CCO Infectious Disease Podcast

Preconception ART Selection: Using HIV-ASSIST

Episode Summary

A patient with HIV who reveals a plan for pregnancy needs careful consideration, as stakes are high during pregnancy for PWH. Here’s how HIV-ASSIST can be used to guide ART selection.

Episode Notes

In this episode, Sonya Krishnan, MD, MHS, discusses using HIV-ASSIST to aid in the selection of an ART regimen for a virologically suppressed PWH who is planning a pregnancy. Listen as she covers:

• How to input patient specific factors into the HIV-ASSIST tool
• Discussion of available education sheets to review the data and recommendations for her current ART regimen in pregnancy
• An explanation of why some regimens are ranked lower because of adherence factors such as increased pill burden or dosing frequency
• Guidelines informing the HIV-ASSIST output, including DHHS and IAS-USA, and the frequency with which updates are incorporated
• How to use the HIV-ASSIST output to guide regimen selection in pregnancy
• Use of the HIV-ASSIST tool in shared decision-making and patient counseling

Sonya Krishnan, MD, MHS
Assistant Professor
Division of Infectious Diseases
Johns Hopkins University
Baltimore, Maryland

Link to full program: 
bit.ly/3pwaH2Y