treat any STIs promptly.
To learn more, view the AIDSinfo infographic: What do my lab results mean?
How Does an HIV Baseline Evaluation Help Determine If a Person Is Ready to Start HIV Treatment?
Before starting treatment, people with HIV must be prepared to take HIV medicines every day for the rest of their lives. A baseline evaluation can help to identify any issues that can make it difficult to take HIV medicines every day and exactly as prescribed (called medication adherence).
How Can I Find More Resources for a Person Who Has Just Tested HIV Positive?
The following are resources to share with someone newly diagnosed with HIV:
This fact sheet is based on information from these sources:
This article was provided by AIDSinfo. Visit the AIDSinfo website to find out more about their activities and publications.
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