CCO Infectious Disease Podcast

Rapid ART Initiation: Answering the Questions

Episode Summary

Hear from expert faculty as they discuss questions about rapid ART initiation for HIV, including guideline recommendations, data to support improved clinical outcomes, and rapidly transitioning from PrEP to ART after HIV seroconversion.

Episode Notes

In this episode, Isolde Butler, MD, and Brenda E. Crabtree Ramírez, MD, discuss rapid ART initiation for people newly diagnosed with HIV, including:

• The HIV care continuum in the United States and Latin America
• Barriers to HIV diagnosis, including stigma, discriminatory laws and policies, social determinants of health, and lack of access to healthcare
• Factors that predict delayed care linkage and inconsistent HIV care and treatment
• Improved clinical outcomes that have been shown with rapid ART initiation, first in low- and middle-income countries and now worldwide
• Recommendations for rapid ART—and regimen choices—from the DHHS, IAS-USA, CENSIDA, EACS, and WHO
• Recommendations for transitioning from PrEP to ART when someone seroconverts while receiving either oral PrEP or LA CAB for PrEP
• Barriers to rapid ART initiation in their individual care settings
• The future of LA injectable ART for initial treatment and rapid initiation

Isolde Butler, MD
Chief Medical Officer
CrescentCare
New Orleans, Louisiana

Brenda E. Crabtree Ramírez, MD
Assistant Professor, HIV Program
Department of Infectious Diseases
Instituto Nacional de Ciencias Médicas y Nutrición, Salvador Zubirán
Mexico City, Mexico

Link to full program: bit.ly/3HPu4Lk